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INTRODUCTION:: Leishmaniasis is endemic to the Northern, Northeastern, Central-Western, and Southeastern regions of Brazil. We aimed to assess the epidemiological situation of leishmaniasis in humans and dogs in indigenous villages located in the States of Mato Grosso and Tocantins using a serological survey conducted in May 2011. METHODS:: Serum samples were collected from 470 humans and 327 dogs living in villages of the Urubu Branco and Tapirapé Karajá indigenous reserves. The samples were analyzed for the presence of Leishmania spp. antibodies using the indirect fluorescent antibody test (IFAT), enzyme-linked immunosorbent assay (ELISA) with a crude antigen (CA) and soluble antigen (SA), and Dual Path Platform (DPP®) immunoassay for canine visceral leishmaniasis. RESULTS:: Of 470 human samples tested, two (0.4%) were positive using IFAT. Among 327 dog samples tested, 28 (8.6%) were positive using ELISA CA, five (1.5%) using ELISA SA, two (0.6%) using IFAT, and none using DPP® immunoassay with Leishmania infantum chagasi antigen. When Leishmania amazonensis antigen was used, 20 (6.1%) samples were positive using ELISA CA and four (1.2%) using IFAT. CONCLUSIONS:: There was a low prevalence of infection in the region, and significant differences among the main serological methods used for the diagnosis of leishmaniasis. These findings indicated that the detection of Leishmania spp. requires further study and improvement.

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ABSTRACT INTRODUCTION: Leishmaniasis is endemic to the Northern, Northeastern, Central-Western, and Southeastern regions of Brazil. We aimed to assess the epidemiological situation of leishmaniasis in humans and dogs in indigenous villages located in the States of Mato Grosso and Tocantins using a serological survey conducted in May 2011. METHODS: Serum samples were collected from 470 humans and 327 dogs living in villages of the Urubu Branco and Tapirapé Karajá indigenous reserves. The samples were analyzed for the presence of Leishmania spp. antibodies using the indirect fluorescent antibody test (IFAT), enzyme-linked immunosorbent assay (ELISA) with a crude antigen (CA) and soluble antigen (SA), and Dual Path Platform (DPP®) immunoassay for canine visceral leishmaniasis. RESULTS: Of 470 human samples tested, two (0.4%) were positive using IFAT. Among 327 dog samples tested, 28 (8.6%) were positive using ELISA CA, five (1.5%) using ELISA SA, two (0.6%) using IFAT, and none using DPP® immunoassay with Leishmania infantum chagasi antigen. When Leishmania amazonensis antigen was used, 20 (6.1%) samples were positive using ELISA CA and four (1.2%) using IFAT. CONCLUSIONS: There was a low prevalence of infection in the region, and significant differences among the main serological methods used for the diagnosis of leishmaniasis. These findings indicated that the detection of Leishmania spp. requires further study and improvement.

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The animal trade is an important risk factor that affects the spread of diseases among animals and herds. The goal of the present study was to characterize the cattle movement network in Pernambuco, Brazil, based on the animal movement permits (Guias de Trânsito Animal; GTAs) from 2012 to 2013, and identify the intensity of the commercial relationship between farm premises. A total of 737,950 GTAs were issued, and the movement of 3,481,185 cattle (1,688,585 in 2012 and 1,792,600 in 2013) was analyzed. Of the moved animals analyzed, 52.57% (1,829,907/3,481,185) were involved in the movement of cattle in or out of livestock markets, indicating that livestock markets played a major role in the network. Approximately 20% of the more-connected premises were responsible for approximately 87% of the movement related to sales and 95% of the movement related to purchases. Considering the important role of livestock markets and the intense cattle trade between farm premises, surveillance, and control measures could be more efficient if targeted to livestock markets and highly connected premises to prevent the spread of infectious diseases.(AU)

O comércio de animais é um importante fator de risco para a disseminação de doenças entre animais e rebanhos. O objetivo do presente estudo foi caracterizar a rede de movimentação de bovinos em Pernambuco, com base nas guias de trânsito animal (GTAs) de 2012 a 2013, e identificar a intensidade da relação comercial entre os estabelecimentos. Foram analisadas 737.950 GTAs emitidas, e as movimentações de bovinos totalizaram 3.481.185 animais (1.688.585 em 2012 e 1.792.600 em 2013). Um percentual de 52,57% (1.829.907/3.481.185) das movimentações de bovinos envolveu entrada ou saída de feiras de gado, indicando que as feiras desempenharam um papel importante na rede. Aproximadamente 20% dos estabelecimentos mais conectados foram responsáveis por aproximadamente 87% das movimentações relacionadas às vendas, e 95% das movimentações, relacionadas às compras. Considerando o importante papel das feiras e o intenso comércio de bovinos entre as propriedades, medidas de vigilância e controle podem ser mais eficientes se aplicadas em feiras e estabelecimentos altamente conectados, para prevenir a propagação de doenças infecciosas.(AU)

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The animal trade is an important risk factor that affects the spread of diseases among animals and herds. The goal of the present study was to characterize the cattle movement network in Pernambuco, Brazil, based on the animal movement permits (Guias de Trânsito Animal; GTAs) from 2012 to 2013, and identify the intensity of the commercial relationship between farm premises. A total of 737,950 GTAs were issued, and the movement of 3,481,185 cattle (1,688,585 in 2012 and 1,792,600 in 2013) was analyzed. Of the moved animals analyzed, 52.57% (1,829,907/3,481,185) were involved in the movement of cattle in or out of livestock markets, indicating that livestock markets played a major role in the network. Approximately 20% of the more-connected premises were responsible for approximately 87% of the movement related to sales and 95% of the movement related to purchases. Considering the important role of livestock markets and the intense cattle trade between farm premises, surveillance, and control measures could be more efficient if targeted to livestock markets and highly connected premises to prevent the spread of infectious diseases.(AU)

O comércio de animais é um importante fator de risco para a disseminação de doenças entre animais e rebanhos. O objetivo do presente estudo foi caracterizar a rede de movimentação de bovinos em Pernambuco, com base nas guias de trânsito animal (GTAs) de 2012 a 2013, e identificar a intensidade da relação comercial entre os estabelecimentos. Foram analisadas 737.950 GTAs emitidas, e as movimentações de bovinos totalizaram 3.481.185 animais (1.688.585 em 2012 e 1.792.600 em 2013). Um percentual de 52,57% (1.829.907/3.481.185) das movimentações de bovinos envolveu entrada ou saída de feiras de gado, indicando que as feiras desempenharam um papel importante na rede. Aproximadamente 20% dos estabelecimentos mais conectados foram responsáveis por aproximadamente 87% das movimentações relacionadas às vendas, e 95% das movimentações, relacionadas às compras. Considerando o importante papel das feiras e o intenso comércio de bovinos entre as propriedades, medidas de vigilância e controle podem ser mais eficientes se aplicadas em feiras e estabelecimentos altamente conectados, para prevenir a propagação de doenças infecciosas.(AU)

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The aims of the present study were to compare centrality and other measures of bovine movement networks in the state of Mato Grosso, Brazil, in 2007, by examination of the positive and negative herds identified in the brucellosis survey conducted in 2003. In addition, we aimed to examine the association between herd size (measured by the number of females older than 24 months, denoted FEM24+) and animal trade between herds. We found a statistical association between brucellosis occurrence and both the total degree (number of traded animals) and out-degree (for the number of animals sold and the number of neighboring herds). This finding suggests that positive herds in the 2003 survey were trading (particularly selling) more frequently in 2007 than negative herds, thereby presumably increasing the risk of disease spread. Statistical differences observed (p-values) in the network of movements for reproduction purposes were more significant than those observed in other networks for average herd size; degrees of animals, batches, and neighbors; outdegree of neighbors; and betweenness. We found positive associations (p 0.001) between the following variables: number of traded animals and the FEM24+ herd size; FEM24+ herd size and FEM24+ herd size of neighbors within the network of cattle movement; FEM24+ herd size of neighbors and number of traded animals; and weighted degree (animals, batches, and neighbors), outdegree (animals, batches, and neighbors), and outcloseness. Logistic regression analysis, in which average herd size and degree (animals) were both factors, showed that a tenfold increase in herd size and the number of animals traded would lead to an increased chance of a herd being positive by 41% (OR = 1.41 [1.01; 1.99]) and 39% (OR = 1.39 [1.05; 1.85]), respectively. We concluded that the presence of bovine brucellosis is associated with a larger herd size, which is consistent with other reports.(AU)

O objetivo do presente estudo foi comparar medidas de centralidade e outras medidas da rede de trânsito bovino no estado de Mato Grosso, Brasil, em 2007, pela análise de rebanhos positivos e negativos identificados no levantamento de brucelose realizado em 2003. Além disso, examinamos a associação entre tamanho de rebanho (medido pelo número de fêmeas acima de 24 meses, denotado FEM24+) e o comércio animal entre rebanhos. Foi observada uma associação estatística entre brucelose e tanto o grau total (número de animais comercializados) quanto o grau de saída (para número de animais vendidos e número de rebanhos vizinhos). Tal associação sugere que rebanhos positivos no levantamento de 2003 comercializavam (em particular, vendiam) com mais frequência em 2007 que rebanhos negativos, aumentando presumivelmente o risco de espalhamento da doença. Diferenças estatísticas observadas (valore de p) na rede de trânsito para reprodução foram mais significativas do que aqueles observadas em outras redes para tamanho médio de rebanho; grau de animais, lotes e vizinhos; grau de saída de vizinhos; e centralidade por intermediação (betweenness). Observamos associações. Encontramos associações positivas (p 0,001) entre as seguintes variáveis: número de animais comercializados e FEM24+; FEM24+ e FEM24+ de vizinhos na rede de trânsito bovino; FEM24+ de vizinhos na rede de trânsito bovino; FEM24+ de vizinhos e número de animais comercializados; e grau ponderado (animais) de vizinhos e grau (animais) do rebanho de origem.(AU)

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The aims of the present study were to compare centrality and other measures of bovine movement networks in the state of Mato Grosso, Brazil, in 2007, by examination of the positive and negative herds identified in the brucellosis survey conducted in 2003. In addition, we aimed to examine the association between herd size (measured by the number of females older than 24 months, denoted FEM24+) and animal trade between herds. We found a statistical association between brucellosis occurrence and both the total degree (number of traded animals) and out-degree (for the number of animals sold and the number of neighboring herds). This finding suggests that positive herds in the 2003 survey were trading (particularly selling) more frequently in 2007 than negative herds, thereby presumably increasing the risk of disease spread. Statistical differences observed (p-values) in the network of movements for reproduction purposes were more significant than those observed in other networks for average herd size; degrees of animals, batches, and neighbors; outdegree of neighbors; and betweenness. We found positive associations (p 0.001) between the following variables: number of traded animals and the FEM24+ herd size; FEM24+ herd size and FEM24+ herd size of neighbors within the network of cattle movement; FEM24+ herd size of neighbors and number of traded animals; and weighted degree (animals, batches, and neighbors), outdegree (animals, batches, and neighbors), and outcloseness. Logistic regression analysis, in which average herd size and degree (animals) were both factors, showed that a tenfold increase in herd size and the number of animals traded would lead to an increased chance of a herd being positive by 41% (OR = 1.41 [1.01; 1.99]) and 39% (OR = 1.39 [1.05; 1.85]), respectively. We concluded that the presence of bovine brucellosis is associated with a larger herd size, which is consistent with other reports.

O objetivo do presente estudo foi comparar medidas de centralidade e outras medidas da rede de trânsito bovino no estado de Mato Grosso, Brasil, em 2007, pela análise de rebanhos positivos e negativos identificados no levantamento de brucelose realizado em 2003. Além disso, examinamos a associação entre tamanho de rebanho (medido pelo número de fêmeas acima de 24 meses, denotado FEM24+) e o comércio animal entre rebanhos. Foi observada uma associação estatística entre brucelose e tanto o grau total (número de animais comercializados) quanto o grau de saída (para número de animais vendidos e número de rebanhos vizinhos). Tal associação sugere que rebanhos positivos no levantamento de 2003 comercializavam (em particular, vendiam) com mais frequência em 2007 que rebanhos negativos, aumentando presumivelmente o risco de espalhamento da doença. Diferenças estatísticas observadas (valore de p) na rede de trânsito para reprodução foram mais significativas do que aqueles observadas em outras redes para tamanho médio de rebanho; grau de animais, lotes e vizinhos; grau de saída de vizinhos; e centralidade por intermediação (betweenness). Observamos associações. Encontramos associações positivas (p 0,001) entre as seguintes variáveis: número de animais comercializados e FEM24+; FEM24+ e FEM24+ de vizinhos na rede de trânsito bovino; FEM24+ de vizinhos na rede de trânsito bovino; FEM24+ de vizinhos e número de animais comercializados; e grau ponderado (animais) de vizinhos e grau (animais) do rebanho de origem.

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The network of animal movements among livestock premises is an important topological structure for the spread of infectious diseases. The central focus of this study was to analyze strategies for selecting premises based on the friendship paradox ("your friends have more friends than you do") - in which premises that neighbor randomly selected premises are sampled for surveillance or control - to determine whether these strategies are viable alternatives for the surveillance and control of diseases in scenarios with insufficient data on animal movement. To test the effectiveness of these strategies, we performed three sets of simulations. In the first set, we examined the risk of spreading an infectious disease using the cattle movement network of the state of Mato Grosso, Brazil. All tested strategies based on the friendship paradox have comparable performance to the hub control strategy (controlling premises that sold more animals) and superior performance to random sampling in terms of both reducing the risk of purchasing infected animals and the number of premises that need to be controlled. In the second and third sets of simulations, we observed that the friendship paradox strategies were more sensitive than the random sampling strategy to detect cases and disease, respectively. The survey of the entire animal movement network to identify animal premises with a key role in trade is not always possible, either because the data are insufficient or because informal trade is significant. If surveying the network is not possible, all approaches based on knowledge of the network become useless. As an alternative, knowing that there is a hidden movement network that follows rules inherent to all networks, such as the friendship paradox, can be used to our advantage. Strategies based on the friendship paradox do not assume knowledge of the animal movement network and therefore may be viable alternatives for the surveillance or control of infectious diseases in the absence of network information, thus optimizing the use of human and financial resources.

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A acrodermatite enteropátíca é uma doença genética rara, de transmissão autossemíca recessíva o que se caracteriza por uma dermatite acral e periorifícíal, alopecia e diarréia. Os autores relatam e discutem um caso típico dessa entidade, enfatizando seus aspectos clínicos, evolutivos e terapêuticas e revisando brevemente a literatura.(au)

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Pseudoxantoma elástico: relato de um caso e revisão da literatura. Reportamos um caso típico de pseudoxantoma elástico com lesões cutâneas exuberantes e com comprometimento arterial periférico. Exame oftalmológico mostrou a presença de estrias angióides de retina e o estudo histopatológico de uma das lesões cutâneas confirmou o diagnóstico de pseudoxantoma elástico.

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