RESUMO
This study was designed to characterize mice bone marrow (BM) and bone marrow-derived dendritic cells (BMDC) and to compare the surface markers expression and inflammatory cytokine liberation in response to LPS and Bothrops jararacussu venom (BjV) stimulation. Typical morphology was observed in BM and BMDCs from the 4th up to the 8th day of culture using recombinant mouse GM-CSF and IL-4. A high basal level of MHC-II, CD1d, CD83, CD11c, CD80, and low CD86 was expressed by BM cells. After stimulation with GM-CSF/IL-4 for BMDCs differentiation, the BM cells differentiated into BMDCs presented MHC-II, CD1d, CD83, CD11c, CD86, and CD80 expression on the 4th - 8th day accompanied with high levels of TNF-α liberated. The difference between the surface markers' expression was observed in this time course in which CD1d, CD11c, and CD80 remained in high levels of expression, while MHC-II and CD83 showed moderate expression during the differentiation period. Also, cytokines liberation was monitored over the period of the BMDCs culture, and on the 6th day, low levels of IL-6 and IL-1ß were found, while high levels of TNF-α on the 4th and 8th days, both of which contributed to the maturity of the BMDCs. Maturation of DCs with LPS showed significant upregulation of surface markers (MHC-II, CD1d, CD83, CD86, CD80) and pro-inflammatory cytokines (IL-1ß, IL-6, TNF-α) liberation. On the other hand, BjV induced a decrease in CD1d, CD11c, CD83, and CD86 expression in mature BMDCs which was not observed when LPS was used to stimulate BMDCs which probably induces impairment in T-cell activation.
Assuntos
Fator Estimulador de Colônias de Granulócitos e Macrófagos , Fator de Necrose Tumoral alfa , Animais , Camundongos , Fator Estimulador de Colônias de Granulócitos e Macrófagos/farmacologia , Medula Óssea , Interleucina-4 , Interleucina-6 , Lipopolissacarídeos , Venenos de Serpentes , Citocinas , Células DendríticasRESUMO
BACKGROUND: Quality improvement (QI) methods are recommended to address healthcare-associated infections (HCAIs) in hospitals, but whereas internal initiatives have been widely studied, there is little evidence on the application and effect of a QI approach from an external system-wide perspective. AIM: To analyse the effect of a national system-wide QI initiative aimed at promoting HCAI prevention via regulatory interventions in Brazil. METHODS: A QI cycle approach designed and assessed with a before-and-after quasi-experimental design was implemented by the Brazilian Health Regulatory Agency (ANVISA), targeting 1869 hospitals. Eleven evidence-based quality indicators related to HCAI prevention and a composite measure were assembled, shared, and assessed; the intervention to improve was then based on participatory multifaceted regulatory actions. Absolute and relative improvements were estimated after the intervention. FINDINGS: In all, 563 hospitals (30.1% response) totalling 86,837 beds participated in the baseline assessment, and 681 hospitals (36.4% response) totalling 101,231 beds in the second. Ten of the 11 criteria improved (P < 0.05), as well as the composite indicator (P = 0.001) in all the regions of the country, particularly in the group of hospitals participating at baseline. 'Hand hygiene (HH) infrastructure' reached 100% (baseline: 97.9; P = 0.001), 'HH protocol' 96.9% (baseline: 92.9; P = 0.001), 'HH monitoring' 70% (baseline: 60.7; P < 0.001) and 'existence of antimicrobial prescription protocol' 80.7% (baseline: 73.2; P < 0.001), among others. The HCAI rates of the participating hospitals decreased after the intervention (P < 0.05). CONCLUSION: The QI cycle approach was useful in guiding system-wide interventions for patient safety. External regulation was feasible and effective in promoting internal HCAI prevention nationwide.
Assuntos
Infecção Hospitalar/prevenção & controle , Implementação de Plano de Saúde , Hospitais/estatística & dados numéricos , Controle de Infecções/métodos , Brasil , Humanos , Controle de Infecções/organização & administração , Programas Nacionais de Saúde , Segurança do Paciente , Melhoria de QualidadeRESUMO
Culex (Melanoconion) pedroiSirivanakarn & Belkin 1980 and Culex (Melanoconion) ribeirensisForattini & Sallum 1985 are two morphologically very similar species of the Pedroi subgroup of mosquitoes in the Spissipes section of the subgenus Melanoconion of the genus Culex L. 1758. We carried out an analysis of the mitochondrial cytochrome c oxidase I (COI) DNA variation between these two species. The recent observation of sympatric coexistence in a forested area of Rio de Janeiro State (Brazil) triggered the need to validate these two species previously identified based on morphology. We concluded that the COI is a useful tool for identification of Cx. pedroi and Cx. ribeirensis.
Assuntos
Culex/classificação , Complexo IV da Cadeia de Transporte de Elétrons/genética , Proteínas de Insetos/genética , Mitocôndrias/genética , Animais , Brasil , Culex/enzimologia , Culex/genética , DNA Mitocondrial/genética , Variação Genética , Mitocôndrias/enzimologiaRESUMO
Morphological features that remained uncertain in previous identification keys and descriptions of Sabethes fabricii were evaluated based on species type material and two recently collected males. As a result, the following features of Sa. fabricii should be considered: proboscis with a white ventral spot beyond the middle and variably enlarged to the apex, possibly spatulate in males; setae over root of wing yellowish and may be occasionally brownish, mainly in their basal portion; and proctiger ending in four teeth. Additionally, the first record of bamboo as a natural breeding site for Sa. fabricii as well as the first register of this species in the state of Minas Gerais, Brazil are reported here.
Assuntos
Distribuição Animal , Culicidae/anatomia & histologia , Culicidae/fisiologia , Animais , Brasil , Culicidae/classificação , Ecossistema , Feminino , MasculinoRESUMO
Abstract Morphological features that remained uncertain in previous identification keys and descriptions of Sabethes fabricii were evaluated based on species type material and two recently collected males. As a result, the following features of Sa. fabricii should be considered: proboscis with a white ventral spot beyond the middle and variably enlarged to the apex, possibly spatulate in males; setae over root of wing yellowish and may be occasionally brownish, mainly in their basal portion; and proctiger ending in four teeth. Additionally, the first record of bamboo as a natural breeding site for Sa. fabricii as well as the first register of this species in the state of Minas Gerais, Brazil are reported here.
Resumo Caracteres morfológicos que permaneceram incertos em chaves para identificação anteriores e descrições de Sabethes fabricii, foram avaliados com base em material tipo e dois machos recentemente coletados. Como resultado, os seguintes caracteres de Sa. fabricii devem ser considerados: probóscide variavelmente alargada para o ápice, possivelmente espatulada em machos e com uma mancha branca ventral localizada além do seu ponto médio; cerdas sobre a raiz das asas amareladas, podendo ser ocasionalmente marrons, principalmente na sua porção basal, e proctiger com quatro dentes na porção terminal. Adicionalmente, registram-se pela primeira vez, o Bambu como um criadouro natural para Sa. fabricii, bem como a presença dessa espécie para o estado de Minas Gerais, Brasil.