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Consumption of anorexigenic amphetamine-like drugs (diethylpropion, fenproporex and mazindol) and of d,1-fenfluramine in Brazil during the years of 1988 and 1989.

Brazilian consumption of psychostimulant anorexigenic drugs--diethylpropion, fenproporex, and mazindol--and of 3,1-fenfluramine was studied, and results are presented in terms of DDDs/1000 inhabitants/day. As of 1988, consumption of these drugs in Brazil was equal to 4.59 DDDs/1000 inhabitants/day; in the following year it had risen by 43.8%. However, if only the population that can afford to buy medicines is considered, actual consumption figures are at least three times higher. Such numbers point to a very high rate of anorexigenic consumption in Brazil, in contrast with other countries where use of these drugs is smaller. It was also found that 68.6% of total consumption in 1988--and 39.4% in 1989--corresponded to prescription formulas prepared by specialized pharmacies, while the remainder was consumed in the form of ready-made medicines produced by pharmaceutical industries. The most used drugs were mazindol in 1988, and fenproporex in 1989; d,1-fenfluramine was the least used of these substances in both years. These reasons are discussed for this increased consumption in Brazil and the absence of an adequate controlling attitude on the part of public health authorities.

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The Cotingo Dam as a Test of Brazil's System for Evaluating Proposed Developments in Amazonia

The proposed Cotingo Dam in Brazil's far northern state of Roraima is examined with the objective of drawing lessons for Brazil's system of evaluating environmental, social, and financial consequences of development decisions. The Cotingo Dam illustrates the difficulty of translating into practice the principles of economic and environmental assessment. Examination of the financial arguments for the Cotingo Dam indicates that justifications in this sphere are insufficient to explain why the project is favored over other alternatives and points to political factors as the best explanation of the project's high priority. Strong pressure from political and entrepreneurial interest groups almost invariably dominates decision making in Amazonia. The analysis indicates the inherent tendency of the present system to produce decisions in favor of large construction projects at the expense of the environment and local peoples. The requirements intended to assure proper weight for these concerns, such as the report on environmental impacts (RIMA) and the public hearing, fail to serve this role. Cotingo also provides a test case for constitutional protections restricting construction of dams in indigenous lands.KEY WORDS: Hydroelectric dams; Amazonia; Indigenous peoples; Brazil; Roraima

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How Well Does Brazil's Environmental Law Work in Practice? Environmental Impact Assessment and the Case of the Itapiranga Private Sustainable Logging Plan.

/ The Itapiranga Sustainable Logging Plan provides an example of how Brazil's licensing system functions for logging companies in the state of Amazonas. Two questions need to be dealt with: "How sustainable can logging in the Amazon be?" and "What and how effective are existing legal mechanisms to deal with logging projects?" The environmental impact assessment (EIA) and environmental impact statement (EIS, known as the RIMA in Brazil), present relatively detailed accounts of biodiversity and the need to adopt conservation strategies to protect it. However, social and health impacts are only superficially addressed. The economic sustainability of the operation over multiple cycles is not demonstrated. The multidisciplinary teams responsible for the EIA and EIS (RIMA) reports are hired by the project proponent, an arrangement inherently carrying the risk of biasing the result. Logging reduces biodiversity, releases greenhouse gases and inflicts social and health costs. These impacts reduce the ability of Amazonian forests to provide environmental services and to supply food and livelihood security to local populations. The reports inflate positive effects such as employment: the estimated number of jobs was cut by more than half in a revision made after the EIA and EIS (RIMA) had been approved. Not only do the reports need to be more realistic in assessing both positive and negative consequences of proposed projects, but better means are needed to ensure that promised mitigatory measures are enforced in practice. Many of the lessons that can be drawn from the Itapiranga Plan are not unique to logging projects and apply to licensing of development activites generally in Brazil and elsewhere.

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Functionality of succinylated Brazil nut (Bertholletia excelsa HBK) kernel globulin.

One of the possible ways to improve the utilisation of defatted Brazil nut kernel flour, a by-product of oil extraction industries, is to improve its functional properties by chemical modification as it possesses very modest functional characteristics. Succinylated Brazil nut kernel globulin at 55.8%, 62.4% and 72.0% level showed a positive effect on functionality. The solubility of acylated globulin was improved above pH 4.0 but was reduced in the pH range of 3.0-4.0. Water absorption (1.96-4.00, 4.12, and 4.21 ml/g protein), oil absorption capacity (1.44-2.72, 2.80 and 2.94 ml/g protein) and apparent viscosity of the succinylated globulin increased with increase in the level of succinylation. The extent of modification also influenced emulsifying capacity, which showed a decrease at pH 3.0, but was increased at pH 5.0,7.0 and 9.0. Highest emulsion activity (approximately 63.0%) was observed at pH 3.0, followed by pH 9.0 and pH 7.0 and, least (about 11.8%) at pH 5.0. Emulsion stability also followed similar behaviour as that of emulsion activity. The improved functional properties of succinylated Brazil nut kernel globulin could be explored in a variety of food formulations such as high protein drinks, soups, bakery and meat products as well as in salad dressings and mayonnaise as an emulsifier.

Absorption↗

Control of Chagas disease in Brazil.

Chagas disease (South American trypanosomiasis) is a chronic but often fatal disease endemic throughout much of Latin America. Serological surveys suggest around 24 million people seropositive for the causative agent, Trypanosoma cruzi (Fig. 1), with over 65 million living in the endemic areas and at risk to infection. In Brazil, over 25 million people are considered at risk, and control of the disease constitutes one of Brazil's public health priorities. Treatment or vaccination against T. cruzi is impossible at the public health level because suitable drugs or vaccines are not available. But it is well recognized that transmission can be interrupted by eliminating the domestic vectors - blood-sucking reduviid bugs of the subfamily Triatominae. In Brazil, eradication of Triatoma infestans - the major domestic vector of T. cruzi - is now seen as a feasible target by the Ministry of Health. However, although other domestic vectors can also be controlled, they will retain their sylvatic ecotopes from which they can reinvade houses. In this article, Joao Carlos Pinto Dias explains the current Brazilian policy, high-lighting the successful elimination of T. infestans from much of the southern part of the country.

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Characterization of selenium species in Brazil nuts by HPLC-ICP-MS and ES-MS.

Brazil nuts have been classified as the foodstuffs that contain the highest level of unadulterated selenium, an essential trace element that appears to prevent cancer. To date, characterization of the selenium species in brazil nuts has not yet been investigated. In this work, various sample preparation approaches, including microwave extractions and enzymatic treatments, are examined with the goal of species preservation and subsequent selenium speciation; of these approaches, an enzymatic treatment with Proteinase K proved most effective. High-performance liquid chromatography (HPLC) separation strategies and inductively coupled plasma mass spectrometry (ICP-MS) detection schemes will also be presented. Extracts are evaluated against available standards for the commercially obtainable seleno-amino acids, selenomethionine (SeMet), selenoethionine (SeEt), and selenocystine (SeCys); selenomethionine was demonstrated to be the most abundant of these seleno-amino acids. Further characterization of unidentified selenium-containing peaks is attempted by the employment of several procedures, including electrospray-mass spectrometry (ES-MS). A peptide structure was identified; however, this was considered a tentative proposal due to the large background produced by the extremely complicated brazil nut matrix.

Chromatography, High Pressure Liquid↗

Fungal pathogens of Euphorbia heterophylla and E. hirta in Brazil and their potential as weed biocontrol agents.

A two-year survey of the fungi associated with two important congeneric pantropical weeds, Euphorbia heterophylla and E. hirta, was conducted in part of their native range in southern Brazil. Sampling was concentrated mainly in Rio de Janeiro State and ten species were identified as pathogens of these weeds. Two taxa, Botrytis ricini and Uromyces euphorbiae, were common to both weed hosts. Alternaria euphorbiicola, Bipolaris euphorbiae, Melampsora sp., Oidium sp. and Sphaceloma poinsettiae were recorded only from E. heterophylla, whereas Colletotrichum gloeosporioides, Sphaceloma sp. and Sphaerotheca fuliginea were restricted to E. hirta. Botrytis ricini and Colletotrichum gloeosporioides are new records for E. hirta, and Alternaria euphorbiicola and Sphaerotheca fuliginea are new host records for Brazil. Bipolaris euphorbiae, previously identified as Helminthosporium sp., is considered to be the correct name for the causal agent of a major disease of E. heterophyllum in Brazil. The potential of these pathogens as biocontrol agents is discussed and the mycobiota associated with both these weeds worldwide is reviewed.

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First record of Cercospora pistiae causing leaf spot of water lettuce (Pistia stratioites) in Brazil, with particular reference to weed biocontrol.

Pistia stratioites, the water lettuce, is an important pantropical aquatic weed. It has been the target of successful classical biocontrol programmes utilizing an insect natural enemy collected in Brazil and introduced into Australia, Papua New Guinea and South Africa. Little attention was given to the fungal pathogens associated with this weed as potential biocontrol agents. An 11-month field survey in the state of Rio de Janeiro involving repeated visits to 12 sites, and a 2-month survey in the Amazonas Basin (Amazonas state) in Brazil, yielded only one pathogenic fungus on P. stratioites. This was identified as Cercospora pistiae. No previous record of this species has been made in Brazil nor in the New World. The fungus is described and its taxonomy and biocontrol potential discussed herein. C. pistiae is a damaging pathogen of water lettuce. Its distribution was restricted to two interconnected sites in Rio de Janeiro. A literature and herbaria survey yielded few fungi associated to water lettuce (8 species), probably reflecting a lack of adequate collection in the centre of origin of the plant.

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Additions to the mycobiota of the weed Lantana camara (Verbenaceae) in southeastern Brazil.

A sequel to the work of systematic surveying the mycobiota of Lantana camara, aimed at finding potential biocontrol agents, was carried out during 1995-1996 covering part of its centre of origin in Brazil (state of Minas Gerais). Fifty-eight sampling sites, representing the four main climatic types in the state of Minas Gerais, were surveyed. Additional ad hoc collections were made in the states of Bahia, Espírito Santo, Parana, Rio de Janeiro and São Paulo. Fifteen fungal species were recorded in association with L. camara including the previously undescribed species Phomopsis lantanae-glutinosae sp. nov. Five fungi are also newly recorded on this host in Brazil: Cercospora lantanicola, Corynespora cassiicola, Meliola ambigua, Mycovellosiella lantaniphila and Phornopsis lantanae. The following fungi, previously recorded on L. camara in Brazil, are recorded here for the first time in Minas Gerais: Dendryphielia aspera, Micropustulomyces mucilaginosus, Mycovellosiella lantanae, Pseudocercospora guianensis and Puccinia lantanae.

Fungi↗

Flexible hips? On Alzheimer's disease and aging in Brazil.

This article examines one aspect of Alzheimer's disease, which describes it as a "memory disease". In the specific context of urban Brazil this relatively new illness category, which is creating a certain tension with older concepts of senility, is seen within the changing world of the Country's memory politics - and a changing culture of aging - which create new values and new ways of dealing with memory and its diseases. An important aspect of the older notion of senility is the way a person creatively and in a flexible way deals with life's stress and strain. And part of this highly valued flexibility is the capacity of forgetting negative events, of "letting go". The incapacity of this, not having "flexible hips", is one reason of becoming ill. It is not argued that a changing cultural context in Brazil is creating a disease like Alzheimer's, but that certain memory practices help to explain, to live and to contest traditional and new ways of dealing with senility and that this process is a dynamic one and still in the beginning in Brazil.

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Orthodontics around the world: orthodontics in Brazil: excellence for a minority.

Brazil is the largest country of South America, with an area of 8.511.965 km(2) and 150 million people. It has 113 dental schools and several orthodontic postgraduate courses variously at Certificate, Master, and Doctoral levels. The current article gives an overview of the speciality in Brazil. The discussion puts the delivery of orthodontic care within the context of social conditions in Brazil. Included is a description of two full-time orthodontic courses located in the city of Rio de Janeiro.

Credentialing↗

Air-driven Brazil nut effect.

A large heavy object may rise to the top of a bed of smaller particles under the influence of vertical vibration, the "Brazil nut effect." Recently it has been noted that interstitial air can influence the Brazil nut rise time. Here we report that the air movement induced by vertical vibration produces a very strong Brazil nut effect for fine granular beds. We use a porous-bottomed box to investigate the mechanism responsible for this effect and to demonstrate that it is related to the piling of fine beds, first reported by Chladni and studied by Faraday. Both effects are due to the strong interaction of the fine particles with the air, as it is forced through the bed by the vibration.

Air↗

Reversing the Brazil-nut effect: competition between percolation and condensation.

We report on experiments on vertically shaken binary granular mixtures, which separate into their components due to the external excitation. This well-known phenomenon, where large particles rise to the top of the mixture, is called the Brazil-nut effect. Recent theoretical findings predict also a reverse Brazil-nut effect, where large particles sink to the bottom of the container. We choose spherical beads of various diameters and materials in order to observe the transition from Brazil-nut effect to its reverse form. The direction of demixing depends sensitively on the external excitation, so that it is possible to switch between both effects for a given mass density ratio.

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Infective endocarditis due to Bartonella spp. and Coxiella burnetii: experience at a cardiology hospital in Sao Paulo, Brazil.

Bartonella spp. and Coxiella burnetii are recognized as causative agents of blood culture-negative endocarditis (BCNE) in humans and there are no studies of their occurrences in Brazil. The purpose of this study is to investigate Bartonella spp. and C. burnetii as a causative agent of culture-negative endocarditis patients at a cardiology hospital in São Paulo, Brazil. From January 2004 to December 2004 patients with a diagnosis of endocarditis at our Institute were identified and recorded prospectively. They were considered to have possible or definite endocarditis according to the modified Duke criteria. Those with blood culture-negative were tested serologically using the indirect immunofluorescent assay (IFA) for Bartonella henselae, B. quintana, and C. burnetii. IFA-IgG titers >800 for Bartonella spp. and C. burnetii were considered positive. A total of 61 patients with endocarditis diagnosis were evaluated, 17 (27%) were culture-negative. Two have had IgG titer greater than 800 (>/=3,200) against Bartonella spp. and one against C. burnetii (phase I and II>/=6,400). Those with Bartonella-induced endocarditis had a fatal disease. Necropsy showed calcifications and extensive destruction of the valve tissue, which is diffusely infiltrated with mononuclear inflammatory cells predominantly by foamy macrophages. The patient with C. burnetii endocarditis received specific antibiotic therapy. Reports of infective endocartitis due to Bartonella spp. and C. burnetii in Brazil reveal the importance of investigating the infectious agents in culture-negative endocarditis.

Adult↗

The evolution of Neoproterozoic magmatism in Southernmost Brazil: shoshonitic, high-K tholeiitic and silica-saturated, sodic alkaline volcanism in post-collisional basins.

The Neoproterozoic shoshonitic and mildly alkaline bimodal volcanism of Southernmost Brazil is represented by rock assemblages associated to sedimentary successions, deposited in strike-slip basins formed at the post-collisional stages of the Brasilian/Pan-African orogenic cycle. The best-preserved volcano sedimentary associations occur in the Camaquã and Campo Alegre Basins, respectively in the Sul-riograndense and Catarinense Shields and are outside the main shear belts or overlying the unaffected basement areas. These basins are characterized by alternation of volcanic cycles and siliciclastic sedimentation developed dominantly on a continental setting under subaerial conditions. This volcanism and the coeval plutonism evolved from high-K tholeiitic and calc-alkaline to shoshonitic and ended with a silica-saturated sodic alkaline magmatism, and its evolution were developed during at least 60 Ma. The compositional variation and evolution of post-collisional magmatism in southern Brazil are interpreted as the result mainly of melting of a heterogeneous mantle source, which includes garnet-phlogopite-bearing peridotites, veined-peridotites with abundant hydrated phases, such as amphibole, apatite and phlogopite, and eventually with the addition of an asthenospheric component. The subduction-related metasomatic character of post-collisional magmatism mantle sources in southern Brazil is put in evidence by Nb-negative anomalies and isotope features typical of EM1 sources.

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Human bertiellosis in Goiás, Brazil: a case report on human infection by Bertiella sp. (Cestoda: Anoplocephalidae).

The authors report on a new case of human Bertiellosis in a 2-year old female patient who was born in Goiânia-Goiás (Brazil) and has had history of permanent dwelling in an area frequently visited by simians in Mato Grosso (Brazil). At the time of diagnosis the patient showed inappetence, abdominal pain, and loss of weight. Eggs and proglottids were found in her stool and were identified as Bertiella sp. The objective of this report is to register the third case of human Bertiellosis in Brazil, characterizing one more case of helminthic zoonosis.

Animals↗

Antimicrobial Susceptibility of Klebsiella pneumoniae Producing Extended-Spectrum beta-lactamase (ESBL) Isolated in Hospitals in Brazil.

The prevalence of klebsiella pneumoniae producing extended-spectrum beta-lactamase (ESBL) has been increasing all over the world. Infections caused by ESBL producing isolates are difficult to detect with current susceptibility tests, and are difficult to treat. ESBLs confer resistance to all currently available beta-lactam, except carbapenems. In addition, ESBL production is usually associated with resistance to other classes of antimicrobial agents such as aminoglycosides and quinolones. The objective of this study was to evaluate the in vitro susceptibility patterns of ESBL producing K pneumoniae isolated in Brazil. Seventy-two strains were tested using E test against 30 antimicrobial agents, including carbapenems, second and third generation cephalosporins, aminoglycosides, quinolones, and some new compounds. The most active compounds (i.e. 100% susceptibility) were meropenem (MIC90, 0.125µg/mL), imipenem (MIC90, 0.25µg/mL), and cefotetan (MIC90, 2µg/mL). Ciprofloxacin (MIC90, 1µg/mL, 94% susceptibility) and cefepime (MIC90, 6µg/mL, 92% susceptibility), were also very active against our collection of ESBL producing K pneumoniae. None of the six aminoglycosides showed good activity against these strains (16% to 41% susceptibility) and only 39% of the isolates were susceptible to piperacillin/tazobactam. The results of our study indicated that the carbapenems are the most active compounds against ESBL producing L pneumoniae in Brazil, and ciprofloxacin remains very active against these strains. Cefotetan and cefepime were also very active against ESBL producing K.pneumoniaein Brazil; however, further studies are necessary to evaluate the role of these cephalosporins in the treatment of infections due to ESBL producing strains.

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Scaling of stem and crown in eight Cecropia (Cecropiaceae) species of Brazil.

The scaling of stem and crown was studied in eight Cecropia species in Amazonian and southeastern forests of Brazil. The Amazonian species, C. concolor, C. palmata, C. purpurascens, C. sciadophylla, and C. ulei were studied in Manaus, Amazonas, Brazil. The southeastern species, C. glaziovii, C. hololeuca, and C. pachystachya were studied in Linhares, Espírito Santo, Brazil. Measures of diameter, height, number of branches, number of leaves, and total leaf area were log transformed and regressed on height. Three models of mechanical designs of trees, elastic, constant stress, and geometric similarity, were tested for Cecropia. None of the models can totally describe Cecropia, but geometric similarity was a close approximation. Most of the species did not vary in diameter-height relationships between unbranched and branched individuals. Safety factors diminished with height in most species studied. The crown-height relationships were similar for all species. Numbers of branches and leaves showed some variation among species and are related to height of first branching. Total leaf area had a constant allometric relationship among species, although regression intercepts differed according to species leaf areas. The scaling relationships of stem and crown in Cecropia varied with adult size of the studied species.

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