Universidade do Estado de Minas Gerais

To gain a better understanding of the global application of soil erosion prediction models, we comprehensively reviewed relevant peer-reviewed research literature on soil-erosion modelling published between 1994 and 2017. We aimed to identify (i) the processes and models most frequently addressed in the literature, (ii) the regions within which models are primarily applied, (iii) the regions which remain unaddressed and why, and (iv) how frequently studies are conducted to validate/evaluate model outcomes relative to measured data. To perform this task, we combined the collective knowledge of 67 soil-erosion scientists from 25 countries. The resulting database, named 'Global Applications of Soil Erosion Modelling Tracker (GASEMT)', includes 3030 individual modelling records from 126 countries, encompassing all continents (except Antarctica). Out of the 8471 articles identified as potentially relevant, we reviewed 1697 appropriate articles and systematically evaluated and transferred 42 relevant attributes into the database. This GASEMT database provides comprehensive insights into the state-of-the-art of soil- erosion models and model applications worldwide. This database intends to support the upcoming country-based United Nations global soil-erosion assessment in addition to helping to inform soil erosion research priorities by building a foundation for future targeted, in-depth analyses. GASEMT is an open-source database available to the entire user-community to develop research, rectify errors, and make future expansions.

After the collapse of the Fundão dam, 43 million m3 of iron ore tailings continue to cause environmental damage, polluting 668 km of watercourses from the Doce River to the Atlantic Ocean. The objectives of this study are to characterize the Fundão Tailings Dam and structural failures; improve the understanding of the scale of the disaster; and assess the largest technological disaster in the global context of tailings dam failures. The collapse of Fundão was the biggest environmental disaster of the world mining industry, both in terms of the volume of tailings dumped and the magnitude of the damage. More than year after the tragedy, Samarco has still not carried out adequate removal, monitoring or disposal of the tailings, contrary to the premise of the total removal of tailings from affected rivers proposed by the country's regulatory agencies and the worldwide literature on post-disaster management. Contrary to expectations, there was a setback in environmental legal planning, such as law relaxation, decrease of resources for regulatory agencies and the absence of effective measures for environmental recovery. It is urgent to review how large-scale extraction of minerals is carried out, the technical and environmental standards involved, and the oversight and monitoring of the associated structures.

BACKGROUND: Combined oral contraceptive (COC) use has been associated with venous thrombosis (VT) (i.e., deep venous thrombosis and pulmonary embolism). The VT risk has been evaluated for many estrogen doses and progestagen types contained in COC but no comprehensive comparison involving commonly used COC is available. OBJECTIVES: To provide a comprehensive overview of the risk of venous thrombosis in women using different combined oral contraceptives. SEARCH METHODS: Electronic databases (Pubmed, Embase, Web of Science, Cochrane, CINAHL, Academic Search Premier and ScienceDirect) were searched in 22 April 2013 for eligible studies, without language restrictions. SELECTION CRITERIA: We selected studies including healthy women taking COC with VT as outcome. DATA COLLECTION AND ANALYSIS: The primary outcome of interest was a fatal or non-fatal first event of venous thrombosis with the main focus on deep venous thrombosis or pulmonary embolism. Publications with at least 10 events in total were eligible. The network meta-analysis was performed using an extension of frequentist random effects models for mixed multiple treatment comparisons. Unadjusted relative risks with 95% confidence intervals were reported.Two independent reviewers extracted data from selected studies. MAIN RESULTS: 3110 publications were retrieved through a search strategy; 25 publications reporting on 26 studies were included. Incidence of venous thrombosis in non-users from two included cohorts was 0.19 and 0.37 per 1 000 person years, in line with previously reported incidences of 0,16 per 1 000 person years. Use of combined oral contraceptives increased the risk of venous thrombosis compared with non-use (relative risk 3.5, 95% confidence interval 2.9 to 4.3). The relative risk of venous thrombosis for combined oral contraceptives with 30-35 μg ethinylestradiol and gestodene, desogestrel, cyproterone acetate, or drospirenone were similar and about 50-80% higher than for combined oral contraceptives with levonorgestrel. A dose related effect of ethinylestradiol was observed for gestodene, desogestrel, and levonorgestrel, with higher doses being associated with higher thrombosis risk. AUTHORS' CONCLUSIONS: All combined oral contraceptives investigated in this analysis were associated with an increased risk of venous thrombosis. The effect size depended both on the progestogen used and the dose of ethinylestradiol. Risk of venous thrombosis for combined oral contraceptives with 30-35 μg ethinylestradiol and gestodene, desogestrel, cyproterone acetate and drospirenone were similar, and about 50-80% higher than with levonorgestrel. The combined oral contraceptive with the lowest possible dose of ethinylestradiol and good compliance should be prescribed-that is, 30 μg ethinylestradiol with levonorgestrel.

Arbovirus risk in Brazil Despite the existence of an effective vaccine for yellow fever, there are still almost 80,000 fatalities from this infection each year. Since 2016, there has been a resurgence of cases in Africa and South America—and this at a time when the vaccine is in short supply. The worry is that yellow fever will spread from the forests to the cities, because its vector, Aedes spp. mosquitoes, are globally ubiquitous. Faria et al. integrate genomic, epidemiological, and case distribution data from Brazil to estimate patterns of geographic spread, the risks of virus exposure, and the contributions of rural versus urban transmission (see the Perspective by Barrett). Currently, the yellow fever epidemic in Brazil seems to be driven by infections acquired while visiting forested areas and indicates spillover from susceptible wild primates. Science , this issue p. 894 ; see also p. 847

Previous studies have shown a high prevalence of toxoplasmosis and the frequent occurrence of ocular disease in Brazil. To identify the genotypes of parasite strains associated with ocular disease, we compared 25 clinical and animal isolates of Toxoplasma gondii from Brazil to previously characterized clonal lineages from North America and Europe. Multilocus nested polymerase chain reaction analysis was combined with direct sequencing of a polymorphic intron to classify strains by phylogenetic methods. The genotypes of T. gondii strains isolated from Brazil were highly divergent when compared to the previously described clonal lineages. Several new predominant genotypes were identified from different regions of Brazil, including 2 small outbreaks attributable to foodborne or waterborne infection. These findings show that the genetic makeup of T. gondii is more complex than previously recognized and suggest that unique or divergent genotypes may contribute to different clinical outcomes of toxoplasmosis in different localities.

The evolution of the concepts and practice of occupational medicine, occupational health and workers' health is tentatively reviewed. An attempt is made to answer the following questions: what were the major characteristics of occupational medicine throughout its evolution? How and why did occupational medicine evolve into occupational health? Why has the "occupational health model" become inadequate? Within what context did workers' health arise? What are the principal characteristics of workers' health?

This study aims to analyze the pressure on the Brazilian health system from the additional demand created by COVID-19. The authors performed a series of simulations to estimate the demand for hospital beds (health micro-regions) as well as to ICU beds, and mechanical ventilators (health macro-regions) under different scenarios of intensity (infection rates equivalent to 0.01, 0.1, and 1 case por 100 inhabitants) and time horizons (1, 3, and 6 months). The results reveal a critical situation in the system for meeting this potential demand, with numerous health micro-regions and macro-regions operating beyond their capacity, compromising the care for patients, especially those with more severe symptoms. The study presents three relevant messages. First, it is necessary to slow the spread of COVID-19 in the Brazilian population, allowing more time for the reorganization of the supply and relieve the pressure on the health system. Second, the expansion of the number of available beds will be the key. Even if the private sector helps offset the deficit, the combined supply from the two sectors (public and private) would be insufficient in various macro-regions. The construction of field hospitals is important, both in places with a history of "hospital deserts" and in those already pressured by demand. The third message involves the regionalized organization of health services, whose design may be adequate in situations of routine demand, but which suffer additional challenges during pandemics, especially if patients have to travel long distances to receive care.

Antimicrobial resistance (AMR) is a high priority across countries as it increases morbidity, mortality and costs. Concerns with AMR have resulted in multiple initiatives internationally, nationally and regionally to enhance appropriate antibiotic utilization across sectors to reduce AMR, with the overuse of antibiotics exacerbated by the COVID-19 pandemic. Effectively tackling AMR is crucial for all countries. Principally a narrative review of ongoing activities across sectors was undertaken to improve antimicrobial use and address issues with vaccines including COVID-19. Point prevalence surveys have been successful in hospitals to identify areas for quality improvement programs, principally centering on antimicrobial stewardship programs. These include reducing prolonged antibiotic use to prevent surgical site infections. Multiple activities centering on education have been successful in reducing inappropriate prescribing and dispensing of antimicrobials in ambulatory care for essentially viral infections such as acute respiratory infections. It is imperative to develop new quality indicators for ambulatory care given current concerns, and instigate programs with clear public health messaging to reduce misinformation, essential for pandemics. Regular access to effective treatments is needed to reduce resistance to treatments for HIV, malaria and tuberculosis. Key stakeholder groups can instigate multiple initiatives to reduce AMR. These need to be followed up.

Preface. Theme and Approach. Who Should Read this Book. Book Organization. Acknowledgments. Book's Web Site and Authors' Addresses. 1. When Performance Is a Problem. Introduction. Client/Server Performance. The Capacity Planning Concept. Web Server Performance. Intranet Performance. Internet Service Provider (ISP) Performance. Summary. Bibliography. 2. What Are Client/Server Systems? Introduction. The World of Networks. Genesis. Types of Networks. Wide Area Networks (WANs). Local Area Networks (LANs). The LAN to WAN Connection. The Home to WAN Connection. Protocols. Internet Protocol. Transmission Control Protocol. The World of Clients and Servers. The Client/Server Paradigm. Server Types. Architectural Issues. Concluding Remarks. Bibliography. 3. Performance Issues in Client/Server Environments. Introduction. Communication-Processing Delay Diagrams. Service Times and Service Demands. Service Times at Single Disks and Disk Arrays. Single Disks. Disk Arrays. @AHEADS = Service Times in Networks. @AHEADS = Service Times at Routers. Queues and Contention. Some Basic Performance Results. Utilization Law. Forced Flow Law. Service Demand Law. Little's Law. Summary of Basic Results. Performance Metrics in C/S Systems. Concluding Remarks. Bibliography. 4. Web Server and Intranet Performance Issues. Introduction. More than Just Servers. HTML. The Combination of HTTP and TCP/IP. Hardware and Operating System. Contents. Where Are the Delays? Anatomy of a Web Transaction. Bottlenecks. Perception of Performance. Metrics. Quality of Service. Infrastructure. Basic Components. Proxy, Cache, and Mirror. Web Server. Architecture. Workload. Dynamic Web Pages. Novel Features. Intranet and the Internet. Bandwidth and Latency. Traffic. Capacity Planning. Summary. Bibliography. 5. A Step-by-Step Approach to Capacity Planning in Client/Server Systems. Introduction. Adequate Capacity. A Methodology for Capacity Planning in C/S Environments. Understanding the Environment. Workload Characterization. Breaking Down the Global Workload. Data Collection Issues. Validating Workload Models. Workload Forecasting. Performance Modeling and Prediction. Performance Models. Performance Prediction Techniques. Performance Model Validation. Development of a Cost Model. Cost/Performance Analysis. Concluding Remarks. Bibliography. 6. Understanding and Characterizing the Workload. Introduction. Characterizing the Workload for an Intranet. First Approach. A Simple Example. Workload Model. Workload Characterization Methodology. Choice of an Analysis Standpoint. Identification of the Basic Component. Choice of the Characterizing Parameter. Data Collection. Partitioning the Workload. Resource Usage. Applications. Objects. Geographical Orientation. Functions. Organizational Unit. Model. Calculating Class Parameters. Averaging. Clustering. paragraphData Analysis. paragraphDistance Measures. paragraphScaling Techniques. paragraphClustering Algorithms. Bursty Workloads. Conclusions. Bibliography. 7. Using Standard Industry Benchmarks. Introduction. The Nature of Benchmarks. Benchmark Hierarchy. Avoiding Pitfalls. Common Benchmarks. Component-Level Benchmarks. CPU. Workload. Results. File Server. Laddis. Workload. Results. System-Level Benchmarks. Transaction Processing Systems. TPC-C. paragraphWorkload. paragraphResults. Web Servers. Webstone. paragraphWorkload. paragraphResults. SPECWeb. paragraphWorkload. paragraphResults. Conclusions. Bibliography. 8. System-Level Performance Models. Introduction. Simple Server Model I-Infinite Population/Infinite Queue. Simple Server Model II-Infinite Population/Finite Queue. Generalized System-Level Models. Other System-Level Models. Infinite Population Models. Variable Service Rate and Infinite Queue. Variable Service Rate and Limited Queue Size. Finite Population Models. Fixed Service Rate. Variable Service Rate. Concluding Remarks. Bibliography. 9. Component-Level Performance Models. Introduction Queuing Networks Open Systems. Single-Class Open Queuing Networks. Multiple-Class Open Queuing Networks. Closed Models. Single-Class Closed Models. Bounds for Closed QNs. Multiple-Class Closed Models. Modeling Multiprocessors. An Intranet Model. Concluding Remarks. Bibliography. 10. Web Performance Modeling. Introduction. Incorporating New Phenomena. Burstiness Modeling. Defining a Burstiness Factor. Adjusting Service Demands to Burstiness. Accounting for Heavy Tails in the Model. Client-Side Models. No Cache Proxy Server Case. The Performance Model. Computing Service Demands. Using a Cache Proxy Server. Server-Side Models. Single Web Server. The Performance Model. Computing Service Demands. Mirrored Web Servers. Concluding Remarks. Bibliography. 11. Workload Forecasting. Introduction. Forecasting Strategy. From Business Processes to Workload Parameters. Forecasting Techniques. Regression Methods. Moving Average. Exponential Smoothing. Applying Forecasting Techniques. Concluding Remarks. Bibliography. 12. Measuring Performance. Introduction. Performance Measurement Framework. Measurement Techniques. Event Mode. Sampling Mode. Data Collection Tools. Hardware Monitor. Software Monitor. Accounting Systems. Program Analyzers. Logs. Performance Model Parameters. Queues. Workload Classes. Workload Intensity. Service Demands. Parameter Estimation. Collecting Performance Data. Network. Server. Windows NT283. UNIX286. Concluding Remarks. Bibliography. 13. Wrapping Up. Bibliography. A Glossary of Terms. About the CD-ROM309. The Workbooks. HTTP Log Sample and Program. Subject Index.

As a scarce natural resource, the preservation of water quality is of fundamental importance to guarantee its availability for future generations. Due to the increasing industrial activity, effluents are generated with a series of chemical compounds, such as nitrogenous, phosphoric, and organic compounds, heavy metals, and dyes which, if improperly disposed of, contribute to contamination, followed by significant environmental impacts, in addition to the damage to human health. The adsorption technique is an effective approach for removing contaminants from effluents, showing high versatility, due to the use of various materials as adsorbents. Belonging to a wide variety of materials, zeolites reveal to be a promising adsorbent. Zeolites are minerals found in nature or which can be synthesized from industrial residues, standing out in the treatment of contaminated effluents. Zeolite removal efficiency depends on the contaminant to be removed and can reach up to 96% for heavy metals, 90% for phosphoric compounds, 96% for dyes, 80% for nitrogen compounds, and 89% for organics. Aiming at the identification of the more relevant findings and research gaps to advance the use of zeolites in the large-scale treatment of industrial effluents, a review on the recent application of zeolites is needed. This paper presents a global view of zeolites, and a review is conducted on several recent studies using zeolites as adsorbents for the contaminants considered, indicating the main characteristics of the various adsorption systems, demonstrating the particularities of each process, and aiming to reveal useful information to provide future research, in addition to identifying points that need further investigation.

Small and medium enterprises (SMEs) are responsible for 90% of all business and 50% of employment globally, mostly female jobs. Therefore, measuring SMEs' performance under the digital transformation (DT) through methods that encompass sustainability represents an essential tool for reducing poverty and gender inequality (United Nations Sustainable Development Goals). We aimed to describe and analyze the state-of-art performance evaluations of digital transformation in SMEs, mainly focusing on performance measurement. Also, we aimed to determine whether the tools encompass the three pillars of sustainability (environmental, social, and economic). Through a systematic literature review (SLR), a search on Web of Science (WoS) and Scopus resulted in the acceptance of 74 peer-reviewed papers published until December 2021. Additionally, a bibliometrics investigation was executed. Although there was no time restriction, the oldest paper was published in 2016, indicating that DT is a new research topic with increasing interest. Italy, China, and Finland are the countries that have the most published on the theme. Based on the results, a conceptual framework is proposed. Also, two future research directions are presented and discussed, one for theoretical and another for practical research. Among the theoretical development, it is essential to work on a widely accepted SME definition. Among the practical research, nine directions are identified-e.g., applying big data, sectorial and regional prioritization, cross-temporal investigations etc. Researchers can follow the presented avenues and roads to guide their researchers toward the most relevant topics with the most urgent necessity of investigation.

Viral DNA sequences were determined over the V3 region of env from 28 infected individuals living in the high HIV-1 prevalence Brazilian cities of Rio de Janeiro and São Paulo. Twenty-six belonged to envelope sequence subtype B, prevalent in North America and Europe, and one was classified as subtype F, found recently in Brazil and in Romania (one appeared to be a B/F recombinant). Octameric sequences at the tip of the subtype B V3 loops were variable and distinct from those prevalent in North America and Europe. The GPGR motif, prevalent in North American/European strains, was found in only 8 (28.5%) sequences, whereas GWGR was found in 12 (43%) and novel sequences in 8 (28.5%). Brazilian subtype B sequences also diverged from the consensus North American/European strains over the remainder of the V3 loop. These results suggest that Brazilian HIV-1 B strains may have important antigenic differences from prototype subtype B strains currently being evaluated for use in HIV vaccines. These results should be taken into account for future vaccine programs in Brazil.

OBJECTIVE: To identify the prevalence of chronic kidney disease (CKD) self-reported in Brazil and characterize the factors associated with it. METHODS: This study was a cross-sectional health survey with a household-based, the National Health Survey, performed in 2013. The outcome in the present study was the prevalence of CKD. The groups of explanatory variables were socio-demographic characteristics, lifestyles, chronic self-reported diseases, anthropometry, and health evaluation. The prevalence of CKD, e their 95% respective confidence interval were estimated, univariate analysis and the multiple logistic regression model were calculated, and remained the variables statistically significant (p < 0.05). RESULTS: It noticed that 1.42% (95%CI 1.33 - 1.52) of the 60,202 interviewees self-reported CKD. The OR increased progressively with age, being 2.68 among the elderly with 65 years or more (95%CI 1.75 - 4.09). Having health plans with OR = 1.51 (95%CI 1.28 - 1.78), as well as smoking, hypertension and high cholesterol and poor self-reported health with OR = 1.75 (95%CI 1.45 - 2.12), OR = 1.20 (95%CI 1.02 - 1.42), OR = 1.83 (95%CI 1.56 - 2.15), OR = 4.70 (95%CI 3.75 - 5.88), respectively, showed a higher chance of CKD. CONCLUSIONS: The associated variables were increasing age, health plan coverage, smoking, hypertension, hypercholesterolemia, and regular or poor health status. The knowledge of CKD prevalence in Brazil and risk and protection factors are essential for disease prevention and the establishment of supporting public health policies.

Summary Human alteration of the global environment is leading to a pervasive loss of biodiversity. Most studies evaluating human impacts on biodiversity occur after the disturbance has taken place using spatially distinct sites to determine the undisturbed reference condition. This approach is known as a space‐for‐time ( SFT ) substitution. However, SFT substitution could be underestimating biodiversity loss if spatial controls fail to provide adequate inferences about pre‐disturbance conditions. We compare the SFT substitution with a before–after control–impact ( BACI ) approach by assessing dung beetles before and after a logging exploration in the Brazilian Amazon. We sampled 34 logging management units, of which 29 were selectively logged with different intensities after our first collection. We used dung beetle species richness, species composition and biomass as our biodiversity response metrics and the gradient of selective logging intensity as our explanatory metric. Only the BACI approach consistently demonstrated the negative impacts of logging intensification on all dung beetle community metrics. Moreover, the BACI approach explained significantly more of the variance in all the relationships and it doubled the estimates of species loss along the gradient of logging intensity when compared to SFT . Synthesis and applications . Our results suggest that space‐for‐time ( SFT ) substitution may greatly underestimate the consequences on local species diversity and community turnover. These results have important implications for researchers investigating human impacts on biodiversity. Incentivizing before–after control–impact ( BACI ) approaches will require longer‐term funding to gather the data and stronger links between researchers and landowners. However, BACI approaches are accompanied by many logistical constraints, making the continued use of SFT studies inevitable in many cases. We highlight that non‐significant results and weak effects should be viewed with caution.

Soil erosion can present a major threat to agriculture due to loss of soil, nutrients, and organic carbon. Therefore, soil erosion modelling is one of the steps used to plan suitable soil protection measures and detect erosion hotspots. A bibliometric analysis of this topic can reveal research patterns and soil erosion modelling characteristics that can help identify steps needed to enhance the research conducted in this field. Therefore, a detailed bibliometric analysis, including investigation of collaboration networks and citation patterns, should be conducted. The updated version of the Global Applications of Soil Erosion Modelling Tracker (GASEMT) database contains information about citation characteristics and publication type. Here, we investigated the impact of the number of authors, the publication type and the selected journal on the number of citations. Generalized boosted regression tree (BRT) modelling was used to evaluate the most relevant variables related to soil erosion modelling. Additionally, bibliometric networks were analysed and visualized. This study revealed that the selection of the soil erosion model has the largest impact on the number of publication citations, followed by the modelling scale and the publication's CiteScore. Some of the other GASEMT database attributes such as model calibration and validation have negligible influence on the number of citations according to the BRT model. Although it is true that studies that conduct calibration, on average, received around 30% more citations, than studies where calibration was not performed. Moreover, the bibliographic coupling and citation networks show a clear continental pattern, although the co-authorship network does not show the same characteristics. Therefore, soil erosion modellers should conduct even more comprehensive review of past studies and focus not just on the research conducted in the same country or continent. Moreover, when evaluating soil erosion models, an additional focus should be given to field measurements, model calibration, performance assessment and uncertainty of modelling results. The results of this study indicate that these GASEMT database attributes had smaller impact on the number of citations, according to the BRT model, than anticipated, which could suggest that these attributes should be given additional attention by the soil erosion modelling community. This study provides a kind of bibliographic benchmark for soil erosion modelling research papers as modellers can estimate the influence of their paper.

Plastic, usually derived from non-renewable sources, is among the most used materials in food packaging. Despite its barrier properties, plastic packaging has a recycling rate below the ideal and its accumulation in the environment leads to environmental issues. One of the solutions approached to minimize this impact is the development of food packaging materials made from polymers from renewable sources that, in addition to being biodegradable, can also be edible. Different biopolymers from agricultural renewable sources such as gelatin, whey protein, starch, chitosan, alginate and pectin, among other, have been analyzed for the development of biodegradable films. Moreover, these films can serve as vehicles for transporting bioactive compounds, extending their applicability as bioactive, edible, compostable and biodegradable films. Biopolymer films incorporated with plant-derived bioactive compounds have become an interesting area of research. The interaction between environment-friendly biopolymers and bioactive compounds improves functionality. In addition to interfering with thermal, mechanical and barrier properties of films, depending on the properties of the bioactive compounds, new characteristics are attributed to films, such as antimicrobial and antioxidant properties, color and innovative flavors. This review compiles information on agro-based biopolymers and plant-derived bioactive compounds used in the production of bioactive films. Particular emphasis has been given to the methods used for incorporating bioactive compounds from plant-derived into films and their influence on the functional properties of biopolymer films. Some limitations to be overcome for future advances are also briefly summarized. This review will benefit future prospects for exploring innovative methods of incorporating plant-derived bioactive compounds into films made from agricultural polymers.

Cubosomes, derived from LLCs, are self-assembled cubic-phase bicontinuous crystalline nanoparticulate colloidal dispersions. This review sheds light on different aspects of cubosomes, particularly on the prospective drug delivery routes.

OBJECTIVE:: analyze scientific production on nursing practice in home care. METHOD:: integrative review employing databases LILACS, BDENF, IBECS, and MEDLINE. Studies in Spanish, English, and Portuguese were included, regardless of publishing date. RESULTS:: after analyzing 48 articles, it was found that nursing practice in home care is complex, employing a multitude of actions by using three technologies: soft; soft-hard especially; and hard. Challenges related to the home-care training process are reported in the literature. Nurses use knowledge from their experience and scientific recommendations in conjunction with their reflections on the practice. CONCLUSION:: home nursing practice is fundamental and widespread. Relational and educational actions stand out as necessary even in technical care, with a predominant need for home-care training.

AGAMBEN, Giorgio. O que e o contemporâneo? e outros ensaios . Traducao: Vinicius Nikastro Honesko. Chapeco: Argos, 2009. 92 p. ISBN: 978-85-7897-005-5

ABSTRACT Dengue fever is an emerging viral disease transmitted by arthropods to humans in tropical countries. Dengue hemorrhagic fever (DHF) is escalating in frequency and mortality rates. Here we studied the involvement of macrophage migration inhibitory factor (MIF) in dengue virus (DENV) infection and its pathogenesis. Patients with DHF had elevated plasma concentrations of MIF. Both leukocytes from these patients and macrophages from healthy donors infected in vitro with DENV showed a substantial amount of MIF within lipid droplets. The secretion of MIF by macrophages and hepatocytes required a productive infection and occurred without an increase in gene transcription or cell death, thus indicating active secretion from preformed stocks. In vivo infection of wild‐type and miF deficient (Mif −/− ) mice demonstrated a role of MIF in dengue pathogenesis. Clinical disease was less severe in Mif −/− mice, and they exhibited a significant delay in lethality, lower viremia, and lower viral load in the spleen than wild‐type mice. This reduction in all parameters of severity on DENV infection in Mif −/− mice correlated with reduced proinflam‐matory cytokine concentrations. These results demon‐strated the contribution of MIF to the pathogenesis of dengue and pointed to a possible beneficial role of neutralizing MIF as an adjunctive therapeutic approach to treat the severe forms of the disease.—Assuncäo‐Miranda, I., Amaral, F. A., Bozza, F. A., Fagundes, C. T., Sousa, L. P., Souza, D. G., Pacheco, P., Barbosa‐Lima, G., Gomes, R. N., Bozza, P. T., Da Poian, A. T., Teixeira, M. M., Bozza, M. T. Contribution of macro‐phage migration inhibitory factor to the pathogenesis of dengue virus infection. FASEB J . 24, 218–228 (2010). www.fasebj.org