Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 64
Filtrar
1.
Eur Rev Med Pharmacol Sci ; 27(1): 1, 2023 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-36647845

RESUMO

Correction to: European Review for Medical and Pharmacological Sciences 2022; 26 (23): 8879-8886. DOI: 10.26355/eurrev_202212_30560-PMID: 36524507-published online on December 15, 2022. After publication, the authors found out that in Figure 1 a box, including 63 patients included in the final analysis was missing. There are amendments to this paper. The Publisher apologizes for any inconvenience this may cause. https://www.europeanreview.org/article/30560.

2.
Radiat Res ; 199(1): 17-24, 2023 01 01.
Artigo em Inglês | MEDLINE | ID: mdl-36445953

RESUMO

Radiation-induced gene expression (GE) changes can be used for early and high-throughput biodosimetry within the first three days postirradiation. However, is the method applicable in situations such as the Alexander Litvinenko case or the Goiania accident, where diagnosis occurred in a prefinal health stage? We aimed to characterize gene expression changes in a prefinal health stage of lethally irradiated male and female rhesus macaques. Peripheral blood was drawn pre-exposure and at the prefinal stage of male and female animals, which did not survive whole-body exposure with 700 cGy (LD66/60). RNA samples originated from a blinded randomized Good Laboratory Practice study comprising altogether 142 irradiated rhesus macaques of whom 60 animals and blood samples (15 samples for both time points and sexes) were used for this analysis. We evaluated GE on 34 genes widely used in biodosimetry and prediction of the hematological acute radiation syndrome severity (H-ARS) employing quantitative real-time polymerase chain reaction (qRT-PCR). These genes were run in duplicate and triplicate and altogether 96 measurements per time point and sex could be performed. In addition, 18S ribosomal RNA (rRNA) was measured to depict the ribosome/transcriptome status as well as for normalization purposes and 16S rRNA was evaluated as a surrogate for bacteremia. Mean differential gene expression (DGE) was calculated for each gene and sex including all replicate measurements and using pre-exposure samples as the reference. From 34 genes, altogether 27 genes appeared expressed. Pre-exposure samples revealed no signs of bacteremia and 18S rRNA GE was in the normal range in all 30 samples. Regarding prefinal samples, 46.7% and 40% of animals appeared infected in females and males, respectively, and for almost all males this was associated with out of normal range 18S rRNA values. The total number of detectable GE measurements was sixfold (females) and 15-fold (males) reduced in prefinal relative to pre-exposure samples and about tenfold lower in 80% of prefinal compared to pre-exposure samples (P < 0.0001). An overall 11-fold (median) downregulation in prefinal compared to pre-exposure samples was identified for most of the 27 genes and even FDXR appeared 4-14-fold downregulated in contrast to a pronounced up-regulation according to cited work. This pattern of overall downregulation of almost all genes and the rapid reduction of detectable genes at a prefinal stage was found in uninfected animals with normal range 18S rRNA as well. In conclusion, in a prefinal stage after lethal radiation exposure, the ribosome/transcriptome status remains present (based on normal range 18S rRNA values) in 60-67% of animals, but the whole transcriptome activity in general appears silenced and cannot be used for biodosimetry purposes, but probably as an indicator for an emerging prefinal health stage.


Assuntos
Bacteriemia , Transcriptoma , Animais , Masculino , Feminino , Macaca mulatta , RNA Ribossômico 18S , RNA Ribossômico 16S , Perfilação da Expressão Gênica
3.
Eur Rev Med Pharmacol Sci ; 26(23): 8879-8886, 2022 12.
Artigo em Inglês | MEDLINE | ID: mdl-36524507

RESUMO

OBJECTIVE: Recently, the PTB risk has been related to the objective measurement of cervical length (CL), since a CL of less than 25 mm is an accurate predictor of increased risk of PTB. Primary prevention of preterm labor is based on the early identification of symptoms and on pharmacological treatments with tocolytic drugs for inhibition of uterine contractions that are associated with a shortening of the cervix. Unfortunately, most of these drugs have important side effects. PATIENTS AND METHODS: This study aimed to evaluate whether the administration of a combination of oral α-lipoic acid (ALA), magnesium, vitamin B6 and vitamin D to pregnant women presenting risk factors for PTB could reduce the rate of cervical shortening at 19-22 weeks of gestational age. RESULTS: A total of 122 women attending the first-trimester aneuploidy screening at 11-14 weeks of pregnancy and presenting risk factors for PTB were included in the study. Cervical length significantly decreased in the control group compared with the treatment group (-3.86 ± 1.97 vs. 1.50 ± 1.26; p=0.02). Although the rate of preterm birth did not significantly decrease (9.5% vs. 5.1%), admission for threatened PTB was statistically reduced in the treatment group compared with the control group (3.4% vs. 14.3%). CONCLUSIONS: Oral supplementation of ALA, magnesium, vitamin B6 and vitamin D significantly counteracted cervix shortening in pregnant women presenting risk factors for PTB.


Assuntos
Nascimento Prematuro , Ácido Tióctico , Feminino , Recém-Nascido , Gravidez , Humanos , Nascimento Prematuro/prevenção & controle , Medida do Comprimento Cervical/efeitos adversos , Magnésio , Ácido Tióctico/uso terapêutico , Vitamina D , Vitamina B 6 , Colo do Útero , Vitaminas/uso terapêutico , Fatores de Risco , Suplementos Nutricionais
4.
Radiat Res ; 195(1): 25-37, 2021 01 01.
Artigo em Inglês | MEDLINE | ID: mdl-33181854

RESUMO

Radiosensitivity differs in humans and likely among closely-related primates. Reasons for variation in radiosensitivity are not well known. We examined preirradiation gene expression in peripheral blood among male and female rhesus macaques which did or did not survive (up to 60 days) after whole-body irradiation with 700 cGy (LD66/60). RNA samples originated from a blinded randomized Good Laboratory Practice study in 142 irradiated rhesus macaques. Animals were untreated (placebo), or treated using recombinant human IL-12, G-CSF or combination of the two. We evaluated gene expression in a two-phase study design where phase I was a whole genome screen [next generation sequencing (NGS)] for mRNAs (RNA-seq) using five RNA samples from untreated male and female animals per group of survivor and non-survivor (total n = 20). Differential gene expression (DGE) was defined as a statistically significant and ≥2-fold up- or downregulation of mRNA species and was calculated between groups of survivors and non-survivors (reference) and by gender. Altogether 659 genes were identified, but the overlapping number of differentially expressed genes (DGE) observed in both genders was small (n = 36). Fifty-eight candidate mRNAs were chosen for independent validation in phase II using the remaining samples (n = 122) evaluated with qRT-PCR. Among the 58 candidates, 16 were of significance or borderline significance (t test) by DGE. Univariate and multivariate logistic regression analysis and receiver operating characteristic (ROC) curve analysis further refined and identified the most outstanding validated genes and gene combinations. For untreated male macaques, we identified EPX (P = 0.005, ROC=1.0), IGF2BP1 (P = 0.05, ROC=0.74) and the combination of EPX with SLC22A4 (P = 0.03, ROC=0.85) which appeared most predictive for the clinical outcome for treated and combined (untreated and treated) male macaque groups, respectively. For untreated, treated and both combined female macaque groups the same gene (MBOAT4, P = 0.0004, ROC = 0.81) was most predictive. Based on the probability function of the ROC curves, up to 74% of preirradiation RNA measurements predicted survival with a positive and negative predictive value ranging between 85-100% and associated odds ratios reflecting a 2-3-fold elevated risk for surviving per unit change (cycle threshold value) in gene expression. In conclusion, we identified gender-dependent genes and gene combinations in preirradiation blood samples for survival prediction after irradiation in rhesus macaques.


Assuntos
Expressão Gênica/genética , RNA Mensageiro/genética , Tolerância a Radiação/genética , Irradiação Corporal Total/efeitos adversos , Animais , Feminino , Expressão Gênica/efeitos dos fármacos , Expressão Gênica/efeitos da radiação , Perfilação da Expressão Gênica , Fator Estimulador de Colônias de Granulócitos/genética , Fator Estimulador de Colônias de Granulócitos/farmacologia , Humanos , Interleucina-12/genética , Interleucina-12/farmacologia , Masculino , Tolerância a Radiação/efeitos dos fármacos , Proteínas Recombinantes/genética , Proteínas Recombinantes/farmacologia
5.
Vacunas ; 20(2): 53-59, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-32288701

RESUMO

INTRODUCTION: Influenza is a common respiratory infectious disease affecting population worldwide yearly. The aim of this work is to describe the 2017-2018 influenza season and how it affected elderly population in Catalonia despite moderate vaccine coverage among this age group. METHODS: Influenza surveillance based on a primary care sentinel surveillance, virological indicators systematic sampling of ILI attended and severe influenza confirmed cases (SHLCI) admitted to hospital.Analysis of data by Chi-squared, ANOVA, multiple regression and negative control test or case to case for vaccine effectiveness assessment in primary care and SHLCI respectively. RESULTS: Moderate-high intensity and early onset season with predominance of influenza B virus (IVB) (63%) followed by an increase of circulation of influenza A virus (IVA). A total of 419 IV from primary care samples. Vaccine effectiveness (VE) in primary care setting was 14% (95%CI: 0-47%). 1306 severe cases (adjusted cumulative incidence 18.54/100,000 inhabitants (95%CI: 17.54-19.55)). The highest proportion of severe cases were in the >64 (65.1%) (aOR 15.70; 95%CI: 12.06-20.46; p < 0.001) followed by 45-64 yo (25.4%) (aOR 6.03; 95%CI: 4.57-7.97). VE in preventing intensive care unit (ICU) admission was 35% (95%CI: 10-54%). Final outcome death while hospitalized occurred in 175 SHLCI cases with a case fatality rate of 13.4%. CONCLUSIONS: 2017-2018 influenza season was an unusual epidemic season with an early onset, great predominance of influenza B (Yamagata strain) virus with a high hospitalization rate of severe cases among elderly stressing the need to upgrade vaccine uptake in this age group.


INTRODUCCIÓN: La gripe es una enfermedad infecciosa respiratoria común que afecta cada año a una proporción importante de la población mundial. El objetivo de este trabajo es describir la temporada de influenza 2017-2018 y cómo afectó a la población anciana en Cataluña a pesar de la cobertura moderada de vacunas en este grupo de edad. MÉTODOS: Vigilancia de la gripe basada en la vigilancia centinela de atención primaria (AP), indicadores virológicos por muestreo sistemático semanal de pacientes con síndrome gripal (SG) atendidos en AP y casos graves de gripe confirmada grave ingresados ??en el hospital.Las estadísticas utilizadas para el análisis fueron el test ANOVA, la prueba de Chi-cuadrado, el análisis de regresión múltiple y la prueba de control negativo y caso a caso para la evaluación de la efectividad de la vacuna (EV, por sus siglas en inglés) en AP y casos graves hospitalizados, respectivamente. RESULTADOS: La temporada 2017-2018 se caracterizó por presentar una intensidad moderadamente alta, con inicio temprano y de larga duración. El predominio del virus de la gripe B (VGB) (63%) seguido por un aumento de la circulación del virus de la gripe A (VGA). Un total de 419 IV de muestras de AP. La VE para prevención de la infección en casos con SG en AP fue del 14% (IC 95%: 0-47%). Se registraron 1.306 casos graves (incidencia acumulada ajustada 18,54/100.000 habitantes (IC 95%: 17,54-19,55)). La proporción más alta de casos graves fue en > 64 años (65,1%) (OR: 15,70: IC 95%: 12,06-20,46; p < 0,001) seguido del grupo de 45-64 años (25,4%) (OR: 6,03; IC 95%: 4,57-7,97). La VE en la prevención de ingreso en la UCI fue del 35% (IC 95%: 10-54%). Se registraron 175 defunciones con una tasa de letalidad del 13,4%. CONCLUSIONES: La temporada de gripe 2017-2018 fue una temporada epidémica inusual con un inicio temprano, gran predominio del VGB (cepa Yamagata) con una elevada tasa de hospitalización de casos graves en ancianos, lo que subraya la necesidad de mejorar la aceptación de la vacuna en este grupo de edad.

6.
Sensors (Basel) ; 18(11)2018 Oct 29.
Artigo em Inglês | MEDLINE | ID: mdl-30380620

RESUMO

The importance of synergy with industry lies in the possibility of experimental validation of the work research results. With Software-Defined Radio (SDR) platforms, it is possible to implement a physical layer and to have tests with hardware in a real environment. In this paper, we investigate the validation of an impulsive noise resistant physical layer based on Orthogonal Frequency Division Multiplexing (OFDM) and an interesting concatenation of forward error correcting codes: Rank metric Code (RC) and Convolutional Code (CC). We fully design and implement a new block namely RC Encoder + WiFi Mapper in GNU Radio, which acts as a forward error correcting code to mitigate impulsive noise occurring in substations. After showing by simulations that using this coding scheme is very efficient in mitigating the bursty nature of impulsive noise, we then confirm that the same performance is maintained even with various impulsive voltages and experimental scenarios, which confirms the high performance of the proposed approach.

8.
J Theor Biol ; 383: 44-60, 2015 Oct 21.
Artigo em Inglês | MEDLINE | ID: mdl-26232694

RESUMO

A mathematical model that describes the effects of acute radiation exposure on thrombopoiesis in primates and humans is presented. Thrombopoiesis is a complex multistage dynamic process with potential differences between species. Due to known differences in cellular radiosensitivities, nadir times, and cytopenia durations, direct extrapolation from rhesus to human platelet dynamics is unrealistic. Developing mathematical models of thrombopoiesis for both humans and primates allows for the comparison of the system's response across species. Thus, data obtained in primate experiments can be extrapolated to predictions in humans. Parameter values for rhesus macaques and humans were obtained either from direct experimental measurements or through optimization procedures using dynamic data on platelet counts following radiation exposure. Model simulations accurately predict trends observed in platelet dynamics: at low radiation doses platelet counts decline after a time lag, and nadir depth is dose dependent. The models were validated using data that was not used during the parameterization process. In particular, additional experimental data was used for rhesus, and accident and platelet donor data was used for humans. The model aims to simulate the average response in rhesus and humans following irradiation. Variation in platelet dynamics due to individual variability can be modeled using Monte Carlo simulations in which parameter values are sampled from distributions. This model provides insight into the time course of the physiological effects of radiation exposure, information which could be valuable for disaster planning and survivability analysis and help in drug development of radiation medical countermeasures.


Assuntos
Modelos Biológicos , Lesões por Radiação/fisiopatologia , Trombopoese/efeitos da radiação , Algoritmos , Animais , Relação Dose-Resposta à Radiação , Humanos , Macaca mulatta , Lesões por Radiação/patologia
9.
Spinal Cord ; 52 Suppl 3: S22-4, 2014 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-25376312

RESUMO

STUDY DESIGN: Case report. OBJECTIVES: We report a case of a 75-year-old woman suffering from voluminous idiopathic spontaneous spinal epidural hematoma (SSEH) that was rapidly diagnosed and successfully treated. METHODS: Clinical presentation was characterized by sudden and intense back pain that rapidly evolved into plegia of the right leg and severe paresis of the left leg. Hypoesthesia below T6 and urinary retention were also present. Magnetic resonance imaging showed a significant posterior spinal compression from T6 through L3 caused by an epidural hematoma that involved 10 metameric levels, extending for ∼20 cm, with a maximum thickness of 1.6 cm from T12 to L1. RESULTS: Within 12 h, emergency decompressive laminectomy from T10 to L1 was performed, and evacuation of the hematoma was achieved. The postoperative course and neurological recovery of the patient were optimal. After discharge, the patient continued the rehabilitative treatment started during hospitalization, achieving an excellent functional outcome in 1 month. CONCLUSIONS: Spinal epidural hematoma (SEH) is a rare clinical finding that can occur following trauma or spontaneously (SSEH). We describe, to the best of our knowledge, the second most extensive idiopathic SSEH and the longest with involvement of the dorso-lumbar spine that had a excellent functional outcome due to emergency decompressive laminectomy, which is emphasized in the treatment of these rare pathologies.


Assuntos
Tratamento de Emergência , Hematoma Epidural Espinal/cirurgia , Neoplasias da Coluna Vertebral/cirurgia , Vértebras Torácicas/cirurgia , Idoso , Feminino , Hematoma Epidural Espinal/diagnóstico , Humanos , Laminectomia/métodos , Recuperação de Função Fisiológica , Neoplasias da Coluna Vertebral/diagnóstico , Vértebras Torácicas/patologia
10.
Drug Dev Ind Pharm ; 40(11): 1463-7, 2014 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-23944836

RESUMO

This study proposes polymeric micelles produced using new amphiphilic conjugates between amino- or carboxy-mPEG2000 and three different α-lipoamino acids (PEG-LAA). The characterization of these colloidal systems showed CMC values, in the order of 10(-5 )M, that are interesting in the view of an in vivo administration. The PEG-LAA micelles also showed a good stability at 37 °C and upon dilution in aqueous media. Using a colored probe as a model lipophilic compound, the loading efficiency and in vitro release profile were also outlined.


Assuntos
Portadores de Fármacos/química , Micelas , Polietilenoglicóis/química , Química Farmacêutica , Liberação Controlada de Fármacos , Estabilidade de Medicamentos , Tamanho da Partícula
11.
Eur J Med Chem ; 54: 709-20, 2012 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-22795832

RESUMO

A series of isochromeno[4,3-c]pyrazole-5(1H)-one derivatives 7b-h were prepared and tested at 10 µM for their ability to displace specific [(3)H]flunitrazepam from bovine brain membranes. The substitution pattern of the above derivatives was shown to influence the receptor affinity. The most active compound of the series was 7e, showing a 54% inhibition of [(3)H]flunitrazepam binding. Compounds 7a-d,i were compared with the known isomers chromeno[4,3-c]pyrazole-4(1H)-ones 14a-d,i, showing that the isochromene/chromene isomerism influences the activity.


Assuntos
Benzopiranos/síntese química , Benzopiranos/metabolismo , Simulação de Acoplamento Molecular , Pirazóis/síntese química , Pirazóis/metabolismo , Receptores de GABA-A/metabolismo , Animais , Benzopiranos/química , Bovinos , Técnicas de Química Sintética , Humanos , Ligação Proteica , Conformação Proteica , Pirazóis/química , Receptores de GABA-A/química
12.
Rev Clin Esp ; 212(7): 329-36, 2012 Jul.
Artigo em Espanhol | MEDLINE | ID: mdl-22608192

RESUMO

BACKGROUND: As an inevitable consequence of Latin American immigration to Europe, Spain and other European countries, it is necessary to confront the approach to cases of Chagas infection/disease for which, epidemiologically, there are more questions than answers. This study has aimed to describe all the Chagas-infected population in the north metropolitan area of Barcelona (406,000 inhabitants). PATIENTS AND METHODS: A prospective and multicentric study was performed in 3 hospitals and 1 International Health Unit. It included all patients with Trypanosoma cruzi positive serology, regardless of the requesting reason.Results The 139 diagnosed cases represent an annual incidence of: a) 0.68/10,000 inhabitants and, b) 73.2/10,000 immigrants coming from endemic zones. Of the patients, 80 (57.6%) had alterations in some complementary tests: cardiologic 62 (44.6%), digestive 38 (27.3%) and 20 (14.4%) both. According to the Brazilian Consensus of Chagas cardiomyopathy, they were classified as: 0=84 (60.4%); a=40 (28.7%); b1=4 (2.9%), b2=10 (7.2%) and c/d=1 (0.7%). Treatment with benznidazole (5mg/kg/24h for 60 days) was prescribed in 116 (83.4%) patients, 89 (76.7%) of whom completed it. Secondary effects were recorded in 56 (50.9%), which made it necessary to withdraw it in 21 (19.1%). CONCLUSIONS: Fewer cases of Chagas infection/disease than expected have been diagnosed in the North Metropolitan area of Barcelona. The series contains a high number of patients and there may be an elevated number of immigrants from endemic zones who have the asymptomatic chronic stages of the infection and who were unaware of their condition.


Assuntos
Doença de Chagas/epidemiologia , Adulto , Infecções Assintomáticas/epidemiologia , Cardiomiopatia Chagásica/diagnóstico , Cardiomiopatia Chagásica/tratamento farmacológico , Cardiomiopatia Chagásica/epidemiologia , Doença de Chagas/diagnóstico , Doença de Chagas/tratamento farmacológico , Emigrantes e Imigrantes , Feminino , Humanos , Incidência , Masculino , Nitroimidazóis/uso terapêutico , Estudos Prospectivos , Espanha/epidemiologia , Tripanossomicidas/uso terapêutico
13.
J Appl Microbiol ; 112(6): 1266-76, 2012 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-22471652

RESUMO

AIM: To characterize Bordetella pertussis vaccine strains in comparison with current circulating bacteria. METHODS AND RESULTS: Genomic and proteomic analyses of Bp137 were performed in comparison with other vaccine strains used in Latin America (Bp509 and Bp10536) and with the clinical Argentinean isolate Bp106. Tohama I strain was used as reference strain. Pulse-field gel electrophoresis (PFGE) and pertussis toxin promoter (ptxP) sequence analysis revealed that Bp137 groups with Bp509 in PFGE group III and contains ptxP2 sequence. Tohama I (group II) and Bp10536 (group I) contain ptxP1 sequence, while Bp106 belongs to a different PFGE cluster and contains ptxP3. Surface protein profiles diverged in at least 24 peptide subunits among the studied strains. From these 24 differential proteins, Bp10536 shared the expression of ten proteins with Tohama I and Bp509, but only three with Bp137. In contrast, seven proteins were detected exclusively in Bp137 and Bp106. CONCLUSIONS: Bp137 showed more features in common with the clinical isolate Bp106 than the other vaccine strains here included. SIGNIFICANCE AND IMPACT OF THE STUDY: The results presented show that the old strains included in vaccines are not all equal among them. These findings together with the data of circulating bacteria should be taken into account to select the best vaccine to be included in a national immunization programme.


Assuntos
Bordetella pertussis/genética , Bordetella pertussis/imunologia , Vacina contra Coqueluche/genética , Vacina contra Coqueluche/imunologia , Bordetella pertussis/classificação , Bordetella pertussis/isolamento & purificação , Genótipo , Humanos , Programas de Imunização , América Latina , Fenótipo , Proteômica
14.
Euro Surveill ; 16(38)2011 Sep 22.
Artigo em Inglês | MEDLINE | ID: mdl-21958532

RESUMO

Due to considerable numbers of migrants from Chagas disease-endemic countries living in Catalonia, the Catalonian Health Department has recently implemented a screening programme for preventing congenital transmission, targeting Latin American pregnant women who attend antenatal consultations. Diagnosis of Trypanosoma cruzi infection in women is based on two positive serological tests. Screening of newborns from mothers with positive serology is based on a parasitological test during the first 48 hours of life and/or conventional serological analysis at the age of nine months. If either of these tests is positive, treatment with benznidazole is started following the World Health Organization's recommendations. The epidemiological surveillance of the programme is based on the Microbiological Reporting System of Catalonia, a well established network of laboratories. Once a positive case is reported, the responsible physician is asked to complete a structured epidemiological questionnaire. Clinical and demographic data are registered in the Voluntary Case Registry of Chagas Disease, a database administered by the Catalonian Health Department. It is expected that this programme will improve the understanding of the real burden of Chagas disease in the region. Furthermore, this initiative could encourage the implementation of similar programmes in other regions of Spain and even in other European countries.


Assuntos
Doença de Chagas/congênito , Doença de Chagas/diagnóstico , Transmissão Vertical de Doenças Infecciosas/prevenção & controle , Complicações Parasitárias na Gravidez/prevenção & controle , Trypanosoma cruzi/isolamento & purificação , Anticorpos Antiprotozoários/sangue , Doença de Chagas/etnologia , Doença de Chagas/transmissão , Notificação de Doenças , Emigração e Imigração , Feminino , Humanos , Recém-Nascido , América Latina/etnologia , Vigilância da População , Gravidez , Complicações Parasitárias na Gravidez/sangue , Complicações Parasitárias na Gravidez/epidemiologia , Cuidado Pré-Natal , Desenvolvimento de Programas , Estudos Soroepidemiológicos , Testes Sorológicos , Espanha/epidemiologia , Trypanosoma cruzi/imunologia
15.
Euro Surveill ; 16(37)2011 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-21944556

RESUMO

A study of aggregate data collected from the literature and official sources was undertaken to estimate expected and observed prevalence of Trypanosoma cruzi infection, annual incidence of congenital transmission and rate of underdiagnosis of Chagas disease among Latin American migrants in the nine European countries with the highest prevalence of Chagas disease. Formal and informal data sources were used to estimate the population from endemic countries resident in Europe in 2009, diagnosed cases of Chagas disease and births from mothers originating from endemic countries. By 2009, 4,290 cases had been diagnosed in Europe, compared with an estimated 68,000 to 122,000 expected cases. The expected prevalence was very high in undocumented migrants (on average 45% of total expected cases) while the observed prevalence rate was 1.3 cases per 1,000 resident migrants from endemic countries. An estimated 20 to 183 babies with congenital Chagas disease are born annually in the study countries. The annual incidence rate of congenital transmission per 1,000 pregnancies in women from endemic countries was between none and three cases. The index of under diagnosis of T. cruzi infection was between 94% and 96%. Chagas disease is a public health challenge in the studied European countries. Urgent measures need to be taken to detect new cases of congenital transmission and take care of the existing cases with a focus on migrants without legal residency permit and potential difficulty accessing care.


Assuntos
Doença de Chagas/epidemiologia , Emigrantes e Imigrantes/estatística & dados numéricos , Transmissão Vertical de Doenças Infecciosas/estatística & dados numéricos , Vigilância da População/métodos , Trypanosoma cruzi/isolamento & purificação , Doença de Chagas/prevenção & controle , Doença de Chagas/transmissão , Coleta de Dados , Ensaio de Imunoadsorção Enzimática , Estudos Epidemiológicos , Europa (Continente)/epidemiologia , Feminino , Humanos , Incidência , América Latina/etnologia , Masculino , Prevalência , Fatores de Risco , Trypanosoma cruzi/imunologia
16.
Infect Immun ; 79(9): 3677-82, 2011 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-21730086

RESUMO

Although Bordetella pertussis contains and transcribes loci encoding type III secretion system (TTSS) homologues, expression of TTSS-associated proteins has been reported only for non-laboratory-adapted Irish clinical isolates. Here we confirm such a result for clinical isolates obtained from patients treated in Argentinean hospitals. Moreover, we demonstrate that the expression of TTSS-associated proteins is independent both of the year in which the isolate was obtained and of the types of polymorphic alleles for other virulence factors but is dependent on environmental growth conditions. Interestingly, we observed that TTSS-associated protein expression is lost after successive in vitro passages but becomes operative again when bacteria come into contact with the host. This in vivo activation of TTSS expression was observed not only for clinical isolates previously adapted to the laboratory after successive in vitro passages but also for vaccine strains that did not express the system in vitro. The reversibility of TTSS expression, demonstrated by its switching off-on when the bacterium comes into contact with the host, appears to be an adaptive response of this pathogen.


Assuntos
Proteínas de Bactérias/genética , Sistemas de Secreção Bacterianos/genética , Bordetella pertussis/genética , Bordetella pertussis/patogenicidade , Fatores de Virulência/genética , Alelos , Animais , Proteínas de Bactérias/biossíntese , Proteínas de Bactérias/metabolismo , Meio Ambiente , Regulação Bacteriana da Expressão Gênica , Interações Hospedeiro-Patógeno , Immunoblotting , Camundongos , Camundongos Endogâmicos BALB C , Reação em Cadeia da Polimerase , Polimorfismo Genético , Fatores de Virulência/metabolismo , Coqueluche/microbiologia , Coqueluche/patologia
17.
J Pharm Bioallied Sci ; 3(1): 4-14, 2011 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-21430952

RESUMO

Contact with many different biological membranes goes along the destiny of a drug after its systemic administration. From the circulating macrophage cells to the vessel endothelium, to more complex absorption barriers, the interaction of a biomolecule with these membranes largely affects its rate and time of biodistribution in the body and at the target sites. Therefore, investigating the phenomena occurring on the cell membranes, as well as their different interaction with drugs in the physiological or pathological conditions, is important to exploit the molecular basis of many diseases and to identify new potential therapeutic strategies. Of course, the complexity of the structure and functions of biological and cell membranes, has pushed researchers toward the proposition and validation of simpler two- and three-dimensional membrane models, whose utility and drawbacks will be discussed. This review also describes the analytical methods used to look at the interactions among bioactive compounds with biological membrane models, with a particular accent on the calorimetric techniques. These studies can be considered as a powerful tool for medicinal chemistry and pharmaceutical technology, in the steps of designing new drugs and optimizing the activity and safety profile of compounds already used in the therapy.

18.
Arq. neuropsiquiatr ; 69(2b): 304-309, 2011. ilus
Artigo em Inglês | LILACS | ID: lil-588088

RESUMO

This study aimed to elucidate cortical mechanisms involved in anticipatory actions when 23 healthy right-handed subjects had to catch a free falling object through quantitative electroencephalogram (qEEG). For this reason, we used coherence that represents a measurement of linear covariation between two signals in the frequency domain. In addition, we investigated gamma-band (30-100 Hz) activity that is related to cognitive and somatosensory processes. We hypothesized that gamma coherence will be increase in both parietal and occipital areas during moment after ball drop, due to their involvement in manipulation of objects, visuospatial processing, visual perception, stimuli identification and attention processes. We confirmed our hypothesis, an increase in gamma coherence on P3-P4 (t= -2.15; p=0.033) and PZ-OZ (t= -2.16; p=0.034) electrode pairs was verified for a paired t-test. We conclude that to execute tasks involving anticipatory movements (feedforward mechanisms), like our own task, probably, there is no need of a strong participation of visual areas in the process of information organization to manipulate objects and to process visuospatial information regarding the contact hand-object.


Este estudo teve como objetivo elucidar os mecanismos corticais envolvidos em ações antecipatórias quando 23 indivíduos saudáveis destros tinham que apreender um objeto em queda livre, através da eletroencefalografia quantitativa (EEGq). Por esta razão, usamos a coerência que representa a covariação linear entre dois sinais no domínio da frequência. Além disso, investigamos a atividade da banda gama (30-100 Hz), que está relacionada à processos cognitivos e somato-sensoriais. Nossa hipótese é que a coerência de gama estará aumentada em ambas as áreas parietais e occipitais durante o momento pós-queda da bola, devido ao seu envolvimento na manipulação de objetos, processamento visuo-espacial, percepção visual, identificação de estímulos e processos de atenção. Confirmamos nossa hipótese. Um aumento de coerência em gama nos pares de eletrodos P3-P4 (t= -2,15; p=0,033) e PZ-OZ (t= -2,16; p=0,034) foi verificado por teste-t pareado. Conclui-se que, para executar tarefas que envolvem movimentos de antecipação (mecanismos de retro-alimentação) como a nossa própria tarefa, provavelmente, não há necessidade de forte participação de áreas visuais no processo de organização da informação como para manipular objetos e processar a informação visuo-espacial no contato mão-objeto.


Assuntos
Adulto , Feminino , Humanos , Masculino , Eletroencefalografia/métodos , Lateralidade Funcional/fisiologia , Desempenho Psicomotor/fisiologia , Percepção Visual/fisiologia , Mapeamento Encefálico , Lobo Occipital/fisiologia , Lobo Parietal/fisiologia
19.
Rev Neurol ; 51(10): 610-23, 2010 Nov 16.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-21069640

RESUMO

INTRODUCTION: Understanding how the human motor control operates is an important issue to the neuroscience. One example is how the motor cortex controls muscle activity, which can be observed through corticomuscular coherence (CMC). AIM: Our study aimed to verify the influence of certain factors related to the fine motor control of force tasks on CMC. Our issue is if would be possible the strength of the coupling between the central and muscular systems measured by changes in oscillatory activity of beta- and gamma-band being influenced by these factors as much healthy subjects as patients. DEVELOPMENT: Beta-band CMC was especially important when executing sustaining accurate control tasks, which need more concentration and effort. However, we found that beta-band CMC was influenced by some factors. With regard to gamma-band CMC, apparently a complex and continuous dynamic integration of several mechanisms would be necessary to modulate gamma-band CMC, since it was not modulated by magnitude of force. Therefore, it seems these mechanisms would be required to an adequate and effective neural networks operation when a dynamic force output is required. CONCLUSION: Beta- and gamma-band CMC could enrich our understanding of the dynamic changes of the motor system not only in health subjects but also in neurological patients. It may serve as a sensitive index for quantifying dynamical changes in fine motor control of force. It has the potential to become a useful tool to characterize the patterns of changes in central nervous system's activities for the purposes of basic research, especially in restoring of motor function.


Assuntos
Atividade Motora/fisiologia , Córtex Motor/fisiologia , Músculo Esquelético/fisiologia , Eletroencefalografia , Humanos , Transtornos dos Movimentos/fisiopatologia , Contração Muscular/fisiologia , Desempenho Psicomotor/fisiologia
20.
Rev Neurol ; 49(6): 295-9, 2009.
Artigo em Espanhol | MEDLINE | ID: mdl-19728275

RESUMO

AIMS: To investigate the effects of using bromazepam on the relative power in alpha while performing a typing task. Bearing in mind the particularities of each brain hemisphere, our hypothesis was that measuring the relative power would allow us to investigate the effects of bromazepam on specific areas of the cortex. More specifically, we expected to observe different patterns of powers in sensory-motor integration, attention and activation processes. SUBJECTS AND METHODS: The sample was made up of 39 subjects (15 males and 24 females) with a mean age of 30 +/- 10 years. The control (placebo) and experimental (3 mg and 6 mg of bromazepam) groups were trained in the typing task with a randomised double-blind model. RESULTS: A three-way ANOVA and Scheffé test were used to analyse interactions between the factors condition and moment, and between condition and sector. CONCLUSIONS: The doses used in this study facilitated motor performance of the typing task. In this study, the use of the drug did not prevent learning of the task, but it did appear to concentrate mental effort on more restricted and specific aspects of typing. It also seemed to influence the rhythm and effectiveness of the operations performed during mechanisms related to the encoding and storage of new information. Likewise, a predominance of activity was observed in the left (dominant) frontal area in the 3 mg bromazepam group, which indicates that this dose of the drug affords the subject a greater degree of directionality of cortical activity for planning and performing the task.


Assuntos
Bromazepam/farmacologia , Eletroencefalografia , Desempenho Psicomotor/efeitos dos fármacos , Desempenho Psicomotor/fisiologia , Adulto , Método Duplo-Cego , Feminino , Humanos , Masculino
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA