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1.
Int J Food Microbiol ; 424: 110742, 2024 Nov 02.
Artigo em Inglês | MEDLINE | ID: mdl-38802288

RESUMO

Sugarcane-based fermentation is an essential process for different sectors of economic importance, such as the food industry with fermented and distilled beverages. However, this process can suffer from high contamination by wild yeasts and bacteria, especially lactic acid bacteria (LAB). This makes it necessary to use decontamination strategies and search for new methods that have a low environmental impact and contribute to the production of organic products. Among the options, oregano and thyme essential oils stand out for their antibacterial compounds. The aim of this study was to use oregano and thyme essential oils as natural antimicrobials in the alcoholic fermentation of sugar cane juice. Initially, the minimum inhibitory concentration of the essential oils in the fermentation was assessed through turbidity in the sensitivity test, which allowed us to determine which concentrations of essential oils would inhibit the contaminants, 3 morphologically selected LAB strains, as well as assessing the viability of CA-11. For LAB, 3 concentrations of each essential oil were tested, ranging from 0.1 to 0.4 µl/mL, while for CA-11 it was 0.06, to 0.1 µl/mL. The results indicated a maximum total value of essential oils per ml of 0.06 µl. Based on this result, a 24-1 fractional factorial was established, with 8 conditions +3 central points, with 4 variables, oregano essential oil (0, 0.03 and 0.06 µl/ml), thyme (0, 0.03 and 0.06 µl/ml), initial soluble solids (14, 16 and 18°Brix) and initial yeast concentration (2.5, 3 and 3.5 g/l), with the temperature set at 32 °C for a period of 12 h. The results showed that the center point condition with 0.03 µl/ml of oregano EO, 0.03 µl/ml of thyme controlled the proliferation of contaminating bacteria compared to the control condition. In the experimental validation, the treatment with essential oils had a lower final population of LAB (5.95 log) than the final population of the control treatment (6.53 log), and it was also observed that the treatment with EOs had an alcohol production around 3 % higher than the treatment without antimicrobials. The experimental validation phase confirmed the synergistic action of oregano and thyme essential oils in controlling the proliferation of contaminating bacteria. In conclusion, it was possible to determine the synergistic antimicrobial action of essential oils against LAB during alcoholic fermentation based on organic sugar cane.


Assuntos
Fermentação , Lactobacillales , Testes de Sensibilidade Microbiana , Óleos Voláteis , Origanum , Thymus (Planta) , Óleos Voláteis/farmacologia , Lactobacillales/metabolismo , Lactobacillales/efeitos dos fármacos , Thymus (Planta)/química , Origanum/química , Anti-Infecciosos/farmacologia , Antibacterianos/farmacologia , Microbiologia de Alimentos
2.
J Forensic Odontostomatol ; 37(2): 9-17, 2019 Sep 30.
Artigo em Inglês | MEDLINE | ID: mdl-31589591

RESUMO

The study aimed to carry out a comparative analysis between the lip print patterns in individuals with Down Syndrome and their nonsyndromic biological siblings. This was a cross-sectional blind study using an inductive approach and extensive direct observation procedures. A total of 68 cheiloscopic charts, named cheilograms, were divided into two groups (n=34), as follows: G1, including Down Syndrome individuals; and G2, including their nonsyndromic siblinggs. The convenience sample was selected in the city of João Pessoa, PB, Brazil. The following features were evaluated in eight labial regions called sub-quadrants: oral commissures (downturned, horizontal and upturned); lip thickness (thin, medium, thick and mixed); and labial grooves (I - complete vertical; I '- incomplete vertical; II - bifurcated; III - criss-cross; IV - reticular; or V - undefined). The data were analyzed by paired Student's t test and McNemar's Chi-square, with a 5% significance level. Most Down Syndrome individuals were found to have downturned oral commissures in 73.5% of cases, while their siblings showed a predominance of horizontal commissures in 73.5% of cases (p=0.009). There was no statistically significant difference for lip thickness between groups. In the analysis of labial groove patterns, Down Syndrome individuals (G1) showed a significant prevalence of the type I pattern (52.2%) as compared to their nonsyndromic siblings (30.1%) (p =< 0.001). Due to the tendency of having vertical labial groove patterns and downturned commissures, Down Syndrome individuals present cheiloscopic differences in relation to their nonsyndromic biological siblings, which suggests that syndromic genetics influences the development of these features. However, this may imply in a reduced potential of cheiloscopic identification due to the low divergence of labial phenotypes among Down Syndrome individuals.


Assuntos
Síndrome de Down , Irmãos , Brasil , Estudos Transversais , Humanos , Lábio
3.
Braz J Med Biol Res ; 52(2): e7809, 2019 Feb 14.
Artigo em Inglês | MEDLINE | ID: mdl-30785477

RESUMO

Cirrhotic cardiomyopathy historically has been confused as alcoholic cardiomyopathy. The key points for diagnosis of cirrhotic cardiomyopathy have been well explained, however this entity was neglected for a long time. Nowadays the diagnosis of this entity has become important because it is a factor that contributes significantly to morbidity-mortality in cirrhotic patients. Characteristics of cirrhotic cardiomyopathy are a hyperdynamic circulatory state, altered diastolic relaxation, impaired contractility, and electrophysiological abnormalities, particularity QT interval prolongation. The pathogenesis includes impaired function of beta-receptors, altered transmembrane currents and overproduction of cardiodepressant factors, such as nitric oxide, cytokines and endogenous cannabinoids. In addition to physical signs of hyperdynamic state and heart failure under stress conditions, the diagnosis can be done with dosage of serum markers, electrocardiography, echocardiography and magnetic resonance. The treatment is mainly supportive, but orthotopic liver transplantation appears to improve this condition although the prognosis of liver transplantation in patients with cirrhotic cardiomyopathy is uncertain.


Assuntos
Cardiomiopatias/etiologia , Cirrose Hepática/complicações , Cardiomiopatias/fisiopatologia , Cardiomiopatias/terapia , Humanos , Cirrose Hepática/fisiopatologia , Cirrose Hepática/terapia
4.
Braz. j. med. biol. res ; 52(2): e7809, 2019. tab, graf
Artigo em Inglês | LILACS, Sec. Est. Saúde SP, SESSP-IDPCPROD, Sec. Est. Saúde SP | ID: biblio-984029

RESUMO

Cirrhotic cardiomyopathy historically has been confused as alcoholic cardiomyopathy. The key points for diagnosis of cirrhotic cardiomyopathy have been well explained, however this entity was neglected for a long time. Nowadays the diagnosis of this entity has become important because it is a factor that contributes significantly to morbidity-mortality in cirrhotic patients. Characteristics of cirrhotic cardiomyopathy are a hyperdynamic circulatory state, altered diastolic relaxation, impaired contractility, and electrophysiological abnormalities, particularity QT interval prolongation. The pathogenesis includes impaired function of beta-receptors, altered transmembrane currents and overproduction of cardiodepressant factors, such as nitric oxide, cytokines and endogenous cannabinoids. In addition to physical signs of hyperdynamic state and heart failure under stress conditions, the diagnosis can be done with dosage of serum markers, electrocardiography, echocardiography and magnetic resonance. The treatment is mainly supportive, but orthotopic liver transplantation appears to improve this condition although the prognosis of liver transplantation in patients with cirrhotic cardiomyopathy is uncertain.


Assuntos
Humanos , Cirrose Hepática/complicações , Cardiomiopatias/etiologia , Cirrose Hepática/fisiopatologia , Cirrose Hepática/terapia , Cardiomiopatias/fisiopatologia , Cardiomiopatias/terapia
5.
Genet Mol Res ; 16(2)2017 Apr 28.
Artigo em Inglês | MEDLINE | ID: mdl-28453177

RESUMO

The use of Y chromosome haplotypes, important for the detection of sexual crimes in forensics, has gained prominence with the use of databases that incorporate these genetic profiles in their system. Here, we optimized and validated an amplification protocol for Y chromosome profile retrieval in reference samples using lesser materials than those in commercial kits. FTA® cards (Flinders Technology Associates) were used to support the oral cells of male individuals, which were amplified directly using the SwabSolution reagent (Promega). First, we optimized and validated the process to define the volume and cycling conditions. Three reference samples and nineteen 1.2 mm-diameter perforated discs were used per sample. Amplification of one or two discs (samples) with the PowerPlex® Y23 kit (Promega) was performed using 25, 26, and 27 thermal cycles. Twenty percent, 32%, and 100% reagent volumes, one disc, and 26 cycles were used for the control per sample. Thereafter, all samples (N = 270) were amplified using 27 cycles, one disc, and 32% reagents (optimized conditions). Data was analyzed using a study of equilibrium values between fluorophore colors. In the samples analyzed with 20% volume, an imbalance was observed in peak heights, both inside and in-between each dye. In samples amplified with 32% reagents, the values obtained for the intra-color and inter-color standard balance calculations for verification of the quality of the analyzed peaks were similar to those of samples amplified with 100% of the recommended volume. The quality of the profiles obtained with 32% reagents was suitable for insertion into databases.


Assuntos
Cromossomos Humanos Y/genética , Genética Forense/métodos , Haplótipos , Reação em Cadeia da Polimerase/métodos , Bases de Dados de Ácidos Nucleicos , Humanos , Masculino , Repetições de Microssatélites
6.
Braz. j. biol ; 77(1): 127-131, Jan-Mar. 2017. tab, graf
Artigo em Inglês | LILACS | ID: biblio-839171

RESUMO

Abstract The aim of this study was to describe the first records of termite activity on non-fossilized human bones in Brazil. The cases reported in this study resulted from forensic analysis of six human skeletons found in northeastern Brazil between 2012 and 2014. Traces of tunnels and nests commonly produced by termites were found on several human bone surfaces as well as the specimens and characteristic signs of osteophagic activity. In four cases, the species were identified: Amitermes amifer Silvestri, 1901, Nasutitermes corniger (Motschulsky, 1855) (on two skeletons), and Microcerotermes indistinctus Mathews, 1977. In two other cases, the activity of termites on bone surfaces was evidenced by remains of nests and tunnels produced by these insects. At least in the samples of human remains available for this report, the number of termites collected was greater on bones found during autumn, the rainy season in the Northeast of Brazil. The human bones examined showed termites like insects with lots of strength at bone degradation, capable of continuing the process of decomposition of human remains even in completely skeletonized bodies.


Resumo O objetivo deste estudo foi descrever os primeiros relatos de atividade de térmitas em ossos humanos não fossilizados, no Brasil. Os casos relatados neste estudo resultaram da análise pericial de seis esqueletos humanos encontrados no Nordeste do Brasil, entre os anos de 2012 e 2014. Vestígios de túneis e ninhos comumente produzidos por cupins foram encontrados em várias superfícies dos ossos humanos, bem como a presença de espécimes e característicos sinais de atividade osteofágica. Em quatro casos, foram identificadas as espécies: Amitermes amifer Silvestri, 1901, Nasutitermes corniger (Motschulsky, 1855) – em duas ossadas, e Microcerotermes indistinctus Mathews, 1977. Em dois outros casos, a atividade de cupins sobre superfícies ósseas foi evidenciada pelos restos de ninhos e túneis produzidos por esses insetos. Pelo menos nas amostras de restos humanos disponíveis para o presente estudo, o número de térmitas recolhido foi maior em ossos encontrados durante o outono, a estação chuvosa no Nordeste do Brasil. Os ossos humanos analisados ​​apresentaram cupins como insetos com muita força na degradação óssea, com capacidade de prosseguir o processo de decomposição de restos humanos, mesmo em corpos completamente esqueletizados.


Assuntos
Humanos , Animais , Osso e Ossos , Isópteros , Mudanças Depois da Morte , Brasil
7.
Braz J Biol ; 0: 0, 2016 Jul 25.
Artigo em Inglês | MEDLINE | ID: mdl-27463832

RESUMO

The aim of this study was to describe the first records of termite activity on non-fossilized human bones in Brazil. The cases reported in this study resulted from forensic analysis of six human skeletons found in northeastern Brazil between 2012 and 2014. Traces of tunnels and nests commonly produced by termites were found on several human bone surfaces as well as the specimens and characteristic signs of osteophagic activity. In four cases, the species were identified: Amitermes amifer Silvestri, 1901, Nasutitermes corniger (Motschulsky, 1855) (on two skeletons), and Microcerotermes indistinctus Mathews, 1977. In two other cases, the activity of termites on bone surfaces was evidenced by remains of nests and tunnels produced by these insects. At least in the samples of human remains available for this report, the number of termites collected was greater on bones found during autumn, the rainy season in the Northeast of Brazil. The human bones examined showed termites like insects with lots of strength at bone degradation, capable of continuing the process of decomposition of human remains even in completely skeletonized bodies.


Assuntos
Osso e Ossos , Isópteros , Animais , Brasil , Humanos , Mudanças Depois da Morte
8.
J Sports Med Phys Fitness ; 55(12): 1473-9, 2015 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-25286889

RESUMO

AIM: The aim of the present study was to evaluate the effects of the temperature of ingested water on performance during a 40-km self-paced cycling trial in the heat (35º C and 60% relative humidity). METHODS: The study was randomized, counterbalanced, crossover and single-blinded. Ten well-trained male cycling athletes (cyclists, mountain bikers or triathletes) who were non-acclimatized to heat were subjected to four experimental situations divided into two sets. In the first set, the participants performed two trials, during which they were given either cold (10º C) or warm water (37º C) ad libitum. In these situations, the volume and timing of the water ingestion (when each bolus was ingested) were recorded and replicated in the second set, but the water temperature was reversed. RESULTS: The performance times were unaffected by the water intake volume (P=0.425), but the water at a temperature of 37º C tended to induce lower performance times (P=0.078) during the trials (AL10=93.0±3.5 min; AL37=94.4±4.1 min; SC10=93.4±4.0; SC37=97.4±4.3 min). The water intake was greater when the water was cold (P<0.05), but the temperature did not affect the heat storage rate, rectal temperature, mean skin temperature, heart rate, blood glucose level, sweat loss, sweat rate, perceived exertion rate or plasma volume changes. However, a significant reduction in the plasma volume change from pre- to postexercise was observed (P<0.01). CONCLUSION: The performance, thermoregulatory, cardiovascular and metabolic responses during a 40-km self-paced cycling trial in the heat were unaffected by different water temperatures.


Assuntos
Desempenho Atlético/fisiologia , Ciclismo/fisiologia , Regulação da Temperatura Corporal/fisiologia , Temperatura Corporal/fisiologia , Ingestão de Líquidos/fisiologia , Temperatura , Adulto , Atletas , Estudos Cross-Over , Humanos , Masculino , Adulto Jovem
9.
J Anim Sci ; 91(3): 1207-15, 2013 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-23296817

RESUMO

The amount of fat in the carcass has been proposed as a regulator of initiation of puberty in cattle. To test if changes in energy intake and in circulating leptin concentration are each capable of altering age, BW, and body composition at puberty, 36 prepubertal Nellore heifers, 18 to 20 mo old, 275.8 ± 17.2kg BW, and BCS of 5 ± 0.5 (1 to 9 scale), were randomly assigned to each of 3 treatments (n = 12): High (high energy diet), Low (low energy diet), and LL [low energy diet + ovine leptin (oLeptin)]. Diets were formulated to promote BW gain of 0.4 kg/d (groups Low and LL) or 1.2 kg/d (High group). After 14 d of adjustment to diet, heifers in LL group received subcutaneous injections of oLeptin at 4.8 µg/kg BW twice a day for 56 d. Groups High and Low received similar injections of 2 mL saline solution. Age at puberty was considered to be the age on first detection of a corpus luteum, confirmed by plasma concentrations of progesterone of >1 ng/mL. Heifers were slaughtered on the second day after first corpus luteum detection. Expression of leptin gene was quantified by real-time PCR using ribosomal protein-L19 (RP-L19) as a control gene. Leptin administration increased (P = 0.04) leptin serum concentration but had no effect (P > 0.05) on age, BW, or BCS at puberty. High energy intake increased (P < 0.01) leptin concentration, accelerated (P = 0.02) puberty, and increased (P < 0.01) BCS at puberty, without altering (P = 0.17) BW at puberty. High energy intake also accelerated (P = 0.04) follicular development. Leptin administration caused a significant (P < 0.05) but transient increase in follicular development, which was similar to the transient increase in leptin serum concentration. Results from leptin gene expression demonstrated that high energy intake increased (P < 0.01) and leptin administration decreased (P < 0.01) leptin expression in 3 adipose tissues. The observed decrease in leptin gene expression after administration of leptin could explain the reduction in leptin serum concentration after 30 d of treatment and consequently the failure of leptin to accelerate puberty. Our findings did not support the hypothesis that reduced serum concentration of leptin is an important hindrance for puberty onset in malnourished zebu heifers. Although exogenous administration of leptin temporarily enhanced rate of follicular growth, it did not accelerate puberty.


Assuntos
Bovinos/fisiologia , Ingestão de Energia , Leptina/genética , Leptina/metabolismo , Tecido Adiposo/metabolismo , Envelhecimento , Ração Animal/análise , Animais , Constituição Corporal , Peso Corporal , Bovinos/genética , Bovinos/crescimento & desenvolvimento , Dieta/veterinária , Feminino , Regulação da Expressão Gênica , Leptina/administração & dosagem , Folículo Ovariano/crescimento & desenvolvimento , Radioimunoensaio/veterinária , Reação em Cadeia da Polimerase em Tempo Real/veterinária , Proteínas Recombinantes/administração & dosagem , Proteínas Recombinantes/metabolismo , Maturidade Sexual , Ovinos
10.
São Paulo; s.n; 2013. 13 p.
Tese em Português | Sec. Est. Saúde SP, SESSP-CTDPROD, Sec. Est. Saúde SP, SESSP-ACVSES, SESSP-IBPROD, Sec. Est. Saúde SP, SESSP-PAPSESSP, Sec. Est. Saúde SP | ID: biblio-1082307

RESUMO

Os cavalos são animais que foram retirados do seu meio de origem como selvagens para serem domesticados e adaptados a diversos tipo de serviço, com isso além do volumoso, o concentrado da forma da ração passou a fazer parte de sua dieta. O ambiente modificado e o manejo nutricional ocasionam no cavalo doenças que afetam mais com frequência o sistema digestório e locomotor...


Assuntos
Animais , Degeneração Macular Exsudativa , Infecção Focal , Necrose Gordurosa
11.
J Ethnopharmacol ; 112(2): 248-54, 2007 Jun 13.
Artigo em Inglês | MEDLINE | ID: mdl-17446019

RESUMO

Copaiba oil is an oleoresin obtained from the Copaifera L. genus (Leguminoseae) commonly featured in anti-inflammatory recipe prescribed by Amazonian traditional medical practitioners and featured in Europe and North America pharmacopeias of the past. Chemical and anti-inflammatory activity investigations from the copaiba oils obtained from Copaifera multijuga Hayne, Copaifera cearensis Huber ex Ducke and Copaifera reticulata Ducke species have proved that, although similar, these oleoresins possess varied composition and anti-inflammatory activity. Chromatographic studies showed that the main compound among sesquiterpenes was beta-caryophyllene (57.5, 19.7 and 40.9%, respectively), followed by alpha-humulene, alpha-copaene, alpha-bergamotene, delta-cadinene, with different amounts in each oleoresin. Among the diterpenes, copalic acid was the main component from Copaifera multijuga Hayne (6.2%) and was found in all the oleoresins studied. In Copaifera cearensis Huber ex Ducke, clorechinic (11.3%) and hardwickiic acids (6.2%) were the major diterpenes while kaurenoic (3.9%) and kolavenic acids (3.4%) predominated in Copaifera reticulata Ducke. The pharmacologic effects of the three oleoresins were evaluated in vitro by measuring the NO production by murine macrophages and in vivo using the zymosan induced pleurisy model in mice. The Copaiba Oil from Copaifera multijuga Hayne (100 mg/kg) was the most potent, inhibiting both NO production and the pleurisy induced by zymosan. The oleoresins from Copaifera cearensis Huber ex Ducke and Copaifera reticulata Ducke were also able to inhibit NO production and the pleurisy but with less intensity.


Assuntos
Anti-Inflamatórios , Bálsamos/química , Bálsamos/farmacologia , Fabaceae/química , Animais , Bálsamos/uso terapêutico , Brasil , Sobrevivência Celular/efeitos dos fármacos , Células Cultivadas , Cromatografia Gasosa , Cromatografia Gasosa-Espectrometria de Massas , Macrófagos Peritoneais/efeitos dos fármacos , Macrófagos Peritoneais/metabolismo , Masculino , Camundongos , Camundongos Endogâmicos BALB C , Óxido Nítrico/metabolismo , Pleurisia/tratamento farmacológico , Pleurisia/microbiologia , Sesquiterpenos/química , Sesquiterpenos/farmacologia , Sesquiterpenos/uso terapêutico , Especificidade da Espécie
12.
Inflammopharmacology ; 14(1-2): 48-56, 2006 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-16835713

RESUMO

Uncaria guianensis (Aublet) J. F. Gmelin is an herbal medicine from tropical areas of South and Central America. We investigated the anti-inflammatory and anti-allergic properties of an ethanolic extract of U. guianensis leaves, containing alkaloids, flavonoids and phenol carboxylic acids, as revealed by thin layer chromatography (TLC). Oral pre-treatment with U. guianensis inhibited zymosan-induced paw oedema (500 mg/paw) and pleural exudation (100 mg/kg) within 4 h (25-200 mg/kg). U. guianensis (100 mg/kg) inhibited total leukocyte and neutrophil numbers in the pleural cavity 4 h after zymosan stimulation. Pre-treatment with U. guianensis (100 mg/kg, p.o.) inhibited total leukocyte, neutrophil and eosinophil recruitment into the pleural cavity 24 h after LPS (250 ng/cavity, i.t.). Pre-treatment with U. guianensis inhibited paw oedema (25-200 mg/kg) induced by ovalbumin (OVA) within 1 h, and neutrophil and eosinophil recruitment into the mice pleural cavity 24 h after OVA (100 mg/kg). In vitro data revealed that U. guianensis impaired LPS-induced nitric oxide and CXCL8 generation by murine peritoneal macrophages, as well as OVA-induced interleukin-5 synthesis by previously sensitized spleen cells. These results demonstrate that U. guianensis leaves provide effective anti-inflammatory and anti-allergic activities.


Assuntos
Antialérgicos/uso terapêutico , Anti-Inflamatórios não Esteroides/uso terapêutico , Edema/tratamento farmacológico , Macrófagos Peritoneais/efeitos dos fármacos , Pleurisia/tratamento farmacológico , Uncaria/química , Animais , Antialérgicos/administração & dosagem , Antialérgicos/farmacologia , Anti-Inflamatórios não Esteroides/administração & dosagem , Anti-Inflamatórios não Esteroides/farmacologia , Sobrevivência Celular/efeitos dos fármacos , Células Cultivadas , Quimiocina CXCL1 , Quimiocinas CXC/metabolismo , Quimiotaxia de Leucócito/efeitos dos fármacos , Modelos Animais de Doenças , Relação Dose-Resposta a Droga , Edema/imunologia , Peptídeos e Proteínas de Sinalização Intercelular/metabolismo , Macrófagos Peritoneais/metabolismo , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Óxido Nítrico/metabolismo , Extratos Vegetais/administração & dosagem , Extratos Vegetais/farmacologia , Extratos Vegetais/uso terapêutico , Folhas de Planta/química , Pleurisia/imunologia , Fator de Necrose Tumoral alfa/metabolismo , Zimosan
13.
Cardiol Young ; 11(1): 36-43, 2001 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-11233396

RESUMO

It is well known that, subsequent to cardiopulmonary bypass, and particularly in children, an inflammatory response within the body can often result in a characteristic syndrome. Recently, it has been suggested that this phenomenon is due to a systemic inflammatory response, with significant involvement of cytokines. With this in mind, we investigated the behavior of tumour necrosis factor-alpha and interleukin-6 during the operative and in the immediate postoperative period in a group of children submitted to open heart surgery. We investigated any possible relation between the levels of these cytokines in the serum and the length of cardiopulmonary bypass, with the serum levels of lactate, and with the extent of use of inotropic drugs in postoperative period. The cytokines were measured in samples withdrawn after induction of anesthesia, after 10 minutes of cardiopulmonary bypass, after re-establishment of circulation, and then 2 and 24 hours after the end of cardiopulmonary bypass. The levels of tumour necrosis factor-alpha and interleukin-6 increased between the beginning and at two hours of the end of cardiopulmonary bypass. There was no correlation between the levels of these cytokines in the serum and the length of cardiopulmonary bypass, although there was a positive relation between levels of interleukin-6 and lactate in samples withdrawn at two hours of the end of bypass, and the measured levels of the cytokines correlated with the extent of inotropic drugs employed in the postoperative period.


Assuntos
Ponte Cardiopulmonar , Cardiopatias Congênitas/imunologia , Cardiopatias Congênitas/cirurgia , Interleucina-6/metabolismo , Fator de Necrose Tumoral alfa/metabolismo , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Período Intraoperatório , Masculino , Período Pós-Operatório , Estudos Prospectivos , Fatores de Tempo
14.
Arq Neuropsiquiatr ; 55(1): 31-8, 1997 Mar.
Artigo em Português | MEDLINE | ID: mdl-9332558

RESUMO

The arterious venous oxygen difference (AVDO2) due to the close relationship with cerebral metabolic rate of oxygen and cerebral blood flow shows metabolic alterations that occur in some pathological situations in the brain including subarachnoid haemorrhage. The AVDO2 was calculated by the Fick equation and the results evaluated by the Glasgow outcome scale. Measurements of arteriojugular oxygen difference were carried out in 30 patients with subarachnoid haemorrhage due to rupture of intracranial aneurysms, as an attempt to monitor the relationship between changes in AVDO2, clinical picture, and evolution of the patients. The subarachnoid haemorrhage was diagnosed by CT scan in 17 patients and by lumbar punction in 13 and the diagnosis of arterial vasospasm was carried out by clinical evaluation and confirmed by four vessels angiogram in only eight patients. Eighteen patients were admitted with Hunt & Hess (H&H) I/II, seven with H&H III and five with H&H IV/V. Nineteen patients had AVDO2 normal and this group had three deaths; five patients had AVDO2 continuously low with three deaths; and six patients had AVDO2 continuously high with two deaths. The patients with normal AVDO2 had better prognosis and clinical evolution than the patients with abnormal values of AVDO2. In conclusion, AVDO2 measurements could not be correlated with the diagnosis of vasospasm, but was useful in the early identification of metabolic changes that occur after subarachnoid haemorrhage and could be used as an supplementary monitoring in the clinical evaluation of patients with this pathology.


Assuntos
Aneurisma Intracraniano/complicações , Oxigênio/metabolismo , Hemorragia Subaracnóidea/etiologia , Hemorragia Subaracnóidea/metabolismo , Adulto , Feminino , Escala de Coma de Glasgow , Humanos , Ataque Isquêmico Transitório , Masculino , Pessoa de Meia-Idade , Monitorização Fisiológica , Prognóstico , Hemorragia Subaracnóidea/diagnóstico , Hemorragia Subaracnóidea/mortalidade
16.
Rev. bras. cir ; 71(2): 75-9, 1981.
Artigo em Português | LILACS | ID: lil-3941

RESUMO

As infeccoes do esterno e/ou cartilagens costais apos cirurgia plastica cardiaca nao sao frequente mas quando ocorrem tem dificil tratamento.Sao estudados 12 pacientes portadores dessa infeccao, tratados no Instituto de Doencas Cardiopulmonares E.J. Zerbini, e apresentados os resumos da evolucao de tres desses pacientes para melhor exemplificar as condutas terapeuticas. Os germes causadores mais comuns sao bacterias hospitalares cujo controle antibiotico nem sempre e eficaz. Sao analisados os exames complementares que podem ser usados para localizacao das areas comprometidas.As bases do tratamento constam da retirada completa dos tecidos infectados juntamente com antibioticoterapia local e sistemica. Algumas vezes e necessaria mais de uma intervencao cirurgica para obter a cura


Assuntos
Osteomielite , Cirurgia Torácica
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