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1.
Enferm Infecc Microbiol Clin (Engl Ed) ; 41(8): 501-504, 2023 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-36931920

RESUMO

INTRODUCTION: Human dermatophytoses are the most widespread infections caused by fungi. These are capable of invading the keratin-containing tissues of animals. Nannizzia nana (N. nana) can cause ringworm in pigs and rarely cause infections in humans. METHODS: We conducted a search using PUBMED for articles published from January 1, 1990 to March 31, 2022 to identify additional cases. The search terms used were "Microsporum nanum" and "Nannizzia nana". RESULTS: After reviewing the literature, we identified a total of 16 cases of dermatophytosis due to N. nana since 1990. In most of the patients, the clinical diagnosis was tinea corporis and the most widely used antifungals were: terbinafine and griseofulvin. CONCLUSION: N. nana is a dermatophyte species isolated infrequently in humans, but it represents a potential source of dermatophytosis in people who come into direct or indirect contact with animals and soil.

3.
Saúde debate ; 46(spe5): 125-135, out.-dez. 2022. graf
Artigo em Português | LILACS-Express | LILACS | ID: biblio-1424544

RESUMO

RESUMO Buscou-se investigar e conhecer a frequência e a distribuição de frenotomias e fenectomias realizadas no Sistema Único de Saúde (SUS) após os dispositivos legais que instituíram o teste da linguinha, bem como entender quais profissionais estão realizando o procedimento cirúrgico. Estudo descritivo analítico, retrospectivo, com dados secundários, disponíveis no Sistema de Informações Ambulatoriais do DataSUS, extraídos por meio do TabWin. Observou-se um aumento considerável no número de procedimentos, porém, com flutuações nos anos seguintes. Das frenectomias registradas no SUS, no período, 33% foram realizadas por dentistas na atenção primária. Os resultados apontaram que houve um aumento substancial no número de procedimentos cirúrgicos em dois momentos, em 2014 e em 2017, possivelmente em decorrência da publicação da Lei nº 13.002/2014 e da Nota Técnica (NT) nº 09/2016. A NT nº 35/2018 deslocou o diagnóstico e o tratamento para a média complexidade, possivelmente resultando em filas, principalmente em se tratando de cirurgias que poderiam ser realizadas na atenção primária. Apesar de não haver unanimidade quanto à correlação anquiloglossia e desmame, não parece haver um monitoramento para evitar cirurgias desnecessárias, uma vez que a ordenha pode não ser afetada e o acompanhamento ser realizado para confirmar ou não essa necessidade.


ABSTRACT This study sought to investigate and to know the frequency and the distribution of frenotomies and frenectomies performed in the Unified Health System (SUS) after the legal provisions that instituted the tong test, and to understand which professionals are performing the surgical procedure. This is an analytical, descriptive, retrospective study, with secondary data, available in the DATASUS Information System. It was observed that a considerable increase in the number of procedures, but with fluctuations in the following years. Out of the frenectomies registered in the SUS in the period, 33% were performed by dentists in primary care. The results showed that there was a substantial increase in the number of surgical procedures in two moments, in 2014 and in 2017, possibly as a result of the publication of Ordinance nº 13.002/2014 and Technical Note (NT) No. 09/2016. NT No. 35/2018 shifted diagnosis and treatment to medium complexity, possibly resulting in queues, especially in the case of surgeries that could be performed in primary care. Although there is no unanimity regarding the correlation between ankyloglossia and weaning, there seems to be no monitoring to avoid unnecessary surgeries, since milking may not be affected and follow-up is carried out to confirm or not this need.

4.
PLoS One ; 17(6): e0268388, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35704567

RESUMO

BACKGROUND: Adults are being vaccinated against SARS-CoV-2 worldwide, but the longitudinal protection of these vaccines is uncertain, given the ongoing appearance of SARS-CoV-2 variants. Children remain largely unvaccinated and are susceptible to infection, with studies reporting that they actively transmit the virus even when asymptomatic, thus affecting the community. METHODS: We investigated if saliva is an effective sample for detecting SARS-CoV-2 RNA and antibodies in children, and associated viral RNA levels to infectivity. For that, we used a saliva-based SARS-CoV-2 RT-qPCR test, preceded or not by RNA extraction, in 85 children aged 10 years and under, admitted to the hospital regardless of COVID-19 symptomatology. Amongst these, 29 (63.0%) presented at least one COVID-19 symptom, 46 (54.1%) were positive for SARS-CoV-2 infection, 28 (32.9%) were under the age of 1, and the mean (SD) age was 3.8 (3.4) years. Saliva samples were collected up to 48 h after a nasopharyngeal swab-RT-qPCR test. RESULTS: In children aged 10 years and under, the sensitivity, specificity, and accuracy of saliva-RT-qPCR tests compared to NP swab-RT-qPCR were, respectively, 84.8% (71.8%-92.4%), 100% (91.0%-100%), and 91.8% (84.0%-96.6%) with RNA extraction, and 81.8% (68.0%-90.5%), 100% (91.0%-100%), and 90.4% (82.1%-95.0%) without RNA extraction. Rescue of infectious particles from saliva was limited to CT values below 26. In addition, we found significant IgM positive responses to SARS-CoV-2 in children positive for SARS-CoV-2 by NP swab and negative by saliva compared to other groups, indicating late infection onset (>7-10 days). CONCLUSIONS: Saliva is a suitable sample type for diagnosing children aged 10 years and under, including infants aged <1 year, even bypassing RNA extraction methods. Importantly, the detected viral RNA levels were significantly above the infectivity threshold in several samples. Further investigation is required to correlate SARS-CoV-2 RNA levels to viral transmission.


Assuntos
COVID-19 , SARS-CoV-2 , Adulto , COVID-19/diagnóstico , Teste para COVID-19 , Criança , Técnicas de Laboratório Clínico/métodos , Humanos , Técnicas de Diagnóstico Molecular , Nasofaringe , RNA Viral/análise , RNA Viral/genética , SARS-CoV-2/genética , Saliva/química , Manejo de Espécimes/métodos
5.
Cureus ; 14(11): e32013, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-36589191

RESUMO

BACKGROUND: Noninvasive mechanical ventilation (NIMV) has been established as a successful therapeutic option for patients with acute respiratory failure (ARF) with a specific etiology. OBJECTIVES: This study evaluated the morbimortality of patients with ARF treated with NIMV in a medical intermediate care unit (UCINT) to identify factors associated with higher in-hospital mortality, six-month mortality, and three- and six-month hospital readmission rates. METHODS: This retrospective cohort study included elderly patients admitted for ARF and treated with NIMV in the UCINT between 2015 and 2019. RESULTS: In the sample of 102 patients, the median age was 84.2 (±5.5) years, and 57% were women. In total, 28% were on long-term oxygen therapy, and 68% had a do-not-resuscitate order. At admission, the median Charlson comorbidity index and Barthel index of activities of daily living were 7 [6; 8] and 30 [20; 57,5], respectively. The simplified acute physiology score II was 39.1±10.7, and 92% of patients had type 2 ARF. Median days on NIMV and days in UCINT were 10 [6; 16] and 6 [3; 10], respectively. The main conditions requiring UCINT admission for NIMV were heart failure, pneumonia, and exacerbation of the chronic obstructive pulmonary disease. The NIMV failure rate was 7%. At discharge, the average Barthel index was 35 [10; 55]. The in-hospital mortality rate was 23%. DISCUSSION:  Older age, higher simplified acute physiology score II, higher Charlson comorbidity index, and higher number of days on NIMV were associated with higher in-hospital mortality. Long-term oxygen therapy was associated with higher three-month mortality. A higher Barthel index at the time of hospital discharge was associated with a higher six-month readmission rate. CONCLUSION: NIMV can be used successfully in elderly patients and less studied ARF etiologies, such as pneumonia.

6.
Rev. CEFAC ; 24(6): e8422, 2022. tab, graf
Artigo em Inglês | LILACS-Express | LILACS | ID: biblio-1406711

RESUMO

ABSTRACT Purpose: to investigate the effectiveness of a pharyngeal bulb prosthesis to eliminate hypernasality in patients with operated cleft palate presenting with diagnosis of hypodynamic velopharynx. Methods: twenty patients with cleft palate, ages 11-40 years, presenting hypodynamic velopharynx participated in the study. Patients had their speech audio recorded twice, with and without prosthesis, simultaneously with nasometry. Three speech-pathologists rated the presence and absence of hypernasality. Perceptual and nasometric data without and with prosthesis were compared, using the McNemar Test (p<0.05). Results: three (15%) patients presented hypernasality without prosthesis and normal resonance with prosthesis, 3 (15%), normal resonance without prosthesis and hypernasality with prosthesis, 9 (45%), hypernasality without and with prosthesis, and 5 (25%), normal resonance in both conditions. Nasometry (≤27% cut off): 1 (5%), presented scores >27% without prosthesis and <27% with prosthesis, 2 (10%), scores <27% without prosthesis and >27% with prosthesis, 17 (85%), scores >27% in both conditions, and 1(5%), scores <27% in both conditions. The comparisons between the results were not significant (p=1.000). Conclusion: the pharyngeal bulb prosthesis alone is insufficient to eliminate hypernasality of patients presented with hypodynamic velopharynx. To this purpose, the combination between the prosthesis and speech therapy is required.

7.
PLoS Pathog ; 17(8): e1009772, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-34352039

RESUMO

Understanding SARS-CoV-2 evolution and host immunity is critical to control COVID-19 pandemics. At the core is an arms-race between SARS-CoV-2 antibody and angiotensin-converting enzyme 2 (ACE2) recognition, a function of the viral protein spike. Mutations in spike impacting antibody and/or ACE2 binding are appearing worldwide, imposing the need to monitor SARS-CoV2 evolution and dynamics in the population. Determining signatures in SARS-CoV-2 that render the virus resistant to neutralizing antibodies is critical. We engineered 25 spike-pseudotyped lentiviruses containing individual and combined mutations in the spike protein, including all defining mutations in the variants of concern, to identify the effect of single and synergic amino acid substitutions in promoting immune escape. We confirmed that E484K evades antibody neutralization elicited by infection or vaccination, a capacity augmented when complemented by K417N and N501Y mutations. In silico analysis provided an explanation for E484K immune evasion. E484 frequently engages in interactions with antibodies but not with ACE2. Importantly, we identified a novel amino acid of concern, S494, which shares a similar pattern. Using the already circulating mutation S494P, we found that it reduces antibody neutralization of convalescent and post-immunization sera, particularly when combined with E484K and with mutations able to increase binding to ACE2, such as N501Y. Our analysis of synergic mutations provides a signature for hotspots for immune evasion and for targets of therapies, vaccines and diagnostics.


Assuntos
Anticorpos Neutralizantes/imunologia , COVID-19/virologia , SARS-CoV-2/imunologia , Glicoproteína da Espícula de Coronavírus/imunologia , Substituição de Aminoácidos/genética , Enzima de Conversão de Angiotensina 2/genética , Enzima de Conversão de Angiotensina 2/imunologia , Anticorpos Monoclonais/imunologia , Anticorpos Antivirais/imunologia , COVID-19/imunologia , Linhagem Celular , Humanos , Evasão da Resposta Imune , Mutação/genética , Ligação Proteica , SARS-CoV-2/genética , Glicoproteína da Espícula de Coronavírus/genética , Glicoproteína da Espícula de Coronavírus/metabolismo
9.
Int J Biol Macromol ; 182: 354-365, 2021 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-33836202

RESUMO

The objective of this study was to prepare, for the first time, active films and coatings from fruit starch (SPFS) and phenolic stem bark extract (SBPE) from Spondias purpurea L. Starch film formulations were prepared with different SBPE contents (5-20 wt% on starch), then cast and dried into films. SBPE showed higher antioxidant activity and antimicrobial activity against both Gram-negative and Gram-positive bacteria. Chemical, morphological, thermal, optical, mechanical, and barrier properties were studied for SPFS-SBPE films. In general, the phenolic extract caused significant changes in starch films (especially when in excess), such as gradual reduction of elastic modulus and tensile strength, increased elongation, opacity, and thermal properties (e.g. glass transition and melting enthalpy). On the other hand, SBPE provided the films with active properties (antioxidant and UV-absorbing). Coatings were applied to minimally processed mangoes (MPM), which were stored for 10 days at 12 °C. SBPE-containing coatings provided better protective action, reducing the total color difference (∆E⁎) and delaying the browning index (BI) during storage as well as reducing fungus attack. The active SPFS-SBPE films showed great potential as environmentally friendly active films and coatings.


Assuntos
Anacardiaceae/química , Antibacterianos/farmacologia , Antioxidantes/farmacologia , Filmes Comestíveis , Fenóis , Amido , Embalagem de Alimentos , Frutas/química , Bactérias Gram-Negativas/efeitos dos fármacos , Bactérias Gram-Positivas/efeitos dos fármacos , Compostos Fitoquímicos/farmacologia , Caules de Planta/química
10.
Clin Oral Investig ; 25(3): 1151-1158, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32607827

RESUMO

OBJECTIVES: This study aimed to investigate the influence of Nd:YAG laser and aluminum oxide sandblasting on the shear bond strength (SBS) of lingual brackets and to optically analyze the behavior of the enamel morphology. MATERIALS AND METHODS: Thirty-five bovines' incisors teeth were divided into 5 groups (n = 7), according to the surface preconditioning: G1, control group; G2, Nd:YAG laser; G3, laser + aluminum oxide sandblasting (Al2O3); G4, Al2O3; and G5, Al2O3 + laser. All groups had lingual brackets bonded and shear debonded after 72 h. SBS values were analyzed, and the enamel morphology was evaluated by optical coherence tomography (OCT) and scanning electron microscope (SEM), before and after preconditioning surface. The optical attenuation coefficient (α) analysis was obtained from OCT images. Data analysis used the ANOVA test, followed by post hoc Tukey, Kruskal Wallis, and post hoc Dunn tests (significance of 5%). RESULTS: The SBS values presented similarly among groups, but the value of α showed statistical difference (p-value = 0.0124) between G3 and G5 with the others. Optical analyses indicated a melting on the enamel that suffered laser irradiation for G2 and G5 and crystal surface disorganization for G4. Sandblasting partially removes the melting of the laser effect (G3). CONCLUSION: The sandblasting is a dispensable step for bonding lingual brackets, and the melting of the enamel after laser irradiation does not compromise the bracket adhesive resistance. CLINICAL RELEVANCE: The Nd:YAG laser became an interesting tool to prevent caries and decrease prevalence of white spot lesions in orthodontic treatments, without systemic effects in patients with genetic high risks of caries.


Assuntos
Colagem Dentária , Lasers de Estado Sólido , Braquetes Ortodônticos , Óxido de Alumínio , Animais , Bovinos , Esmalte Dentário , Humanos , Resistência ao Cisalhamento , Propriedades de Superfície
11.
PLoS One ; 15(4): e0220097, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32310943

RESUMO

Pulsed light, as a postharvest technology, is an alternative to traditional fungicides, and can be used on a wide variety of fruit and vegetables for sanitization or pathogen control. In addition to these applications, other effects also are detected in vegetal cells, including changes in metabolism and secondary metabolite production, which directly affect disease control response mechanisms. This study aimed to evaluate pulsed ultraviolet light in controlling postharvest rot, caused by Fusarium pallidoroseum in 'Spanish' melon, in natura, and its implications in disease control as a function of metabolomic variation to fungicidal or fungistatic effects. The dose of pulsed light (PL) that inhibited F. pallidoroseum growth in melons (Cucumis melo var. Spanish) was 9 KJ m-2. Ultra-performance liquid chromatography (UPLC) coupled to a quadrupole-time-of-flight (QTOF) mass analyzer identified 12 compounds based on tandem mass spectrometry (MS/MS) fragmentation patterns. Chemometric analysis by Principal Components Analysis (PCA) and Orthogonal Partial Least Squared Discriminant Analysis (OPLS-DA) and corresponding S-Plot were used to evaluate the changes in fruit metabolism. PL technology provided protection against postharvest disease in melons, directly inhibiting the growth of F. pallidoroseum through the upregulation of specific fruit biomarkers such as pipecolic acid (11), saponarin (7), and orientin (3), which acted as major markers for the defense system against pathogens. PL can thus be proposed as a postharvest technology to prevent chemical fungicides and may be applied to reduce the decay of melon quality during its export and storage.


Assuntos
Cucurbitaceae/microbiologia , Cucurbitaceae/efeitos da radiação , Fusarium/efeitos da radiação , Doenças das Plantas/microbiologia , Doenças das Plantas/terapia , Apigenina/metabolismo , Cucurbitaceae/metabolismo , Flavonoides/metabolismo , Fusarium/crescimento & desenvolvimento , Glucosídeos/metabolismo , Metabolômica/métodos , Ácidos Pipecólicos/metabolismo , Raios Ultravioleta
12.
Molecules ; 25(4)2020 Feb 12.
Artigo em Inglês | MEDLINE | ID: mdl-32059504

RESUMO

The synthesis of an unreported 2-aminopyrrolidine-1-carboxamidine unit is here described for the first time. This unusual and promising structure was attained through the oxidative decarboxylation of amino acids using the pair of reagents, silver(I)/peroxydisulfate (Ag(I)/S2O82-) followed by intermolecular (in the case of l-proline derivative) and intramolecular trapping (in the case of acyl l-arginine) by N-nucleophiles. The l-proline approach has a broader scope for the synthesis of 2-aminopyrrolidine-1-carboxamidine derivatives, whereas the intramolecular cyclization afforded by the l-acylarginines, when applied, results in higher yields. The former allowed the first synthesis of cernumidine, a natural alkaloid isolated in 2011 from Solanum cernuum Vell, as its racemic form.


Assuntos
Guanina/síntese química , Estrutura Molecular , Pirrolidinas/síntese química , Alcaloides/síntese química , Alcaloides/química , Aminas/química , Ciclização , Descarboxilação , Guanina/química , Oxirredução , Pirrolidinas/química , Prata/química
13.
PLoS One ; 14(10): e0223787, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31634363

RESUMO

One (1P), two (2P), three (3P) or four (4P) pulses of light supplied by a xenon lamp, were applied to young lettuce plants grown in pots. The lamp used in the trial was similar to those used for fruit surface sterilization. Total flavonols were measured in leaves using the Dualex method. In a first trial conducted in greenhouse conditions, 6 days after the pulsed light (PL) treatment, flavonols were increased by 312% and 525% in the 3P and 4P treatments, respectively, in comparison to the those in the untreated control. Changes in the chlorophyll fluorescence parameters suggest that the PL treatment may induce limited and transient damage to the photosynthetic machinery and that the damage increases with the increasing number of pulses. The performance parameters were not significantly affected by PL and recovered fully by 6 days after the treatments. The 1P and the 2P treatments 6 days after the treatment showed a 28.6% and a 32.5% increase, respectively, in net photosynthetic assimilation, when compared to that of the control. However, 8 days after the treatment, there was no longer a difference between the treatments and the control in net photosynthetic assimilation. Eight days after the light treatment, the 3P treatment showed a 38.4% increase in maximal net photosynthetic assimilation over that of the control, which is an indication of positive long-term adaptation of photosynthetic capacity. As a whole, our observations suggest that PL could be used on field or greenhouse crops to increase their phytochemical content. No long-lasting or strong negative effects on photosynthesis were associated with PL within the range of doses we tested; some observations even suggest that certain treatments could result in an additional positive effect. This conclusion is supported by a second trial conducted in phytotrons. More studies are required to better understand the roles of the different wavelengths supplied by PL and their interactions.


Assuntos
Flavonóis/metabolismo , Frutas/fisiologia , Lactuca/fisiologia , Fotossíntese , Folhas de Planta/fisiologia , Esterilização/métodos , Xenônio/química , Clorofila/metabolismo , Frutas/efeitos da radiação , Lactuca/efeitos da radiação , Luz , Folhas de Planta/efeitos da radiação
14.
Rev. CEFAC ; 20(4): 515-531, July-Aug. 2018. tab, graf
Artigo em Inglês | LILACS | ID: biblio-956515

RESUMO

ABSTRACT Purpose: to analyze the association of self-reported vocal symptoms with personal, occupational and clinical aspects and relate them to the quality of life of teachers/professors of the federal network of vocational and technological education. Methods: study carried out with 157 teachers from a federal public institution of vocational and technological education, who answered the World Health Organization Quality of Life questionnaire (WHOQOL-bref), Quality of Life in the Voice (V-RQOL) questionnaire and a data form (on social information, health conditions, vocal symptoms, habits, organization and working environment). Statistical analysis was performed using the Chi-square test. Results: 29% of the teachers presented vocal symptoms. The prevalent complaints were dry throat (38.2%), cough (37.6%) and hoarseness (30.6%). There was a higher prevalence of symptoms in females. For the WHOQOL-bref, the average was 71.3 points, which is considered regular. The domain with the highest score was the psychological one with 75.3. Regarding V-RQOL, the average score in the global domain was 92.5 points, and the physical score was the most compromised one. 90.5% of teachers showed low voice impact on quality of life. Conclusion: although these teachers present vocal complaints, they do not reflect in the limitation of the quality of life.


RESUMO Objetivo: analisar a associação de sintomas vocais autorreferidos com aspectos pessoais, ocupacionais, clínicos e relacionar com a qualidade de vida de professores da rede federal de ensino profissional e tecnológico. Métodos: estudo com 157 docentes de uma instituição pública federal de educação profissional e tecnológica, que responderam aos questionários World Health Organization Quality Of Life/bref (WHOQOL-bref), Qualidade de Vida em Voz (QVV) e o formulário de dados (sociais, condições de saúde, sintomas vocais, hábitos, organização e ambiente de trabalho). A análise estatística foi realizada por meio do teste Qui-quadrado. Resultados: 29% dos professores apresentaram sintomas vocais. As queixas prevalentes foram garganta seca (38,2%), tosse (37,6%) e rouquidão (30,6%). Houve maior prevalência dos sintomas no sexo feminino. Para o WHOQOL-bref, a média foi 71,3 pontos, considerada regular. O domínio com maior pontuação foi o psicológico com 75,3. Quanto ao QVV, o escore médio no domínio global foi de 92,5 pontos, sendo o físico o mais comprometido. 90,5% dos docentes apresentaram baixo impacto da voz na qualidade de vida. Conclusão: embora os docentes apresentem queixas vocais, elas não se refletem na limitação da qualidade de vida.

15.
Food Chem ; 257: 252-258, 2018 Aug 15.
Artigo em Inglês | MEDLINE | ID: mdl-29622207

RESUMO

The quality of zein (Z)- and zein-tannic acid (ZTA)-coated guavas was monitored throughout 12 days of storage. Coated fruit showed lower changes in terms of visual appearance, chlorophyll contents and color. Weight loss, softening, and changes in soluble solids were also decreased by the coatings. The respiration peak as well as H2O2 and superoxide dismutase activity peaks were delayed by the coatings, and the ethylene production was reduced. So, the results were consistent with a slowed down ripening of guavas by the coatings, which was probably related to lowered oxygen permeability of guava skin. ZTA coating was more effective than Z to reduce weight loss, softening, color changes, ethylene production, and oxidative stress. The higher efficiency of ZTA coating was ascribed to zein crosslinking, which probably resulted in decreased gas permeability, promoting lower respiration rates and lower ROS production, slowing down the ripening process, and extending guava stability.


Assuntos
Armazenamento de Alimentos/métodos , Psidium/fisiologia , Taninos/química , Zeína/química , Clorofila/metabolismo , Cor , Reagentes de Ligações Cruzadas/química , Etilenos/metabolismo , Qualidade dos Alimentos , Frutas/fisiologia , Peróxido de Hidrogênio/metabolismo , Estresse Oxidativo , Superóxido Dismutase/metabolismo , Temperatura
16.
Arch Environ Contam Toxicol ; 74(3): 461-470, 2018 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-29460085

RESUMO

The main effluent of oil and gas production is the discharge of produced water (PW). Despite the potential environmental impact, the structure of oil and gas platforms can act as artificial reefs. Two species of fish, Caranx crysos and Tylosurus acus, were captured under two discharging platforms at Campos Basin, P19 and P40. A nondischarging platform, P25, was taken as reference. The highest median concentration of PAH in muscle tissue was observed for C. Crysos at P40 (219.38 ng g-1) followed by P19 (68.26 ng g-1). For T. acus, the highest median concentrations were 40.07 and 42.21 ng g-1 from P19 and P40 respectively. P25 presented the smallest recorded concentrations. The results of PAH in the muscle tissue of C. crysos enabled to distinguish the platforms with PW discharge from the platform without discharge. Trace elements concentrations reflected the background levels and were not influenced by the PW release.


Assuntos
Beloniformes , Indústria de Petróleo e Gás , Perciformes , Hidrocarbonetos Policíclicos Aromáticos/análise , Poluentes Químicos da Água/análise , Animais , Brasil , Ecotoxicologia/métodos , Meio Ambiente , Monitoramento Ambiental/métodos , Feminino , Masculino , Metais/análise , Músculo Esquelético/efeitos dos fármacos , Águas Residuárias/química
17.
Rev Saude Publica ; 51: 125, 2017 Dec 11.
Artigo em Inglês, Português | MEDLINE | ID: mdl-29236876

RESUMO

OBJECTIVE: To analyze the process of implementation of emergency care units in Brazil. METHODS: We have carried out a documentary analysis, with interviews with twenty-four state urgency coordinators and a panel of experts. We have analyzed issues related to policy background and trajectory, players involved in the implementation, expansion process, advances, limits, and implementation difficulties, and state coordination capacity. We have used the theoretical framework of the analysis of the strategic conduct of the Giddens theory of structuration. RESULTS: Emergency care units have been implemented after 2007, initially in the Southeast region, and 446 emergency care units were present in all Brazilian regions in 2016. Currently, 620 emergency care units are under construction, which indicates expectation of expansion. Federal funding was a strong driver for the implementation. The states have planned their emergency care units, but the existence of direct negotiation between municipalities and the Union has contributed with the significant number of emergency care units that have been built but that do not work. In relation to the urgency network, there is tension with the hospital because of the lack of beds in the country, which generates hospitalizations in the emergency care unit. The management of emergency care units is predominantly municipal, and most of the emergency care units are located outside the capitals and classified as Size III. The main challenges identified were: under-funding and difficulty in recruiting physicians. CONCLUSIONS: The emergency care unit has the merit of having technological resources and being architecturally differentiated, but it will only succeed within an urgency network. Federal induction has generated contradictory responses, since not all states consider the emergency care unit a priority. The strengthening of the state management has been identified as a challenge for the implementation of the urgency network.


Assuntos
Serviços Médicos de Emergência/organização & administração , Implementação de Plano de Saúde/organização & administração , Política de Saúde , Ambulâncias/organização & administração , Brasil , Serviço Hospitalar de Emergência/organização & administração , Acessibilidade aos Serviços de Saúde/organização & administração , Humanos , Administração dos Cuidados ao Paciente/organização & administração , Pesquisa Qualitativa
18.
Cad Saude Publica ; 33(7): e00043716, 2017 Aug 07.
Artigo em Português | MEDLINE | ID: mdl-28792986

RESUMO

The Mobile Emergency Medical Service (SAMU) was the first component of the National Policy for Emergency Care implemented in Brazil in the early 2000. The article analyzed the implementation of mobile pre-hospital emergency care in Brazil. The methods included document analysis, interviews with state emergency care coordinators, and an expert panel. The theoretical reference was the strategic conduct analysis from Giddens' Structuration Theory. The results showed uneven implementation of the SAMU between states and regions of Brazil, identifying six patterns of implementation, considering the states' capacity to expand the population coverage and regionalize the service. Structural difficulties included physician retention, poorly equipped dispatch centers, and shortage of ambulances. The North and Northeast were the country's most heavily affected regions. SAMU is formatted as a structuring strategy in the emergency care network, but its performance suffered the impact of limited participation by primary care in the emergency network and especially the lack of hospital beds.


Assuntos
Ambulâncias/organização & administração , Serviços Médicos de Emergência/organização & administração , Programas Nacionais de Saúde/organização & administração , Avaliação de Programas e Projetos de Saúde , Ambulâncias/normas , Brasil , Serviços Médicos de Emergência/normas , Mapeamento Geográfico , Pesquisa sobre Serviços de Saúde , Pesquisa Qualitativa , Inquéritos e Questionários
19.
J Food Sci Technol ; 54(8): 2332-2340, 2017 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-28740290

RESUMO

This study investigated the effect of pulsed light (PL) on the respiratory rate, quality (firmness, color and soluble solid content), bioactive compounds (ascorbate and carotenoid) and total antioxidant activity of fresh-cut "Tommy Atkins" mangoes. Fresh-cut mangoes were subjected to PL treatments: control (0P), 1 pulse (1P; 0.7 J cm-2), 4 successive pulses (4P; 2.80 J cm-2) and 1 pulse per day for 4 days (1P4D; 2.80 J cm-2) before storage for 7 days at 6 °C. The 1P and the 4P treatments reduced fresh mass loss during storage, while 4P-treated samples also showed a slower decline of yellow color, as shown by parameter b and overall better visual appearance. After 7 days of storage, total ascorbate content was 40% higher in the 1P4D treatment than in control, whereas total carotenoid content (0.894 mg g-1 FM) and total antioxidant activity (144 µmol trolox 100 g-1 FM) were the highest in the 4P-treated samples. Results suggest that PL mode of application is more important than the fluence or final dose received by fresh-cut mangoes; moreover, 4P is an effective method to preserve, or even improve quality of fresh-cut mangoes.

20.
Photochem Photobiol ; 93(2): 613-618, 2017 03.
Artigo em Inglês | MEDLINE | ID: mdl-28027397

RESUMO

Human skin is the outer covering of the body, and its composition changes with overexposure to environmental pollution and solar radiation. Infrared (IR) radiation is capable of penetrating more deeply into the skin producing free radicals causing irreversible damage. Confocal Raman spectroscopy was considered as a potential tool for the in vivo analysis of the different metabolic conditions with respect to different depths of the skin. In this regard, this work verifies the influence of infrared radiation on the skin dermis after having been exposed to 432 J cm-2 which corresponds to the dose received in a day in the summer time in a tropical region. This study was performed with 17 female volunteers who were divided into two groups. The marked skin area was exposed twice to IR radiation for a duration of 30 min each with an interval of 30 min. The spectral signatures were collected in the fingerprint region before (T0) and after 60 min (T60) of IR irradiation. The analysis shows that, on average, no significant variations occurred in group I and decreased collagen was observed in group II. However, when considering the effect seen in each individual, collagen degradation was detected in 60% of volunteers.


Assuntos
Derme/efeitos da radiação , Raios Infravermelhos , Análise Espectral Raman/métodos , Adulto , Feminino , Humanos , Pessoa de Meia-Idade , Adulto Jovem
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