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1.
J Environ Manage ; 317: 115335, 2022 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-35617863

RESUMO

Agriculture is a major driver of change with manifold impacts on biodiversity and ecosystem services. As social-ecological systems, agricultural landscapes result from the intertwined interaction between farmers and nature, and contribute to several ecosystem services key to human well-being. The social-ecological outcomes of farmlands ultimately reflect the management practices of the dominant farming systems (FS) at the landscape level. However, data-driven research linking agricultural management and biodiversity is still scarce, a knowledge gap limiting our understanding on the impacts of different farming systems on biodiversity at the landscape level. This research contributes to fill this knowledge gap, by being among the few explicitly exploring the relationship between FS and patterns of biodiversity at the landscape level, using as illustrative case the region of Galicia, northwest Spain. Using data from agricultural policies paying agencies, and protected species and habitats data, the following research questions were pursued: (1) Can farm-level data be used to map and characterize different FS at the landscape-level? and, (2) Is the occurrence of specific FS linked with higher levels of biodiversity? Results allowed the identification and characterization of seven different FS distributed across Galicia, which dominance allowed to identify seven landscape types. Moreover, besides depicting the dominance of cattle-based farming systems in Galicia, results showed a gradient of management from the most intensive located in coastal lowlands (west) towards less intensive mountain areas (east). Such gradient of decreasing management intensity matched a gradient of increasing nature value of farmlands, reflected as higher habitat diversity and richness for some of the targeted taxonomic groups. To our knowledge, this research is among the few explicitly addressing the relationship between FS and biodiversity at the landscape level. By highlighting potential links (positive or negative) between specific landscape types and habitats and/or species richness across targeted taxonomic groups, these results constitute a preliminary assessment of the agricultural practices promoting species and habitat richness. Further scrutinizing this assessment can support the identification of farm-level indicators that can be then translated into the design of policies (biodiversity or agriculture-related) fostering biodiversity at several scales of decision making.


Assuntos
Biodiversidade , Ecossistema , Agricultura/métodos , Animais , Bovinos , Fazendas , Espanha
2.
Prog Urol ; 32(10): 702-710, 2022 Sep.
Artigo em Francês | MEDLINE | ID: mdl-35773175

RESUMO

INTRODUCTION: High risk localized and locally advanced forms are responsible for the vast majority of specific deaths from prostate cancer among non-metastatic diseases at diagnosis. No randomized study has yet been published to establish the best local treatment in terms of survival. AIM: Conduct a large-volume cohort study with long-term follow-up to analyze specific and overall survival outcomes after surgery. METHOD: A single-center retrospective study of all patients operated on for localized high-risk and locally advanced prostate cancer was performed. Actuarial survival analyses and multivariate analyses were performed to discern predictive risk factors. RESULTS: Five hundred patients were included. MRI stage was≥iT3a in 40.7% of cases and 50.2% of patients had a Gleason score≥8 on biopsy. The mean follow-up was 63.1 months. The overall, specific and biological recurrence-free survival were respectively 77.6%, 93.9% and 26.8% at 10 years. A PSA level≥20, a Gleason score on biopsy≥9 and a MRI stage≥iT3a were significantly associated with the 10-years biological recurrence risk. CONCLUSION: This study shows very good long-term oncological results. In the absence of a randomized controlled trial, these results suggest the primary role of surgery in this indication and support the evolution of current practices. We pointed out very pejorative features that might help selection of the best candidates for surgical treatment.


Assuntos
Prostatectomia , Neoplasias da Próstata , Estudos de Coortes , Humanos , Masculino , Gradação de Tumores , Recidiva Local de Neoplasia , Estadiamento de Neoplasias , Antígeno Prostático Específico , Estudos Retrospectivos
3.
Encephale ; 47(6): 589-595, 2021 Dec.
Artigo em Francês | MEDLINE | ID: mdl-33992305

RESUMO

INTRODUCTION: Guaranteed by several legal and deontological dispositions, professional secrecy is an essential aspect of medical care, especially concerning the therapeutic alliance. Since the creation in French law of court-ordered treatment, some information is likely to be shared between actors either from the field of healthcare or of justice. This questions the type of information that can be shared and the variances existing between the different types of court-ordered treatments, which are to be known by the professionals. METHODS: Following the methodology of the French Haute Autorité de Santé, a systematic review of the legal and health literature has been conducted. Different databases such as PubMed, Cairn and Legifrance have been reviewed with the following keywords « secret ¼, « injonction de soins ¼ (court-ordered treatment) and « obligation de soins ¼ (obligation of care). Only the French literature since 1998 has been retained and because it is often less pronounced by the courts, the case of the therapeutic injunction, which represents the third type of court-ordered care, has been excluded. RESULTS: Concerning the court-ordered treatment, on the one hand, the coordinating physician addresses the elements required in the control of measure to the Executive Magistrate. On the other hand, the Executive Magistrate sends a copy of the piece of the procedure to the coordinating physician, who transmits it to the general practitioner. The therapist can derogate from the medical secrecy in some circumstances as said in the law, either through the coordinating physician or the Executive Magistrate. In the case of obligation of care, where there is no coordinating physician, the general practitioner is still submitted to the classical rules of medical secrecy and only has to produce certificates of the follow-up with the patient. DISCUSSION: Some authors have expressed their reservations about these new laws of derogation, especially concerning the blurred lines of the exception to these laws. Others have underlined the astonishing differences between court-ordered treatment and the obligation of care for almost similar clinical situations. CONCLUSION: The rules of shared information must be known by the professionals and stated clearly to the patient at the beginning of treatment. Then, professionals are invited to remain thoughtful concerning the nature of this information. Finally, and as the public hearing of June 2018, promoted by the FFCRIAVS (Fédération Française des Centres Ressources pour les Intervenants auprès des Auteurs de Violences Sexuelles), said, it could be interesting to promote meeting spaces between the different actors of the management of people under court ordered cares, so as to better identify the limits of each one.


Assuntos
Confidencialidade , Atenção à Saúde , Humanos
4.
Encephale ; 47(5): 495-498, 2021 Oct.
Artigo em Francês | MEDLINE | ID: mdl-33422285

RESUMO

In France, since the law of June 17, 1998, sexual offenders may be convicted to ambulatory mandatory care, articulated with the justice. Twenty years after the implementation of this law, while social and technological developments have redefined certain aspects of delinquency, reference documents and practice guidelines remain to be updated. This is why the professionals of the main structures and associations dealing with perpetrators of sexual violence organized a public hearing under the sponsorship of the French Federation of Resource Centers for Sexual Violence Perpetrators (FFCRIAVS) according to the methodology and with the accompaniment of the High Authority of Health. This article presents the global methodology of the public hearing "Sexual Offenders: Prevention, Evaluation and Care" which was conducted on June 14 and 15, 2018. Thirty-three experts replied to27 questions and presented their conclusions to an Audition Committee and an audience of 200 persons representative of the civil and professional society. After a public debate, the hearing committee prepared a report in which they proposed propositions in order to better care for sexual offenders.


Assuntos
Criminosos , Prisioneiros , Delitos Sexuais , Humanos , Prevenção Secundária , Delitos Sexuais/prevenção & controle
5.
Dis Esophagus ; 33(5)2020 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-31617893

RESUMO

Primary esophageal cancer (EC) frequently presents as a locally advanced disease with airway involvement. Placement of combined esophageal and airway stents has been reported in small series to be an effective palliation strategy. Our aims are to present the largest cohort of EC patients who underwent double stent palliation and to evaluate the safety and efficacy of this approach. Longitudinal cohort study of patients with primary EC undergoing two-stage esophageal and airway stent placement at an oncology referral institute (January 2000-January 2019). Assessments: baseline demographics and clinical variables; baseline and week 2 dysphagia, dyspnea and performance status (PS) scores; baseline and week 8 body mass index (BMI); overall survival. Statistics: paired t-test; Kaplan-Meier method. Seventy patients (89% men, mean age 60.20 ± 8.41) underwent double stenting. Esophageal stent was placed for esophageal stenosis and dysphagia (n = 41; placement of a second stent due to recurrence in nine cases) or esophagorespiratory fistulas (ERFs) (n = 29); airway stent was required for ERF sealing (n = 29 + 7 new ERFs after esophageal stent) and to ensure airway patency due to malignant stenosis (n = 29; placement of a second stent due to recurrence in 13 cases) or compression (n = 5). There were 13, endoscopically managed, major complications after esophageal stent [hemorrage (n = 1), migration (n = 5) and new fistulas (n = 7)]. As for airway stents, four major complications were recorded [hemorrage (n = 1) and three deaths due to respiratory infection and ultimately respiratory failure 3-7 days after the procedure]. Overall, patients showed significant improvement in dysphagia and dyspnea symptoms (3.21 vs. 1.31 e 15.56 vs. 10.87; P < 0.001). There was a PS improvement for 89.2% (n = 58) of the patients. BMI at week 8 was comparable to baseline records. Mean survival was 137.83 ± 24.14 days (95% CI: 90.51-185.15). Survival was longer for better PS (PS1, 249.95 days; PS2, 83.74 days; PS3, 22.43 days; PS4, 30.00 days). This is the largest comprehensive assessment of double stent palliation in advanced incurable EC. For both esophageal or airway stenosis and fistula, placement of combined esophageal and airway stents was a feasible, effective, fast-acting and safe modality for symptom palliation and body mass maintenance. Patient autonomy followed symptom improvement. Since it is impossible to provide treatment for cure in most of these cases, this endoscopic strategy, performed in differentiated units with the required technical capacity, may guarantee treatment for the relief of palliative EC.


Assuntos
Transtornos de Deglutição , Neoplasias Esofágicas , Estenose Esofágica , Cuidados Paliativos , Idoso , Transtornos de Deglutição/etiologia , Neoplasias Esofágicas/complicações , Neoplasias Esofágicas/cirurgia , Estenose Esofágica/etiologia , Estenose Esofágica/cirurgia , Feminino , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Recidiva Local de Neoplasia , Stents
6.
Med Vet Entomol ; 31(4): 381-391, 2017 12.
Artigo em Inglês | MEDLINE | ID: mdl-28833391

RESUMO

The stable fly, Stomoxys calcitrans (Diptera: Muscidae), is a worldwide pest of livestock. Recent outbreaks of stable flies in sugarcane fields in Brazil have become a serious problem for livestock producers. Larvae and pupae found inside sugarcane stems after harvesting may indicate that stable flies use these stems as potential oviposition or larval development sites. Field observations suggest that outbreaks of stable flies are associated with the vinasse and filter cake derived from biomass distillation in sugarcane ethanol production that are used as fertilizers in sugarcane fields. Adult stable flies are attracted to vinasse, which appears to present an ideal larval development site. The primary goal of the present study is to demonstrate the role of vinasse in influencing the sensory physiological and behavioural responses of stable flies, and to identify its associated volatile attractant compounds. Both laboratory and field studies showed that vinasse is extremely attractive to adult stable flies. Chemical analyses of volatiles collected revealed a wide range of carboxylic acids, alcohols, phenols and aldehydes as potential attractant compounds. These newly identified attractants could be used to develop a tool for the attractant-baited mass trapping of stable flies in order to reduce infestations.


Assuntos
Antenas de Artrópodes/fisiologia , Etanol/síntese química , Muscidae/fisiologia , Feromônios/farmacologia , Saccharum/química , Compostos Orgânicos Voláteis/farmacologia , Animais , Brasil , Quimiotaxia , Destilação , Feminino , Feromônios/classificação , Compostos Orgânicos Voláteis/classificação
8.
Antimicrob Agents Chemother ; 60(5): 2732-8, 2016 05.
Artigo em Inglês | MEDLINE | ID: mdl-26883711

RESUMO

Little has been done during the past 100 years to develop new antileishmanial drugs. Most infected individuals live in poor countries and have a low cash income to be attractive targets to pharmaceutical corporations. Two heterosidic steroids, solamargine and solasonine, initially identified as major components of the Brazilian plant Solanum lycocarpum, were tested for leishmanicidal activity. Both alkaloids killed intracellular and extracellular Leishmania mexicana parasites more efficiently than the reference drug sodium stibogluconate. A total of 10 µM each individual alkaloid significantly reduced parasite counts in infected macrophages and dendritic cells. In vivo treatment of C57BL/6 mice with a standardized topical preparation containing solamargine (45.1%) and solasonine (44.4%) gave significant reductions in lesion sizes and parasite counts recovered from lesions. Alkaloids present different immunochemical pathways in macrophages and dendritic cells. We conclude that this topical preparation is effective and a potential new and inexpensive treatment for cutaneous leishmaniasis.


Assuntos
Gluconato de Antimônio e Sódio/uso terapêutico , Antiprotozoários/uso terapêutico , Extratos Vegetais/uso terapêutico , Alcaloides de Solanáceas/uso terapêutico , Alcaloides/química , Animais , Sobrevivência Celular/efeitos dos fármacos , Células Dendríticas/parasitologia , Feminino , Citometria de Fluxo , Frutas/química , Leishmania mexicana/efeitos dos fármacos , Leishmania mexicana/patogenicidade , Macrófagos/parasitologia , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Extratos Vegetais/química
10.
Allergol Immunopathol (Madr) ; 43(1): 25-31, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-24661594

RESUMO

BACKGROUND: Systemic reactions (SR) to subcutaneous immunotherapy (SCIT) are rare but potentially severe. The use of different definitions and classifications hampered comparability between studies. AIMS: To determine the frequency of SR to SCIT with airborne allergens, and to characterise and classify them according to the WAO 2010 recommendations. METHODS: Cross-sectional, retrospective study. Data on patients, immunotherapy and SR to SCIT were collected from the SCIT record forms. During the study period, 22,332 SCIT injections were administered (3732 patients). RESULTS: A total of 26 SR (0.1% of administrations) were recorded in 16 (0.6%) patients (median age 22 years, nine males, all with rhinitis and nine with asthma). Twenty-one (81%) SR occurred during the induction phase; eight (31%) in the first hour after administration. According to the WAO 2010 classification, 12 (46%) were grade 1 and 14 (54%) were grade 2. Most grade 2 reactions occurred in asthmatics, presented as mild asthma symptoms and resolved without need for medical observation. Only two individuals without asthma presented grade 2 reactions, both with concurrent cutaneous and low respiratory symptoms; both required medical observation and treatment despite late onset; 82% (n=12) of grade 2 reactions were late. No grade 3-5 reactions were registered and only one patient needed adrenaline treatment. No risk factors for SR to SCIT were identified in this study. CONCLUSIONS: SCIT is a safe treatment when administered by trained staff. The WAO 2010 classification might be useful for retrospectively classifying the severity of reactions, although its usefulness in treatment decision needs further research.


Assuntos
Alérgenos/imunologia , Asma/terapia , Dessensibilização Imunológica/efeitos adversos , Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos/classificação , Material Particulado/imunologia , Rinite/terapia , Pele/efeitos dos fármacos , Adulto , Asma/complicações , Asma/imunologia , Estudos Transversais , Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos/etiologia , Feminino , Humanos , Injeções Subcutâneas , Masculino , Estudos Retrospectivos , Rinite/complicações , Rinite/imunologia , Pele/patologia , Adulto Jovem
11.
Genet Mol Res ; 13(2): 2539-47, 2014 Jan 24.
Artigo em Inglês | MEDLINE | ID: mdl-24615080

RESUMO

The aim of this study was to detect polypeptides and genomic regions associated with fruit quality traits in a backcross generation using as parent the Argentinean cultivated tomato Caimanta of Solanum lycopersicum and the wild accession LA722 of S. pimpinellifolium. We tested two types of molecular marker: polypeptide profile (at two ripening stages, mature green and red ripe) and SRAP (sequence-related amplified polymorphism). A polypeptide of 45 kDa present in the wild parents at the mature green stage was associated with larger fruit and long shelf life. Some amplification fragments from SRAP markers were associated with more than one quality trait such as fruit color, firmness, titratable acidity, and fruit soluble solids content. This study demonstrated for the first time the usefulness of the polypeptide profiles of pericarp and SRAP markers in finding associations with quality fruit traits in a tomato backcross generation.


Assuntos
Frutas/genética , Hibridização Genética , Peptídeos/genética , Solanum lycopersicum/genética , Mapeamento Cromossômico , Cromossomos de Plantas/genética , Frutas/crescimento & desenvolvimento , Variação Genética , Solanum lycopersicum/crescimento & desenvolvimento , Peptídeos/isolamento & purificação , Fenótipo , Locos de Características Quantitativas/genética
12.
ScientificWorldJournal ; 2014: 471580, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24683344

RESUMO

The species Lippia sidoides Cham. (Verbenaceae) is utilized in popular medicine as a local antiseptic on the skin and mucosal tissues. Enterococcus faecalis is the bacterium isolated from root canals of teeth with persistent periapical lesions and has the ability to form biofilm, where it is responsible for the failure of endodontic treatments. Essential oil of L. sidoides (EOLS) and its major component, thymol, were evaluated for reducing the CFU in biofilms of E. faecalis in vitro. The essential oil was obtained by hydrodistillation and examined with respect to the chemical composition, by gas chromatography-mass spectrometry (GC-MS). The GC-MS analysis has led to the identification of thymol (84.9%) and p-cymene (5.33%). EOLS and thymol reduced CFU in biofilms of E. faecalis in vitro (time of maturation, 72 h), with an exposure time of 30 and 60 min at concentrations of 2.5 and 10%. There was no statistical difference in effect between EOLS and thymol, demontrating that this phenolic monoterpene was the possible compound responsible for the antimicrobial activity of EOLS. This study provides a basis for the possible utilization of EOLS as an adjuvant in the treatment of root canals that show colonization by E. faecalis.


Assuntos
Antibacterianos/farmacologia , Enterococcus faecalis/efeitos dos fármacos , Lippia/química , Óleos Voláteis/farmacologia , Timol/farmacologia , Biofilmes/efeitos dos fármacos , Cavidade Pulpar/microbiologia , Enterococcus faecalis/isolamento & purificação , Enterococcus faecalis/fisiologia , Cromatografia Gasosa-Espectrometria de Massas , Humanos , Testes de Sensibilidade Microbiana , Óleos Voláteis/análise , Óleos Voláteis/química
13.
Pharm Biol ; 52(6): 740-4, 2014 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-24559315

RESUMO

CONTEXT: Ethnozoological studies have shown that Spilotes pullatus Linn. (Colubridae: Ophidia), is associated with medicinal and magic-religious uses in Brazil. OBJECTIVES: This study was designed to determine the chemical composition of the oil extracted from the body fat of S. pullatus and to test its antimicrobial properties, alone and in association with aminoglycosides, against fungi and bacterial strains in concentrations ranging between 1024 and 0.5 µg/mL. MATERIAL AND METHODS: The snakes were collected in the Chapada do Araripe, county of Crato, Ceará State, Brazil. The oil was extracted in a Soxhlet apparatus using hexane. The methyl esters of the fatty acids present in the samples were identified using GC-MS. The antimicrobial and drug modulatory activities of oil were tested by microdilution against fungal and bacterial strains. RESULTS: The chemical composition of the fixed oils of S. pullatus identified 10 constituents representing 94.97% of the total sample. The percentages of saturated and unsaturated fatty acids were 33.59 and 61.38%, respectively, with the most abundant components being elaidic (37.26%). The oil did not demonstrate any antimicrobial or antifungal activity when tested alone, presenting MIC values ≥ 1024 µg/mL. However, when associated with antibiotics, it demonstrated synergistic effects with gentamicin against all the bacterial lineages assayed, and antagonistic effects with amikacin and neomycin against strains of Escherichia coli. CONCLUSIONS: Oil extracted from the body fat of S. pullatus did not demonstrate any inhibitory effects on bacterial or fungal activities, but was effective in modulating the effects of certain antibiotics.


Assuntos
Tecido Adiposo/química , Anti-Infecciosos/química , Colubridae , Óleos/química , Animais , Anti-Infecciosos/isolamento & purificação , Anti-Infecciosos/farmacologia , Óleos/isolamento & purificação , Óleos/farmacologia , Serpentes , Staphylococcus aureus/efeitos dos fármacos , Staphylococcus aureus/fisiologia
14.
Vet J ; 306: 106184, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-38908778

RESUMO

Veterinary palliative care consists of end-of-life care of companion animals suffering from terminal or life-limiting diseases. Despite the growing need for veterinary palliative care, little research has been conducted on this topic. This perspective intends to provide an overview of the existing concerns and identify knowledge gaps to motivate further research. As a result, three main areas of research have been identified, namely: i) how to provide palliative care considering welfare implications of different diseases (e.g., pain management); ii) what can be considered a "good death", depending on the individual situation of the animal and its caregiver; iii) how to support caregivers' needs during their companion animal's end-of-life. Therefore, veterinary palliative care involves medical, ethical, and sociological considerations that should be addressed through guidelines and training.


Assuntos
Cuidados Paliativos , Medicina Veterinária , Animais , Pesquisa , Bem-Estar do Animal , Humanos
15.
Chemosphere ; 363: 142982, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-39089338

RESUMO

The shift towards a circular economy, where waste generation is minimized through waste re-use and the development of valorization strategies, is crucial for the establishment of a low carbon, sustainable, and resource-efficient economy. However, there is a lack of strategies for re-using and valorizing specific types of waste, particularly those containing naturally occurring radioactive materials (NORM), despite the prevalence of industrial activities that produce such waste due to their chemical and radiological hazards. Living organisms, including fungi, are valuable sources of bioactive compounds with various industrial applications. In this study, we assessed the growth and metabolic profile changes of three white rot fungi species in response to low concentrations of a uranium mine effluent containing NORM and metals to explore their potential for producing biotechnologically relevant bioactive compounds. The growth rate was assessed in three different culture media, with and without the uranium mine effluent (1% V/V)), and the metabolic profile was analyzed using FTIR-ATR spectroscopy. Results suggested an improvement in growth rates in media containing the uranium mine effluent, although not statistically significant. T. versicolor showed promise in terms of bioactive compound production. The production of droplets during growth experiments and significant metabolic changes, associated with the production of bioactive compounds like laccase, melanin, and oxalic acid, were observed in T. versicolor grown in mYEPDA with the uranium mine effluent. These findings present new research opportunities for utilizing waste to enhance the biotechnological production of industrially relevant bioactive compounds and promote the development of circular economy strategies for re-using and valorizing NORM-containing waste.


Assuntos
Resíduos Industriais , Mineração , Urânio , Urânio/metabolismo , Biodegradação Ambiental , Lacase/metabolismo
16.
Pulmonology ; 30(2): 159-169, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-36717296

RESUMO

INTRODUCTION: The management of unresectable stage III non-small cell lung cancer (NSCLC) is clinically challenging and there is no current consensus on optimal strategies. Herein, a panel of Portuguese experts aims to present practical recommendations for the global management of unresectable stage III NSCLC patients. METHODS: A group of Portuguese lung cancer experts debated aspects related to the diagnosis, staging and treatment of unresectable stage III NSCLC in light of current evidence. Recent breakthroughs in immunotherapy as part of a standard therapeutic approach were also discussed. This review exposes the major conclusions obtained. RESULTS: Practical recommendations for the management of unresectable stage III NSCLC were proposed, aiming to improve the pathways of diagnosis and treatment in the Portuguese healthcare system. Clinical heterogeneity of patients with stage III NSCLC hinders the development of single standardised algorithm where all fit. CONCLUSIONS: A timely diagnosis and a proper staging contribute to the best management of each patient, optimizing treatment tolerance and effectiveness. The expert panel considered chemoradiotherapy as the preferable approach when surgery is not possible. Management of adverse events and immunotherapy as a consolidation therapy are also essential steps for a successful strategy.


Assuntos
Carcinoma Pulmonar de Células não Pequenas , Neoplasias Pulmonares , Humanos , Carcinoma Pulmonar de Células não Pequenas/tratamento farmacológico , Neoplasias Pulmonares/patologia , Portugal/epidemiologia , Estadiamento de Neoplasias , Quimiorradioterapia
17.
Neurologia (Engl Ed) ; 39(5): 399-407, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38830719

RESUMO

PURPOSE: This study was performed with the purpose of analysing the relationship between epileptological and surgical variables and post-operative memory performance, following surgery for refractory mesial temporal lobe epilepsy (MTLE) due to hippocampal sclerosis (HS). METHODS: Logical memory (LM) and visual memory (VM) scores for immediate and late follow-up of 201 patients operated for MTLE/HS were reviewed. Scores were standardized with a control group of 54 healthy individuals matched for age and education. The Reliable Change Index (RCI) was calculated to verify individual memory changes for late LM and VM scores. A multiple linear regression analysis was carried out with the RCI, using LM and VM scores as well as the clinical variables. RESULTS: A total of 112 (56%) patients had right HS. The RCI of the right HS group demonstrated that 6 (7%) patients showed improvement while 5 (6%) patients showed decreased scores in late LM; for late VM, 7 (8%) patients presented improvement, and 2 (3%) patients showed poorer scores. RCI of the left HS group showed that 3 (3%) individuals showed improved scores, while scores of 5 (4%) patients worsened for late LM; for late VM, 3 (3%) patients presented higher scores and 6 (5%) showed lower scores. Left HS and advanced age at onset of the first epileptic seizure were predictors of late LM loss (p<.05). CONCLUSION: Left MTLE/HS and seizure onset at advanced ages were predictive factors for the worsening of late LM. We observed poorer baseline LM function in the left HS group and improvement of LM in some patients who had resection of the right MTL. Patients in the right HS group showed a higher percentage of reliable post-operative improvement for both VM and LM scores.


Assuntos
Epilepsia do Lobo Temporal , Hipocampo , Transtornos da Memória , Esclerose , Humanos , Epilepsia do Lobo Temporal/cirurgia , Hipocampo/patologia , Hipocampo/cirurgia , Feminino , Masculino , Adulto , Transtornos da Memória/etiologia , Pessoa de Meia-Idade , Testes Neuropsicológicos , Adulto Jovem , Esclerose Hipocampal
18.
Oral Dis ; 19(6): 568-76, 2013 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-23163888

RESUMO

OBJECTIVE: Susceptibility to and severity of periodontal disease is influenced by gene polymorphisms related to the immune response. Co-stimulatory molecules, such as CD28 and CTLA-4, are critical in the development of such responses. Our hypothesis is that polymorphisms in genes that code for these molecules may be associated with periodontitis. The aim of the study was to investigate the association between +17 (T/C) CD28 and +49 (A/G) CTLA-4 gene polymorphisms and periodontitis in Brazilians. MATERIALS AND METHODS: Genomic DNA was obtained from oral swabs of 424 individuals categorized into three groups (control group, aggressive, and chronic periodontitis) considering clinical parameters such as probing depth and clinical attachment loss. The genotyping was performed by polymerase chain reaction-restriction fragment length polymorphism. RESULTS: There was an association between the T(-) genotype of the CD28 polymorphism and aggressive periodontitis (P = 0.04). Moreover, the A(+) genotype for CTLA-4 was associated with greater clinical attachment loss in non-smokers with aggressive periodontitis (P = 0.006, OR = 16.25, CI = 2.25-117.11). CONCLUSIONS: These findings show that T(-) in CD28 + 17 (T/C) and the A(+) in CTLA-4 +49 (A/G) genotypes are associated with susceptibility to aggressive periodontal disease. Thus, our study highlights these polymorphisms as potential genetic susceptibility markers of periodontitis in Brazilians.


Assuntos
Periodontite Agressiva/genética , Antígenos CD28/genética , Antígeno CTLA-4/genética , Polimorfismo Genético/genética , Adenina , Adolescente , Adulto , Idoso , Periodontite Agressiva/imunologia , Brasil , Periodontite Crônica/genética , Periodontite Crônica/imunologia , Citosina , DNA/análise , Feminino , Frequência do Gene/genética , Marcadores Genéticos/genética , Predisposição Genética para Doença/genética , Genótipo , Guanina , Humanos , Masculino , Pessoa de Meia-Idade , Perda da Inserção Periodontal/genética , Perda da Inserção Periodontal/imunologia , Bolsa Periodontal/genética , Bolsa Periodontal/imunologia , Reação em Cadeia da Polimerase , Polimorfismo de Fragmento de Restrição/genética , Fumar , Timina , Adulto Jovem
19.
J Eur Acad Dermatol Venereol ; 27(9): 1088-94, 2013 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-22827850

RESUMO

BACKGROUND: Extra-facial melasma is a prevalent dermatosis in some populations with special characteristics in relation to its clinical aspects and probable etiopathogenic factors. Few studies have attempted to address this alteration of pigmentation, which has become a challenge in clinical Dermatology. OBJECTIVE: To assess the clinical histopathological and immunohistochemical characteristics of extra-facial melasma, comparing affected, and unaffected sites. METHODS: Case-control study with 45 patients in each group (melasma and disease-free volunteers), assessing their clinical characteristics. In 36 patients, biopsies were performed on the lesion and the normal perilesional skin. Specimens were stained with HE and Fontana-Masson, and melanocytes analysed by immunohistochemistry. Objective measurements were accomplished by a specifically designed image analysis software. RESULTS: The melasma group had a mean age ± SD of 56.67 ± 8 years, the majority of them were women (86.7%) and 82.1% of the female cases had reached menopause. There were no significant differences between groups in terms of presence of comorbidities, use of medications or hormone therapies. For extra-facial melasma patients, family history of this dermatose and of previous facial melasma was significantly higher than in the control group (P < 0.05). The HE staining showed increased rectification and basal hyperpigmentation, solar elastosis, and collagen degeneration in the pigmented area (P < 0.05). There was a significant increase in melanin density in melasma biopsies, but the immunohistochemical tests did not detect a difference between the groups in terms of number of melanocytes. CONCLUSION: Extra-facial melasma appears to be related to menopause, family history, and personal history of facial melasma, in the studied population. Histopathology revealed a pattern similar to what has been described for facial melasma, with signs of solar degeneration, and a similar number of melanocytes, when comparing patients, and controls, suggesting that the hyperpigmentation is most likely the result of abnormal melanin production or distribution.


Assuntos
Melanose/patologia , Estudos de Casos e Controles , Feminino , Humanos , Imuno-Histoquímica , Masculino , Pessoa de Meia-Idade
20.
J Environ Manage ; 128: 226-32, 2013 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-23747373

RESUMO

This work describes the synthesis of CuS powders in high yield and via an environmentally friendly and straightforward process, under ambient conditions (temperature and pressure), by adding to aqueous copper (II) a nutrient solution containing biologically generated sulfide from sulfate-reducing bacteria (SRB). The powders obtained were composed of CuS (covellite) nanoparticles (NPs) exhibiting a spheroid morphology (<5 nm). The relevance of this method to obtain CuS supported solid substrates has been demonstrated by performing the synthesis in the presence of TiO2 and SiO2 submicron particles. We further extended the work carried out, which substantiates the potential of using biogenic sulfide for the production of covellite nanocrystals and composites, using the effluent of a bioremediation column. Hence, such process results in the synthesis of added value products obtained from metal rich effluents, such as metallurgical and industrial ones, or Acid Mine Drainage (AMD), when associated with bioremediation processes.


Assuntos
Biodegradação Ambiental , Cobre/química , Nanopartículas/química , Cobre/isolamento & purificação , Desulfovibrio desulfuricans/metabolismo , Microscopia Eletrônica de Varredura , Nanopartículas/ultraestrutura , Dióxido de Silício , Titânio , Difração de Raios X
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