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3.
Rhinology ; 62(1): 55-62, 2024 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-37772802

RESUMO

BACKGROUND: Although the COVID-19 pandemic has increased the prevalence of cases with olfactory loss, other respiratory viruses can also cause this condition. We aimed to compare the prevalence of acute SARS-CoV-2 infection and other respiratory viruses in patients with sudden smell loss, and to assess the impact of SARS-CoV-2 viral load and co-infection on olfactory symptoms. METHODS: Patients with sudden smell loss were recruited in a multicenter prospective cohort study in 15 hospitals in Brazil. Clinical questionnaire, Connecticut Chemosensory Clinical Research Center (CCCRC) olfactory test and nasopharyngeal swab to perform a PCR-based respiratory viral panel were collected at first visit (day 0) and 30 and 60 days after recruitment. RESULTS: 188 of 213 patients presented positive test result for SARS-CoV-2, among which 65 were co-infected with other respiratory viruses (e.g., rhinovirus, enterovirus, and parainfluenza). 25 had negative test results for SARS-CoV-2. Patients in both SARSCoV-2 and non-SARS-CoV-2 groups had objective anosmia (less than 2 points according to the psychophysical olfactory CCCRC) at day 0, with no significant difference between them. Both groups had significant smell scores improvement after 30 and 60 days, with no difference between them. Co-infection with other respiratory viruses, and SARS-CoV-2 viral load did not impact olfactory scores. CONCLUSION: Patients with sudden smell loss associated with SARS-CoV-2 and other respiratory viruses had similar presentation, with most participants initiating with anosmia, and total or near total recovery after 60 days. SARS-CoV-2 viral load and co-infections with other respiratory viruses were not associated with poorer olfactory outcomes.


Assuntos
COVID-19 , Coinfecção , Transtornos do Olfato , Humanos , SARS-CoV-2 , COVID-19/complicações , Anosmia/complicações , Anosmia/epidemiologia , Estudos Prospectivos , Pandemias , Coinfecção/complicações , Coinfecção/epidemiologia , Transtornos do Olfato/diagnóstico , Transtornos do Olfato/epidemiologia , Transtornos do Olfato/etiologia , Olfato
4.
Public Health ; 224: 131-139, 2023 Sep 28.
Artigo em Inglês | MEDLINE | ID: mdl-37776607

RESUMO

OBJECTIVES: The COVID-19 pandemic has differentially impacted cardiovascular disease (CVD) mortality worldwide. Causes of death misclassification may be one of the reasons. We evaluated the impact of the pandemic on CVD mortality in Brazil, comparing underlying causes (UCs) and multiple causes (MCs) of death. STUDY DESIGN: Ecological time-series study. METHODS: An ecological, time-series study was conducted analysing age-standardised death rates for CVD, from epidemiological week (EW) 10/2020 to 39/2021, using data from the Mortality Information System, Brazil. CVD was defined using the International Classification of Diseases (ICD-10) coding, if reported as UC or MC of death. Observed and expected data (mean for the same EW, 2017-2019) were compared. Risk ratios (RiRs) were analysed, and 95% confidence intervals (CIs) were calculated. RESULTS: Age-standardised mortality rate for CVD as UC of death was 165.8 (95%CI: 165.4-166.3) per 100,000 inhabitants, similar to what was expected (165.6/100,000, 95%CI: 165.2-166.1, RiR = 1.00). There was increased out-of-hospital mortality (RiR = 1.18; 95%CI: 1.17-1.19) and deaths of ill-defined causes (RiR = 1.43; 95%CI: 1.42-1.44). The increase in out-of-hospital deaths was more pronounced in the North (RiR = 1.33; 95%CI 1.30-1.36) region, with a less resilient health system. Conversely, as MCs of death, there was a 10% increase in CVD mortality (observed: 243.2 [95%CI: 242.7-243.7], expected: 221.6 [95%CI: 221.1-222.1] per 100,000). An increase also occurred in the North and Central West regions (RiR = 1.16; 95%CI: 1.15-1.18), among men (RiR = 1.11; 95%CI: 1.11-1.12) and individuals aged ≥60 years (RiR = 1.11; 95%CI: 1.10-1.11). CONCLUSIONS: During the pandemic, mortality rates for CVD as MCs of death increased in Brazil, whereas as UC mortality rates did not change. Higher out-of-hospital mortality, misclassification, and competing causes of death may explain this pattern.

5.
Public Health ; 210: 1-7, 2022 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-35863157

RESUMO

OBJECTIVES: This study aimed at identifying the sociodemographic and first treatment characteristics affecting time-to-treatment initiation (TTI) of patients with cutaneous melanoma assisted by the Brazilian Unified Health System (SUS). STUDY DESIGN: Retrospective observational study using cutaneous melanoma cases recorded in the Brazilian Hospital-Based Cancer Registries (HBCR). METHODS: A total of 12,783 cutaneous melanoma cases were included in the analysis. Based on the legislation, TTI in Brazil is 60 days; therefore, the cohort was dichotomized into TTI within 60 days and over. The association among variables was evaluated through the Chi-squared test. Kaplan-Meier method and log-rank hypothesis test were used to determine the probability of initiating treatment within 60 days. Cox proportional hazards regression model was used for multivariate analysis. RESULTS: Median TTI was 28 days (95% CI, 25-29). First treatment in SUS provided more than 60 days after diagnosis (34.8%) was associated with females; low level of formal education; living or getting treatment in northern Brazil; being diagnosed in SUS and treated at different healthcare facilities, in addition to starting treatment with radiotherapy or systemic therapy. There were no significant differences in access to health care before and after the enactment of the 60-day law. CONCLUSION: Increased TTI for cutaneous melanoma is associated with sociodemographic and first treatment characteristics in Brazil; approximately one-third of cases did not have access to first treatment within the period established by law. Receiving the diagnosis and treatment at different healthcare facilities (transitions in care) is the main independent factor associated with TTI longer than 60 days.


Assuntos
Melanoma , Neoplasias Cutâneas , Brasil/epidemiologia , Feminino , Acessibilidade aos Serviços de Saúde , Humanos , Masculino , Melanoma/terapia , Estudos Retrospectivos , Neoplasias Cutâneas/terapia , Tempo para o Tratamento , Melanoma Maligno Cutâneo
6.
PLoS Pathog ; 15(2): e1007567, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30789961

RESUMO

Most studies of T lymphocytes focus on recognition of classical major histocompatibility complex (MHC) class I or II molecules presenting oligopeptides, yet there are numerous variations and exceptions of biological significance based on recognition of a wide variety of nonclassical MHC molecules. These include αß and γδ T cells that recognize different class Ib molecules (CD1, MR-1, HLA-E, G, F, et al.) that are nearly monomorphic within a given species. Collectively, these T cells can be considered "unconventional," in part because they recognize lipids, metabolites, and modified peptides. Unlike classical MHC-specific cells, unconventional T cells generally exhibit limited T-cell antigen receptor (TCR) repertoires and often produce innate immune cell-like rapid effector responses. Exploiting this system in new generation vaccines for human immunodeficiency virus (HIV), tuberculosis (TB), other infectious agents, and cancer was the focus of a recent workshop, "Immune Surveillance by Non-classical MHC Molecules: Improving Diversity for Antigens," sponsored by the National Institute of Allergy and Infectious Diseases. Here, we summarize salient points presented regarding the basic immunobiology of unconventional T cells, recent advances in methodologies to measure unconventional T-cell activity in diseases, and approaches to harness their considerable clinical potential.


Assuntos
Vigilância Imunológica/imunologia , Complexo Principal de Histocompatibilidade/imunologia , Animais , Antígenos , Antígenos HLA , Antígenos de Histocompatibilidade Classe I/imunologia , Antígenos de Histocompatibilidade Classe II/imunologia , Humanos , Receptores de Antígenos de Linfócitos T , Receptores de Antígenos de Linfócitos T alfa-beta/imunologia , Linfócitos T/imunologia
7.
Br J Nutr ; 126(6): 853-864, 2021 09 28.
Artigo em Inglês | MEDLINE | ID: mdl-33298215

RESUMO

Mucositis is an inflammation of the gastrointestinal mucosa resulting from high doses of radio/chemotherapy treatment and may lead to interruption of antineoplasic therapy. Soluble fibres, like pectin, increase SCFA production, which play a role in gut homoeostasis and inflammation suppression. Due to the properties of pectin, the aim of the present study was to evaluate the effect of a high-fibre (HF) diet on chemotherapy-induced mucositis in a murine model. C57/BL6 mice received control (AIN93M), HF, low/zero fibre (LF) diets for 10 d prior to mucositis challenging with irinotecan (75 mg/kg), or they were treated with acetate added to drinking water 5 d prior to and during the mucositis induction. Mice that received the HF diet showed decreased immune cells influx and improved histopathological parameters in the intestine, compared with mice that received the normal diet. Furthermore, the HF diet decreased intestinal permeability induced in the mucositis model when compared with the control group. This effect was not observed for acetate alone, which did not improve gut permeability. For instance, mice that received the LF diet had worsened gut permeability, compared with mice that received the normal diet and mucositis. The effects of the HF and LF diets were shown to modulate the intestinal microbiota, in which the LF diet increased the levels of Enterobacteriaceae, a group associated with gut inflammation, whereas the HF diet decreased this group and increased Lactobacillus and Bifidobacterium (SCFA producers) levels. In conclusion, the results demonstrated the importance of dietary fibre intake in the modulation of gut microbiota composition and homoeostasis maintenance during mucositis in this model.


Assuntos
Antineoplásicos , Fibras na Dieta/administração & dosagem , Mucosite , Animais , Antineoplásicos/efeitos adversos , Modelos Animais de Doenças , Inflamação , Camundongos , Mucosite/induzido quimicamente , Pectinas
8.
J Endocrinol Invest ; 44(3): 609-619, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32686043

RESUMO

PURPOSE: Data on endothelial derangements in patients with non-functioning adrenal incidentaloma (NFAI) are scarce. METHODS: We investigated if NFAI patients present clinical, biochemical and endothelial alterations compared to individuals without an adrenal lesion and also the associations among these variables. Forty-two NFAI and 40 controls were evaluated. NFAI diagnosis and controls were defined according to the current guidelines and based on a normal adrenal imaging exam, respectively. Body composition was evaluated by dual emission X-ray absorptiometry. Endothelial reactivity was assessed by two methods: tonometry (Endo-PAT®) and laser speckle contrast imaging (LSCI). RESULTS: There were no differences between groups regarding age, gender, ethnicity, smoking status, and statin use. The frequency of metabolic syndrome according to the International Diabetes Federation criteria was 69% and 57.9%, respectively in NFAI and controls (p = 0.36), whereas the atherosclerotic cardiovascular disease (ASCVD) risk was 63.4% and 66.7% (p = 0.81). The clinical, laboratory, and anthropometric characteristics, as well as body composition, were similar between the groups. Additionally, any differences between groups were observed on endothelial reactivity tests. Nevertheless, we noted an association between cortisol levels after 1 mg-dexamethosone suppression test (1 mg-DST) and the duration of post-occlusive reactive hyperemia tested on microcirculation (r = 0.30; p = 0.03). NFAI patients require more antihypertensive drugs to achieve blood pressure control (p = 0.04). The number of antihypertensive drugs used to control blood pressure correlated with cortisol levels after 1 mg-DST (r = 0.29; p = 0.03). CONCLUSIONS: Since both groups herein investigated had a high frequency of metabolic syndrome and ASCVD risk, it might explain similarities observed on endothelial reactivity. Nevertheless, prolonged reactive hyperemia response on microcirculation was correlated with cortisol levels under suppression.


Assuntos
Neoplasias das Glândulas Suprarrenais/complicações , Biomarcadores/sangue , Doenças Cardiovasculares/diagnóstico , Dexametasona/antagonistas & inibidores , Hidrocortisona/sangue , Hiperemia/diagnóstico , Síndrome Metabólica/diagnóstico , Doenças Cardiovasculares/sangue , Doenças Cardiovasculares/etiologia , Estudos de Casos e Controles , Estudos Transversais , Feminino , Seguimentos , Humanos , Hiperemia/sangue , Hiperemia/etiologia , Masculino , Síndrome Metabólica/sangue , Síndrome Metabólica/etiologia , Pessoa de Meia-Idade , Prognóstico
9.
Langenbecks Arch Surg ; 406(8): 2621-2632, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34117891

RESUMO

BACKGROUND: Pancreatoduodenectomy is the only treatment with a promise of cure for patients with pancreatic head adenocarcinoma, and a negative resection margin is an important factor related to overall survival. Complete clearance of the medial margin with removal of the so-called mesopancreas may decrease the recurrence rate after pancreatic resection. Here, we present some important information about the mesopancreas, total mesopancreas excision, and technical aspects to achieve negative resection margins. The area named mesopancreas is defined as the tissue located between the head of the pancreas and the superior mesenteric vessels and the celiac axis and consists of the nerve plexus, lymphatic tissue, and connective tissue. The superior mesenteric and celiac arteries define the border of the mesopancreas. En bloc resection of anterior and posterior pancreatoduodenal nodes, hepatoduodenal nodes, along the superior mesenteric artery nodes, pyloric nodes, and nodes along the common hepatic artery is necessary. CONCLUSIONS: Improved knowledge of the surgical anatomy of the region and technical refinements of excision of the mesopancreas along with standardized pathological examination are important to increase and to determine radical resection of pancreatic head cancer.


Assuntos
Neoplasias Pancreáticas , Cirurgiões , Humanos , Artéria Mesentérica Superior/cirurgia , Pâncreas/cirurgia , Neoplasias Pancreáticas/cirurgia , Pancreaticoduodenectomia
10.
J Dairy Sci ; 104(3): 2956-2965, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-33358791

RESUMO

The inclusion of grazing in dairy feeding systems can improve animal welfare and reduce feed costs and labor for animal care and manure management. This work aimed to evaluate the effects of including pearl millet herbage (Pennisetum glaucum 'Campeiro') as a supplement for dairy cows fed total mixed rations (TMR). The treatments included 100% TMR offered ad libitum (control, TMR100), 75% TMR ad libitum intake + access to grazing of a pearl millet pasture between the morning and afternoon milkings (7 h/d; pTMR75), and 50% TMR ad libitum intake + access to grazing of a pearl millet pasture between the morning and afternoon milkings (7 h/d; pTMR50). Nine multiparous Holstein and F1 Jersey × Holstein cows were distributed in a replicated 3 × 3 Latin square design with 3 periods of 21 d (a 16-d adaptation period and a 5-d measurement period). Cows in the TMR75 and TMR50 groups strip-grazed a pearl millet pasture with pre- and postgrazing sward height targets of 60 and 30 cm, respectively. The herbage dry matter intake (DMI) increased with decreasing mixed ration supplies, and the total DMI decreased linearly from 19.0 kg/d in the TMR100 group to 18.0 kg/d in the pTMR50 group. Milk production decreased linearly from 24.0 kg/d in the TMR100 group to 22.4 kg/d in the pTMR50 group, and energy-corrected milk (ECM) production decreased linearly from 26.0 kg/d to 23.6 kg/d. Enteric methane (CH4) emissions decreased linearly from 540 g/d in the TMR100 group to 436 g/d in the pTMR50 group, and CH4 yields (g/kg of DMI) tended to decrease linearly. The CH4 intensity was similar between treatments, averaging 20 g of CH4/kg of ECM. The inclusion of pearl millet herbage in the dairy cow diets decreased the total DMI and milk production to a small extent without affecting CH4 intensity (g/kg of ECM).


Assuntos
Metano , Pennisetum , Ração Animal/análise , Animais , Bovinos , Dieta/veterinária , Feminino , Lactação , Leite
11.
Community Dent Health ; 38(3): 161-164, 2021 Aug 31.
Artigo em Inglês | MEDLINE | ID: mdl-34369114

RESUMO

This paper aims to explore the outcome of a telephone triage system used by different team members to run an Urgent Dental Care Hub (UDCH) during the first wave of the COVID-19 pandemic. It will also look at the adjustments made to the system because of the challenges faced. Data were collected from the telephone triage proforma and clinical notes of patients that were triaged from 2nd April to 10th June 2020. With 65% of telephone triaged and accepted patients receiving definitive treatment that alleviated the presenting complaint, the value of telephone triage is highlighted in streamlining an urgent dental care service during a viral pandemic. Public health competencies being illustrated: Dental public health intelligence, Developing and monitoring quality dental services.


Assuntos
COVID-19 , Pandemias , Assistência Odontológica , Humanos , Saúde Pública , SARS-CoV-2 , Telefone , Triagem
12.
Water Sci Technol ; 83(11): 2793-2808, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34115632

RESUMO

In this work, mixed oxides of LaxCa1-xMnO3 perovskite type (x = 0, 0.5 and 1.0) were synthesized through modified proteic method using collagen and calcination process at 700 °C/2 h in order to remove the commercial textile dye Bezaktiv Blue S-MAX from water. Oxides were characterized using X-ray diffraction (XRD), Fourier transform infrared spectroscopy (FTIR), N2 physisorption, scanning electron microscopy (SEM) and point of zero charge (PZC) techniques while the dye only by the first two techniques. The XRD showed that perovskite monophase was obtained for x = 0.5 and 1.0. However, for x = 0, the low crystalline perovskite phase was obtained in the midst of precursor oxides. FTIR showed the adsorption process did not damage the adsorbents structure. The successful obtained materials have meso and macroporous with slit or cavity shape, rough surface and particles with varying sizes. The pseudo-second-order model was the one that best fit the kinetic data. The process must occur through electrostatic surface interactions between the adsorbent surface and the dye molecule. For the equilibrium study, Langmuir isotherm is the most suitable when using LaMnO3 adsorbent, while Freundlich isotherm was better suited when used the other two materials. The adsorbents were termally regenerated and reused five times. The best performance was exhibited by LaMnO3.


Assuntos
Poluentes Químicos da Água , Adsorção , Concentração de Íons de Hidrogênio , Cinética , Espectroscopia de Infravermelho com Transformada de Fourier , Água , Poluentes Químicos da Água/análise
13.
Diabet Med ; 37(6): 991-999, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-31968129

RESUMO

BACKGROUND: Type 2 diabetes diagnosed during youth and early adulthood is aggressive and associated with a high burden of vascular complications. The increase in complications is often attributed to long disease duration and poor metabolic control. Whether people with young-onset type 2 diabetes are inherently more susceptible to long-term complications than those diagnosed in later adulthood is unclear. METHODS: Prospective data from 3322 individuals, diagnosed between the age of 15 and 70 years and collected 10-25 years after diabetes diagnosis, were analysed. The cross-sectional associations between age at diagnosis and microvascular and macrovascular complications were analysed using logistic regression models, adjusted for duration of diabetes exposure and metabolic risk factors including blood pressure, cholesterol and updated mean HbA1c . RESULTS: The prevalence of retinopathy was highest in those with young-onset type 2 diabetes (diagnosed at age 15 to <40 years). After 10-15 years' diabetes duration, the adjusted odds ratio for retinopathy in this population was 2.8 (95% CI 1.9-4.1; reference group those diagnosed at 60 to <70 years of age). The odds of retinopathy remained higher in people with young-onset type 2 diabetes after longer durations of diabetes exposure; the odds decreased with increasing age at diagnosis. This pattern was not observed in models of other complications: after 10-15 years' diabetes exposure, the adjusted odds ratios for albuminuria, peripheral neuropathy and macrovascular disease in people with young-onset type 2 diabetes were 0.5 (95% CI 0.4-0.8), 0.7 (95% CI 0.5-1.1) and 0.2 (95% CI 0.1-0.3), respectively. CONCLUSION: After accounting for disease duration and other important confounders, people with type 2 diabetes diagnosed in youth and early adulthood (or with a younger current age) appeared to be inherently more susceptible to retinopathy. For other complications, adjusted risk appears highest in the oldest age of diagnosis group. These data have screening and treatment target implications.


Assuntos
Diabetes Mellitus Tipo 2/complicações , Retinopatia Diabética/epidemiologia , Adulto , Fatores Etários , Idade de Início , Idoso , Albuminúria/epidemiologia , Albuminúria/etiologia , Transtornos Cerebrovasculares/epidemiologia , Transtornos Cerebrovasculares/etiologia , Angiopatias Diabéticas/epidemiologia , Angiopatias Diabéticas/etiologia , Nefropatias Diabéticas/epidemiologia , Nefropatias Diabéticas/etiologia , Retinopatia Diabética/etiologia , Suscetibilidade a Doenças , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Isquemia Miocárdica/epidemiologia , Isquemia Miocárdica/etiologia , Doenças Vasculares Periféricas/epidemiologia , Doenças Vasculares Periféricas/etiologia , Insuficiência Renal Crônica/epidemiologia , Insuficiência Renal Crônica/etiologia
14.
AIDS Care ; 32(4): 512-517, 2020 04.
Artigo em Inglês | MEDLINE | ID: mdl-31801367

RESUMO

Suicide is an important problem in people living with HIV/AIDS (PLWHA). The importance of mental disorders and social vulnerability on suicidal behaviors is described in the literature; however, the impact of childhood traumatic events in this scenario is not clear. The aim of this study was to verify the mediation effect of mental disorder comorbidities and social vulnerability in association with childhood trauma intensity and suicide risk level. This cross-sectional study of HIV-positive outpatients was conducted in a specialized care service in the city of Pelotas in Southern Brazil. Sociodemographic data and HIV-related information were collected and the Childhood Trauma Questionnaire was applied. A total of 364 patients underwent psychiatric evaluation using MINI Plus including module C of suicide risk severity. Suicide risk was present in 39.3% of the sample. The relation between childhood traumatic events and the level of suicide risk is mediated by mental disorder comorbidities and socioeconomic vulnerability. Specific psychosocial interventions in PLWHA should consider the potential role of abusive traumatic experiences in the current mental health conditions and suicidal behaviors.


Assuntos
Sobreviventes Adultos de Maus-Tratos Infantis/psicologia , Infecções por HIV/psicologia , Transtornos Mentais/epidemiologia , Suicídio/estatística & dados numéricos , Síndrome da Imunodeficiência Adquirida , Adolescente , Adulto , Brasil/epidemiologia , Criança , Comorbidade , Estudos Transversais , Feminino , Infecções por HIV/epidemiologia , Humanos , Masculino , Transtornos Mentais/psicologia , Pessoa de Meia-Idade , Fatores de Risco , Fatores Socioeconômicos , Suicídio/psicologia , Adulto Jovem
15.
J Dairy Sci ; 103(5): 4100-4108, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-32197850

RESUMO

Staphylococcus aureus is one of the main causative agents of food poisoning. This bacterium is an important component of cheese microbiota and plays an important role in foodborne diseases. Another important component of the microbiota is the lactic acid bacterium, which actively participates in processes that define the physicochemical, sensorial, and microbiological features of cheese. Of the various microbiological interactions in cheese, the interaction between lactic acid bacteria and Staph. aureus is most relevant. To this end, we evaluated the viability of Staph. aureus strains and the expression of their enterotoxins in cheeses produced experimentally, using Weissella paramesenteroides GIR16L4 or Lactobacillus rhamnosus D1 or both as starter cultures. Over 7 d, we observed that the presence of lactic acid bacteria did not impair Staph. aureus growth. However, via qPCR we observed a change in the gene expression of staphylococcal enterotoxins, suggesting that molecular communication exists between Staph. aureus strains and lactic acid bacteria in cheese.


Assuntos
Toxinas Bacterianas/metabolismo , Queijo/microbiologia , Enterotoxinas/metabolismo , Lacticaseibacillus rhamnosus/crescimento & desenvolvimento , Staphylococcus aureus/crescimento & desenvolvimento , Superantígenos/metabolismo , Weissella/crescimento & desenvolvimento , Animais , Toxinas Bacterianas/genética , Queijo/análise , Enterotoxinas/genética , Microbiologia de Alimentos , Lactobacillales/metabolismo , Lacticaseibacillus rhamnosus/metabolismo , Leite , Staphylococcus aureus/genética , Staphylococcus aureus/metabolismo , Superantígenos/genética , Transcriptoma , Weissella/metabolismo
16.
J Dairy Sci ; 103(3): 2098-2110, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31980224

RESUMO

Staphylococcus aureus is one of the main pathogens found in cheeses produced with raw milk, including Minas artisanal cheese from Brazil. However, information about S. aureus isolated from artisanal cheeses and its sources of production in small-scale dairies is very limited. We aimed to characterize the virulence factors of S. aureus isolated from raw milk, endogenous starter culture, Minas artisanal cheese, and cheese handlers from the region of Campo das Vertentes, Minas Gerais, Brazil. We identified the staphylococcal isolates by MALDI-TOF mass spectrometry. We evaluated biofilm production on Congo red agar and polystyrene plates. We used PCR to detect icaA, icaB, icaC, sea, seb, sec, sed, see, tsst-1, agr, and mecA. We evaluated the expression of staphylococcal toxin genes in PCR-positive staphylococcal isolates using quantitative reverse-transcription PCR, and we evaluated the production of these toxins and their hemolytic activity in vitro. We also evaluated the antimicrobial resistance profile of the staphylococcal isolates. For statistical analysis, we used cluster analysis, χ2 tests, and correspondence tests. We analyzed 76 staphylococcal isolates. According to PCR, 18.42, 18.42, 2.63, and 77.63% were positive for sea, tsst-1, sec, and agr, respectively. We found low expression of staphylococcal toxin genes according to quantitative reverse-transcription PCR, and only 2 staphylococcal isolates produced toxic shock syndrome toxins. A total of 43 staphylococcal isolates (56.58%) had hemolytic activity; 53 were biofilm-forming on Congo red agar (69.73%), and 62 on polystyrene plates (81.58%). None of the staphylococcal isolates expressed the mecA gene, and none presented a multi-drug resistance pattern. The highest resistance was observed for penicillin G (67.11%) in 51 isolates and for tetracycline (27.63%) in 21 isolates. The staphylococcal isolates we evaluated had toxigenic potential, with a higher prevalence of sea and tsst-1. Biofilm production was the main virulence factor of the studied bacteria. Six clusters were formed whose distribution frequencies differed for hemolytic activity, biofilm formation (qualitative and quantitative analyses), and resistance to penicillin, tetracycline, and erythromycin. These findings emphasize the need for effective measures to prevent staphylococcal food poisoning by limiting S. aureus growth and enterotoxin formation throughout the food production chain and the final product.


Assuntos
Biofilmes/crescimento & desenvolvimento , Queijo/microbiologia , Farmacorresistência Bacteriana , Choque Séptico/microbiologia , Intoxicação Alimentar Estafilocócica/microbiologia , Staphylococcus aureus/genética , Fatores de Virulência , Animais , Antibacterianos/farmacologia , Toxinas Bacterianas/genética , Brasil , Enterotoxinas/genética , Staphylococcus aureus/efeitos dos fármacos , Staphylococcus aureus/isolamento & purificação , Staphylococcus aureus/patogenicidade , Superantígenos/genética
17.
Int Endod J ; 53(11): 1494-1505, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32767572

RESUMO

AIM: To evaluate the biocompatibility, induction of mineralization and antimicrobial activity of experimental intracanal pastes based on two glass and glass-ceramic materials. Calcium hydroxide (Ca(OH)2 ) paste was used as the positive control. METHODOLOGY: The glass-ceramic powder [two-phased Biosilicate (BS-2P)] and F18 bioactive glass were mixed with distilled water (ratio 2 : 1), inserted in polyethylene tubes and implanted in the subcutaneous tissues of 16 rats. Empty tubes were used as negative control. After 7 and 30 days (n = 8), the rats were euthanized for haematoxylin-eosin, von Kossa, polarized light and osteopontin (OPN) immunolabeling analysis. Direct contact tests using a suspension of each paste were performed with Enterococcus faecalis planktonic cells to evaluate antimicrobial activity (24 h of contact), in a pilot study. The number of CFU mL-1 was calculated for each group. The antimicrobial analysis data were submitted to one-way anova and Tukey tests, whilst biocompatibility and immunohistochemical data were submitted to the Kruskal-Wallis and Dunn tests (P < 0.05). RESULTS: Most specimens of the control, BS-2P and Ca(OH)2 groups were associated with moderate inflammation seven days following implantation, whilst F18 was associated with moderate to severe inflammation, without differences amongst the groups (P > 0.05). At 30 days, most specimens of control, F18 and BS-2P groups had mild inflammation, whilst Ca(OH)2 had mild to moderate inflammation; however, no differences were determined amongst the groups (P > 0.05). The fibrous capsule was thick at 7 days, becoming thin at 30 days. All pastes induced von Kossa-positive structures and were birefringent to polarized light. At seven days, the BS-2P group had significantly more OPN immunolabeling compared to the control and Ca(OH)2 groups (P < 0.05). At 30 days, the F18 group had significantly more OPN immunolabeling compared to the control and Ca(OH)2 groups (P < 0.05). All pastes reduced the total number of E. faecalis; however, the reduction was only significant when comparing BS-2P and Ca(OH)2 groups to the control (P < 0.05). Only calcium hydroxide eliminated E. faecalis. CONCLUSIONS: Experimental BS-2P and F18 pastes were biocompatible, stimulated biomineralization and induced significant OPN immunolabeling compared to Ca(OH)2 . Only the BS-2P paste demonstrated antimicrobial activity comparable to Ca(OH)2 .


Assuntos
Anti-Infecciosos , Hidróxido de Cálcio , Animais , Hidróxido de Cálcio/farmacologia , Cerâmica , Enterococcus faecalis , Projetos Piloto , Ratos
18.
Br Poult Sci ; 61(6): 653-659, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-32772559

RESUMO

1. Salmonellosis is one of the most important diseases in public health and it is usually associated with poultry product consumption. This study aimed to validate rapid methods to detect Salmonella spp. from poultry samples. 2. A DNA isothermal amplification method, previously developed for other matrices, was applied for the specific detection of Salmonella spp. from various samples, including poultry tissues, drag and boot swabs, faeces and feed. A new procedure was validated with Salmonella spp. serotypes and isolates from other enteric bacterial species, as well as naturally contaminated poultry samples. 3. The study demonstrated the successful development and implementation of a procedure, including a DNA isothermal amplification method, for the detection of Salmonella spp. directly from tissues, drag and boot swabs, faeces and feed. The whole procedure can be performed in less than 24 hours and it has been successfully used in a veterinary diagnostic laboratory.


Assuntos
Galinhas , Aves Domésticas , Animais , DNA , Técnicas de Amplificação de Ácido Nucleico/veterinária , Salmonella/genética
19.
Int Microbiol ; 22(4): 511-520, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31049768

RESUMO

The phylum Firmicutes comprises seven classes where most species are either aerobic or anaerobic endospore former. Inside Firmicutes, species allocated in the genus Bacillus and related genera are collectively named aerobic endospore-forming bacteria (AEFB), and the soil is their major reservoir. AEFB have great importance in health, agriculture, and biotechnology although the more studied species are Bacillus subtilis and the human pathogens Bacillus cereus and Bacillus anthracis. AEFB have great importance in health, agriculture, and biotechnology; although the knowledge about these organisms is based on few species, notably, Bacillus subtilis, Bacillus cereus, and Bacillus anthracis. In this work, we generated partial 16S rRNA gene sequences of both strands of 192 AEFB strains isolated from soils of Distrito Federal, Brazil (SDF strains). The resulting consensus sequences were used to obtain taxonomic assignment and establish the phylogenetic relationships among these strains. Through this approach, we could observe that classified SDF strains were distributed among genera Bacillus (169 strains; 88.02%), Paenibacillus (11; 5.73%), Lysinibacillus (6; 3.13%), Brevibacillus (4; 2.08%), Terribacillus (1; 0.52%), and Rummeliibacillus (1; 0.52%). Phylogenetic trees revealed these 192 SDF strains can be segregated into eight groups spanning families Bacillaceae and Paenibacillaceae belonging to the order Bacillales. To expand the knowledge about the diversity of these SDF strains, further studies regarding characterization with different methodologies are underway.


Assuntos
Bacillales/classificação , Bacillales/isolamento & purificação , Filogenia , Microbiologia do Solo , Bacillales/genética , Brasil , DNA Bacteriano/genética , Variação Genética , RNA Ribossômico 16S/genética , Esporos Bacterianos/classificação , Esporos Bacterianos/genética , Esporos Bacterianos/isolamento & purificação
20.
J Math Biol ; 78(1-2): 225-256, 2019 01.
Artigo em Inglês | MEDLINE | ID: mdl-30032315

RESUMO

We consider a class of epidemiological models that includes most well-known dynamics for directly transmitted diseases, and some reduced models for indirectly transmitted diseases. We then propose a simple observer that can be applied to models in this class. The error analysis of this observer leads to a non-autonomous error equation, and a new bound for fundamental matrices is also presented. We analyse and implement this observer in two examples: the classical SIR model, and a reduced Bailey-Dietz model for vector-borne diseases. In both cases we obtain arbitrary exponential convergence of the observer. For the latter model, we also applied the observer to recover the number of susceptible using dengue infection data from a district in the city of Rio de Janeiro.


Assuntos
Epidemias/estatística & dados numéricos , Modelos Biológicos , Animais , Infecções por Arbovirus/epidemiologia , Infecções por Arbovirus/transmissão , Brasil/epidemiologia , Biologia Computacional , Simulação por Computador , Dengue/epidemiologia , Dengue/transmissão , Suscetibilidade a Doenças/epidemiologia , Projetos de Pesquisa Epidemiológica , Humanos , Conceitos Matemáticos
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