Fear of COVID-19 influences physical activity practice: a study in a Brazilian sample.

The suspension of social activities combined with health insecurity, uncertainty and fear of COVID-19 may influence physical activity practice. We aimed to investigate the relationship between the fear of COVID-19 and anxiety on physical activity patterns during the pandemic period. This cross-sectional study was performed in a sample of 520 Brazilian participants recruited by online sampling and snowball method. We assessed demographic variables, health perceptions, anxiety, fear of COVID-19 and physical activity characteristics. Both fear scores and anxiety were higher in woman (p < 0.0001). We observed a remarkable reduction in the frequency and intensity of physical activity and a modification in the exercise practice environment (from gym or sports centers to home-based physical activity) (p < 0.05). Sedentary (sitting) behavior increased during pandemic both in the weekdays and in the weekend (p < 0.0001). Participants who have never been infected were more prone of being classified in higher levels for physical activity (OR: 1.916, CI = 1.043-3.521) versus those who were previously infected (p = 0.05). Participants with a low or moderate level of physical activity before the pandemic presented lower chances of being classified as high physical activity level during the pandemic in comparison to those with high level before pandemic (p < 0.001). The Fear of Covid-19 score was negatively associated with the physical activity level (the higher the fear, the lower the level of physical activity); that is, for every increase in scale score, the odds of vigorous physical activity decreased 3%. In conclusion, fear of COVID-19 and previous contact with the virus negatively influenced physical activity practice.

Pediatric Patients With Steroid-Sensitive Nephrotic Syndrome Have Higher Expression of T Regulatory Lymphocytes in Comparison to Steroid-Resistant Disease.

Background and Aim: Idiopathic nephrotic syndrome (INS) is classified according to the response to drug therapy in steroid-sensitive (SS), steroid-dependent (SD), and steroid-resistant (SR) categories. Previous studies showed changes in inflammatory activity of subpopulations of lymphocytes in INS. This study aimed to compare SS and SR patients in regard to subpopulations of leukocytes, profile of regulatory lymphocytes, and migratory activity of lymphocyte subpopulations. Results obtained in INS patients were also compared to age and sex-matched healthy controls. Methods: This is a cross-sectional study including SS patients (n = 30), SR patients (n = 14), and controls (n = 10). Peripheral blood samples were withdrawn for ex-vivo leukocyte flow cytometry analysis. Results: Percentage of B-lymphocytes and natural killer (NK) cells were significantly reduced in SR patients when compared to controls, while the percentage of NKT cells were decreased in SS patients in comparison to controls. Percentages of CD4+ expressing FoxP3 and CTLA4 were significantly higher in SS patients in comparison to SR patients and controls. The expression of integrin CD18 on the surface of T lymphocytes (CD3+) was reduced in SS patients if compared to controls. Conclusion: This study found that SS INS patients have higher levels of regulatory T-lymphocytes and lower expression of adhesion molecules than SR patients.

Background autofluorescence induced by plant extracts in human lymphocytes: A flow cytometric analysis of a critical bias.

The presence of background autofluorescence sources is considered as an important problem when performing fluorometric methods, due to the possible spectral overlap between it and the fluorescence emission of probes. Regarding that, we evaluated the presence of background autofluorescence in human lymphocytes after the treatment with extracts from three medicinal plants, including ethanolic extract from aerial parts of Ageratum fastigiatum, ethanolic extract from aerial parts of Eriosema campestre and the ethanolic extract from stem of Pseudobrickellia brasiliensis. Human peripheral blood mononuclear cells were treated with each extract in vitro during 24 h, followed by flow cytometric analysis. Additionally, the fluorescence emission of plant extracts was evaluated by fluorometry, using the same concentrations used in cell cultures. We identified that plant extracts treatment on lymphocytes induced background autofluorescence detectable in several wavelength ranges. Isolated extracts showed no expressive fluorescence emission in fluorometric analyses, suggesting that background autofluorescence was induced in lymphocytes by interactions between cellular components and extracts compounds. Here we discuss the importance to perform previous tests to evaluate a possible background autofluorescence induction after cell treatments with plant extracts or any other substance. In spite of being mandatory, background autofluorescence analysis of cells after treatments and stimulations is still underestimated on literature. In summary, following the precautions herein established should help to reduce the incidence of false positive results.

T-lymphocyte-expressing inflammatory cytokines underlie persistence of proteinuria in children with idiopathic nephrotic syndrome / Os linfócitos T que expressam citocinas inflamatórias são subjacentes à persistência de proteinúria em crianças com síndrome nefrótica idiopática

Abstract Objective: There is evidence of an important role of immune system changes in the triggering and maintenance of idiopathic nephrotic syndrome (INS). The aim of this study was to investigate the expression of cytokines in lymphocyte populations of patients with INS in comparison to healthy individuals, according to proteinuria. Methods: This cross-sectional study included 44 patients with INS and eight healthy children, matched for age and sex (controls). Patients were subdivided according to proteinuria: persistent proteinuria or partial remission (PP ≥ 300 mg/24 h, n = 17) and low proteinuria or complete remission (LP < 300 mg/24 h, n = 27). Ex vivo analysis of peripheral blood leukocytes by flow cytometry was performed using surface markers for T-lymphocytes, TCD4, TCD8, natural killer (NK) cells, NKT, and B-lymphocytes. Frequencies of intracellular cytokines were analyzed in these cells. Results: The frequencies of B-lymphocytes, NK cells, and NKT cells were lower in INS than in controls, whereas INS patients had a higher frequency of CD4+tumor necrosis factor (TNF)-α+ cells than controls. Cytotoxic-T-lymphocytes expressing IFN-γ were lower in INS than in controls. Patients with PP showed higher frequencies of CD4-T-lymphocytes expressing IFN-γ and TNF-α than controls. CD8-lymphocytes expressing TNF-α were increased in PP group when compared with LP and controls, while CD8+interferon (IFN)-γ+ cells were lower than in LP and in controls. Conclusion: Regardless the level of proteinuria, INS patients had increased expression of TNF-α in CD4-lymphocytes and reduced expression of IFN-γ in CD8-lymphocytes. Persistence of proteinuria was associated with higher levels of inflammatory markers.

Resumo Objetivo Há comprovação do importante papel das alterações no sistema imunológico no desencadeamento e manutenção da síndrome nefrótica idiopática (SNI). O objetivo deste estudo foi investigar a expressão das citocinas em populações de linfócitos de pacientes com SNI em comparação a indivíduos saudáveis e de acordo com a proteinúria. Métodos Este estudo transversal incluiu 44 pacientes com SNI e oito crianças saudáveis, pareados por idade e sexo (controles). Os pacientes foram subdivididos de acordo com a proteinúria: proteinúria persistente ou remissão parcial (PP ≥ 300 mg/24 h, n = 17) e proteinúria baixa ou remissão completa (PB < 300 mg/24 h, n = 27). A análise ex vivo de leucócitos no sangue periférico por citometria de fluxo foi feita utilizando marcadores de superfície para linfócitos T, TCD4, TCD8, células natural killer (NK), linfócitos NKT e B. As frequências das citocinas intracelulares foram analisadas nessas células. Resultados A frequência dos linfócitos B, células NK e células NKT foi menor em pacientes com SNI do que nos controles, ao passo que os pacientes com SNI apresentaram maior frequência de células CD4+fator de necrose tumoral (TNF)-α+ do que nos controles. Os linfócitos T citotóxicos que expressam interferon (IFN)-γ foram menores nos pacientes com SNI do que nos controles. Os pacientes com PP mostraram maiores frequências de linfócitos T CD4 que expressam IFN-γ e TNF-α que os controles. Os linfócitos CD8 que expressam TNF-α apresentaram aumento no grupo com PP, em comparação aos com PB e os controles, apesar de as células CD8+IFN-γ+ serem mais baixas nos pacientes com PB e nos controles. Conclusão Com relação ao nível de proteinúria, os pacientes com SNI apresentaram aumento na expressão de TNF-α nos linfócitos CD4 e expressão reduzida de IFN-γ nos linfócitos CD8. A persistência da proteinúria foi associada a maiores níveis de marcadores inflamatórios.

T-lymphocyte-expressing inflammatory cytokines underlie persistence of proteinuria in children with idiopathic nephrotic syndrome.

OBJECTIVE: There is evidence of an important role of immune system changes in the triggering and maintenance of idiopathic nephrotic syndrome (INS). The aim of this study was to investigate the expression of cytokines in lymphocyte populations of patients with INS in comparison to healthy individuals, according to proteinuria. METHODS: This cross-sectional study included 44 patients with INS and eight healthy children, matched for age and sex (controls). Patients were subdivided according to proteinuria: persistent proteinuria or partial remission (PP≥300mg/24h, n=17) and low proteinuria or complete remission (LP<300mg/24h, n=27). Ex vivo analysis of peripheral blood leukocytes by flow cytometry was performed using surface markers for T-lymphocytes, TCD4, TCD8, natural killer (NK) cells, NKT, and B-lymphocytes. Frequencies of intracellular cytokines were analyzed in these cells. RESULTS: The frequencies of B-lymphocytes, NK cells, and NKT cells were lower in INS than in controls, whereas INS patients had a higher frequency of CD4+tumor necrosis factor (TNF)-α+ cells than controls. Cytotoxic-T-lymphocytes expressing IFN-γ were lower in INS than in controls. Patients with PP showed higher frequencies of CD4-T-lymphocytes expressing IFN-γ and TNF-α than controls. CD8-lymphocytes expressing TNF-α were increased in PP group when compared with LP and controls, while CD8+interferon (IFN)-γ+ cells were lower than in LP and in controls. CONCLUSION: Regardless the level of proteinuria, INS patients had increased expression of TNF-α in CD4-lymphocytes and reduced expression of IFN-γ in CD8-lymphocytes. Persistence of proteinuria was associated with higher levels of inflammatory markers.

Increased Migratory and Activation Cell Markers of Peripheral Blood Lymphocytes in an Experimental Model of Nephrotic Syndrome.

The present study aimed to evaluate the expression of CD80 and CD18 in subpopulations of peripheral blood leukocytes and oxidative kidney damage in rats with nephrotic syndrome (NS) induced by doxorubicin (Dox) in comparison to control animals at different time points. Male adult Wistar rats were submitted to 24-hour urine and blood collection for biochemical and immunological analysis at 7, 14, 21, and 28 days after Dox injection. After euthanasia, the kidneys were removed for histological analysis and the evaluation of oxidative stress. The phenotypic characterization of leukocytes was performed using flow cytometry. Dox-injected animals exhibited increased CD18 expression in cytotoxic T lymphocytes, NK cells, and monocytes and high CD80 expression in monocytes. Kidney oxidative damage was positively correlated with CD80 expression in monocytes and serum levels of creatinine. These results suggest that phagocytic and cytotoxic cells are preferentially recruited to the tissue injury site, which may contribute to kidney dysfunction in this animal model of NS. The blockade of integrin and costimulatory molecules may provide new therapeutic opportunities for NS.

The experimental model of nephrotic syndrome induced by Doxorubicin in rodents: an update.

Nephrotic syndrome (NS) is characterized by proteinuria, hypoalbuminemia, generalized edema, and hyperlipidemia. It begins by changes in the glomerular filtration barrier, with increased permeability to plasma proteins. It affects all age groups and can progress to end-stage renal disease. NS pathophysiology is still unknown. However, the critical role of the immune system is well recognized. Animal models are useful tools for the investigation of NS. Among different experimental models proposed in the literature, disease induced by Doxorubicin has been considered helpful to the purpose of many studies. The aim of this review article is to describe the animal model of NS induced by the injection of Doxorubicin in rodents, with emphasis on action of the drug, potential mechanisms of renal injury, as well biochemical, histological, and corporal changes obtained with this model.

The role of the immune system in idiopathic nephrotic syndrome: a review of clinical and experimental studies.

Idiopathic nephrotic syndrome (INS) is a multifactorial disease, characterized by proteinuria, hypoalbuminemia, edema and hyperlipidemia. Studies in humans and animal models have associated INS with changes in the immune response. The purpose of this article is to review clinical and experimental findings showing the involvement of the immune response in the pathogenesis of INS. The role of the immune system in INS has been shown by clinical and experimental studies. However, the pattern of immune response in patients with INS is still not clearly defined. Many studies show changes in the dynamics of T lymphocytes, especially the regulatory T cells. Alternatively, there are other reports regarding the involvement of the complement system and B lymphocytes in the pathophysiology of INS. Indeed, none of the immunological biomarkers evaluated were undeniably linked to changes in glomerular permeability and proteinuria. On the other hand, some studies suggest a link between urinary chemokines, such as IL-8/CXCL8 and MCP-1/CCL2, and changes in glomerular permeability and/or the deterioration of glomerulopathies. To understand the pathophysiology of INS, longitudinal studies are clearly needed. The characterization of the profile of the immune response might help the development of specific and individualized therapies, leading to clinical improvement and better prognosis.

Comparação entre os métodos auscultatório e oscilométrico de determinação da Pressão Arterial / Comparison between auscultatory and oscilometric methods for Blood Pressure determination

A monitorização da pressão arterial (PA) é indispensável para o diagnóstico e prevenção de complicações cardiovasculares. A PA pode ser mensurada indiretamente pelos métodos auscultatório e oscilométrico. Contudo, existem poucos estudos que comparam as medidas obtidas pelos mesmos.Comparar e correlacionar as medidas da pressão arterial obtidas por meio dos métodos auscultatório e oscilométrico. Estudo transversal com 250 adolescentes de 14 a 17 anos de idade, selecionados em duas escolas na cidade de Diamantina (MG), não havendo distinção de gênero, etnia e condição socioeconômica. Cada participante teve a sua pressão arterial aferida por um aparelho aneróide marca (Becton, Dickinson and Company) e, em seguida, por um aparelho digital marca (Mark of Fitness modelo MF81). A média da pressão arterial sistólica verificada pelo método auscultatório foi 108,1 mmHg (DP + 11,9 mmHg) e pelo método oscilométrico foi 110,6 mmHg (DP + 11,3 mmHg). Considerando-se a pressão arterial diastólica, as médias para esses dois métodos respectivamente foram 63,8 mmHg (DP + 8,8 mmHg) e 69,5 mmHg (DP + 8,4 mmHg). Após a comparação dos valores pressóricos entre os dois métodos, verificou-se uma boa correlação para os valores sistólicos (r = 0,7522) e baixa correlação para os valores diastólicos (r = 0,2815). De forma geral, verificou-se uma baixa correlação dos resultados ao se realizar a comparação dos aparelhos digital e aneróide para medida da pressão arterial.

Monitoring of blood pressure (BP) is essential for the diagnosis and prevention of cardiovascular complications. The BP can be measured indirectly by auscultatory and oscillometric methods. However, there are few studies that compare the measurements obtained by them. Compare and correlate the measures of blood pressure obtained by auscultatory and oscillometric methods. Crosssectional study with 250 adolescents, from 14 to 17 years of age, selected from two schools in the cityof Diamantina (MG), with no distinction of gender, ethnicity and socioeconomic condition. Each participant had the blood pressure measured by an aneroid device mark (Becton, Dickinson andCompany) and then by a digital device mark (Mark of Fitness model MF 81). The average systolic blood pressure checked by the auscultatory method was 108.1 mmHg (SD + 11.9 mmHg) and theoscillometric method was 110.6 mmHg (SD + 11.3 mmHg). Considering the mean diastolic blood pressure for these two methods respectively were 63.8 mmHg (SD + 8.8 mmHg) and 69.5 mmHg (SD + 8.4 mmHg). After comparison of pressure values between the two methods showed a goodcorrelation for the systolic values (r = 0.7522). For diastolic values there was low correlation (r= 0.2815). There was a low correlation of results when conducting a comparison of digital and aneroid devices for blood pressure measurement.

Necrólise epidérmica tóxica (Síndrome de Lyell)? Apresentaçäo de um caso clínico / Necrólise epidérmica tóxica. Síndrome de Lyell. Hipersensibilidade a drogas

Os autores fazem uma breve revisäo de literatura e apresentam o caso clínico de uma paciente do sexo feminino, de 73 anos de idade, acometida pela necrólise epidérmica tóxica (NET) ou síndrome de Lyell. A paciente foi internada no Hospital Nossa Senhora da Saúde na cidade de Diamantina/MG. A evoluçäo médica é descrita, bem como o protocolo para o tratamento dessa enfermidade. Uma vez que o tratamento dessa síndrome exige a participaçäo de uma equipe multidisciplinar, um cirurgiäo-dentista deveria ser incluído nessa equipe para avaliar as condiçöes bucais do paciente, visto que é uma entidade clínica com graves manifestaçöes na mucosa bucal

Influência materna e os fatores de risco de cárie dentária / Maternal influence and the risk factors of dental decay

Por ser multifatorial e transmissível, a cárie dentária deve ter seus métodos preventivos baseados principalmente na educação materna, uma vez que a mãe é a pessoa mais intimamente relacionada à criança. O presente trabalho foi realizado em 153 crianças, de zero a cinco anos de idade, de seis creches públicas da cidade de Diamantina/MG, abordando os fatores comportamentais de risco das mães, em ralação à transmissibilidade de cárie, dieta cariogênica noturna, higiene bucal das crianças e o nível de instrução materno em relação à doença. Para sua execução, aplicou-se um questionário às mães e, posteriormente, foi realizado o exame físico intra-bucal nas crianças, onde foi observado elevado índice ceo-d (4,83) sendo que, deste total, 84,57 por cento estavam cariados, 13,53 por cento extraídos/extração indicada e somente 1,90 por cento obturados. Algumas mães, apesar de conhecerem os métodos corretos de higiene bucal, bem como a idade correta para o seu início, não os aplicam aos filhos. Foi constatado que o número de crianças assistidas por serviço odontológico é muito baixo, refletindo assim o desinteresse ou falta de conhecimento das mães sobre a necessidade de assistência odontológica precoce, bem como a deficiência dos programas de saúde, tanto em nível preventivo quanto curativo