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1.
Med Oral Patol Oral Cir Bucal ; 27(1): e51-e58, 2022 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-34564685

RESUMO

BACKGROUND: To evaluate the efficacy of intra-alveolar administration of dexamethasone 4 mg in the control of edema, trismus, and pain resulting from the extraction of impacted lower third molars and the drug permeability through the oral mucosa by in silico prediction. MATERIAL AND METHODS: The randomized, double-blind, split-mouth clinical trial included patients who had both impacted lower third molars in equivalent positions. Hemiarches were divided into control side when dexamethasone was administered orally and experimental side when dexamethasone was administered using the intra-alveolar route. Patients were evaluated considering edema, trismus, and pain. The permeability of dexamethasone through the oral mucosa was assessed by in silico prediction. Student's t-test was selected for comparative analysis of edema and trismus, and the chi-square test analyzed the distribution of postoperative pain between the sides. RESULTS: There were no significant differences between the routes of administration in measuring symptoms between the pre and postoperative times (p>0.05). In silico prediction suggested that dexamethasone molecular characteristics facilitate intra-alveolar administration. CONCLUSIONS: Intra-alveolar administration had similar efficacy to oral administration in controlling symptoms of post-surgical inflammation of impacted lower third molars.


Assuntos
Dente Serotino , Dente Impactado , Dexametasona , Método Duplo-Cego , Edema/etiologia , Edema/prevenção & controle , Humanos , Dente Serotino/cirurgia , Dor Pós-Operatória/tratamento farmacológico , Dor Pós-Operatória/prevenção & controle , Extração Dentária/efeitos adversos , Dente Impactado/cirurgia , Trismo/etiologia , Trismo/prevenção & controle
2.
Epidemiol Infect ; 149: e54, 2021 02 19.
Artigo em Inglês | MEDLINE | ID: mdl-33602375

RESUMO

COVID-19, although a respiratory illness, has been clinically associated with non-respiratory symptoms. We conducted a negative case-control study to identify the symptoms associated with SARS-CoV-2-positive results in Portugal. Twelve symptoms and signs included in the clinical notification of COVID-19 were selected as predictors, and the dependent variable was the RT-PCR test result. The χ2 tests were used to compare notified cases on sex, age group, health region and presence of comorbidities. The best-fit prediction model was selected using a backward stepwise method with an unconditional logistic regression. General and gastrointestinal symptoms were strongly associated with a positive test (P < 0.001). In this sense, the inclusion of general symptoms such as myalgia, headache and fatigue, as well as diarrhoea, together with actual clinical criteria for suspected cases, already updated and included in COVID-19 case definition, can lead to increased identification of cases and represent an effective strength for transmission control.


Assuntos
COVID-19/virologia , SARS-CoV-2/isolamento & purificação , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , COVID-19/epidemiologia , Estudos de Casos e Controles , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Pessoa de Meia-Idade , Portugal/epidemiologia , Adulto Jovem
3.
Nanotechnology ; 29(36): 365701, 2018 Sep 07.
Artigo em Inglês | MEDLINE | ID: mdl-29894981

RESUMO

Magnetic nanoparticles (NPs) have attracted great attention owing to their applications in the biomedical field. In the present work, maghemite (γFe2O3) NPs of 6.5 nm were prepared using a sonochemical method and used to prepare magnetic beads through silanization with 3-aminopropyltrimethoxysilane (APTS). Subsequently, amino groups in the resulting APTS-γFe2O3 beads were converted to carboxylic acid (CARB-γFe2O3) through the succinic anhydride reaction, as confirmed by transmission electron microscopy (TEM), Fourier transform infrared spectroscopy and dynamic light scattering (DLS) measurements. The size of these beads was measured as 12 nm and their hydrodynamic diameter as 490 nm, using TEM analysis and DLS, respectively. The CARB-γFe2O3 beads were further functionalized by immobilizing rabbit antibodies on their surfaces; the immobilization was confirmed by flow cytometry and ionic strength. The samples were further characterized by Mössbauer spectroscopy and DC magnetization measurements. Studies on magnetic relaxivities showed that magnetic beads present great potential for application in MR imaging.


Assuntos
Anticorpos/metabolismo , Compostos Férricos/síntese química , Microesferas , Animais , Ácidos Carboxílicos/química , Difusão Dinâmica da Luz , Compostos Férricos/química , Fluorescência , Imageamento por Ressonância Magnética , Magnetismo , Nanopartículas/química , Nanopartículas/ultraestrutura , Tamanho da Partícula , Propilaminas/química , Coelhos , Silanos/química , Espectroscopia de Infravermelho com Transformada de Fourier , Espectroscopia de Mossbauer , Eletricidade Estática , Vibração , Difração de Raios X
4.
BJOG ; 125(10): 1243-1252, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-29900651

RESUMO

Surgical management in epithelial ovarian cancer (EOC) has a significant impact in overall survival and progression-free survival. The Brazilian Society of Surgical Oncology (BSSO) supported a taskforce of experts to reach a consensus: experienced and specialised trained surgeons, in cancer centres, provide the best EOC surgery. Laparoscopic and/or radiological staging prognosticates the possibility of complete cytoreduction (CC0) and helps to reduce unnecessary laparotomies. Surgical techniques were reviewed. Multidisciplinary input is essential for treatment planning. Quality assurance criteria are proposed and require national consensus. Genetic testing is mandatory. This consensus states the final recommendations from BSSO for management of EOC. TWEETABLE ABSTRACT: Brazilian Society of Surgical Oncology consensus for surgery in epithelial ovarian cancer patients.


Assuntos
Neoplasias Ovarianas/cirurgia , Brasil , Quimioterapia Adjuvante , Procedimentos Cirúrgicos de Citorredução , Diagnóstico por Imagem , Feminino , Triagem de Portadores Genéticos , Aconselhamento Genético , Hospitais com Alto Volume de Atendimentos , Humanos , Histerectomia , Recidiva Local de Neoplasia , Estadiamento de Neoplasias , Neoplasias Ovarianas/patologia , Ovariectomia , Manejo da Dor , Cuidados Paliativos , Planejamento de Assistência ao Paciente , Equipe de Assistência ao Paciente , Seleção de Pacientes , Peritônio/cirurgia , Qualidade da Assistência à Saúde , Encaminhamento e Consulta , Salpingectomia , Oncologia Cirúrgica
5.
Appl Microbiol Biotechnol ; 102(15): 6725-6737, 2018 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-29860594

RESUMO

The emission of the greenhouse gas nitrous oxide (N2O) can occur during biological nutrient removal. Denitrifying enhanced biological phosphorus removal (d-EBPR) systems are an efficient means of removing phosphate and nitrogen, performed by denitrifying polyphosphate-accumulating organisms (d-PAOs). The aim of this work was to study the effect of various combinations of electron acceptors, nitrate (NO3-), nitrite (NO2-), and N2O, on the denitrification pathway of a d-EBPR system. Batch tests were performed with different electron acceptor combinations, to explore the denitrification pathway. Reverse transcriptase-qPCR (RT-qPCR) and high-throughput sequencing, combined with chemical analysis, were used to study gene expression, microbial diversity, and denitrification kinetics. The potential for N2O production was greater than the potential for its reduction in most tests. A strong correlation was observed between the N2O reduction rate and the relative gene expression of nitrous oxide reductase per nitrite reductase (nosZ/(nirS + nirK)), suggesting that the expression of denitrifying marker genes is a strong predictor of the N2O reduction rate. The d-EBPR community maintained a core population with low variations throughout the study. Furthermore, phylogenetic analyses of the studied marker genes revealed that the organisms actively involved in denitrification were closely related to Thauera sp., Candidatus Accumulibacter phosphatis, and Candidatus Competibacter denitrificans. Moreover, Competibacter-related OTUs seem to be important contributors to the N2O reduction capacity of the system, likely scavenging the N2O produced by other organisms. Overall, this study contributes to a better understanding of the microbial biochemistry and the genetics involving biological denitrification removal, important to minimize N2O emissions in wastewater treatment plants.


Assuntos
Bactérias/efeitos dos fármacos , Expressão Gênica/efeitos dos fármacos , Nitratos/farmacologia , Nitritos/farmacologia , Óxido Nitroso/farmacologia , Bactérias/classificação , Reatores Biológicos , Desnitrificação , Elétrons , Microbiota/efeitos dos fármacos , Nitratos/química , Nitritos/química , Óxido Nitroso/química , Óxido Nitroso/metabolismo , Filogenia , Polifosfatos/metabolismo
6.
Clin Exp Immunol ; 189(3): 318-330, 2017 09.
Artigo em Inglês | MEDLINE | ID: mdl-28542701

RESUMO

Forkhead box P3 (FoxP3)+ regulatory T cells (Tregs ) are functionally deficient in systemic lupus erythematosus (SLE), characterized by reduced surface CD25 [the interleukin (IL)-2 receptor alpha chain]. Low-dose IL-2 therapy is a promising current approach to correct this defect. To elucidate the origins of the SLE Treg phenotype, we studied its role through developmentally defined regulatory T cell (Treg ) subsets in 45 SLE patients, 103 SLE-unaffected first-degree relatives and 61 unrelated healthy control subjects, and genetic association with the CD25-encoding IL2RA locus. We identified two separate, uncorrelated effects contributing to Treg CD25. (1) SLE patients and unaffected relatives remarkably shared CD25 reduction versus controls, particularly in the developmentally earliest CD4+ FoxP3+ CD45RO- CD31+ recent thymic emigrant Tregs . This first component effect influenced the proportions of circulating CD4+ FoxP3high CD45RO+ activated Tregs . (2) In contrast, patients and unaffected relatives differed sharply in their activated Treg CD25 state: while relatives as control subjects up-regulated CD25 strongly in these cells during differentiation from naive Tregs , SLE patients specifically failed to do so. This CD25 up-regulation depended upon IL2RA genetic variation and was related functionally to the proliferation of activated Tregs , but not to their circulating numbers. Both effects were found related to T cell IL-2 production. Our results point to (1) a heritable, intrathymic mechanism responsible for reduced CD25 on early Tregs and decreased activation capacity in an extended risk population, which can be compensated by (2) functionally independent CD25 up-regulation upon peripheral Treg activation that is selectively deficient in patients. We expect that Treg -directed therapies can be monitored more effectively when taking this distinction into account.


Assuntos
Família , Subunidade alfa de Receptor de Interleucina-2/genética , Lúpus Eritematoso Sistêmico/imunologia , Linfócitos T Reguladores/imunologia , Adulto , Idoso , Feminino , Citometria de Fluxo , Humanos , Interleucina-2/biossíntese , Interleucina-2/imunologia , Subunidade alfa de Receptor de Interleucina-2/imunologia , Antígenos Comuns de Leucócito/genética , Antígenos Comuns de Leucócito/imunologia , Antígenos Comuns de Leucócito/metabolismo , Lúpus Eritematoso Sistêmico/fisiopatologia , Ativação Linfocitária/imunologia , Masculino , Pessoa de Meia-Idade , Fenótipo , Linfócitos T Reguladores/classificação , Regulação para Cima , Adulto Jovem
7.
J Environ Manage ; 195(Pt 2): 242-248, 2017 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-27652582

RESUMO

The effects of doping of ZnO and Nb2O5 solids with Fe2O3 (1.4 wt%) and Ag2O (1.4 wt%) on its surface and catalytic properties were investigated, as well as its photocatalytic performance on the degradation of a pulp and paper wastewater (PPW). The catalysts were characterized by XRD, SEM, photoacoustic spectroscopy (PAS), NH3-TPD and textural analysis. The results obtained revealed that Fe2O3 doping of Nb2O5 conducted at 500 °C resulted in an increase of about 116% for SBET while Ag2O treatment exerted a decrease of 33% for SBET of the doped adsorbents. Doping ZnO with Fe2O3 or Ag2O led to an increase of 80% for SBET. Iron and silver doping also led to a decrease in band gap energy of at least 6%. The addition of 1.4 wt% Ag2O on ZnO followed by calcination at 500 °C resulted in an increase of 11% in the value of the reaction rate constant (kap) for COD reduction under UV radiation. The treatment of Nb2O5 with 1.4 wt% Ag2O increased by a factor of 2.04 the value of kap for the reaction taking place under VIS radiation. The catalysts partially reduced the organic load and the real colour of the wastewater, allowing the achievement of the specifications for release into rivers, so photocatalysis could be an alternative for pulp and paper wastewater final polishing.


Assuntos
Compostos Férricos/química , Águas Residuárias , Catálise , Óxidos/química , Papel
8.
Genes Immun ; 17(2): 85-92, 2016 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-26673966

RESUMO

Long non-coding RNAs (lncRNAs) can regulate the transcript levels of genes in the same genomic region. These locally acting lncRNAs have been found deregulated in human disease and some have been shown to harbour quantitative trait loci (eQTLs) in autoimmune diseases. However, lncRNAs linked to the transcription of candidate risk genes in loci associated to rheumatoid arthritis (RA) have not yet been identified. The TRAF1 and C5 risk locus shows evidence of multiple eQTLs and transcription of intergenic non-coding sequences. Here, we identified a non-coding transcript (C5T1lncRNA) starting in the 3' untranslated region (UTR) of C5. RA-relevant cell types express C5T1lncRNA and RNA levels are further enhanced by specific immune stimuli. C5T1lncRNA is expressed predominantly in the nucleus and its expression correlates positively with C5 mRNA in various tissues (P=0.001) and in peripheral blood mononuclear cells (P=0.02) indicating transcriptional co-regulation. Knockdown results in a concurrent decrease in C5 mRNA levels but not of other neighbouring genes. Overall, our data show the identification of a novel lncRNA C5T1lncRNA that is fully located in the associated region and influences transcript levels of C5, a gene previously linked to RA pathogenesis.


Assuntos
Artrite Reumatoide/genética , DNA Intergênico/genética , Fibroblastos/metabolismo , Predisposição Genética para Doença , RNA Longo não Codificante/genética , RNA Mensageiro/genética , Alfa-Amanitina/farmacologia , Artrite Reumatoide/metabolismo , Artrite Reumatoide/patologia , Linhagem Celular Tumoral , DNA Intergênico/metabolismo , Fibroblastos/citologia , Fibroblastos/efeitos dos fármacos , Loci Gênicos , Genótipo , Hepatócitos/citologia , Hepatócitos/efeitos dos fármacos , Hepatócitos/metabolismo , Humanos , Monócitos/citologia , Monócitos/efeitos dos fármacos , Monócitos/metabolismo , Inibidores da Síntese de Ácido Nucleico/farmacologia , Polimorfismo de Nucleotídeo Único , Cultura Primária de Células , RNA Longo não Codificante/antagonistas & inibidores , RNA Longo não Codificante/metabolismo , RNA Mensageiro/antagonistas & inibidores , RNA Mensageiro/metabolismo , RNA Interferente Pequeno/genética , RNA Interferente Pequeno/metabolismo , Membrana Sinovial/citologia , Membrana Sinovial/efeitos dos fármacos , Membrana Sinovial/metabolismo , Transcrição Gênica/efeitos dos fármacos
9.
Gynecol Oncol ; 140(1): 53-7, 2016 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-26546963

RESUMO

OBJECTIVE: Small cell carcinoma of the ovary-hypercalcemic type (SCCOHT) is a rare disease with a poor prognosis. SCCOHT has recently been shown to be associated with SMARCA4 gene mutations as well as molecular and genetic similarities to malignant rhabdoid tumors (MRT). The objective of our study is to describe the clinical characteristics, treatment modalities and outcomes of 47 patients with SCCOHT. METHODS: We performed a retrospective analysis of 47 patients with SCCOHT evaluated at MD Anderson Cancer Center between 1990 and 2014. Medical records were reviewed for demographic information, pathologic findings, treatment regimens and outcomes. RESULTS: Median age at diagnosis was 30 years (range 5-46). All patients underwent surgery with unilateral salpingo-oophorectomy (USO) performed in 26 patients (55%), and hysterectomy with bilateral salpingooophorectomy (BSO) in 21 patients (45%). Sixteen patients (34.0%) had stage I disease, six (12.8%) stage II, 23 (48.9%) stage III, and two patients (4.3%) had stage IV disease. Information on adjuvant treatment was available for 43 patients: 83.3% received chemotherapy alone, 9.5% chemotherapy followed by radiotherapy, 2.4% chemoradiation, and 4.8% did not receive any adjuvant therapy. Median follow-up was 13.2 months (range, 0.1 to 210.7) with a median overall survival of 14.9 months. Multi-agent chemotherapy and radiotherapy were associated with a better prognosis. CONCLUSION: Our findings suggest that aggressive therapy including multi-agent chemotherapy and possibly radiotherapy may extend survival. Further study is needed to improve outcomes in these patients including the adoption of systemic therapies used in MRT as well as the development of novel agents targeting specific mutations.


Assuntos
Carcinoma de Células Pequenas/patologia , Carcinoma de Células Pequenas/terapia , Hipercalcemia/patologia , Hipercalcemia/terapia , Neoplasias Ovarianas/patologia , Neoplasias Ovarianas/terapia , Adolescente , Adulto , Carcinoma de Células Pequenas/sangue , Criança , Pré-Escolar , Feminino , Humanos , Hipercalcemia/sangue , Pessoa de Meia-Idade , Neoplasias Ovarianas/sangue , Estudos Retrospectivos , Adulto Jovem
10.
Genet Mol Res ; 15(1)2016 Feb 19.
Artigo em Inglês | MEDLINE | ID: mdl-26909984

RESUMO

The aim of this study was to assess the immunoexpression of human papillomavirus genotypes 16 and 18 (E6 and E7) oncoproteins in cervical high-grade squamous intraepithelial lesions (HSIL) of human immunodeficiency virus (HIV)-positive women. These results were also compared to the persistence and/or recurrence of lesions after loop electrosurgical excision procedure. Cervical samples from 158 patients were divided into three groups according to the presence or absence of HSIL in women who were or were not HIV-positive. By using the tissue microarray technique, immunohistochemistry was performed to analyze the expression of HPV 16/18 E6 and E7 oncoproteins. Cervical samples from 95 HIV-positive women and 63 HIV-negative women were studied. A statistically significant difference was found in the immunoexpression of E6 and E7 oncoproteins in samples from HIV-positive women with HSIL and that of women with non-neoplastic tissue (P < 0.001). There was also a statistically significant correlation between the immunoexpression of E6 (P = 0.012) and E7 (P < 0.001) oncoproteins in lesion persistence among HIV-positive women. Within the limitations of this study, the immunoexpression of HPV 16/18 E6 and E7 oncoproteins may have prognostic value regarding lesion persistence in HIV-positive women.


Assuntos
Regulação Viral da Expressão Gênica , Infecções por HIV/patologia , Proteínas Oncogênicas Virais/genética , Proteínas E7 de Papillomavirus/genética , Infecções por Papillomavirus/patologia , Proteínas Repressoras/genética , Lesões Intraepiteliais Escamosas Cervicais/patologia , Neoplasias do Colo do Útero/patologia , Adolescente , Adulto , Idoso , Coinfecção , Feminino , HIV/crescimento & desenvolvimento , Infecções por HIV/genética , Infecções por HIV/imunologia , Infecções por HIV/virologia , Papillomavirus Humano 16/genética , Papillomavirus Humano 16/crescimento & desenvolvimento , Papillomavirus Humano 18/genética , Papillomavirus Humano 18/crescimento & desenvolvimento , Humanos , Imuno-Histoquímica , Pessoa de Meia-Idade , Gradação de Tumores , Proteínas Oncogênicas Virais/biossíntese , Proteínas E7 de Papillomavirus/biossíntese , Infecções por Papillomavirus/genética , Infecções por Papillomavirus/imunologia , Infecções por Papillomavirus/virologia , Proteínas Repressoras/biossíntese , Lesões Intraepiteliais Escamosas Cervicais/genética , Lesões Intraepiteliais Escamosas Cervicais/imunologia , Lesões Intraepiteliais Escamosas Cervicais/virologia , Análise Serial de Tecidos , Neoplasias do Colo do Útero/genética , Neoplasias do Colo do Útero/imunologia , Neoplasias do Colo do Útero/virologia
11.
Br J Surg ; 101(7): 820-7, 2014 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-24760735

RESUMO

BACKGROUND: Autogenic splenic implant (ASI) is one of the few alternatives for preservation of splenic tissue when total splenectomy is inevitable. The aim of this study was to determine the morphological and functional regeneration of ASIs, as indicated by the clearance of Howell-Jolly (HJ) bodies, in an experimental model. METHODS: Ninety-nine male Wistar rats were divided into three groups: sham-operated (group 1), total splenectomy alone (group 2), and total splenectomy combined with ASI (group 3). Animals in group 3 were further allocated to nine subgroups of nine rats each, and analysed at different time points (1, 4, 8, 12, 16, 20, 24, 28 and 32 weeks after surgery). Blood smears were prepared at predetermined times for detection of HJ bodies. Morphological regeneration of tissue in the ASI was analysed by histology. RESULTS: At 1 week, the regenerated mass corresponded to about 7 per cent of the tissue implanted, reaching approximately 54 per cent at 24 weeks. The HJ body levels were increased in groups 2 and 3 until 8 weeks after surgery, following which levels in the ASI group became similar to those in the sham-operated group. HJ bodies were difficult to detect when a level of 22.5 per cent of regenerated ASI mass was reached. CONCLUSION: Functional regeneration of ASIs occurred from 8 weeks after surgery. When 22.5 per cent of regenerated ASI mass was reached almost no HJ bodies could be observed in the bloodstream, resembling a spleen in situ. SURGICAL RELEVANCE: Splenectomy has been practised routinely, both in the emergency setting and as a therapeutic elective procedure. There is a correlation between asplenia/hyposplenia and the occurrence of fulminant sepsis, underlining the importance of developing surgical methods for preserving splenic function. Both clinical and experimental studies have shown at least partial morphological and functional regeneration of autogenic splenic implants (ASIs). Experimental studies investigating the immunoprotective effect of ASIs, based mostly on exposure of animals to various bacteria, have demonstrated that ASIs can increase the rate of bacterial clearance and decrease mortality from sepsis. Clinical studies have shown their ability to remove colloidal substances and altered erythrocyte corpuscular inclusions, such as Howell-Jolly, Heinz and Pappenheimer bodies, from the bloodstream. In this experimental study the functional and morphological regeneration of ASIs was studied over time in rats.


Assuntos
Inclusões Eritrocíticas/fisiologia , Regeneração/fisiologia , Baço/fisiologia , Esplenectomia/métodos , Animais , Masculino , Omento , Ratos , Ratos Wistar , Baço/anatomia & histologia , Baço/transplante , Fatores de Tempo , Transplante Autólogo
12.
J Healthc Qual Res ; 39(4): 241-246, 2024.
Artigo em Espanhol | MEDLINE | ID: mdl-38580506

RESUMO

INTRODUCTION: Pulmonary hypertension (PH) is a serious disease that requires early diagnosis to achieve a better patient prognosis. Right heart catheterization (RHC) has become the main diagnostic test for this disease, measuring the pressures from the right heart chambers invasively, using a catheter placed through venous access. Nursing performance has an important role in RHC through peripheral venous access due to its well-done skills for canalization and knowledge about the management and care of these accesses. RHC performed through peripheral venous access provide advantages over those performed through central venous access. OBJECTIVE: To analyze the benefits from RHC through peripheral venous access compared to those performed through central venous access, as well as highlighting the role of nursing during this type of procedures. METHOD: A retrospective, descriptive, and observational study was performed for patients who underwent RHC in our center between January 2019 to January 2023. We analyzed clinical characteristics, access, fluoroscopy parameters, periprocedural complications, and hospital admissions. RESULT: A total of 115 patients were included. The average age was 65±12 years, with 58.1% of females. Risk stratification of PH was the reason for conducting RHC in 82.9%. The anterocubital veins became the main approach (72.2%), performed by hemodynamics nurses, while the central venous ones composed the rest (27.8%), which were done by cardiology specialized doctors. We observed a significant reduction in radiation dose in RHC via anterocubital route compared to central venous access (4.4Gycm2 vs 12.5Gycm2 [IQR: 4.5]; P<.001), and it does also in fluoroscopy times (2.3minutes vs 4.6minutes [IQR: 2.6]; P<.001). No complications were recorded, independently of the approach. Patients who underwent a scheduled catheterization were discharged more frequently on the same day of the procedure whether a peripheral approach was performed (77.2%, 44 of 57 patients), in comparison with the central one (28.6%) (P=.001). CONCLUSIONS: The RHC is an essential tool for the diagnosis of PH, achieving nursing such an important role for those performed by peripheral venous access. Peripheral venous access provides benefits and advantages like the reduction of radiation exposure and scan times, reduced hospital stay. All this could bring greater comfort, safety and better quality of care to the patient.


Assuntos
Cateterismo Cardíaco , Cateterismo Periférico , Humanos , Feminino , Estudos Retrospectivos , Masculino , Idoso , Pessoa de Meia-Idade , Cateterismo Cardíaco/métodos , Cateterismo Periférico/métodos , Hipertensão Pulmonar/enfermagem , Papel do Profissional de Enfermagem , Cateterismo Venoso Central/métodos
13.
Sci Rep ; 14(1): 3103, 2024 02 07.
Artigo em Inglês | MEDLINE | ID: mdl-38326313

RESUMO

The brown meagre (Sciaena umbra) is an endangered species, which requires specific protection measures to ensure its conservation. These measures need to be informed by high-quality scientific knowledge on their space use patterns. Here, we used acoustic telemetry to assess its seasonal movement patterns and habitat use within a marine protected area (MPA). Our results suggested that S. umbra is a highly sedentary species (home range < 1.0 km2) and, therefore, the MPA is extensive enough to protect the local population. Their population was discretely distributed in two main areas within the MPA, which was likely a result of habitat segregation and density-dependent movements. The temporal variability of their movements further uncovered when and where spawning occurs (mainly, but probably not only, in the fully protected area in June) and indicated that spillover of this species is limited but still possible. Overall, we highlight the importance of MPAs in the recovery of S. umbra, we advocate the need to perpetuate the current national fishing bans and extend it to other countries in the Mediterranean region, and we emphasize that considering the fine-scale movements of S. umbra in future management actions is key to achieving a successful recovery of their populations.


Assuntos
Perciformes , Umbridae , Animais , Conservação dos Recursos Naturais/métodos , Ecossistema , Comportamento de Retorno ao Território Vital , Acústica , Peixes
14.
Acta Trop ; 258: 107333, 2024 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-39067841

RESUMO

To evaluate the prevalence of Mycobacterium leprae and Mycobacterium lepromatosis in road killed armadillos identified along Brazilian regions, samples of liver, spleen, muscle, ear, nose and tail were collected on highways from 78 animals. The armadillos were of four different species, Cabassous tatouay, Dasypus novemcinctus, Dasypus septemcinctus and Euphractus sexcinctus. After DNA extraction from two tissues, specific primers were used for the detection of each pathogen using SYBR green qualitative Real-Time PCR, and amplicons were sequenced. The species with the highest prevalence was D. novemcinctus, mainly in the Central-West, South, and Southeast regions of Brazil. We detected M. leprae DNA in 32 (41 %) of the 78 individuals and M. lepromatosis DNA was not identified in any of the examined samples. The zoonotic component of leprosy may play a role in the transmission of the disease in endemic areas in which environmental conditions and contact with reservoirs must be investigated.


Assuntos
Tatus , Hanseníase , Mycobacterium leprae , Tatus/microbiologia , Brasil/epidemiologia , Animais , Mycobacterium leprae/genética , Mycobacterium leprae/isolamento & purificação , Prevalência , Hanseníase/epidemiologia , Hanseníase/microbiologia , Mycobacterium/genética , Mycobacterium/isolamento & purificação , Mycobacterium/classificação , DNA Bacteriano/genética , Reação em Cadeia da Polimerase em Tempo Real
15.
Clin Exp Immunol ; 170(1): 77-85, 2012 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-22943203

RESUMO

When total splenectomy is inevitable, heterotopic splenic autotransplantation seems to be the only alternative to maintain the functions of the spleen. The present study was carried out to analyse the critical mass of splenic autotransplant (SAT) for the development of phagocytic activity in rats. Wistar rats were submitted to total splenectomy (TS) alone or in combination with slices of SAT ranging from an average rate of 21·9% (one slice) to 100% (five slices) of the total splenic mass implanted into the greater omentum. Sixteen weeks after the beginning of the experiment, the animals were inoculated intravenously with a suspension of Escherichia coli labelled with Tc-99m. After 20 min, the rats were killed and the liver, lung and spleen or SAT, as well as blood samples were removed to determine the percentage of labelled bacteria uptake in these tissues. As the percentage of the total splenic mass contained in the SAT increased, the bacteria remaining in the blood decreased. From the implant of 26% up to the implant of the total splenic mass (100%) there was no difference in the bacteria remaining in the blood between the healthy animals of the control group and those submitted to TS combined with SAT. This finding shows that the critical mass needed for the development of phagocytic activity of macrophages in splenic autotransplants in adult rats is 26% of the total splenic mass.


Assuntos
Macrófagos/imunologia , Fagocitose , Baço/imunologia , Baço/transplante , Animais , Escherichia coli/imunologia , Infecções por Escherichia coli/imunologia , Humanos , Macrófagos/microbiologia , Masculino , Omento/imunologia , Tamanho do Órgão/imunologia , Ratos , Ratos Wistar , Baço/anatomia & histologia , Esplenectomia , Transplante Autólogo/imunologia
16.
HIV Med ; 13(4): 219-25, 2012 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-22136745

RESUMO

INTRODUCTION: Portugal is the European country with the highest frequency of HIV-2 infection, which is mainly concentrated in West Africa. The cumulative number of notified HIV-2 infections in Portugal was 1813 by the end of December 2008. To better characterize the dynamics of HIV-2 infection in the country and to obtain data that may be of use in the prevention of the spread of HIV-2, we evaluated a large pooled sample of patients. PATIENTS AND METHODS: Five Portuguese hospitals provided data on HIV-2-infected patients from 1984 to the end of 2007. Data concerning demographic characteristics and clinical variables were extracted. Patients were stratified according to date of diagnosis in approximately 5-year categories. RESULTS: The sample included 442 patients, accounting for 37% of all HIV-2 infections notified in Portugal during that period. HIV-2-infected patients showed clearly different characteristics according to the period of diagnosis. Until 2000, the majority of HIV-2-infected patients were Portuguese-born males living in the north of the country. From 2000 to 2007, most of the patients diagnosed with HIV-2 infection had a West African origin, were predominantly female and were living in the capital, Lisbon. The average age at diagnosis and loss to follow-up significantly increased over time. CONCLUSION: HIV-2 infection has been documented in Portugal since the early 1980s and its epidemiology appears to reflect changes in population movement. These include the movements of soldiers and repatriates from African territories during the independence wars and, later, migration and mobility from high-endemicity areas. The findings of this study stress the importance of promoting migrant-sensitive health care.


Assuntos
Infecções por HIV/epidemiologia , HIV-2 , Dinâmica Populacional , Adulto , Feminino , Infecções por HIV/transmissão , Humanos , Masculino , Pessoa de Meia-Idade , Portugal/epidemiologia , Adulto Jovem
17.
Phys Rev Lett ; 108(20): 201302, 2012 May 18.
Artigo em Inglês | MEDLINE | ID: mdl-23003137

RESUMO

We report the final results of the Phase II SIMPLE measurements, comprising two run stages of 15 superheated droplet detectors each, with the second stage including an improved neutron shielding. The analyses include a refined signal analysis, and revised nucleation efficiency based on a reanalysis of previously reported monochromatic neutron irradiations. The combined results yield a contour minimum of σp=5.7×10(-3) pb at 35 GeV/c2 in the spin-dependent sector of weakly interacting massive particle (WIMP) proton interactions, the most restrictive to date for MW}≤60 GeV/c2 from a direct search experiment and overlapping, for the first time, with results previously obtained only indirectly. In the spin-independent sector, a minimum of 4.7×10(-6) pb at 35 GeV/c2 is achieved, with the exclusion contour challenging a significant part of the light mass WIMP region of current interest.

18.
J Endocrinol Invest ; 35(11): 964-70, 2012 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-22186163

RESUMO

BACKGROUND: Combination antiretroviral therapy (cART) is associated with lipodystrophy (lipoatrophy and lipoaccumulation) and several metabolic abnormalities that together can contribute to an increased cardiovascular risk. The aim of this study was to evaluate the prevalence of obesity in patients on cART according to the presence of clinical lipodystrophy (CL) and to analyze factors associated with obesity. METHODS: We evaluated 368 HIV-infected adults on cART. RESULTS: CL was present in 59.0%. Independently of gender, patients with CL were more frequently underweight [5.7% (21/368)] and of normal weight [47.3% (174/368)], and less frequently overweight [33.2% (122/368)] or obese [13.9% (51/368)]. Mean body mass index was higher in patients with abdominal prominence regardless of the presence of clinical lipoatrophy. Patients with CL had lower waist circumference, higher waist/hip and fat mass ratio and lower total and subcutaneous fat, without significant difference in visceral fat but with a higher visceral/subcutaneous fat ratio, as evaluated by CT at abdominal level. CL was significantly less frequent in overweight [odds ratio (OR)=0.21, 95% confidence interval (CI): 0.05-0.92] and obese (OR=0.05, 95%CI: 0.01-0.26) patients, when compared to underweight ones, independent of age, gender, duration of infection, cART regimen, virological suppression, and HIV-infection risk factor. CONCLUSIONS: Being overweight or obese is highly prevalent in HIV-infected patients on cART. Patients with CL were more frequently under- or normal weight, and less frequently overweight or obese. Obesity is a condition that should be considered in HIV patients on cART.


Assuntos
Fármacos Anti-HIV/uso terapêutico , HIV-1/isolamento & purificação , Síndrome de Lipodistrofia Associada ao HIV/complicações , Obesidade/virologia , Composição Corporal , Índice de Massa Corporal , Contagem de Linfócito CD4 , Estudos Transversais , Feminino , Síndrome de Lipodistrofia Associada ao HIV/tratamento farmacológico , Humanos , Modelos Logísticos , Masculino , Portugal , RNA Viral/sangue , Circunferência da Cintura , Relação Cintura-Quadril
19.
J Econ Entomol ; 105(2): 329-37, 2012 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-22606800

RESUMO

Huanglongbing (HLB) is a severe citrus (Citrus spp.) disease associated with the bacteria genus Candidatus Liberibacter, detected in Brazil in 2004. Another bacterium was found in association with HLB symptoms and characterized as a phytoplasma belonging to the 16SrIX group. The objectives of this study were to identify potential leafhopper vectors of the HLB-associated phytoplasma and their host plants. Leafhoppers were sampled every other week for 12 mo with sticky yellow cards placed at two heights (0.3 and 1.5 m) in the citrus tree canopy and by using a sweep net in the ground vegetation of two sweet orange, Citrus sinensis (L.) Osbeck, groves infected by the HLB-phytoplasma in São Paulo state. Faunistic analyses indicated one Agalliinae (Agallia albidula Uhler) and three Deltocephalinae [Balclutha hebe (Kirkaldy), Planicephalus flavicosta (Stål), and Scaphytopius (Convelinus) marginelineatus (Stål)] species, as the most abundant and frequent leafhoppers (Hemiptera: Cicadellidae). Visual observations indicated an association of leafhopper species with some weeds and the influence of weed species composition on leafhopper abundance in low-lying vegetation. S. marginelineatus and P. flavicosta were more frequent on Sida rhombifolia L. and Althernantera tenella Colla, respectively, whereas A. albidula was observed more often on Conyza bonariensis (L.) Cronq. and B. hebe only occurred on grasses. DNA samples of field-collected S. marginelineatus were positive by polymerase chain reaction and sequencing tests for the presence of the HLB-phytoplasma group, indicating it as a potential vector. The association of leafhoppers with their hosts may be used in deciding which management strategies to adopt against weeds and diseases in citrus orchards.


Assuntos
Citrus/microbiologia , Hemípteros/microbiologia , Insetos Vetores/microbiologia , Phytoplasma/fisiologia , Doenças das Plantas/microbiologia , Plantas Daninhas/crescimento & desenvolvimento , Animais , Brasil , DNA Bacteriano/análise , Hemípteros/classificação , Insetos Vetores/classificação , Phytoplasma/classificação , Phytoplasma/genética , Phytoplasma/isolamento & purificação , Reação em Cadeia da Polimerase , Densidade Demográfica , Análise de Sequência de DNA , Especificidade da Espécie
20.
Water Sci Technol ; 66(11): 2453-60, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-23032778

RESUMO

Pushed by demand for renewable energy, the ethanol industry in Brazil is expanding. However, production of 1 m(3) of ethanol generates around 13 m(3) of liquid residues (vinasse), so this expansion results in an increasing need for a more adequate destination of these residues. Nowadays the vinasse is dispersed on the sugar cane fields in the practice of fertirrigation, but anaerobic digestion of this residue may be a better solution, additionally offering an alternative source of energy, able to complement hydroelectric power supply in the dry season. However, when trying to digest vinasse at reduced hydraulic retention times, complications arise from its strong tendency toward acidification, upsetting the fragile balance of transformations normally occurring under anaerobic conditions. For successful operation of an anaerobic treatment process with acceptable hydraulic residence times, increasing alkalinity levels inside the reactor is neces-sary. In the present work we show that pH regulation by means of urea dosing, in spite of the risk posed by ammonia toxicity towards methanogenic biomass, can be a viable alternative to avoid vinasse acidification. The ammonia formed in urea conversion remains in solution, rather than escaping to the biogas, and so its use as fertiliser can offset its cost of application in the process.


Assuntos
Biocombustíveis , Resíduos Industriais , Saccharum , Ureia/química , Anaerobiose , Biomassa , Reatores Biológicos , Etanol , Fertilizantes , Concentração de Íons de Hidrogênio
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