Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 37
Filtrar
1.
Genet Mol Res ; 16(1)2017 Mar 30.
Artigo em Inglês | MEDLINE | ID: mdl-28363012

RESUMO

The Fluorescence Image Analyzer (FLIMA) software was developed for the quantitative analysis of images generated by fluorescence in situ hybridization (FISH). Currently, the images of FISH are examined without a coefficient that enables a comparison between them. Through GD Graphics Library, the FLIMA software calculates the amount of pixels on image and recognizes each present color. The coefficient generated by the algorithm shows the percentage of marks (probes) hybridized on the chromosomes. This software can be used for any type of image generated by a fluorescence microscope and is able to quantify digoxigenin probes exhibiting a red color, biotin probes exhibiting a green color, and double-FISH probes (digoxigenin and biotin used together), where the white color is displayed.


Assuntos
Processamento de Imagem Assistida por Computador/métodos , Hibridização in Situ Fluorescente/métodos , Microscopia de Fluorescência/métodos , Cromossomos , Estudos de Avaliação como Assunto , Hibridização de Ácido Nucleico , Software
2.
Oral Dis ; 22(7): 658-64, 2016 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-27250598

RESUMO

OBJECTIVE: Interleukin-1 beta (IL1B) pathway is a key player in orthodontic-induced external apical root resorption (EARR). The aim of this work was to identify the genes related to the IL1 pathway as possible candidate genes for EARR, which might be included in an integrative predictive model of this complex phenotype. MATERIALS AND METHODS: Using a stepwise multiple linear regression model, 195 patients who had undergone orthodontic treatment were assessed for clinical and genetic factors associated with %EARRmax (maximum %EARR value obtained for each patient). The four maxillary incisors and the two maxillary canines were assessed. Three functional single nucleotide polymorphisms (SNPs) were genotyped: rs1143634 in IL1B gene, rs315952 in IL1RN gene, and rs1059703 in X-linked IRAK1 gene. RESULTS: The model showed that four of the nine clinical variables and one SNP explained 30% of the %EARRmax variability. The most significant unique contributions to the model were gender (P = 0.001), treatment duration (P < 0.001), premolar extractions (P = 0.003), Hyrax appliance (P < 0.001), and homozygosity/hemizygosity for variant C from IRAK1 gene (P = 0.018), which proved to be a protective factor. CONCLUSION: IRAK1 polymorphism is proposed as a protective variant for EARR.


Assuntos
Quinases Associadas a Receptores de Interleucina-1/genética , Interleucina-1beta/metabolismo , Ortodontia , Reabsorção da Raiz/genética , Adolescente , Feminino , Variação Genética , Humanos , Masculino , Polimorfismo de Nucleotídeo Único
3.
Braz J Biol ; 84: e281971, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38985061

RESUMO

Producers of fish have been looking for viable alternatives for the management of Colossoma macropomum (tambaqui) in confinement systems in order to avoid the harm and subsequent losses caused by parasitic diseases. One alternative used by farmers is pesticides, such as trichlorfon, which has a genotoxic effect. Thus, this study aimed to evaluate the changes in gene expression due to the side effects of trichlorfon in tambaqui. Two treatments were used based on LC50-96h of 0.870 mg/L using 30% and 50% trichlorfon with exposure periods of 48, 72 and 96 h. For differential expression of the genes in the liver, real-time PCR was performed for the AChE, GST, CYP2J6, CYP2C8, 18S and GAPDH genes. After 96 h of exposure to trichlorfon, an alteration in the gene expression profile of the antioxidant defense system (GST) of the tambaqui was observed. It was also observed that this organophosphate did not affect the expression of genes related to the isoenzymes that are responsible for the biotransformation of xenobiotics in phase I (2J6 and 2C8) and cholinesterase AChE. It was concluded that the reduction in gene expression of GST suggests a decrease in metabolization capacity in phase II.


Assuntos
Caraciformes , Triclorfon , Animais , Triclorfon/toxicidade , Biomarcadores , Reação em Cadeia da Polimerase em Tempo Real , Poluentes Químicos da Água/toxicidade , Fígado/efeitos dos fármacos , Fatores de Tempo , Inseticidas/toxicidade
4.
Acta Neurol Scand ; 120(3): 191-7, 2009 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-19133864

RESUMO

OBJECTIVES: To describe the clinical and epidemiological aspects of post-polio syndrome (PPS) and identify predictors of its severity. MATERIALS AND METHODS: 132 patients with PPS were selected at the Neuromuscular Disease Outpatient Clinic of the Federal University of São Paulo. Descriptive analysis was carried out and predictors of PPS severe forms were investigated using an unconditional logistic regression. RESULTS: The average age at onset was 39.4 years. The most common symptoms were fatigue (87.1%), muscle pain (82.4%) and joint pain (72.0%); 50.4% of the cases were severe. The following were associated with PPS severity: a < or =4-year period of neurological recovery (OR 2.8), permanent damage in two limbs (OR 3.6) and residence at the time of acute polio in a city with more advanced medical assistance (OR 2.5). CONCLUSIONS: Health professionals should carefully evaluate polio survivors for PPS and be aware of the implications of muscle overuse in the neurological recovery period.


Assuntos
Síndrome Pós-Poliomielite/diagnóstico , Síndrome Pós-Poliomielite/epidemiologia , Adulto , Idade de Início , Brasil/epidemiologia , Creatina Quinase/sangue , Avaliação da Deficiência , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Síndrome Pós-Poliomielite/sangue , Prognóstico , Análise de Regressão , Fatores de Risco , Índice de Gravidade de Doença
5.
Vet Parasitol ; 155(3-4): 299-307, 2008 Aug 17.
Artigo em Inglês | MEDLINE | ID: mdl-18562119

RESUMO

The present work aimed to evaluate the endectocide activity of a new injectable long-action formulation, containing ivermectin (IVM) and abamectin (ABA). In each one of the four experiments performed, the following groups were formed: group I: 2.25% IVM (450 microg/kg)+1.25% ABA (250 microg/kg), group II: 3.15% IVM (630 microg/kg) and group III: control. Eighteen bovine naturally infected by gastrointestinal nematoda were selected for anthelmintic evaluation and necropsied on posttreatment day (PTD) 14 to estimate the total parasitic burden. For the Rhipicephalus (Boophilus) microplus field trial, 30 bovine were selected by means of counts of semi-engorged R. (B.) microplus and the therapeutic and residual efficacy evaluated by tick counts on PTDs 1, 3, 7, 14, 21, 28, 35, 42, 49, 56, 63, 70, 77, 84 and 91. In the stall test, 15 calves were artificially infested with 5000 R. (B.) microplus (Mozzo strain) larvae three times a week and daily collections of all the engorged female ticks detached from each calf were performed until the PTD 80. Forty bovine naturally infected with Dermatobia hominis larvae were selected and the number of larvae was counted by visual and tactile inspection on PTDs 3, 7, 14, 28, 35, 49, 63, 77, 91 and 105. In this trial, a formulation containing 1% doramectin (200 microg/kg) was also used. IVM+ABA formulation and 3.15% IVM eliminated four of the eight species of nematode identified. The anthelmintic efficacy of the avermectins association against Haemonchus placei, Cooperia spatulata and C. punctata was 89.64%, 98.84% and 97.69%, while 3.15% IVM achieved 30.98%, 84.79% and 75.56%, respectively. The two formulations evaluated showed reduced acaricide action on the PTD 1 and 3, reaching high efficacy percentages from PTD 14 onward. The IVM+ABA showed efficacy above 95% in the period between PTDs 21 and 49. In the stall test, it observed no difference (P>0.05) between the two formulations regarding the R. (B.) microplus counts during the entire evaluation period. IVM+ABA reduced the number of ticks from the PTD 1 to 77 (P<0.05) and 3.15% IVM reduced (P<0.05) the tick number from PTD 4 up to PTD 80. The three endectocides showed no difference (P>0.05) regarding the number of D. hominis larvae and prevented this parasite reestablishment until PTD 105. These results indicate that the IVM+ABA association showed higher anthelmintic activity and similar efficacy against arthropods to the formulation containing 3.15% IVM.


Assuntos
Antiparasitários/farmacologia , Doenças dos Bovinos/tratamento farmacológico , Ectoparasitoses/veterinária , Ivermectina/análogos & derivados , Ivermectina/farmacologia , Infecções por Nematoides/veterinária , Animais , Bovinos , Doenças dos Bovinos/parasitologia , Dípteros/efeitos dos fármacos , Combinação de Medicamentos , Ectoparasitoses/tratamento farmacológico , Ectoparasitoses/parasitologia , Feminino , Larva/efeitos dos fármacos , Masculino , Nematoides/efeitos dos fármacos , Infecções por Nematoides/tratamento farmacológico , Rhipicephalus/efeitos dos fármacos
6.
Rev Port Pneumol (2006) ; 23(1): 10-16, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-27561723

RESUMO

BACKGROUND: Asthma and rhinitis have a complex etiology, depending on multiple genetic and environmental risk factors. An increasing number of susceptibility genes are currently being identified, but the majority of reported associations have not been consistently replicated across populations of different genetic backgrounds. PURPOSE: To evaluate whether polymorphisms of IL4R (rs1805015), IL13 (rs20541), IL17A (rs2275913) and GSTP1 (rs1695) genes are associated with rhinitis and/or asthma in adults of Portuguese ancestry. METHODS: 192 unrelated healthy individuals and 232 patients, 83 with rhinitis and 149 with asthma, were studied. All polymorphisms were detected by real time polymerase chain reaction (PCR) using TaqMan assays. RESULTS: Comparing to controls, significant association with asthma was observed for GSTP1 rs1695 AA genotype (odds ratio (OR) - 1.96; 95% CI - 1.18 to 3.25; p=0.010). The association sustains for allergic asthma (OR - 2.17; 95% CI - 1.23 to 3.80; p=0.007). IL13 rs20541 GG genotype was associated with less susceptibility to asthma (OR - 0.55, 95% CI - 0.33 to 0.94, p=0.028). Among patients, IL17A rs2275913 AA genotype was less associated with asthma than with rhinitis (OR - 0.20; 95% CI of 0.07 to 0.56; p=0.002). A similar association was found for IL13 rs20541 GG genotype (OR - 0.48; 95% CI of 0.25 to 0.93; p=0.031). There were no significant differences in the distribution of allelic and genotypic frequencies between patients and controls for the IL4R polymorphism' analyzed. CONCLUSION: These results support the existence of a significant association between GSTP1 rs1695 and IL13 rs20541 SNPs, with susceptibility to asthma, in the population studied. Different genotype profiles of IL17A and IL13 genes seem to influence the clinical pattern of disease expression mainly confined to the upper airways, as rhinitis, or including the lower airways, as asthma.


Assuntos
Asma/genética , Glutationa S-Transferase pi/genética , Interleucina-13/genética , Interleucina-17/genética , Polimorfismo Genético , Rinite/genética , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Portugal
7.
Neoplasma ; 53(6): 538-43, 2006.
Artigo em Inglês | MEDLINE | ID: mdl-17167725

RESUMO

In breast cancer, the correct evaluation of cancer dissemination is essential to establish prognosis and treatment choices. This study analyses the relationship between circulating levels of soluble VCAM-1 and E-selectin and the presence of circulating cancer cells in breast cancer patients. Plasma levels of VCAM-1 and E-selectin were measured by enzyme-linked immunosorbent assay (ELISA). The presence of circulating cancer cells was diagnosed using a RT nested-PCR assay detecting the cancer specific transcript, epidermal growth factor receptor variant III (EGFRvIII) mRNA. Blood samples were collected from 64 patients divided in three groups: group A of 11 women selected for neoadjuvant chemotherapy; group B of 13 women with metastatic disease and group C, with 40 women having completed their treatment at least one year ago and with no evidence of relapse. The mutant transcript was detected in 45.5% of patients from group A, in 61.5% of patients from group B and in none of the group C patients. For both VCAM-1 and E-selectin, plasma levels increased with disease staging and with the presence of EGFRvIII mRNAin peripheral blood. The differences were statistically significant (p < 0.025) when group C was compared with all patients from group B, with patients from group B with EGFRvIII positive results or with all patients with EGFRvIII positive results. Increased plasma levels of VCAM-1 and E-selectin are associated with advanced stage of breast cancer and with the presence of circulating cancer cells. The combined analysis of these parameters may contribute to a more accurate evaluation of cancer dissemination.


Assuntos
Biomarcadores Tumorais/sangue , Neoplasias da Mama/sangue , Selectina E/sangue , Células Neoplásicas Circulantes/metabolismo , Molécula 1 de Adesão de Célula Vascular/sangue , Antineoplásicos/uso terapêutico , Neoplasias da Mama/tratamento farmacológico , Neoplasias da Mama/genética , Estudos de Casos e Controles , Quimioterapia Adjuvante , Receptores ErbB/genética , Receptores ErbB/metabolismo , Feminino , Humanos , Metástase Linfática , Pessoa de Meia-Idade , Terapia Neoadjuvante , Estadiamento de Neoplasias , Prognóstico , RNA Mensageiro/genética , RNA Mensageiro/metabolismo , RNA Neoplásico/genética , RNA Neoplásico/metabolismo , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Taxa de Sobrevida
8.
J Cancer Res Clin Oncol ; 141(5): 851-60, 2015 May.
Artigo em Inglês | MEDLINE | ID: mdl-25388590

RESUMO

OBJECTIVES: Tobacco exposure remains the main etiologic factor for lung cancer (LC). Interactions between environment and individual genetic profile are particularly important for this disease. The aim of this study was to evaluate the contribution of CYP1A1*2A, CYP1A1*2C, CYP2D6*4, GSTP1, GSTM1, GSTT1 and NAT2 polymorphisms for the susceptibility to LC in a Portuguese population considering their demographic and clinical characteristics. MATERIALS AND METHODS: A total of 200 LC and 247 controls subjects from the Centre of Portugal were studied. Clinical and demographic characteristics were collected from clinical files and by individual questionnaires. Polymorphisms of CYP1A1*2A, CYP1A1*2C, CYP2D6*4, GSTP1, GSTM1, GSTT1 and NAT2 were genotyped using PCR-RFLP, PCR multiplex, ARMS and real time. RESULTS: Gender, family history of cancer, smoke cessation and alcohol consumption were independent risk factors (p < 0.05). Associations found between phases I and II genes and LC population reveal a sex dependent distribution. Logistic regression analysis demonstrates that enhanced activation by CYPs, associated by reduced or loss of function of phase II enzymes, can lead to a greater risk. GSTP1 and NAT2 polymorphisms studied have a significant contribution for the histological tumour types and the presence of metastases, at time of diagnosis, respectively, when males with smoking habits were considered. CONCLUSION: Multiple interactions between environment and individual characteristics are clearly associated to this disease. Variants of the detoxification genes may act synergistically contributing to this disease and modifying the risk posed by smoking and sex. The GSTT1*0 and GSTP1 (Ile462Val) might contribute to the malignant phenotype through different mechanisms.


Assuntos
Arilamina N-Acetiltransferase/genética , Citocromo P-450 CYP1A1/genética , Citocromo P-450 CYP2D6/genética , Interação Gene-Ambiente , Glutationa Transferase/genética , Neoplasias Pulmonares/genética , Polimorfismo Genético , Adulto , Idoso , Consumo de Bebidas Alcoólicas , Estudos de Casos e Controles , Feminino , Predisposição Genética para Doença , Genótipo , Glutationa S-Transferase pi/genética , Humanos , Modelos Logísticos , Neoplasias Pulmonares/mortalidade , Neoplasias Pulmonares/patologia , Masculino , Pessoa de Meia-Idade , Estadiamento de Neoplasias , Razão de Chances , Portugal , Fatores de Risco , Fatores Sexuais , Fumar/efeitos adversos , Inquéritos e Questionários , Análise de Sobrevida
9.
Melanoma Res ; 9(1): 40-50, 1999 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-10338333

RESUMO

A multitherapy resistance (MTR) factor produced by Cloudman S91 mouse melanoma cells rescues a responsive cell line after gamma-irradiation, short wavelength ultraviolet light, mitomycin C, vinblastine and actinomycin D. A similar activity with respect to ionizing radiation is now shown to be produced by human melanoma cells and by both human and mouse breast cancer cells but not by five normal cell lines. In these studies, the factor produced in serum-free conditioned medium (SFCM) by Cloudman S91/I3 cells is further characterized. Its activity in a clonogenic assay using related Cloudman S91/amel cells is destroyed by trypsin but not by DNase and is stable for at least 8 days at a variety of temperatures including 37 degrees C. Molecules greater than 30 kDa from SFCM collected from S91/I3 cells were concentrated and separated by preparative zonal electrophoresis (PZE). Bioactivity was present in both the cathode- and the anode-running fractions. The active acidic (anode) fractions were analysed by preparative isoelectric focusing. Bioactivity was present between pI 3.5 and 4.2. These PZE fractions were also used to immunize two rabbits, both of which produced antiserum that abrogated the bioactivity of SFCM and of the PZE cathode fractions. Antiserum also decreased the survival of irradiated S91/I3 producer cells that do not respond to SFCM but nonetheless must require MTR proteins for the expression of radiation resistance. These studies present a model for the production of rescue factors by non-clonogenic tumour cells that may persist in some tumours for considerable periods of time.


Assuntos
Sistemas de Transporte de Aminoácidos Neutros , Melanoma/metabolismo , Proteínas de Membrana/química , Proteínas de Membrana Transportadoras/química , Proteínas de Neoplasias/metabolismo , Animais , Meios de Cultura Livres de Soro , Relação Dose-Resposta à Radiação , Eletroforese , Humanos , Soros Imunes , Proteínas de Membrana/efeitos dos fármacos , Proteínas de Membrana/imunologia , Proteínas de Membrana/efeitos da radiação , Proteínas de Membrana Transportadoras/efeitos dos fármacos , Proteínas de Membrana Transportadoras/imunologia , Proteínas de Membrana Transportadoras/efeitos da radiação , Camundongos , Família Multigênica , Proteínas de Neoplasias/imunologia , Células Tumorais Cultivadas
10.
Genet Test ; 4(4): 383-6, 2000.
Artigo em Inglês | MEDLINE | ID: mdl-11216663

RESUMO

Malignant hyperthermia (MH) and central core disease (CCD) are two conditions associated with susceptibility to volatile anesthetics and depolarizing muscle relaxants. The gene RYR1, encoding the Ca2+ release channel of skeletal muscle sarcoplasmic reticulum, is responsible for about 50% of the cases of MH and some cases of CCD. However, genetic heterogeneity occurs in MH and a mutation in a second gene (CACLN1A3), encoding the alpha1-subunit of the dihydropyridine (DHP) channel, has recently been found in a large MH French family. The presence of this mutation in patients with CCD has not yet been reported. In this study, we analyzed the A3333G mutation in 5 unrelated patients affected by CCD and 31 MH-susceptible relatives (from 19 MH families) and did not find this mutation in any of them. Nevertheless, the report of data on newly described mutations in different populations is important to estimate the contributions of each gene mutation to the phenotype of MH and CCD.


Assuntos
Canais de Cálcio/genética , Hipertermia Maligna/genética , Mutação/genética , Miopatia da Parte Central/genética , Adulto , Canais de Cálcio Tipo L/genética , Criança , Pré-Escolar , Análise Mutacional de DNA , Feminino , Histocitoquímica , Humanos , Masculino , Músculos/citologia , Fenótipo , Reação em Cadeia da Polimerase
11.
Arch Oral Biol ; 46(9): 875-9, 2001 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-11420061

RESUMO

Cyclosporin A (CyA) is a cyclic peptide used as an immunosuppressive agent because it can block the synthesis of interleukin-2 and other cytokines produced by CD4+ lymphocytes. It is widely used for the prevention of allograft rejection and treatment of autoimmune diseases. Several side-effects of CyA treatment have been reported, among which are chronic nephrotoxicity, hepatotoxicity and neurotoxicity, lymphoproliferative neoplasms, hypertension, thromboembolic complications and gingival overgrowth. Here, using a rat molar model, it is demonstrated that CyA immunosuppression inhibits the activity of matrix metalloproteinases 2 and 9 in the early phase of granulation tissue in the healing dental socket. These observations suggest that CyA may interfere with the wound healing following dental extractions.


Assuntos
Ciclosporina/farmacologia , Imunossupressores/farmacologia , Inibidores de Metaloproteinases de Matriz , Extração Dentária , Alvéolo Dental/enzimologia , Cicatrização/efeitos dos fármacos , Animais , Eletroforese em Gel de Poliacrilamida/métodos , Distribuição Aleatória , Ratos , Ratos Wistar
12.
Int J Vitam Nutr Res ; 64(2): 98-103, 1994.
Artigo em Inglês | MEDLINE | ID: mdl-7960498

RESUMO

The objective of the present paper was to study the interaction of Neomycin and aluminium hydroxide with vitamin A in terms of the effect of these drugs on the bioavailability of vitamin A in the rat. Bioavailability was determined on the basis of the effects of the drugs on growth and on the plasma and hepatic levels of the vitamin. Vitamin A deficient animals were used in assay 1 and normal animals in assay 2. In each assay the animals were divided into 3 groups: one received Neomycin sulfate (0.1% in the diet), the second received aluminium hydroxide (0.05% in the diet) and the third (control) received no drug. Each of these three groups was subdivided into two groups receiving two different concentrations of vitamin A palmitate. The bioavailability of vitamin A was estimated by the parallel line method from the concentration of vitamin A in the diet and in the liver of the animals. No significant differences in growth or plasma retinol levels were observed between the groups of animals studied in assays 1 and 2. Total vitamin A concentration in the liver of the animals which received Neomycin was lower (p < 0.05) than that observed in the controls. Neomycin reduced the bioavailability of vitamin A by 13.9% (maximum, 18.1% and minimum, 9.6%) in assay 1 and by 13.5% (maximum, 17.7% and minimum, 9.3%) in assay 2. Aluminium hydroxide at the level tested did not affect the bioavailability of vitamin A.


Assuntos
Hidróxido de Alumínio/farmacologia , Neomicina/farmacologia , Vitamina A/metabolismo , Animais , Disponibilidade Biológica , Interações Medicamentosas , Feminino , Cinética , Fígado/efeitos dos fármacos , Fígado/metabolismo , Masculino , Ratos , Ratos Wistar , Vitamina A/sangue , Deficiência de Vitamina A/metabolismo , Aumento de Peso
13.
Arq Neuropsiquiatr ; 57(4): 921-6, 1999 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-10683680

RESUMO

Five patients with a tumefactive lesion were clinically followed from 1992 to 1993. Four patients were female; age ranged from 32 to 57 years, the duration of symptoms varied from 3 days to 3 years. Neurological examination disclosed dementia in two patients, aphasia in three, hemiparesis in four, hemihypoaesthesia in three, optical neuritis in two, tetraparesis with sensitive level and neurogenic bladder in one. MRI disclosed lesions with a hypersignal on images assessed at T2 and hyposignal at T1, and gadolinium heterogeneous enhancement; these lesions were located in the: a) temporooccipital region bilaterally and brain stem, b) frontoparietal white matter, c) basal ganglia, bilateral white matter and brain stem, d) left parietal region, e) cervical spinal cord, with enlargement of this region. Cerebral biopsy was performed in three patients; acute and subacute demyelinating disease was diagnosed by histological examination. Two patients had an evolutive diagnosis; exclusion of other pathologies and clinical and radiological improvement after corticotherapy, pointed to an inflammatory disease.


Assuntos
Encefalopatias/patologia , Doenças Desmielinizantes/patologia , Imageamento por Ressonância Magnética , Doenças da Medula Espinal/patologia , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
14.
Arq Neuropsiquiatr ; 57(3B): 798-807, 1999 Sep.
Artigo em Português | MEDLINE | ID: mdl-10751915

RESUMO

Eleven epileptic men who complained of epilepsy and sexual dysfunction were submitted to a multidisciplinary evaluation. Mean age was 27 years (20-34), mean epilepsy duration was 19 years (0.5-32) and the mean seizure frequency was two by week (0-7). Ten patients had partial seizures and one other had myoclonic epilepsy. Ten patients were treated with antiepileptic drugs (phenytoin--1, carbamazepine--8, clonazepam--3, clobazam--2, valproic acid--3, vigabatrin--1). As defined in the DSM III-R, the complaints were: erectile disorder (9), hypoactive sexual desire disorder (4), frotteurism (4), inhibited orgasm (3), premature ejaculation (3), fetishism (2), voyeurism (2), exhibitionism (2), pedophilia (1) and sexual aversion disorder (1). Two patients showed hypogonadotropic hypogonadism on endocrinologic screening. Urological evaluation disclosed organic erectile dysfunction in other two. One patient had a diagnosis of psychogenic sexual disorder. In six patients a conclusive etiologic diagnosis was not reached. This report shows the multifactorial nature of sexual disorder in epilepsy and underlies the need of a multidisciplinar evaluation.


Assuntos
Epilepsias Parciais/fisiopatologia , Doença de Lafora/fisiopatologia , Disfunções Sexuais Fisiológicas/fisiopatologia , Adulto , Epilepsias Parciais/complicações , Humanos , Doença de Lafora/complicações , Masculino , Disfunções Sexuais Fisiológicas/etiologia
15.
Arq Neuropsiquiatr ; 56(2): 258-66, 1998 Jun.
Artigo em Português | MEDLINE | ID: mdl-9698738

RESUMO

PURPOSE: To evaluate the cardiopulmonary exercise testing (CPX) for the diagnosis of myopathies. METHODS: 27 patients with myopathy were submitted to CPX testing (symptom limited bike protocol). RESULTS: Dystrophic patients and patients with mitochondrial disease, compared with controls, showed significant differences for the power of work perfomed (watt) and the maximum oxygen consumption (VO2 max). Patients with mitochondrial disease presented significantly lower values of anaerobic threshold when compared to controls and elevation of exercise peak respiratory exchange ratio (RER) values when compared to the others groups. CONCLUSIONS: CPX testing may be useful in evaluating degree of physical limitation of patients with myopathy at inicial stage as well on follow-up examinations. Power of work performed, VO2 max, anaerobic threshold and RER at exercise peak may suggest the diagnosis of myopathy and its sub-types and therefore exclude psychologic causes of limitation.


Assuntos
Erros Inatos do Metabolismo/diagnóstico , Doenças Musculares/diagnóstico , Adolescente , Adulto , Idoso , Teste de Esforço , Feminino , Doença de Depósito de Glicogênio/diagnóstico , Humanos , Masculino , Pessoa de Meia-Idade , Miopatias Mitocondriais/diagnóstico , Distrofias Musculares/diagnóstico
16.
Arq Neuropsiquiatr ; 58(3A): 713-9, 2000 Sep.
Artigo em Português | MEDLINE | ID: mdl-10973114

RESUMO

Hyperthermia, skeletal muscle rigidity, rhabdomyolysis, acidosis and multiple system insufficiency characterize malignant hyperthermia. Anaesthetic malignant hyperthermia follows halogenated volatile agents and/or depolarizing muscle relaxants utilization. Diagnosis is based on in vitro muscle contracture in response to halothane and/or caffeine exposure. Neuroleptic malignant syndrome affects patients taking neuroleptic drugs; clinical findings include hyperthermia, extrapyramidal rigidity, acidosis, neurovegetative instability and neurological signs. We report three neuroleptic malignant syndrome patients with positive muscle contracture tests which shows that muscle from neuroleptic malignant syndrome patients may in some instances show alterations similar to those of anaesthetic malignant hyperthermia.


Assuntos
Hipertermia Maligna/etiologia , Síndrome Maligna Neuroléptica/complicações , Adulto , Cafeína , Contratura/etiologia , Suscetibilidade a Doenças/diagnóstico , Feminino , Halotano , Humanos , Masculino , Hipertermia Maligna/diagnóstico
17.
Arq Bras Cardiol ; 55(5): 301-3, 1990 Nov.
Artigo em Português | MEDLINE | ID: mdl-2090073

RESUMO

PURPOSE: A comparison between pathological features of chronic chagasic cardiomyopathy (CCC) in adolescents and adults. PATIENTS AND METHODS: Adolescents under the age of 15, with amastigote trypanosomal forms in the myocardium, a positive xenodiagnosis and/or serology for trypanosoma cruzi infection, were selected from 4.583 necropsies performed between 1958-86 at the Professor Edgard Santos Hospital in Bahia, Brazil. RESULTS: Nine CCC cases between the ages of 12 and 15 years were identified. Mean heart weight was under twice normal. Intracardiac thrombi were present in five (55.6%), apical left ventricle aneurysm in four (44.4%) and parasites in the myocardium in three (33.3%) cases. Systemic or pulmonary thromboembolism was found in six (66.7%) patients. Mitral regurgitation was present in six (66.7%) cases, two with valvar anatomic alterations. CONCLUSION: Pathological features of CCC in adolescents did not differ from those found in adult patients.


Assuntos
Cardiomiopatia Chagásica/patologia , Adolescente , Fatores Etários , Cardiomiopatia Chagásica/mortalidade , Criança , Feminino , Humanos , Masculino , Tamanho do Órgão
18.
Rev Assoc Med Bras (1992) ; 43(1): 40-6, 1997.
Artigo em Português | MEDLINE | ID: mdl-9224991

RESUMO

BACKGROUND: Osteopenia in systemic sclerosis (scleroderma) patients was reported in X-ray studies of hands and by proximal and distal forearm bone mass measurement. It has been suggested that bone loss in these patients might be due to chronic ischemia, immobilization and early menopause. Nevertheless, it is not established if these patients present generalized osteopenia. To shed light into this point we studied bone mineral density in the spine, proximal femur and total body in patients with systemic sclerosis. PATIENTS AND METHOD: Twenty-five Caucasian women were evaluated. Mean age of patients was 48 +/- 12 years and mean time of disease was 7 +/- 7 years; 13 were postmenopausal (8 +/- 8 years). Bone mass was measured in the spine, proximal femur and total body by using a dual-photon absorptiometry with X rays source (Lunar-Model DPX). RESULTS: Bone mass in different sites was not statistically different from the age-matched control healthy women. Mean bone mass of patients with limited form was not different from patients with diffuse form of systemic sclerosis. Patients with calcinosis had lower bone mass at proximal femur than those without this alteration. CONCLUSIONS: Patients with systemic sclerosis do not present bone loss and this disease in not a risk factor for generalized osteoporosis.


Assuntos
Densidade Óssea , Doenças Ósseas Metabólicas/etiologia , Escleroderma Sistêmico/complicações , Adulto , Idoso , Índice de Massa Corporal , Densitometria , Feminino , Humanos , Pessoa de Meia-Idade
19.
Inflammation ; 37(2): 486-94, 2014 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-24158570

RESUMO

Although assist ventilation with FIO2 0.21 is the preferable mode of ventilation in the intensive care unit, sometimes controlled ventilation with hyperoxia is needed. But the impact of this setting has not been extensively studied in elderly subjects. We hypothesized that a high fraction of inspired oxygen (FiO(2)) and controlled mechanical ventilation (CMV) is associated with greater deleterious effects in old compared to adult subjects. Adult and old rats were submitted to CMV with low tidal volume (6 ml/kg) and FiO(2) 1 during 3 or 6 h. Arterial blood gas samples were measured at 0, 60 and 180 min (four groups: old and adult rats, 3 or 6 h of CMV), and additionally at 360 min (two groups: old and adult rats, 6 h of CMV). Furthermore, total protein content (TPC) and tumor necrosis factor-alpha (TNF-α) in bronchoalveolar lavage were assessed; lung tissue was used for malondialdehyde and histological analyses, and the diaphragm for measurement of contractile function. Arterial blood gas analysis showed an initial (60 min) greater PaO(2) in elderly versus adult animals; after that time, elderly animals had lowers pH and PaO(2), and greater PaCO(2). After 3 h of CMV, TPC and TNF-α levels were higher in the old compared with the adult group (P < 0.05). After 6 h of MV, malondialdehyde was significantly higher in elderly compared with the adult animals (P < 0.05). Histological analysis showed leukocyte infiltration and edema, greater in old animals. In diaphragm, twitch contraction with caffeine significantly declined after 6 h of CMV only for the elderly group. These data support the hypothesis that relatively short-term CMV with low tidal volume and hyperoxia has greatest impact in elderly rats, decreasing diaphragmatic contractile function and increasing lung inflammation.


Assuntos
Diafragma/fisiopatologia , Hiperóxia/complicações , Pulmão/fisiopatologia , Pneumonia Associada à Ventilação Mecânica/etiologia , Respiração Artificial/efeitos adversos , Fatores Etários , Animais , Gasometria , Líquido da Lavagem Broncoalveolar/química , Modelos Animais de Doenças , Hiperóxia/sangue , Hiperóxia/imunologia , Hiperóxia/patologia , Hiperóxia/fisiopatologia , Mediadores da Inflamação/metabolismo , Pulmão/imunologia , Pulmão/patologia , Masculino , Malondialdeído/metabolismo , Contração Muscular , Pneumonia Associada à Ventilação Mecânica/sangue , Pneumonia Associada à Ventilação Mecânica/imunologia , Pneumonia Associada à Ventilação Mecânica/patologia , Pneumonia Associada à Ventilação Mecânica/fisiopatologia , Ratos , Ratos Wistar , Fatores de Risco , Volume de Ventilação Pulmonar , Fatores de Tempo , Fator de Necrose Tumoral alfa/metabolismo
20.
Arq. bras. med. vet. zootec ; Arq. bras. med. vet. zootec. (Online);68(4): 1053-1061, jul.-ago. 2016. tab, graf
Artigo em Português | LILACS, VETINDEX | ID: lil-792460

RESUMO

Identificaram-se quais indicadores de desempenho determinam a variação na lucratividade de 159 fazendas da região Triângulo Mineiro-Alto Paranaíba de Minas Gerais. A lucratividade foi mensurada pela renda líquida anual (RL), RL sobre o valor dos bens e RL sobre a renda bruta. Cento e dezenove fazendas com lucratividade positiva produziram mais leite por mão de obra e por vaca, tinham maior proporção de vacas em lactação e maior proporção de custo com concentrados, custo com mão de obra com menor proporção do custo de produção e menor relação entre o custo com mão de obra e o custo com concentrados do que as 40 fazendas com lucratividade negativa (P<0,01). A análise de componentes principais mostrou que os principais determinantes da variação na lucratividade entre fazendas foram: relação entre o custo com mão de obra e o com concentrados, custo de mão de obra por litro de leite, produção de leite por mão de obra, produção de leite por vaca e proporção de vacas lactantes no rebanho. Maior lucratividade foi associada ao uso mais eficiente da mão de obra, ao maior investimento em concentrados e ao ganho na produção por vaca.(AU)


We identified which performance indicators determined the variation in profitability of 159 farms of the Triângulo Mineiro-Alto Paranaíba region of Minas Gerais. Profitability was measured by annual net income (RL), RL over assets value, and RL over gross income. The 119 farms with positive profitability produced more milk per labor and per cow, had a greater proportion of lactating cows in the herd, had concentrates cost as a greater proportion and labor cost as a smaller proportion of the production cost, and had smaller ratio of labor cost to concentrates cost than the 40 farms with negative profitability (P<0.01). Principal component analysis showed that the key determinants of profitability variation among farms were: The ratio of labor cost to concentrates cost, labor cost per liter of milk, milk yield per labor, milk yield per cow, and the proportion of lactating cows in the herd. Increased profitability was associated with more efficient labor usage, the result of larger investment in concentrates and greater yield per cow.(AU)


Assuntos
Animais , Feminino , Bovinos , Criação de Animais Domésticos , Leite , Bovinos
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA