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1.
Morphologie ; 108(360): 100727, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-37977085

RESUMO

The discipline of anatomy is one of the pillars of training in higher education courses in health area. Since its origin, this discipline has used the traditional method as an educational strategy. Since then, the discipline has undergone changes, including other teaching methods, such as active methodologies. With the COVID-19 pandemic, declared in March 2020 and the closure of higher education institutions, the teaching of anatomy was impacted, since it was necessary to adapt the modality of face-to-face teaching to remote teaching. The present study aims to evaluate the perception of teachers regarding students' anatomy learning in relation to the types of methodologies applied in remote teaching during the pandemic. For such, a cross-sectional study was carried out, which analyzed the answers of 101 anatomy teachers. The results showed that there was no statistically significant difference regarding teachers' perception of learning in relation to the type of methodology used in remote teaching during the pandemic. There was also no difference in comparing perceptions regarding the type of methodology used before and during the pandemic. Given this, these data encourage the need for reflection in the academic community and new studies with educators and students, in order to identify factors that may improve the quality of anatomy learning.


Assuntos
COVID-19 , Pandemias , Humanos , Estudos Transversais , Aprendizagem , Percepção
2.
Eur J Prosthodont Restor Dent ; 31(3): 248-253, 2023 Aug 31.
Artigo em Inglês | MEDLINE | ID: mdl-37462683

RESUMO

The aim of this study was to verify the effect of finishing and polishing procedures and glaze application on biaxial strength and surface properties of milled feldspathic ceramic blocks. Forty disc-shaped samples (14 mm diameter, 1.2 mm thickness) were divided in four groups (n = 10): C (control): no finishing and polishing; FP: finishing and polishing; G: glaze; and GFP: finishing and polishing + glaze. The specimens were subject to surface gloss (glossmeter) and roughness (profilometer) tests followed by biaxial flexural strength (universal testing machine) and Vickers hardness (microhardness tester) tests. The surface morphological analysis was performed by scanning electron microscopy (n = 3). Data were submitted to normality tests with Shapiro-Wilk, and one-way ANOVA followed by Tukey's post hoc test (α = 0.05). Group C showed the lowest gloss. For the hardness test, groups C, FP, and GFP obtained the highest values without significant differences between them. Regarding the biaxial strength test, group C showed the lowest mean value. Both finishing and polishing methods (FP and GFP) showed surface properties similar or better than the control, and with higher biaxial strength.


Assuntos
Polimento Dentário , Porcelana Dentária , Porcelana Dentária/química , Teste de Materiais , Polimento Dentário/métodos , Desenho Assistido por Computador , Cerâmica/química , Propriedades de Superfície
3.
Cancer Invest ; 38(5): 270-276, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-32412305

RESUMO

Lung-cancer screening with chest computerized tomography (CT) is not easy to introduce in low-medium resource countries due to cost issues. We investigated whether the increasing availability of chest CT exams in Brazil, in spite of no lung-cancer screening protocol, was associated with lung-cancer death rate along 10-year follow-up. We performed regressions to estimate the rate ratio between chest CT exams and lung-cancer deaths per 105 inhabitants. We stratified data per municipality. Regressions were adjusted for physicians and hospital beds per 105 inhabitants and per capita gross domestic product. Increasing availability of chest CT exams predicted decreasing lung-cancer death rate.


Assuntos
Neoplasias Pulmonares/diagnóstico , Neoplasias Pulmonares/mortalidade , Adulto , Detecção Precoce de Câncer/métodos , Feminino , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Tomografia Computadorizada por Raios X/métodos
4.
J Appl Microbiol ; 128(5): 1236-1247, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-31922640

RESUMO

AIMS: To evaluate the inhibitory effect of five structurally different imidazolium salts on the in vitro growth of plant pathogenic bacteria that belong to divergent taxonomic genera as well as their ability to reduce the severity of common bacterial blight of common bean caused by Xanthomonas axonopodis pv. phaseoli and bacterial speck of tomato caused by Pseudomonas syringae pv. tomato. METHODS AND RESULTS: Growth inhibition of Xanthomonas, Pseudomonas, Erwinia, Pectobacterium and Dickeya strains by imidazolium salts was assessed in vitro by radial diffusion on agar medium and by ressazurin reduction in liquid medium. The reduction of common bacterial blight and bacterial speck symptoms and the area under de disease progress curves were determined by spraying two selected imidazolium salts on healthy plants 48 h prior to inoculation with virulent strains of the bacterial pathogens. All imidazolium salts inhibited the growth of all plant pathogenic bacteria when tested by radial diffusion on agar medium. The strength of inhibition differed among imidazolium salts when tested on the same bacterial strain and among bacterial strains when tested with the same imidazolium salt. In liquid medium, most imidazolium salts presented the same minimum inhibitory concentration (MIC) and minimum bactericidal concentration values (200 µmol l-1 ), the most notable exception of which was the MIC (at least 1000 µmol l-1 ) for the dicationic MImC10 MImBr2 . The imidazolium salts C16 MImBr and C16 MImCl caused significant reductions in the severity of common bacterial blight symptoms when compared with nontreated plants. CONCLUSION: Imidazolium salts inhibit the in vitro growth of plant pathogenic bacteria and reduce plant disease symptoms to levels comparable to an authorized commercial antibiotic product. SIGNIFICANCE AND IMPACT OF THE STUDY: New compounds exhibiting broad-spectrum antibacterial activity with potential use in agriculture were identified.


Assuntos
Antibacterianos/farmacologia , Bactérias/efeitos dos fármacos , Imidazóis/farmacologia , Praguicidas/farmacologia , Doenças das Plantas/prevenção & controle , Bactérias/crescimento & desenvolvimento , Testes de Sensibilidade Microbiana , Doenças das Plantas/microbiologia , Verduras/microbiologia
5.
Am J Gastroenterol ; 113(3): 396-403, 2018 03.
Artigo em Inglês | MEDLINE | ID: mdl-29460920

RESUMO

OBJECTIVES: The long-term safety of exposure to anti-tumor necrosis factor (anti-TNFα) drugs during pregnancy has received little attention. We aimed to compare the relative risk of severe infections in children of mothers with inflammatory bowel disease (IBD) who were exposed to anti-TNFα drugs in utero with that of children who were not exposed to the drugs. METHODS: Retrospective multicenter cohort study. Exposed cohort: children from mothers with IBD receiving anti-TNFα medication (with or without thiopurines) at any time during pregnancy or during the 3 months before conception. Non-exposed cohort: children from mothers with IBD not treated with anti-TNFα agents or thiopurines at any time during pregnancy or the 3 months before conception. The cumulative incidence of severe infections after birth was estimated using Kaplan-Meier curves, which were compared using the log-rank test. Cox-regression analysis was performed to identify potential predictive factors for severe infections in the offspring. RESULTS: The study population comprised 841 children, of whom 388 (46%) had been exposed to anti-TNFα agents. Median follow-up after delivery was 47 months in the exposed group and 68 months in the non-exposed group. Both univariate and multivariate analysis showed the incidence rate of severe infections to be similar in non-exposed and exposed children (1.6% vs. 2.8% per person-year, hazard ratio 1.2 (95% confidence interval 0.8-1.8)). In the multivariate analysis, preterm delivery was the only variable associated with a higher risk of severe infection (2.5% (1.5-4.3)). CONCLUSIONS: In utero exposure to anti-TNFα drugs does not seem to be associated with increased short-term or long-term risk of severe infections in children.


Assuntos
Antirreumáticos/uso terapêutico , Infecções/epidemiologia , Doenças Inflamatórias Intestinais/tratamento farmacológico , Complicações na Gravidez/tratamento farmacológico , Nascimento Prematuro/epidemiologia , Efeitos Tardios da Exposição Pré-Natal/epidemiologia , Fator de Necrose Tumoral alfa/antagonistas & inibidores , Adalimumab/uso terapêutico , Adulto , Estudos de Casos e Controles , Certolizumab Pegol/uso terapêutico , Pré-Escolar , Estudos de Coortes , Europa (Continente)/epidemiologia , Feminino , Humanos , Incidência , Lactente , Recém-Nascido , Infliximab/uso terapêutico , Estimativa de Kaplan-Meier , Masculino , Análise Multivariada , Gravidez , Modelos de Riscos Proporcionais , Estudos Retrospectivos
6.
Inflamm Res ; 67(1): 43-55, 2018 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-29151155

RESUMO

OBJECTIVE: Chronic inflammation has been recognized as having a prominent role pathogenesis of benign prostatic hyperplasia (BPH) and cancer. It is believed that chronic inflammation induces prostatic fibromuscular growth. This correlation has been clearly illustrated by both in vivo and in vitro studies; however, current experimental models of BPH require complex surgery or hormonal treatment. Therefore, the aim of the present study was to propose a new murine model of BPH/prostatitis induced by intraurethral injection of LPS. METHODS: Male Swiss and C57Bl/6 mice were then sacrificed 3, 7, 10, and 14 days after intraurethral injection of LPS. The prostates were quickly dissected and fixed for morphological and immunohistochemical analyses. RESULTS: The results showed that LPS played an important role in the cell proliferation of the prostate. Histological and ultrastructural analysis showed epithelial hyperplasia, clear stromal cells, little inflammatory infiltration, and heavy bleeding. Treatment with LPS also promoted the increase of growth factor (FGF-7 and TGF-ß), α-actin, and proinflammatory cytokines (IL-1, IL-6, IL-17), both in the stroma and epithelium. CONCLUSION: According to the present findings, it can be concluded that the intraurethral administration of LPS promotes tissue remodeling, as well as stimulating the pattern of pro-inflammatory cytokines, and therefore, constitutes an effective experimental model of BPH/inflammation.


Assuntos
Inflamação/induzido quimicamente , Lipopolissacarídeos/toxicidade , Próstata/efeitos dos fármacos , Hiperplasia Prostática/induzido quimicamente , Animais , Citocinas/imunologia , Modelos Animais de Doenças , Fator 7 de Crescimento de Fibroblastos/imunologia , Inflamação/imunologia , Inflamação/patologia , Injeções , Masculino , Camundongos Endogâmicos C57BL , Próstata/imunologia , Próstata/patologia , Hiperplasia Prostática/imunologia , Hiperplasia Prostática/patologia , Uretra
7.
Oral Dis ; 24(1-2): 103-108, 2018 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-29480618

RESUMO

OBJECTIVE: To investigate the presence of eosinophils in oral intraepithelial neoplasia (OIN) and oral squamous cell carcinoma (OSCC) lesions and its relation to invasion. SUBJECTS AND METHODS: Ninety-nine oral biopsies were selected and subdivided into the following: OIN-1(16 cases), OIN-2 (18 cases), OIN-3 (17 cases), microinvasive OSCC (10 cases), non-metastatic OSCC (22 cases) and metastatic OSCC (16 cases). The tissue eosinophilia was evaluated histologically in slices stained with haematoxylin and eosin. RESULTS: Eosinophil distribution was associated with diagnosis severity (p < .01). A significant difference was found between OIN-3 or microinvasive OSCC and non-metastatic or metastatic OSCC. Stromal invasion threshold was 7 eos/10 high power field (hpf) (96.1% specificity and 62.5% sensitivity). Eosinophils were absent in OIN-1; in OIN-2, two cases were positive. In OIN-3, five cases showed tissue eosinophilia, four of which had ≥3 eos/hpf or ≥7 eos/10 hpf. Three cases were suspected of invasion; two had a previous history of OSCC with elevated eosinophil infiltrate. In microinvasive OSCC, the four positive cases presented ≥3 eos/hpf and ≥7 eos/10 hpf. Although not significantly different, non-metastatic invasive OSCC had a higher number of cases (68.2%) with ≥22 eos/10 hpf contrasting with 50% in metastatic OSCC. CONCLUSION: Our results suggest that eosinophils can be considered an indicator of invasion in OIN, helping in cases of difficult diagnosis.


Assuntos
Carcinoma in Situ/patologia , Carcinoma de Células Escamosas/patologia , Eosinofilia/patologia , Eosinófilos/patologia , Neoplasias Bucais/patologia , Biópsia , Carcinoma de Células Escamosas/secundário , Humanos , Contagem de Leucócitos , Mucosa Bucal/patologia , Invasividade Neoplásica , Valor Preditivo dos Testes
8.
Med Oral Patol Oral Cir Bucal ; 23(1): e13-e22, 2018 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-29274150

RESUMO

BACKGROUND: To investigate the occupational profile, educational level, marital status and deleterious habits to the health of patients with maxillofacial fractures of a population of northeastern Brazil. MATERIAL AND METHODS: A retrospective study of patients records admitted to the Division of Oral and Maxillofacial Surgery at the Walter Cantidio University Hospital (Fortaleza, Brazil) who sustained maxillofacial fractures was conducted in the period between 2006 and 2015. RESULTS: A total of 338 patients rendered 355 fractures. Males were the most affected (p <0.001), with prevalence in the third decade of life (p <0.001). There was a predominance of motorcycle accidents (p <0.001), home workers (p <0.001), low educational status (p = 0.032), and no cigarette use (p <0.001) or alcohol (p = 0.023). Fractures of the zygomatic-orbital complex were the most prevalent in the sample (p <0.001). CONCLUSION: The sociodemographic profile exerted a significant influence on the epidemiological profile of maxillofacial fractures in a Brazilian population during the study period.


Assuntos
Escolaridade , Fraturas Ósseas/epidemiologia , Hábitos , Estado Civil , Traumatismos Maxilofaciais/epidemiologia , Ocupações , Adolescente , Adulto , Criança , Pré-Escolar , Estudos Transversais , Feminino , Humanos , Lactente , Masculino , Pessoa de Meia-Idade , Prevalência , Estudos Retrospectivos , Fatores de Risco , Adulto Jovem
9.
Med Oral Patol Oral Cir Bucal ; 23(6): e723-e732, 2018 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-30341263

RESUMO

BACKGROUND: This study aimed to review trans lational studies focusing on third molar removal surgeries through a systematic analytical approach. MATERIAL AND METHODS: A PROSPERO-registered systematic review (CRD42017060455) was conducted following the PRISMA statement to summarize current knowledge on gene expression in third molar surgeries. A search was performed in PubMed's Medline and Scopus databases, without date or language restrictions, using the logical expression {[(Third molar) OR (preemptive) OR (cyclooxygenase inhibitors) OR (acute inflammation) AND (gene expression)]}. RESULTS: All studies included in the analysis evaluated gene expression in a third molar extraction model, using the preemptive analgesia methodology in seven investigations. The sample analyzed was obtained from gingival tissue biopsy (n=4), blood (n=1), transudate (n=1) and gingival tissue biopsy/transudate (n=1). There were differences with respect to evaluated genes, drug protocol, sample studied, and method for evaluating gene expression. CONCLUSIONS: Third molar surgeries were found to be associated with different COX-related gene expression patterns. Although inflammatory events following the surgical procedure are associated with COX isoforms, data from preemptive analgesia studies are scarce, especially from studies correlating gene expression and clinical parameters. In the future, from a clinical perspective, identifying the molecular targets of a drug based on individual gene expression may be helpful to delineate specific third molar, surgery-related, preemptive analgesia protocols.


Assuntos
Analgesia , Expressão Gênica , Dente Serotino/cirurgia , Prostaglandina-Endoperóxido Sintases/genética , Biossíntese de Proteínas , Anti-Inflamatórios não Esteroides , Humanos
10.
Cytokine ; 91: 162-169, 2017 03.
Artigo em Inglês | MEDLINE | ID: mdl-28082235

RESUMO

INTRODUCTION: Although both pro- and anti-inflammatory circulating cytokines are known to be elevated in liver cirrhosis, its clinical significance is not completely recognized. Our aim was to evaluate the prognostic significance of circulating cytokines interleukin (IL)-6, IL-17 and IL-10 in different stages of cirrhosis. METHODS: This prospective study included two cohorts: (1) stable cirrhosis attended in the Outpatient Clinic (n=118), and (2) subjects hospitalized for acute decompensation (AD) (n=130). Thirty healthy subjects served as control group. RESULTS: Patients with cirrhosis exhibited higher levels of cytokines as compared to controls. In stable cirrhosis, during a median follow-up of 17months, liver-related events occurred in 26 patients. Higher IL-10 levels and Child-Pugh B/C were independently associated with reduced event-free survival. In AD cohort, death after 90days of follow-up occurred in 39 patients and was independently associated with ascites, higher IL-6 and model for end-stage liver disease. IL-6 levels also showed higher AUROC than CRP for predicting bacterial infection in the AD cohort (0.831±0.043vs. 0.763±0.048, respectively). IL-17 decreased at third day of hospitalization only in patients who progressed to death. Higher IL-6 levels were observed in acute-on-chronic liver failure (ACLF) patients even in the absence of bacterial infection whereas IL-10 was higher only in subjects with infection-related ACLF. Higher IL-10 and IL-17 levels were associated with progression to death in ACLF. CONCLUSIONS: The pattern of immune response seems to vary according to the phase of cirrhosis and is related to prognosis, from stable disease to ACLF.


Assuntos
Insuficiência Hepática Crônica Agudizada/sangue , Citocinas/sangue , Cirrose Hepática/sangue , Insuficiência Hepática Crônica Agudizada/diagnóstico , Adulto , Idoso , Humanos , Cirrose Hepática/diagnóstico , Pessoa de Meia-Idade , Prognóstico
11.
Toxicol Appl Pharmacol ; 333: 92-99, 2017 10 15.
Artigo em Inglês | MEDLINE | ID: mdl-28851623

RESUMO

The present study demonstrated the potential effects of diethylcarbamazine (DEC) on monocrotaline (MCT)-induced pulmonary hypertension. MCT solution (600mg/kg) was administered once per week, and 50mg/kg body weight of DEC for 28days. Three C57Bl/6 male mice groups (n=10) were studied: Control; MCT28, and MCT28/DEC. Echocardiography analysis was performed and lung tissues were collected for light microscopy (hematoxylin-eosin and Masson's trichrome staining), immunohistochemistry (αSMA, FADD, caspase 8, caspase 3, BAX, BCL2, cytochrome C and caspase 9) western blot (FADD, caspase 8, caspase 3, BAX, BCL2, cytochrome C and caspase 9) and qRt-PCR (COL-1α and αSMA). Echocardiography analysis demonstrated an increase in the pulmonary arterial blood flow gradient and velocity in the systole and RV area in the MCT28 group, while treatment with DEC resulted in a significant reduction in these parameters. Deposition of collagen fibers and αSMA staining around the pulmonary arteries was evident in the MCT28 group, while treatment with DEC reduced both. Western blot analysis revealed a decrease in BMPR2 in the MCT28 group, in contrast DEC treatment resulted in a significant increase in the level of BMPR2. DEC also significantly reduced the level of VEGF compared to the MCT28 group. Apoptosis extrinsic and intrinsic pathway markers were reduced in the MCT28 group. After treatment with DEC these levels returned to baseline. The results of this study indicate that DEC attenuates PH in an experimental monocrotaline-induced model by inhibiting a series of markers involved in cell proliferation/death.


Assuntos
Dietilcarbamazina/uso terapêutico , Hipertensão Pulmonar/tratamento farmacológico , Actinas/genética , Animais , Apoptose/efeitos dos fármacos , Proteínas Reguladoras de Apoptose/metabolismo , Receptores de Proteínas Morfogenéticas Ósseas Tipo II/metabolismo , Colágeno Tipo I/genética , Dietilcarbamazina/farmacologia , Hipertensão Pulmonar/induzido quimicamente , Hipertensão Pulmonar/patologia , Hipertensão Pulmonar/fisiopatologia , Hipertrofia Ventricular Direita/induzido quimicamente , Hipertrofia Ventricular Direita/tratamento farmacológico , Hipertrofia Ventricular Direita/patologia , Hipertrofia Ventricular Direita/fisiopatologia , Pulmão/efeitos dos fármacos , Pulmão/metabolismo , Pulmão/patologia , Pulmão/fisiopatologia , Masculino , Camundongos Endogâmicos C57BL , Monocrotalina , Artéria Pulmonar/efeitos dos fármacos , Artéria Pulmonar/patologia , Função Ventricular Esquerda/efeitos dos fármacos
12.
Biomarkers ; 22(2): 127-132, 2017 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-27775431

RESUMO

CONTEXT: IGF-I serum levels are suppressed in cirrhosis, but its prognostic significance is unknown. OBJECTIVES: To investigate the prognostic value of IGF-I in patients admitted for acute decompensation of cirrhosis. MATERIALS AND METHODS: Cohort study that included 103 patients. IGF-I was measured by enzyme-linked immunosorbent assay (ELISA). RESULTS: Ninety-day mortality was 26.2% and it was independently associated with MELD, age and IGF-I. The Kaplan-Meier survival probability at 90 days was 94.3% in patients with IGF-I ≥13 ng/mL and 63.2% for patients with IGF-I <13 ng/mL (p = .001). DISCUSSION AND CONCLUSION: IGF-I levels are independently associated with mortality in acute decompensation of cirrhosis.


Assuntos
Fator de Crescimento Insulin-Like I/análise , Cirrose Hepática/mortalidade , Idoso , Estudos de Coortes , Ensaio de Imunoadsorção Enzimática , Humanos , Hipertensão Portal , Estimativa de Kaplan-Meier , Cirrose Hepática/sangue , Pessoa de Meia-Idade , Prognóstico , Análise de Sobrevida
13.
Ecotoxicol Environ Saf ; 142: 243-249, 2017 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-28419951

RESUMO

Shrimps can accumulate environmental toxicants and suffer behavioral changes. However, methods to quantitatively detect changes in the behavior of these shrimps are still needed. The present study aims to verify whether mathematical and fractal methods applied to video tracking can adequately describe changes in the locomotion behavior of shrimps exposed to low concentrations of toxic chemicals, such as 0.15µgL-1 deltamethrin pesticide or 10µgL-1 mercuric chloride. Results showed no change after 1min, 4, 24, and 48h of treatment. However, after 72 and 96h of treatment, both the linear methods describing the track length, mean speed, mean distance from the current to the previous track point, as well as the non-linear methods of fractal dimension (box counting or information entropy) and multifractal analysis were able to detect changes in the locomotion behavior of shrimps exposed to deltamethrin. Analysis of angular parameters of the track points vectors and lacunarity were not sensitive to those changes. None of the methods showed adverse effects to mercury exposure. These mathematical and fractal methods applicable to software represent low cost useful tools in the toxicological analyses of shrimps for quality of food, water and biomonitoring of ecosystems.


Assuntos
Fractais , Locomoção/efeitos dos fármacos , Mercúrio/toxicidade , Nitrilas/toxicidade , Penaeidae/efeitos dos fármacos , Praguicidas/toxicidade , Piretrinas/toxicidade , Gravação em Vídeo/métodos , Poluentes Químicos da Água/toxicidade , Animais , Comportamento Animal/efeitos dos fármacos , Relação Dose-Resposta a Droga , Ecossistema , Penaeidae/fisiologia , Sensibilidade e Especificidade , Software
14.
Eur J Nutr ; 55(1): 83-91, 2016 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-25564432

RESUMO

PURPOSE: Metabolic syndrome (MS) increases the risk of type 2 diabetes and cardiovascular disease. High consumption of fructose is a proposed cause of increased MS, manifested through hypertension, obesity, insulin resistance, and dyslipidemia. High NaCl also increases the risk of CD. The purpose of this study is to evaluate the influence of fructose and sodium on autonomic dysfunction and its relation with CD in MS. Fructose overload was started at weaning and continued through adulthood. METHODS: Male Wistar rats (21 days) were divided into four groups: Control (C), fructose consumption (10%, F), NaCl consumption (salt 1% for the 10 last days, S), and fructose and NaCl (FS), and monitored for 8 weeks. Metabolic evaluations consisted of Lee index, glycemia, insulin and glucose tolerance tests, triglycerides, and total cholesterol measurements. Cardiovascular parameters measured were arterial pressure (AP) and cardiac function performed by echocardiography. They also measured the influence of renin angiotensin (RAS) and autonomic nervous systems by drug blockage with losartan, atropine, and atenolol. RESULTS: Energy analysis showed no change between groups. Fructose overload induced a MS state, confirmed by insulin resistance, glucose intolerance, and dyslipidemia. Fasting glucose was increased in F and FS rat groups compared with C and S groups. AP was higher in F, S, and FS groups in comparison with the C group. The hypotensive response after sympathetic blockade was increased in F, S, and FS versus C. The cardiac vagal tonus was reduced in F and FS animal groups. The intrinsic heart rate was decreased in the FS group (372 ± 9 bpm) compared with the C group (410 ± 13 bpm). The morphometric measurements evaluated through left ventricular diameter during diastole and the left ventricular diameter during systole decreased in the FS group (16 and 26%, respectively). Diastolic function was reduced in F and FS. The depressor response induced by losartan was increased in the F group in comparison with other groups. However, there was a uniform increase in plasma ACE activity in all treated groups compared with the C group. CONCLUSIONS: Data suggest that early exposure to high fructose intake produced marked alterations in metabolic and cardiovascular function. When stimulated by NaCl, the fructose-fed subjects showed further impairment in cardiac function.


Assuntos
Doenças Cardiovasculares/fisiopatologia , Sistema Cardiovascular/fisiopatologia , Frutose/efeitos adversos , Cloreto de Sódio na Dieta/efeitos adversos , Animais , Pressão Arterial , Glicemia/metabolismo , Pressão Sanguínea , Doenças Cardiovasculares/sangue , HDL-Colesterol/sangue , LDL-Colesterol/sangue , Diabetes Mellitus Tipo 2/sangue , Diabetes Mellitus Tipo 2/fisiopatologia , Frutose/administração & dosagem , Intolerância à Glucose/sangue , Intolerância à Glucose/fisiopatologia , Teste de Tolerância a Glucose , Coração/fisiopatologia , Frequência Cardíaca , Insulina/sangue , Resistência à Insulina , Masculino , Síndrome Metabólica/sangue , Síndrome Metabólica/fisiopatologia , Ratos , Ratos Wistar , Sistema Renina-Angiotensina , Cloreto de Sódio na Dieta/administração & dosagem , Triglicerídeos/sangue
15.
Eur Ann Allergy Clin Immunol ; 48(6): 242-246, 2016 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-27852430

RESUMO

BACKGROUND: Omalizumab is indicated to treat chronic spontaneous urticaria (CSU) refractory to antihistamines. We aim to describe the experience of our department in the treatment of CSU with omalizumab. MATERIALS AND METHODS: Retrospective review of the clinical records of patients. RESULTS: Six patients (5 females, median age 33 years) treated with omalizumab for a median of 17.5 months were evaluated. All patients had improvement of symptoms after the first dose. In one case, the treatment was suspended after 7 months, but in 9 weeks there was recurrence of symptoms. The main side effect was headache in the drug administration's day. Currently, all patients maintain therapy with omalizumab and are clinically stable. CONCLUSION: Omalizumab proved to be an effective and safe drug for the treatment of patients with refractory CSU.


Assuntos
Antialérgicos/uso terapêutico , Omalizumab/uso terapêutico , Urticária/tratamento farmacológico , Adulto , Doença Crônica , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Resultado do Tratamento , Adulto Jovem
16.
Liver Int ; 35(5): 1516-23, 2015 May.
Artigo em Inglês | MEDLINE | ID: mdl-24840673

RESUMO

BACKGROUND & AIMS: The idea of acute-on-chronic liver failure (ACLF) has emerged to identify those subjects with organ failure and high mortality rates. However, the absence of a precise definition has limited the clinical application and research related to the ACLF concept. We sought to validate the ACLF definition and the CLIF-SOFA Score recently proposed by the EASL-CLIF Consortium in a cohort of patients admitted for acute decompensation (AD) of cirrhosis. METHODS: In this prospective cohort study, patients were followed during their hospital stay and thirty and 90-day mortality was evaluated by phone call, in case of hospital discharge. All subjects underwent laboratory evaluation at admission. RESULTS: Between December 2010 and November 2013, 192 cirrhotic patients were included. At enrollment, 46 patients (24%) met the criteria for ACLF (Grades 1, 2 and 3 in 18%, 4% and 2% respectively). The 30-day mortality was 65% in ACLF group and 12% in the remaining subjects (P < 0.001). Logistic regression analysis showed that 30-day mortality was independently associated with ascites and ACLF at admission. The Kaplan-Meier survival probability at 90-day was 92% in patients without ascites or ACLF and only 22% for patients with both ascites and ACLF. The AUROC of CLIF-SOFA in predicting 30-day mortality was 0.847 ± 0.034, with sensitivity of 64%, specificity of 90% and positive likelihood ratio of 6.61 for values ≥9. CONCLUSION: In our single-centre experience the CLIF-SOFA and the EASL-CLIF Consortium definition of ACLF proved to be strong predictors of short-term mortality in cirrhotic patients admitted for AD.


Assuntos
Insuficiência Hepática Crônica Agudizada/diagnóstico , Insuficiência Hepática Crônica Agudizada/mortalidade , Cirrose Hepática/mortalidade , Escores de Disfunção Orgânica , Adulto , Idoso , Ascite/diagnóstico , Feminino , Hospitalização , Humanos , Cirrose Hepática/complicações , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Guias de Prática Clínica como Assunto , Prognóstico , Estudos Prospectivos , Índice de Gravidade de Doença
17.
Mediators Inflamm ; 2014: 105120, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24550603

RESUMO

Diethylcarbamazine (DEC) is an antifilarial drug with potent anti-inflammatory properties as a result of its interference with the metabolism of arachidonic acid. The aim of the present study was to evaluate the anti-inflammatory activity of DEC in a mouse model of acute inflammation (carrageenan-induced pleurisy). The injection of carrageenan into the pleural cavity induced the accumulation of fluid containing a large number of polymorphonuclear cells (PMNs) as well as infiltration of PMNs in lung tissues and increased production of nitrite and tumor necrosis factor-α and increased expression of interleukin-1ß, cyclooxygenase (COX-2), and inducible nitric oxide synthase. Carrageenan also induced the expression of nuclear factor-κB. The oral administration of DEC (50 mg/Kg) three days prior to the carrageenan challenge led to a significant reduction in all inflammation markers. The present findings demonstrate that DEC is a potential drug for the treatment of acute lung inflammation.


Assuntos
Carragenina/efeitos adversos , Dietilcarbamazina/química , Regulação da Expressão Gênica/efeitos dos fármacos , Lesão Pulmonar/induzido quimicamente , Lesão Pulmonar/tratamento farmacológico , Administração Oral , Animais , Anti-Inflamatórios/química , Ciclo-Oxigenase 2/metabolismo , Inflamação , Interleucina-1beta/metabolismo , Leucócitos/efeitos dos fármacos , Inibidores de Lipoxigenase/química , Pulmão/metabolismo , Masculino , Camundongos , Óxido Nítrico Sintase Tipo II/metabolismo , Pleurisia/induzido quimicamente , Distribuição Aleatória
18.
Proc Natl Acad Sci U S A ; 108(23): 9408-13, 2011 Jun 07.
Artigo em Inglês | MEDLINE | ID: mdl-21593409

RESUMO

In cells, many vital processes involve myosin-driven motility that actively remodels the actin cytoskeleton and changes cell shape. Here we study how the collective action of myosin motors organizes actin filaments into contractile structures in a simplified model system devoid of biochemical regulation. We show that this self-organization occurs through an active multistage coarsening process. First, motors form dense foci by moving along the actin network structure followed by coalescence. Then the foci accumulate actin filaments in a shell around them. These actomyosin condensates eventually cluster due to motor-driven coalescence. We propose that the physical origin of this multistage aggregation is the highly asymmetric load response of actin filaments: they can support large tensions but buckle easily under piconewton compressive loads. Because the motor-generated forces well exceed this threshold, buckling is induced on the connected actin network that resists motor-driven filament sliding. We show how this buckling can give rise to the accumulation of actin shells around myosin foci and subsequent coalescence of foci into superaggregates. This new physical mechanism provides an explanation for the formation and contractile dynamics of disordered condensed actomyosin states observed in vivo.


Assuntos
Citoesqueleto de Actina/química , Actinas/química , Actomiosina/química , Miosinas/química , Citoesqueleto de Actina/fisiologia , Actinas/fisiologia , Actomiosina/fisiologia , Algoritmos , Animais , Movimento Celular/fisiologia , Humanos , Microscopia Confocal , Microscopia de Fluorescência , Modelos Biológicos , Modelos Químicos , Contração Muscular/fisiologia , Miosinas/fisiologia
19.
Braz J Biol ; 84: e278851, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38865566

RESUMO

The betta (Betta splendens) is a carnivorous ornamental species that requires live food. In this study, we evaluated the growth and survival of Betta splendens fingerlings fed ex-situ biofloc (BFT). A total of 375 fingerlings (8.3 ± 4.1 mg and 0.8 ± 0.14 cm) were distributed into 15-L plastic tanks (n=25), with five replicates for each of the following treatments: (i) exclusive live food (LF100), (ii) exclusive biofloc (BFT100), (iii) live food supplemented with biofloc (LF100-BFT100), and a reduction of 15% (iv) and 30% (v) in live food with biofloc supplementation (LF85-BFT100 and LF70-BFT100, respectively). The fish were fed newly hatched brine shrimp (Artemia spp. nauplii) and/or fresh biofloc, twice daily, over a 16-day experimental period. Dietary supplementation of Beta splendens with ex-situ BFT (LF100-BFT100, LF85-BFT100, and LF70-BFT100) resulted in a similar final weight (P>0.05) compared to exclusive brine shrimp (LF100). Regarding total length, the fish in the LF100-BFT100 group were superior to those in the LF100 group (P<0.05). The LF100 and LF100-BFT100 groups showed survival rates of 100% and 98.4%, respectively, which were not statistically different (P>0.05). For all analyzed variables, fish exclusively fed biofloc (BFT100) exhibited unfavorable performance. These results indicate that dietary ex-situ biofloc supplementation, without reducing the supply of live food, can be an interesting alternative in the rearing of Betta splendens since biofloc improves growth performance and maintains a good survival rate.


Assuntos
Ração Animal , Animais , Aquicultura/métodos , Artemia
20.
Int J Immunopathol Pharmacol ; 26(4): 889-96, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-24355224

RESUMO

Human leukocyte antigen (HLA)–E is a non-classical molecule of the histocompatibility complex that functions as one of the main ligands of the Natural Killer (NK) cell inhibitory receptor CD94/NKG2A and inhibits its potent cytotoxic activity. Due to the important role of NK cells in combating neoplasm, we hypothesized that the differential expression of HLA-E could favor the progression of heterogeneous thyroid tumors.Using an immunohistochemistry technique in 143 biopsies of thyroid tumors, including benign and malignant neoplasms and goiters, we evaluated the expression of HLA-E among various tumor types and its association with the clinicopathological factors of diseases. We verified high HLA-E expression in all types of neoplastic tumors, although no significant differences between the groups were found. Low expression was observed in 95 percent of the goiter samples, showing significant differences between neoplastic and non-neoplastic lesions. Furthermore, a significant result was found with regard to the tumor size, with high HLA-E expression being related to smaller tumors. Therefore, our data suggest that an increase in HLA-E may be associated with the establishment of thyroid neoplasms, with either benign or malignant features.


Assuntos
Antígenos de Histocompatibilidade Classe I/análise , Glândula Tireoide/imunologia , Neoplasias da Glândula Tireoide/imunologia , Adulto , Idoso , Feminino , Humanos , Imuno-Histoquímica , Masculino , Pessoa de Meia-Idade , Antígenos HLA-E
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