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1.
Curr Oncol ; 30(8): 7303-7314, 2023 08 01.
Artigo em Inglês | MEDLINE | ID: mdl-37623011

RESUMO

A consensus is needed among healthcare professionals involved in easing oncological pain in patients who are suitable candidates for intrathecal therapy. A Delphi consultation was conducted, guided by a multidisciplinary scientific committee. The 18-item study questionnaire was designed based on a literature review together with a discussion group. The first-round questionnaire assessed experts' opinion of the current general practice, as well as their recommendation and treatment feasibility in the near future (2-3-year period) using a 9-point Likert scale. Items for which consensus was not achieved were included in a second round. Consensus was defined as ≥75% agreement (1-3 or 7-9). A total of 67 panelists (response rate: 63.2%) and 62 (92.5%) answered the first and second Delphi rounds, respectively. The participants were healthcare professionals from multiple medical disciplines who had an average of 17.6 (7.8) years of professional experience. A consensus was achieved on the recommendations (100%). The actions considered feasible to implement in the short term included effective multidisciplinary coordination, improvement in communication among the parties, and an assessment of patient satisfaction. Efforts should focus on overcoming the barriers identified, eventually leading to the provision of more comprehensive care and consideration of the patient's perspective.


Assuntos
Dor do Câncer , Neoplasias , Humanos , Dor do Câncer/tratamento farmacológico , Neoplasias/complicações , Manejo da Dor , Comunicação , Consenso
2.
Artigo em Inglês | MEDLINE | ID: mdl-36554419

RESUMO

Roselle (Hibiscus sabdariffa) is rich in phenolic compounds with antiobesogenic and antidiabetic effects. In this study, the effects of aqueous extracts of two varieties of Hibiscus sabdariffa, Alma blanca (white-yellow color) and Cuarenteña (purple color), were evaluated for the prevention of obesity and insulin resistance in rats fed a high-fat and high-fructose diet (HFFD), identifying targeted molecules through global metabolomics. After sixteen weeks, both roselle aqueous extracts prevented body weight gain, and white roselle extract ameliorated insulin resistance and decreased serum free fatty acid levels. Moreover, white roselle extract decreased 18:0 and 20:4 lysophosphatidylethanolamines and purple roselle extract increased 16:0 and 20:4 lysophosphatidylinositol compared to HFFD-fed rats. These results demonstrate that roselle's beneficial health effects are variety-dependent. Interestingly, the white roselle extract showed a greater beneficial effect, probably due to its high contents of organic and phenolic acids, though its consumption is not as popular as that of the red/purple varieties.


Assuntos
Hibiscus , Resistência à Insulina , Ratos , Animais , Fosfolipídeos , Extratos Vegetais/farmacologia , Extratos Vegetais/uso terapêutico , Obesidade/tratamento farmacológico , Obesidade/prevenção & controle
3.
Mol Nutr Food Res ; 66(18): e2200082, 2022 09.
Artigo em Inglês | MEDLINE | ID: mdl-35848367

RESUMO

SCOPE: To compare the effects of three high-fat diets (HFDs) based on coconut, sunflower, or extra virgin olive oils (EVOOs) on adipose tissue, metabolism, and inflammation. METHODS AND RESULTS: Mice are fed for 16 weeks on their respective HFD. HFD based on coconut oil produces significantly lower body weight than EVOO- or sunflower oil-based HFDs. Furthermore, the coconut oil HFD leads to metabolic disturbances such as reduction of circulating leptin and adiponectin concentrations, hypertriglyceridemia, hepatomegaly, and liver triglyceride accumulation. Likewise, this diet produces an increase in serum pro-inflammatory cytokines (interleukin 6 [IL-6] and tumor necrosis factor-α [TNF-α]). In white (WAT) and brown (BAT) adipose tissue, the HFD based on coconut oil does not cause significant changes in the expression of studied proteins related to thermogenesis (uncoupling protein 1 [UCP-1]), mitochondrial biogenesis, and browning (peroxisome proliferator-activated receptor-γ coactivator 1α [PGC-1α] and nuclear factor E2-related factor 2 [Nrf2]). However, the HFD based on EVOO induces upregulation of UCP-1, PGC-1α, and Nrf2 expression in BAT, increases the expression of UCP-1 and PGC-1α in inguinal WAT, and enhances the expression of PGC-1α in epididymal WAT. CONCLUSIONS: An HFD based on coconut oil could reduce circulating leptin and adiponectin concentrations, increase the liver fat content, raise serum triglycerides, and promote inflammation by increasing circulating pro-inflammatory cytokines, while an EVOO-based HFD could increase thermogenic activity.


Assuntos
Tecido Adiposo , Óleo de Coco , Dieta Hiperlipídica , Inflamação , Adiponectina/metabolismo , Tecido Adiposo/imunologia , Tecido Adiposo/metabolismo , Animais , Óleo de Coco/efeitos adversos , Dieta Hiperlipídica/efeitos adversos , Feminino , Inflamação/imunologia , Inflamação/metabolismo , Interleucina-6/sangue , Interleucina-6/metabolismo , Leptina/sangue , Leptina/metabolismo , Camundongos , Fator 2 Relacionado a NF-E2/metabolismo , Azeite de Oliva , Receptores Ativados por Proliferador de Peroxissomo/metabolismo , Óleo de Girassol/efeitos adversos , Triglicerídeos/análise , Triglicerídeos/metabolismo , Fator de Necrose Tumoral alfa/metabolismo , Proteína Desacopladora 1/genética , Proteína Desacopladora 1/metabolismo
4.
Nutrients ; 12(6)2020 Jun 07.
Artigo em Inglês | MEDLINE | ID: mdl-32517306

RESUMO

The present study aims to examine the effects of three different high-fat diet (HFD) on mice gut microbiota in order to analyse whether they create the microenvironmental conditions that either promote or prevent colorectal cancer (CRC). We evaluated colonic mucosa-associated microbiota in CD1 mice fed with HFD, based on 60% kcal from fat-containing coconut, sunflower or extra-virgin olive oil as the only source of fat. The main findings were as follows: (a) All HFD produced a decrease in the richness and diversity of the intestinal microbiota that was independent of mouse weight, (b) HFD switched Lactobacillus to Lactococcus. In general, the results showed that both sunflower- and coconut-HFD generated a pro-inflammatory intestinal microenvironment. In brief, coconut-HFD decreased Akkermansia and increased Staphylococcus, Prevotella and Bacteroides spp. abundance. Sunflower-HFD reduced Akkermansia and Bifidobacterium, while enhancing Sphingomonas and Neisseria spp. abundance. In contrast, EVOO-HFD produced an anti-inflammatory microenvironment characterised by a decreased Enterococcus, Staphylococcus, Neisseria and Pseudomonas spp. abundance. At the same time, it increased the Firmicutes/Bacteroidetes ratio and maintained the Akkermansia population. To conclude, EVOO-HFD produced changes in the gut microbiota that are associated with the prevention of CRC, while coconut and sunflower-HFD caused changes associated with an increased risk of CRC.


Assuntos
Neoplasias Colorretais/etiologia , Neoplasias Colorretais/prevenção & controle , Dieta Hiperlipídica , Disbiose/etiologia , Microbioma Gastrointestinal , Azeite de Oliva , Akkermansia , Animais , Bacteroidetes , Óleo de Coco/efeitos adversos , Neoplasias Colorretais/microbiologia , Dieta Hiperlipídica/efeitos adversos , Enterococcus , Firmicutes , Mucosa Intestinal/microbiologia , Camundongos , Risco , Staphylococcus , Óleo de Girassol/efeitos adversos , Microambiente Tumoral
6.
Mol Nutr Food Res ; 63(19): e1900167, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31298466

RESUMO

SCOPE: Little is known about the changes that a very-low-calorie ketogenic diet (VLCKD) produces in gut microbiota or the effect of synbiotics during the diet. The aim of this study is to evaluate changes in gut microbiota produced by a VLCKD and synbiotic supplementation. METHODS AND RESULTS: A randomized, single-blind, parallel-design trial is conducted in 33 obese patients who follow a weight-loss program (PnK-Method) that include a VLCKD followed by a low-calorie diet (LCD). Subjects are randomly allocated to three groups: one supplemented with synbiotics, a second group supplemented with a placebo during the VLCKD and synbiotics during the LCD phase, and a control group given a placebo. Although symbiotic administration do not produce an effect on microbial diversity, an increase in short-chain fatty aciding producing bacteria and anti-inflammatory mediator signals such as Odoribacter and Lachnospira is shown. The administration of Bifidobacterium animalis subsp. lactis and prebiotics fiber during the LCD is significantly associated with the percentage of weight loss and change in glucose, C-reactive protein and lipopolysaccharide-binding protein. CONCLUSIONS: VLCKD produces important changes in gut microbiota. The administration of synbiotics during VLCKD can improve weight loss through the amelioration of inflammation, which may be mediated by the gut microbiota.


Assuntos
Restrição Calórica , Dieta Cetogênica , Microbioma Gastrointestinal/fisiologia , Simbióticos/administração & dosagem , Redução de Peso , Adulto , Antropometria , Bactérias/classificação , Suplementos Nutricionais , Fezes/microbiologia , Feminino , Humanos , Inflamação/prevenção & controle , Masculino , Pessoa de Meia-Idade , Obesidade/dietoterapia , Obesidade/microbiologia , Projetos Piloto , Placebos , Método Simples-Cego
7.
Int J Mol Sci ; 20(10)2019 May 23.
Artigo em Inglês | MEDLINE | ID: mdl-31126031

RESUMO

Diabetes mellitus is a chronic metabolic disease with a high prevalence in the Western population. It is characterized by pancreas failure to produce insulin, which involves high blood glucose levels. The two main forms of diabetes are type 1 and type 2 diabetes, which correspond with >85% of the cases. Diabetes shows several associated alterations including vascular dysfunction, neuropathies as well as central complications. Brain alterations in diabetes are widely studied; however, the mechanisms implicated have not been completely elucidated. Diabetic brain shows a wide profile of micro and macrostructural changes, such as neurovascular deterioration or neuroinflammation leading to neurodegeneration and progressive cognition dysfunction. Natural compounds (single isolated compounds and/or natural extracts) have been widely assessed in metabolic disorders and many of them have also shown antioxidant, antiinflamatory and neuroprotective properties at central level. This work reviews natural compounds with brain neuroprotective activities, taking into account several therapeutic targets: Inflammation and oxidative stress, vascular damage, neuronal loss or cognitive impairment. Altogether, a wide range of natural extracts and compounds contribute to limit neurodegeneration and cognitive dysfunction under diabetic state. Therefore, they could broaden therapeutic alternatives to reduce or slow down complications associated with diabetes at central level.


Assuntos
Produtos Biológicos/uso terapêutico , Transtornos Cognitivos/tratamento farmacológico , Complicações do Diabetes/tratamento farmacológico , Diabetes Mellitus Tipo 2/complicações , Fármacos Neuroprotetores/uso terapêutico , Animais , Produtos Biológicos/farmacologia , Encéfalo/efeitos dos fármacos , Encéfalo/fisiopatologia , Transtornos Cognitivos/etiologia , Transtornos Cognitivos/fisiopatologia , Complicações do Diabetes/etiologia , Complicações do Diabetes/fisiopatologia , Diabetes Mellitus Tipo 2/fisiopatologia , Modelos Animais de Doenças , Avaliação Pré-Clínica de Medicamentos , Humanos , Fármacos Neuroprotetores/farmacologia
8.
Molecules ; 24(5)2019 Mar 06.
Artigo em Inglês | MEDLINE | ID: mdl-30845651

RESUMO

Dietary guidelines universally advise adherence to plant-based diets. Plant-based foods confer considerable health benefits, partly attributable to their abundant micronutrient (e.g., polyphenol) content. Interest in polyphenols is largely focused on the contribution of their antioxidant activity to the prevention of various disorders, including cardiovascular disease and cancer. Polyphenols are classified into groups, such as stilbenes, flavonoids, phenolic acids, lignans and others. Lignans, which possess a steroid-like chemical structure and are defined as phytoestrogens, are of particular interest to researchers. Traditionally, health benefits attributed to lignans have included a lowered risk of heart disease, menopausal symptoms, osteoporosis and breast cancer. However, the intake of naturally lignan-rich foods varies with the type of diet. Consequently, based on the latest humans' findings and gathered information on lignan-rich foods collected from Phenol Explorer database this review focuses on the potential health benefits attributable to the consumption of different diets containing naturally lignan-rich foods. Current evidence highlight the bioactive properties of lignans as human health-promoting molecules. Thus, dietary intake of lignan-rich foods could be a useful way to bolster the prevention of chronic illness, such as certain types of cancers and cardiovascular disease.


Assuntos
Produtos Biológicos/química , Promoção da Saúde/métodos , Lignanas/química , Plantas Comestíveis/química , Antioxidantes , Doença Crônica/prevenção & controle , Doença Crônica/terapia , Bases de Dados de Compostos Químicos , Dieta , Análise de Alimentos/métodos , Humanos , Fenóis/química , Fitoestrógenos/química , Recomendações Nutricionais
9.
Physiol Meas ; 39(11): 114007, 2018 11 26.
Artigo em Inglês | MEDLINE | ID: mdl-30475746

RESUMO

OBJECTIVE: Cranial electrotherapy stimulation (CES) is considered to be a potential treatment for insomnia. Women are more likely to suffer from insomnia than men. Therefore we studied the effect of CES on sleep efficiency in young healthy women. METHODS: A randomized, controlled clinical study was conducted on 40 women (age 18-35 years) without sleep disorders. Each subject underwent two nights of polysomnography in a sleep center. During the second night, we applied CES with a commercial device (Alpha-Stim 100) using either active or sham stimulation (double-blinded). Sleep was evaluated with respect to differences between the active and sham modes. Sleep electroencephalogram (EEG) analysis was applied to determine frequency changes. RESULTS: In our study we found no evidence of any direct influence of the Alpha-Stim 100 on sleep. After application of CES, we determined no significant differences between the active group and the control group (sham). Using EEG spectral analysis there was evidence of a frequency-lowering influence on the low-α frequency band (8-10 Hz). CONCLUSIONS: At most we may assume a reproducible effect on the α frequency measured in the EEG for application of CES with current levels >100 µA and presumably also with frequencies >0.5 Hz, with application directly at the cranium. We found no influence on sleep parameters. The effect on the low-α band evidenced in quantitative EEG analysis would require further investigation in a study with sufficient effect size. SIGNIFICANCE: This is the first study to investigate the effects of CES with polysomnography during and after therapy. Our study contributes to the few controlled trials that have been conducted to study CES and its effects on the EEG α band. Highlights • This is the first study to investigate the effects of the Alpha-Stim in polysomnography during and subsequent to therapy. • In a quantitative electroencephalogram analysis we studied the data obtained for systematic changes. • To minimize placebo effects in patients with sleep disorders, we conducted the tests on subjects without such disorders.


Assuntos
Terapia por Estimulação Elétrica , Voluntários Saudáveis , Crânio , Sono , Adolescente , Adulto , Eletroencefalografia , Feminino , Frequência Cardíaca , Humanos , Sono/fisiologia , Adulto Jovem
10.
Isotopes Environ Health Stud ; 54(5): 451-462, 2018 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-30081672

RESUMO

The monitoring and evaluation of radioactive content in samples of PM10 aerosols have been investigated. The specific radioactivity concentrations (SRC) of 234U, 235U, 238U and 232Th were determined using inductively coupled plasma-sector field mass spectrometry in 13 samples collected in Mexico City and 8 samples collected in Cuernavaca in the centre of Mexico. The SRC of the radioisotopes analysed in PM10 were larger than those reported in PM2.5. The enrichment factor was greater than 5, indicating anthropogenic influences in both sites. The activity ratios of these isotopes in the samples were determined. The 235U/238U ratio showed variations with respect to the natural value, while the 234U/238U and 232Th/238U ratios did not show any secular equilibrium in all sites, corroborating that the increase of uranium is not influenced by natural sources. The annual dose results obtained have no impact on health.


Assuntos
Aerossóis/análise , Poluentes Radioativos do Ar/análise , Tório/análise , Urânio/análise , Cidades , Monitoramento Ambiental/métodos , Espectrometria de Massas/métodos , México , Material Particulado/análise , Cinza Radioativa
11.
Food Res Int ; 105: 654-667, 2018 03.
Artigo em Inglês | MEDLINE | ID: mdl-29433260

RESUMO

Many beneficial properties have been attributed to the Mediterranean diet. Over the years, researchers have attempted to learn which foods and which food components are responsible for good health. One of these components is hydroxytyrosol, an important phenolic compound present in olive oil. Hydroxytyrosol is a molecule of high interest to the pharmaceutical industry due to its anti-inflammatory and antimicrobial qualities its role against cardiovascular diseases and metabolic syndrome and for its neuroprotection, antitumour, and chemo modulation effects. The interest in this molecule has led to wide research on its biological activities, its beneficial effects in humans and how to synthetize new molecules from hydroxytyrosol. This review describes the vast range of information about hydroxytyrosol, focusing on its involvement in biological mechanisms and modulation effects on different pathologies. This review also serves to highlight the role of hydroxytyrosol as a nutraceutical and as a potential therapeutic agent.


Assuntos
Anti-Infecciosos/uso terapêutico , Anti-Inflamatórios/uso terapêutico , Antineoplásicos/uso terapêutico , Antioxidantes/uso terapêutico , Dieta Saudável , Dieta Mediterrânea , Suplementos Nutricionais , Azeite de Oliva/química , Álcool Feniletílico/análogos & derivados , Animais , Anti-Infecciosos/efeitos adversos , Anti-Infecciosos/isolamento & purificação , Anti-Inflamatórios/efeitos adversos , Anti-Inflamatórios/isolamento & purificação , Antineoplásicos/efeitos adversos , Antineoplásicos/isolamento & purificação , Antioxidantes/efeitos adversos , Antioxidantes/isolamento & purificação , Suplementos Nutricionais/efeitos adversos , Humanos , Álcool Feniletílico/efeitos adversos , Álcool Feniletílico/isolamento & purificação , Álcool Feniletílico/uso terapêutico
12.
Endocrine ; 56(1): 186-195, 2017 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-28188479

RESUMO

PURPOSE: Deficiency of vitamin D is very common in obese people and treatment by oral supplementation is not effective in all patients. This exploratory pilot study investigated the influence of different doses of short-term ultraviolet B irradiation on serum 25-hydroxyvitamin-D3 (25D) and 1,25-dihydroxyvitamin-D3 (1,25D) levels in obese compared to normal weight subjects and obese controls. METHODS: Participants with skin types II and III (Fitzpatrick skin classification) were assigned to six groups including four intervention groups receiving irradiation (three groups of obese and one group of normal weight subjects) and two control groups without treatment (obese and normal weight). Intervention groups received three sessions of whole body UVB irradiation of three different doses (cumulative doses over three sessions: 0.28, 0.70, 1.75 minimal erythema dose) within 1 week of intervention. Serum 25D and 1,25D were measured at baseline and after irradiation. Outcome differences between groups were analyzed using a linear model. RESULTS: Serum 25D levels increased significantly in obese (+23.6 and +26.7%, respectively, p = 0.01) and normal weight (+15.6%, p = 0.02) intervention groups who received medium and high doses of ultraviolet B irradiation compared to control groups (+3.5 and -4.0%, respectively, p = 1.0). The increase in obese patients was 51.4% greater compared to normal weight controls irradiated with equal ultraviolet B doses. Low-level ultraviolet irradiation did not result in a significant change in serum 25D (+7.0%, p = 0.61). We did not detect any significant differences of 1,25D between groups (p = 0.25). CONCLUSIONS: The current study indicates that short-term ultraviolet B irradiation increases 25D levels in obese patients.


Assuntos
Calcifediol/sangue , Obesidade/sangue , Terapia Ultravioleta/métodos , Deficiência de Vitamina D/sangue , Deficiência de Vitamina D/terapia , Vitamina D/análogos & derivados , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Obesidade/complicações , Projetos Piloto , Raios Ultravioleta , Vitamina D/sangue , Deficiência de Vitamina D/complicações
13.
Mol Neurobiol ; 54(6): 4696-4704, 2017 08.
Artigo em Inglês | MEDLINE | ID: mdl-27443159

RESUMO

Alzheimer's disease (AD) is the most common cause of dementia; however, available treatments have had limited success. Therefore AD patients are in tremendous need of new pharmacological approaches that may delay or slow the progression of the disease. In addition to the classical neuropathological features, immunological and inflammatory processes are also involved in AD pathogenesis. Naturally occurring compounds, such as Mangifera indica Linn (MGF) extracts have previously been shown to significantly reduce peripheral inflammatory processes. In order to explore the role of MGF in AD central pathology, we have orally treated APP/PS1 mice for 22 weeks. While MGF did not affect amyloid pathology, tau hyperphosphorylation was significantly reduced in the cortex and hippocampus. Also, inflammatory processes, measured by microglia and astrocyte burdens, were diminished in MGF-treated mice. Moreover, neuronal morphological alterations, such as abnormal neurite curvature and dystrophies, highly increased in APP/PS1 mice, were significantly ameliorated by long-term MGF treatment. Reduction of all these pathological features were accompanied by compelling improvements of episodic and spatial memory in APP/PS1 mice treated with MGF. Altogether our data suggest that MGF may provide a useful tool to target different aspects of AD pathology and could lead to more effective future therapeutic or preventive strategies.


Assuntos
Doença de Alzheimer/tratamento farmacológico , Doença de Alzheimer/patologia , Peptídeos beta-Amiloides/metabolismo , Transtornos Cognitivos/tratamento farmacológico , Transtornos Cognitivos/patologia , Extratos Vegetais/uso terapêutico , Presenilina-1/metabolismo , Xantonas/uso terapêutico , Doença de Alzheimer/complicações , Amiloide/metabolismo , Animais , Transtornos Cognitivos/complicações , Inflamação/complicações , Inflamação/tratamento farmacológico , Inflamação/patologia , Mangifera , Camundongos , Neuritos/efeitos dos fármacos , Neuritos/metabolismo , Neuritos/patologia , Extratos Vegetais/farmacologia , Xantonas/farmacologia , Proteínas tau/metabolismo
14.
Brain Pathol ; 27(4): 499-507, 2017 07.
Artigo em Inglês | MEDLINE | ID: mdl-27537110

RESUMO

Epidemiological studies reveal that metabolic disorders, and specifically type 2 diabetes (T2D), are relevant risk factors to develop Alzheimer's disease (AD) and vascular dementia (VaD), the most common causes of dementia. AD patients are in a tremendous need of new therapeutic options because of the limited success of available treatments. Natural polyphenols, and concretely Mangifera indica Linn extract (MGF), have been reported to have antiinflammatory, antioxidant and antidiabetic activities. The role of MGF in central complications associated with T2D, after long-term treatment of db/db mice with MGF was analyzed. Metabolic parameters (body weight, glucose and insulin levels) as well as central complications including brain atrophy, inflammatory processes, spontaneous bleeding, tau phosphorylation and cognitive function in db/db mice treated with MGF for 22 weeks were assessed. MGF limits body weight gain in obese db/db mice. Insulin and C-peptide levels, indicative of pancreatic function, were longer maintained in MGF-treated animals. MGF reduced central inflammation by lowering microglia burden, both in the cortex and the hippocampus. Likewise, central spontaneous bleeding was significantly reduced in db/db mice. Cortical and hippocampal atrophy was reduced in db/db mice and tau hyperphosphorylation was lower after MGF treatment, resulting in partial recovery of learning and memory disabilities. Altogether, the data suggested that MGF treatment may provide a useful tool to target different aspects of AD and VaD pathology, and could lead to more effective clinical therapies for the prevention of metabolic related central complications associated with AD and VaD.


Assuntos
Sistema Nervoso Central/patologia , Transtornos Cognitivos/tratamento farmacológico , Transtornos Cognitivos/etiologia , Diabetes Mellitus Tipo 2/complicações , Diabetes Mellitus Tipo 2/patologia , Mangifera/química , Extratos Vegetais/farmacologia , Animais , Atrofia/tratamento farmacológico , Atrofia/etiologia , Atrofia/patologia , Sistema Nervoso Central/efeitos dos fármacos , Diabetes Mellitus Tipo 2/genética , Modelos Animais de Doenças , Encefalite/tratamento farmacológico , Encefalite/etiologia , Locomoção/efeitos dos fármacos , Aprendizagem em Labirinto/efeitos dos fármacos , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Knockout , Neurônios/metabolismo , Obesidade/complicações , Obesidade/genética , Fosforilação/efeitos dos fármacos , Folhas de Planta/química , Receptores para Leptina/deficiência , Receptores para Leptina/genética , Proteínas tau/metabolismo
15.
Cult. cuid ; 20(46): 115-126, sept.-dic. 2016.
Artigo em Espanhol | IBECS | ID: ibc-159845

RESUMO

El objetivo general del estudio es estudiar la evolución de la higiene corporal de forma holística desde la edad antigua a la actualidad. Como objetivos específicos nos planteamos: 1-describir las consecuencias para la salud de las tendencias en higiene corporal de las sociedades modernas; 2- describir el rol de la enfermería moderna en los cuidados higiénicos corporales. Metodología y fuentes: se realizó una revisión integradora en las bases de datos Medline/Pubmed, Scielo, y Lilacs y búsqueda inversa de documentación, obteniendo un total de 30 trabajos. Los hábitos cotidianos de higiene corporal han sufrido importantes variaciones a lo largo de la historia. En la antigua Grecia y Roma el baño adquiría expresión social y de ocio además de terapéutica, incluso su raíz etimológica deriva de la Diosa griega de la salud ‘Hygieia’. En la época medieval la higiene corporal sólo merecía una importancia estética relacionando la enfermedad con la pobredumbre del aire, al igual que en el renacimiento donde además surge la fantasmagoría en torno al baño. Con el siglo XIX y los avances en microbiología surge el movimiento higienista enriqueciendo además a la higiene como concepto. Actualmente las sociedades desarrolladas alcanzan elevados niveles de higiene corporal donde recientes investigaciones señalan que pueden ser contraproducentes para la salud, replanteándose cuáles son los mejores hábitos de higiene corporal basados en la evidencia científica (AU)


The general aim of inquiry is to study the evolution of corporal hygiene holistically from ancient times to the present. As specific aims we considered: 1-to describe the health consequences of trends in corporal hygiene of modern societies; 2- to describe the role of modern nursing in corporal hygiene care. Methodology and sources: an integrative review was conducted in Medline / Pubmed, Scielo and Lilacs data and a documentation Reverse Search, obtaining a total of 30 jobs. Daily personal hygiene habits have changed considerably throughout history. In ancient Greece and Rome the bathroom acquired social expression and entertainment in addition to therapeutic, and its etymological root is derived from the Greek goddess of health ‘Hygieia’. In medieval times personal hygiene deserved only an aesthetic importance linking the disease with pobredumbre air, as in the Renaissance where the phantasmagoria around the bathroom also arises. In the nineteenth century, and advances in microbiology, the hygienist movement emerged also enriching hygiene as a concept. Currently developed societies achieve high levels of personal hygiene which recent research suggests that may be counterproductive to health, reconsidering what the best personal hygiene habits based on scientific evidence (AU)


O objetivo geral da pesquisa é estudar a evolução da higiene pessoal de forma holística desde os tempos antigos até o presente. Como objetivos específicos podemos definir: 1-descrever as consequências para a saúde de tendências da higiene pessoal das sociedades modernas; 2- descrever o papel da enfermagem moderna no cuidado de higiene corporal. Metodologia e as fontes: uma revisão integrativa em bases de dados Medline/ Pubmed, Scielo e Lilacs foi realizada, e uma pesquisa inversa de documentação, obtendo um total de 30 postos de trabalho. Diários hábitos de higiene pessoal mudaram consideravelmente ao longo da história. Na Grécia e Roma antigas banheiro adquiriu expressão social e de entretenimento, além de terapêutica, e sua raiz etimológica é derivado da deusa grega da saúde ‘Hygieia’. Nos tempos medievais higiene pessoal merecia única uma importância estética que liga a doença com ar pobredumbre, como no Renascimento, onde a fantasmagoria em torno do banheiro também surge. No século XIX, e avanços em microbiologia, o movimento higienista surge também o enriquecimento de higiene como um conceito. Sociedades desenvolvidas atualmente alcançar altos níveis de higiene pessoal que pesquisas recentes sugerem que pode ser contraproducente para a saúde, reconsiderando o que os melhores hábitos de higiene pessoal, baseada em evidências científicas (AU)


Assuntos
Humanos , Higiene/história , Higiene da Pele/história , Cuidados de Enfermagem/tendências , Evolução Cultural , Mudança Social/história
16.
Med. oral patol. oral cir. bucal (Internet) ; Med. oral patol. oral cir. bucal (Ed.impr.);20(2): e211-e217, mar. 2015. tab
Artigo em Inglês | IBECS | ID: ibc-134135

RESUMO

OBJECTIVES: To study clinical and epidemiological characteristics of the patients treated at the clinic 'Integrated Dentistry for Patients with Special Needs (Special Care Dentistry)' at Complutense University of Madrid (UCM),as well as to know the dental treatments performed in these patients and the modifications from the usual treatment protocol. The information obtained from the results could also be applied in order to assess the needs of dental students education about this type of patients. Study DESIGN: Medical records review of all the patients referred to the clinic of 'Integrated Dentistry for Patients with Special Needs', performing a retrospective cross-sectional study analyzing their main pathology, ASA risk score (Classification system used by the American Society of Anesthesiologists to estimate the risk posed by the anesthesia for various patient conditions), pharmacological treatment, what kind of dental treatment was necessary, whether the patient was treated or not, and if it was required to change any procedure due to the patient health status (sedation or antibiotic prophylaxis). RESULTS: The number of patients referred to the clinic was 447, of whom 426 were included in this study. Out of them, 52,35 % were men and 47,89 were women, with a mean age of 49,20 years. More frequent pathologies were cardiovascular or cerebrovascular diseases (24,29 %), infectious diseases (12,41%), endocrine diseases (11,66%)and intellectual disability (8,85%). 70'18% of the patients were treated, with sedation being necessary in 9,03% of the cases and antibiotic prophylaxis in 11,70%


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Assuntos
Humanos , Assistência Odontológica Integral/métodos , Assistência Odontológica para a Pessoa com Deficiência/organização & administração , Pessoas com Deficiência/estatística & dados numéricos , Epidemiologia Descritiva , Educação em Saúde Bucal/tendências , Estudantes de Odontologia
17.
Med Oral Patol Oral Cir Bucal ; 20(2): e211-7, 2015 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-25662539

RESUMO

OBJECTIVES: To study clinical and epidemiological characteristics of the patients treated at the clinic "Integrated Dentistry for Patients with Special Needs (Special Care Dentistry)" at Complutense University of Madrid (UCM), as well as to know the dental treatments performed in these patients and the modifications from the usual treatment protocol. The information obtained from the results could also be applied in order to assess the needs of dental students education about this type of patients. STUDY DESIGN: Medical records review of all the patients referred to the clinic of "Integrated dentistry for patients with special needs", performing a retrospective cross-sectional study analyzing their main pathology, ASA risk score (Classification system used by the American Society of Anesthesiologists to estimate the risk posed by the anesthesia for various patient conditions), pharmacological treatment, what kind of dental treatment was necessary, whether the patient was treated or not, and if it was required to change any procedure due to the patient health status (sedation or antibiotic prophylaxis). RESULTS: The number of patients referred to the clinic was 447, of whom 426 were included in this study. Out of them, 52,35 % were men and 47,89 were women, with a mean age of 49,20 years. More frequent pathologies were cardiovascular or cerebrovascular diseases (24,29 %), infectious diseases (12,41%), endocrine diseases (11,66%) and intellectual disability (8,85%). 70'18% of the patients were treated, with with sedation being necessary in 9,03% of the cases and antibiotic prophylaxis in 11,70%. CONCLUSIONS: Given the high number of patients with some kind of pathology and the amount of medicines that they use, it seems necessary for dentistry students to have a specific training regarding how to handle and treat these patients, so they will be able to provide them the best possible care.


Assuntos
Doenças Dentárias/terapia , Estudos Transversais , Prestação Integrada de Cuidados de Saúde , Serviços de Saúde Bucal , Feminino , Hospitais Universitários , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Espanha , Doenças Dentárias/complicações
18.
Meat Sci ; 104: 52-7, 2015 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-25697853

RESUMO

The aim of this study was to assess the effect of immune-spaying on meat quality characteristics and fatty acid profile of dry-cured shoulders and loins by comparing Iberian×Duroc surgically spayed females, immune-spayed females and entire females. There were no significant differences on the physicochemical composition of dry-cured shoulders; however the intramuscular fat content of dry-cured loins was higher in immune-spayed females than entire ones, but not significantly different from spayed females. Immune-spayed females showed the highest values, which could improve the sensory quality of Iberian dry-cured loins, since it is considered an index of high quality. On the other hand, the PUFA content of both dry-cured shoulders and loins proved to be lower in immune-spayed than spayed females, which could prevent excessive fat oxidation responsible for rancidity. Therefore, immune-spaying could be a viable alternative to surgical spaying from the meat quality point of view.


Assuntos
Tecido Adiposo/metabolismo , Gorduras Insaturadas na Dieta/análise , Ácidos Graxos/metabolismo , Imunização , Peroxidação de Lipídeos , Carne/análise , Ovariectomia , Criação de Animais Domésticos/métodos , Animais , Cruzamento , Dessecação , Ácidos Graxos Insaturados/metabolismo , Feminino , Manipulação de Alimentos , Hormônio Liberador de Gonadotropina/imunologia , Humanos , Carne/normas , Músculos/metabolismo , Suínos
19.
PLoS One ; 9(4): e91282, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24699261

RESUMO

Pollen is the most common aeroallergen to cause seasonal conjunctivitis. The result of allergen exposure is a strong Th2-mediated response along with conjunctival mast cell degranulation and eosinophilic infiltration. Oleanolic acid (OA) is natural a triterpene that displays strong anti-inflammatory and immunomodulatory properties being an active anti-allergic molecule on hypersensitivity reaction models. However, its effect on inflammatory ocular disorders including conjunctivitis, has not yet been addressed. Hence, using a Ragweed pollen (RWP)-specific allergic conjunctivitis (EAC) mouse model we study here whether OA could modify responses associated to allergic processes. We found that OA treatment restricted mast cell degranulation and infiltration of eosinophils in conjunctival tissue and decreased allergen-specific Igs levels in EAC mice. Th2-type cytokines, secreted phospholipase A2 type-IIA (sPLA2-IIA), and chemokines levels were also significantly diminished in the conjunctiva and serum of OA-treated EAC mice. Moreover, OA treatment also suppressed RWP-specific T-cell proliferation. In vitro studies, on relevant cells of the allergic process, revealed that OA reduced the proliferative and migratory response, as well as the synthesis of proinflammatory mediators on EoL-1 eosinophils and RBL-2H3 mast cells exposed to allergic and/or crucial inflammatory stimuli such as RWP, sPLA2-IIA or eotaxin. Taken together, these findings demonstrate the beneficial activity of OA in ocular allergic processes and may provide a new intervention strategy and potential therapy for allergic diseases.


Assuntos
Antialérgicos/farmacologia , Túnica Conjuntiva/efeitos dos fármacos , Conjuntivite Alérgica/tratamento farmacológico , Inflamação/tratamento farmacológico , Modelos Animais , Ácido Oleanólico/farmacologia , Alérgenos/toxicidade , Animais , Proliferação de Células/efeitos dos fármacos , Túnica Conjuntiva/citologia , Túnica Conjuntiva/imunologia , Conjuntivite Alérgica/etiologia , Conjuntivite Alérgica/imunologia , Citocinas/metabolismo , Eosinófilos/citologia , Eosinófilos/efeitos dos fármacos , Eosinófilos/imunologia , Feminino , Citometria de Fluxo , Imunização , Imunoglobulina E/metabolismo , Inflamação/etiologia , Inflamação/imunologia , Mastócitos/citologia , Mastócitos/efeitos dos fármacos , Mastócitos/imunologia , Camundongos , Camundongos Endogâmicos BALB C , Pólen/toxicidade
20.
Eur J Appl Physiol ; 112(8): 3119-28, 2012 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-22212862

RESUMO

Strenuous exercise induces muscle damage due to a highly increased generation of free radicals and inflammatory response and therefore, in this type of exercise, it is important to reduce both oxidative stress and inflammation, at least their negative aspects. The purpose of this study was investigate, for the first time, whether a purified, standard water-soluble fraction obtained from Phlebodium decamanum could reduce the over-expression of inflammation and oxidative stress induced by strenuous exercise. The physical test consisted of a constant run that combined several degrees of high effort (mountain run and ultra-endurance), in permanent climbing. Biochemical parameters, oxidative stress and inflammatory mediators were assessed. The results showed that oral supplementation of P. decumanum during high-intensity exercise effectively reduces the degree of oxidative stress (decreased 8-hydroxy-2'-deoxyguanosine and isoprostanes generation, increased antioxidant enzyme activities in erythrocyte and total antioxidant status in plasma). The data obtained also indicate that this supplementation is efficient in reducing the inflammatory response through the decrease of TNF-α and increase of sTNF-RII, but kept the levels of IL-6 and IL-1ra. In conclusion, oral supplementation of P. decamanum extract during high-intensity exercise effectively reduces the degree of oxidative stress and has anti-inflammatory protective effects, preventing the over-expression of TNF-α but keeping the levels and effects of IL-6. These findings provide a basis for similar Phlebodium supplementation for both professional and amateur athletes performing strenuous exercise in order to reduce the undesirable effects of the oxidative stress and inflammation signalling elicited during high-intensity exercise.


Assuntos
Anti-Inflamatórios/farmacologia , Antioxidantes/farmacologia , Suplementos Nutricionais , Exercício Físico , Mediadores da Inflamação/sangue , Músculo Esquelético/efeitos dos fármacos , Estresse Oxidativo/efeitos dos fármacos , Extratos Vegetais/farmacologia , Polypodiaceae , Transdução de Sinais/efeitos dos fármacos , 8-Hidroxi-2'-Desoxiguanosina , Adulto , Anti-Inflamatórios/isolamento & purificação , Antioxidantes/isolamento & purificação , Biomarcadores/sangue , Biomarcadores/urina , Catalase/sangue , Desoxiguanosina/análogos & derivados , Desoxiguanosina/urina , Teste de Esforço , Glutationa Peroxidase/sangue , Humanos , Proteína Antagonista do Receptor de Interleucina 1/sangue , Interleucina-6/sangue , Isoprostanos/urina , Músculo Esquelético/imunologia , Músculo Esquelético/metabolismo , Resistência Física , Extratos Vegetais/isolamento & purificação , Folhas de Planta , Polypodiaceae/química , Receptores Tipo II do Fator de Necrose Tumoral/sangue , Rizoma , Corrida , Espanha , Fator de Necrose Tumoral alfa/sangue
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