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1.
Nat Mater ; 21(5): 547-554, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-35177785

RESUMO

Constitutive laws underlie most physical processes in nature. However, learning such equations in heterogeneous solids (for example, due to phase separation) is challenging. One such relationship is between composition and eigenstrain, which governs the chemo-mechanical expansion in solids. Here we developed a generalizable, physically constrained image-learning framework to algorithmically learn the chemo-mechanical constitutive law at the nanoscale from correlative four-dimensional scanning transmission electron microscopy and X-ray spectro-ptychography images. We demonstrated this approach on LiXFePO4, a technologically relevant battery positive electrode material. We uncovered the functional form of the composition-eigenstrain relation in this two-phase binary solid across the entire composition range (0 ≤ X ≤ 1), including inside the thermodynamically unstable miscibility gap. The learned relation directly validates Vegard's law of linear response at the nanoscale. Our physics-constrained data-driven approach directly visualizes the residual strain field (by removing the compositional and coherency strain), which is otherwise impossible to quantify. Heterogeneities in the residual strain arise from misfit dislocations and were independently verified by X-ray diffraction line profile analysis. Our work provides the means to simultaneously quantify chemical expansion, coherency strain and dislocations in battery electrodes, which has implications on rate capabilities and lifetime. Broadly, this work also highlights the potential of integrating correlative microscopy and image learning for extracting material properties and physics.

2.
Planta Med ; 86(7): 505-515, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-32247285

RESUMO

Spondias mobin leaves have been traditionally used for treating cold sores. The study investigated the mechanism of antiherpes action of S. mombin extract, fractions, and geraniin. Different concentrations of samples were used to evaluate the in vitro antiherpes activity (anti-HSV-1) in virucidal, post-infection, attachment, and penetration assays. The mechanism of action of geraniin was investigated considering the glycoproteins gB and gD of HSV-1 surface as potential molecular targets. Molecular docking simulations were carried out for both in order to determine the possible binding mode position of geraniin at the activity sites. The binding mode position was posteriorly optimized considering the flexibility of the glycoproteins. The chemical analysis of samples was performed by LC-MS and revealed the presence of 22 substances, which are hydrolysable tannins, O-glycosylated flavonoids, phenolic acids, and a carbohydrate. The extract, tannin-rich fraction and geraniin showed important in vitro virucidal activity through blocking viral attachment but showed no relevant inhibition of viral penetration. The in silico approaches demonstrated a high number of potential strong intermolecular interactions as hydrogen bonds between geraniin and the activity site of the glycoproteins, particularly the glycoprotein gB. In silico experiments indicated that geraniin is at least partially responsible for the anti-herpes activity through interaction with the viral surface glycoprotein gB, which is responsible for viral adsorption. These results highlight the therapeutic potential of S. mombin anti-herpes treatment and provides support for its traditional purposes. However, further studies are required to validate the antiviral activities in vivo, as well as efficacy in humans.


Assuntos
Anacardiaceae , Antivirais , Herpes Simples , Herpesvirus Humano 1 , Herpesvirus Humano 2 , Humanos , Simulação de Acoplamento Molecular , Extratos Vegetais , Folhas de Planta , Células Vero , Replicação Viral
3.
ACS Appl Mater Interfaces ; 16(38): 51584-51594, 2024 Sep 25.
Artigo em Inglês | MEDLINE | ID: mdl-39277815

RESUMO

In this work, we build a computationally inexpensive, data-driven model that utilizes atomistic structure information to predict the reactivity of interfaces between any candidate solid-state electrolyte material and a Li metal anode. This model is trained on data from ab initio molecular dynamics (AIMD) simulations of the time evolution of the solid electrolyte-Li metal interfaces for 67 different materials. Predicting the reactivity of solid-state interfaces with ab initio techniques remains an elusive challenge in materials discovery and informatics, and previous work on predicting interfacial compatibility of solid-state Li-ion electrolytes and Li metal anodes has focused mainly on thermodynamic convex hull calculations. Our framework involves training machine learning models on AIMD data, thereby capturing information on both kinetics and thermodynamics, and then leveraging these models to predict the reactivity of thousands of new candidates in the span of seconds, avoiding the need for additional weeks-long AIMD simulations. We identify over 300 new chemically stable and over 780 passivating solid electrolytes that are predicted to be thermodynamically unfavored. Our results indicate many potential solid-state electrolyte candidates have been incorrectly labeled unstable via purely thermodynamic approaches using density functional theory (DFT) energetics, and that the pool of promising, Li-stable solid-state electrolyte materials may be much larger than previously thought from screening efforts. To showcase the value of our approach, we highlight two borate materials that were identified by our model and confirmed by further AIMD calculations to likely be highly conductive and chemically stable with Li: LiB13C2 and LiB12PC.

4.
Bioengineering (Basel) ; 9(10)2022 Oct 20.
Artigo em Inglês | MEDLINE | ID: mdl-36290552

RESUMO

Considering the imminence of new SARS-CoV-2 variants and COVID-19 vaccine availability, it is essential to understand the impact of the disease on the most vulnerable groups and those at risk of death from the disease. To this end, the odds ratio (OR) for mortality and hospitalization was calculated for different groups of patients by applying an adjusted logistic regression model based on the following variables of interest: gender, booster vaccination, age group, and comorbidity occurrence. A massive number of data were extracted and compiled from official Brazilian government resources, which include all reported cases of hospitalizations and deaths associated with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in Brazil during the "wave" of the Omicron variant (BA.1 substrain). Males (1.242; 95% CI 1.196-1.290) aged 60-79 (3.348; 95% CI 3.050-3.674) and 80 years or older (5.453; 95% CI 4.966-5.989), and hospitalized patients with comorbidities (1.418; 95% CI 1.355-1.483), were more likely to die. There was a reduction in the risk of death (0.907; 95% CI 0.866-0.951) among patients who had received the third dose of the anti-SARS-CoV-2 vaccine (booster). Additionally, this big data investigation has found statistical evidence that vaccination can support mitigation plans concerning the current scenario of COVID-19 in Brazil since the Omicron variant and its substrains are now prevalent across the entire country.

5.
Vaccine X ; 7: 100087, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33817624

RESUMO

BACKGROUND: Maternal Tetanus, diphtheria, and acellular pertussis (Tdap) vaccination provides antibody transfer to newborn infants and may affect their antibody response to the primary vaccination series. This study aimed to assess the effect of Tdap vaccination during pregnancy on infant antibody response to the whole cell pertussis (DTwP) primary series. METHODS: Plasma from 318 pregnant women (243 Tdap-vaccinated and 75 unvaccinated) and their infants (cord blood) was collected at delivery; infant blood was again collected at 2 and 7 months, before and after their primary DTwP series. Anti-pertussis toxin (PT), pertactin (PRN), filamentous hemagglutinin (FHA), fimbriae 2/3 (FIM) and adenylate cyclase toxin (ACT) IgG antibodies were quantified by a microsphere-based multiplex antibody capture assay and anti-PT neutralizing antibodies by the Real Time Cell analysis system. RESULTS: Infant geometric mean concentrations (GMCs) of IgG anti-Tdap antigens were significantly higher (p < 0.001) among the Tdap-vaccinated (PT: 57.22 IU/mL; PRN: 464.86 IU/mL; FHA: 424.0 IU/mL), versus the unvaccinated group (4 IU/mL, 15.43 IU/mL, 31.99 IU/mL, respectively) at delivery. Anti-FIM and ACT GMCs were similar between the two groups. At 2 months of age, anti-PT, PRN, and FHA GMCs remained higher (p < 0.001) in the Tdap-vaccinated group (12.64 IU/mL; 108.76 IU/mL; 87.41 IU/mL, respectively) than the unvaccinated group (1.02 IU/mL; 4.46 IU/mL; 6.89 IU/mL). However, at 7 months, after receiving the third DTwP dose, the anti-PT GMC was higher (p = 0.016) in the unvaccinated group (7.91 IU/mL) compared to the vaccinated group (2.27 IU/mL), but without differences for anti-PRN, FHA, FIM and ACT GMCs. CONCLUSION: Elevated antibody levels suggest that maternal Tdap vaccination might protect infants until 2 months of age. Reduced anti-PT levels at 7 months indicate potential blunting of immune response in infants. Surveillance would help determine if blunting alters vaccine immunity and impacts pertussis prevention in infants.

6.
AIDS Res Hum Retroviruses ; 8(1): 69-75, 1992 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-1346568

RESUMO

In humans, macrophages serve as a major reservoir of human immunodeficiency virus (HIV-1) in the infected host and may play a role in the pathogenesis of the disease. In HIV-1-infected chimpanzees, however, virus could not be recovered from cells of the monocyte/macrophage lineage, leaving the question of macrophage tropism of HIV-1 in this species unresolved. The data reported that HIV-1 IIIB shows dual tropism and is infectious for both chimpanzee monocytes and lymphocytes in vitro. Viral replication in chimpanzee monocytes was clearly demonstrated by infection of allogeneic phytohemagglutinin (PHA) blasts in vitro and by electron microscopy (EM). EM revealed HIV particles associated with 10-15% of the HIV-1 IIIB-infected chimpanzee monocytes. Viral particles budding from the monocyte surface in the typical crescent form were noted as well. This is in contrast to the human situation, where monocytotropic HIV strains preferentially bud into and accumulate in cytoplasmic vacuoles. These results indicate that both lymphocytes and cells of the monocyte/macrophage lineage replicate virus in the chimpanzee; the cell tropism of viral strains, however, is different in chimpanzees and humans.


Assuntos
Linfócitos T CD4-Positivos/microbiologia , HIV-1/patogenicidade , Monócitos/microbiologia , Animais , Separação Celular , Suscetibilidade a Doenças , HIV-1/imunologia , HIV-1/ultraestrutura , Humanos , Macrófagos/microbiologia , Macrófagos/ultraestrutura , Monócitos/ultraestrutura , Pan troglodytes , Especificidade da Espécie
7.
AIDS Res Hum Retroviruses ; 7(5): 485-93, 1991 May.
Artigo em Inglês | MEDLINE | ID: mdl-1714748

RESUMO

The goal of the present study was to investigate the antigen-specific T-cell response to the recombinant HIV envelope glycoprotein (gp160) and to test the effect of various adjuvant formulations on the efficiency of T-cell priming as well as on magnitude and longevity of the gp160-specific T-cell response. Our studies revealed that, in combination with an appropriate adjuvant (lipid-based adjuvant or mineral carrier complex), immunization with recombinant gp160 led to the appearance of gp160-primed T cells. The T-cell response obtained was substantial (proliferative response of greater than 100,000 delta dpm after one primary and two booster immunizations), gp160-specific (proliferation only in response to gp160, no proliferation after addition of a mock gp160 preparation), and long-lasting (T cell responses of greater than 50,000 delta dpm were observed more than one year after the last booster). The results presented here differ from those of previous studies in that they show the presence of substantial and long-lasting T-cell memory toward the immunogen gp160. Therefore further investigations on the use of these preparations as HIV candidate vaccines appear to be justified.


Assuntos
Produtos do Gene env/imunologia , HIV-1/imunologia , Imunização , Memória Imunológica , Precursores de Proteínas/imunologia , Linfócitos T/imunologia , Adjuvantes Imunológicos/farmacologia , Animais , Epitopos/imunologia , Feminino , Anticorpos Anti-HIV/biossíntese , Proteína gp160 do Envelope de HIV , Masculino , Pan troglodytes , Proteínas Recombinantes/imunologia , Linfócitos T/microbiologia , Células Vero , Vacinas Virais
8.
AIDS Res Hum Retroviruses ; 11(1): 161-70, 1995 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-7734189

RESUMO

Foamy viruses (FVs) persist in healthy individuals of various mammalian species, including nonhuman primates. Laboratory markers of FV infection are (1) virus in throat epithelium or peripheral blood lymphocytes (PBLs), (2) proviral DNA sequences in PBLs and various solid organs, and (3) antibodies reactive to viral antigens on Western blots, in radioimmunoprecipitation tests, and in immunofluorescence assays. Using PCR and serological tests, we readily detected FV markers in naturally infected African green monkeys, rhesus monkeys, and chimpanzees, as well as in accidentally infected humans. Transmission of simian foamy viruses to humans (by bite or inadvertent laboratory infection) leads to viral markers, without affecting the recipient. Reports on FV-associated clinical disorders (e.g., thyroid or neurological) have remained controversial. In this study we failed to detect, by PCR, viral sequences in the samples from 223 patients, including 16 HIV-infected Africans, 46 Graves' disease patients, and 28 patients with the de Quervain's thyroiditis. Evaluation of 2688 sera from suspected high-risk areas (e.g., Central and East Africa, or high-risk groups such as HIV-infected individuals and patients with AIDS, thyroid, and neurological disorders) did not reveal FV-specific antibodies in a single case. Previously reported FV seroprevalence in various populations has never been verified by appropriate confirmatory tests. The strain of "human foamy virus" has remained a unique isolate. In conclusion, FVs are unlikely--at present--to circulate in human populations.


Assuntos
Anticorpos Antivirais/sangue , Infecções por Retroviridae/virologia , Spumavirus/isolamento & purificação , África/epidemiologia , Animais , Sequência de Bases , Biomarcadores , Primers do DNA , Ensaio de Imunoadsorção Enzimática/métodos , Fibroblastos/virologia , Haplorrinos , Hominidae/virologia , Humanos , Dados de Sequência Molecular , Reação em Cadeia da Polimerase/métodos , Prevalência , Infecções por Retroviridae/sangue , Infecções por Retroviridae/epidemiologia , Spumavirus/imunologia
9.
Ultrasound Med Biol ; 22(1): 19-24, 1996.
Artigo em Inglês | MEDLINE | ID: mdl-8928313

RESUMO

To the best of our knowledge, this is the first published investigation of the size and position of chimpanzee spleens as measured by ultrasound, and that a fine-needle biopsy of the chimpanzee spleen, guided by ultrasound, has been performed. In general, the chimpanzee spleen is smaller than the human spleen (mean length of 8.9 cm, SD 1.17 cm; mean thickness 2.4 cm, SD 0.35 cm; n = 14) and its position may be different due to different numbers of thoracic vertebrae. Fine-needle biopsy is a safe and simple method to obtain lymphoid tissue sufficient for PCR testing of HIV-1.


Assuntos
Biópsia por Agulha/veterinária , Pan troglodytes/anatomia & histologia , Baço/diagnóstico por imagem , Baço/patologia , Animais , Biópsia por Agulha/métodos , Feminino , HIV-1/isolamento & purificação , Humanos , Masculino , Reação em Cadeia da Polimerase , Baço/virologia , Ultrassonografia Doppler em Cores
10.
Int J Artif Organs ; 6(6): 299-302, 1983 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-6668092

RESUMO

Resin hemoperfusion using an albumin coated Amberlite XAD-7 column was performed in 19 patients in coma due to fulminant hepatic failure. The procedure was clinically well tolerated, with good blood compatibility, platelet and white cell levels being 97.3 +/- SE 3.2% and 105 +/- 3.8% of the respective initial values after four hours hemoperfusion. No significant changes were observed in beta-thromboglobulin, screen filtration pressure, plasma electrolytes, calcium, protein or albumin. The total plasma bilirubin fell by a mean of 24 mumol/l, with a reduction in 21 of the 25 perfusions studied of up to 104 mumol/l during perfusion. Mean plasma levels of total bile acids were 137 +/- 19 mumol/l and 115 +/- 16 mumol/l respectively before and after four hours hemoperfusion. The amount of bile acids recovered by elution of the resin column was over three times greater than that apparent from the change in plasma levels. Column chromatography on Sephadex G-25 of material eluted from the resin column showed various peaks to be removed, including substances in the middle molecular weight range (1000-5000 daltons). Of the patients treated, eight (42%) survived to leave hospital.


Assuntos
Hemoperfusão , Hepatopatias/terapia , Resinas Acrílicas , Adolescente , Adulto , Ácidos e Sais Biliares/sangue , Bilirrubina/sangue , Feminino , Encefalopatia Hepática/terapia , Humanos , Hepatopatias/sangue , Masculino , Pessoa de Meia-Idade , Poliestirenos
11.
Wien Klin Wochenschr ; 95(13): 447-51, 1983 Jun 24.
Artigo em Alemão | MEDLINE | ID: mdl-6636775

RESUMO

From June 1978 until August 1981 4400 pregnant women were consecutively investigated in Vienna for the presence of hepatitis B. 23 women (0.52%) were HBs-antigen positive; 15 of these were foreigners (from Yugoslavia, Turkey, Philippines, Rumania),22 pregnant women were healthy HBs-antigen carriers. One woman had an unspecific reactive hepatitis. Three pregnant women were HBe-antigen positive, 18 anti-HBe positive. Hepatitis B infection was detected in three children of HBs-positive mothers. The highest risk of infection existed in children of HBe-antigen positive mothers. There was no connection between the infection of the children and HBs-antigen in cord blood, delivery and breast-feeding habits. Hepatitis infection took a different course in the three children: one child was an HBs-antigen carrier with a healthy liver, whilst in two children seroconversion took place and anti-HBs was formed without clinical-biochemical signs of hepatitis. Measures for the prevention of vertical hepatitis B transmission are discussed.


Assuntos
Hepatite B/transmissão , Portador Sadio , Feminino , Anticorpos Anti-Hepatite B/imunologia , Antígenos da Hepatite B/imunologia , Humanos , Lactente , Recém-Nascido , Troca Materno-Fetal , Gravidez , Estudos Prospectivos
12.
Wien Klin Wochenschr ; 91(21): 722-6, 1979 Nov 09.
Artigo em Alemão | MEDLINE | ID: mdl-516742

RESUMO

372 children with suspected liver disease were examined for serum HBsAg. Six (three boys, three girls) were found to be positive (1.6%). Further studies of these patients for up to three and a half years revealed elimination of HBsAg in one case only. Biopsies were performed in five patients. Three showed mild chronic hepatitis (two chronic persistent hepatitis, one unspecific reactive hepatitis). Chronic aggressive hepatitis was diagnosed in one patient. One child seemed to be normal on light microscopy, but the findings on electron microscopy were abnormal, the liver cell nuclei being filled with core particles. Two thirds of the family contacts of these children showed hepatitis B marker. Two pregnancies were observed in HBsAg-positive mothers. An infection of the babies was not demonstrable.


Assuntos
Antígenos da Hepatite B/análise , Hepatite B/diagnóstico , Portador Sadio , Núcleo Celular/ultraestrutura , Criança , Feminino , Anticorpos Anti-Hepatite B/análise , Humanos , Fígado/patologia , Fígado/ultraestrutura , Masculino
13.
Wien Klin Wochenschr ; 87(18): 601-5, 1975 Oct 03.
Artigo em Alemão | MEDLINE | ID: mdl-56817

RESUMO

Semiquantitative determination of the serum AFP concentration was carried out in 170 newborn infants (mature and premature) by means of crossover electrophoresis on admission to hospital and at 1 to 2 weekly intervals thereafter. The infants were divided into 3 groups according to their birth weight and also grouped according to gestational age into 3 further groups. The serum AFP level was correlated with the age in weeks of the infants for each group separately. Mature newborn infants with a birth weight of over 2500 g show a rapid fall in serum AFP titre; AFP is no longer detectable after the 9th week of life. In premature infants with a birth weight of 1500 to 2500 g, the fall in AFP titre is delayed and reaches zero between the 7th and 13th week of age. There is a markedly slower decrease in serum AFP concentration in the group of immature infants with a birth weight of under 1500 g; the limit of detectability lies between the 13th and the 17th week of age. An almost identical pattern is revealed when the infants are grouped according to gestational age. The possibility of diagnosing the small for date babies and severe liver disease by means of the serum AFP titre is discussed.


Assuntos
Recém-Nascido Prematuro , alfa-Fetoproteínas/análise , Fatores Etários , Peso ao Nascer , Idade Gestacional , Humanos , Lactente , Recém-Nascido , Doenças do Recém-Nascido/sangue , Doenças do Prematuro/sangue , Hepatopatias/sangue
14.
Wien Klin Wochenschr ; 97(9): 404-8, 1985 Apr 26.
Artigo em Alemão | MEDLINE | ID: mdl-4002722

RESUMO

A report is presented on 10 children with perinatally-acquired hepatitis B virus infection. In 9 cases the mother was most probably the source of infection (vertical transmission of hepatitis B), whilst one child was infected via repeated blood transfusion. 7 mothers were of south-eastern European and/or Anatolian origin. Only 2 mothers suffered from clinically apparent liver disease (one had chronic-aggressive hepatitis with positive HBs-antigen and the other had acute hepatitis B). All the others were healthy hepatitis B carriers. Of 7 mothers examined 2 were HBe-antigen positive, and 5 were anti-HBe positive. The clinical course of infection in children varied: 2 children developed subclinical infection, 2 developed acute hepatitis B, which was fulminant with a fatal outcome in one. 6 children showed antigen persistence (HBs-antigen carriers) over the whole period of observation. In one child this antigen persistence is associated with cirrhosis of the liver, 3 children suffer from chronic-persistent hepatitis B, 2 children are healthy carriers; all children are HBe-antigen positive and, thus, seem to be highly infectious. Apart from the risk to the individual, perinatal hepatitis B infection in a certain population. Hence, preventive measures are indicated and should be carried out in form of HBs-antigen screening of pregnant women - at least of high-risk groups - and active-passive immunization of the newborns at risk. The indication for immunization should not depend on the HBe-antigen status of HBs-antigen positive mothers.


Assuntos
Infecção Hospitalar/transmissão , Hepatite B/transmissão , Áustria , Transfusão de Sangue , Portador Sadio , Feminino , Seguimentos , Hepatite B/congênito , Hepatite B/genética , Antígenos de Superfície da Hepatite B/análise , Antígenos E da Hepatite B/análise , Humanos , Lactente , Recém-Nascido , Testes de Função Hepática , Masculino , Troca Materno-Fetal , Gravidez
15.
Wien Klin Wochenschr ; 111(5): 207-14, 1999 Mar 12.
Artigo em Inglês | MEDLINE | ID: mdl-10226351

RESUMO

Influenza virus for vaccine production are presently produced in embryonated chicken eggs. This conventional standard methodology is extremely cumbersome; it requires a huge amount of eggs and an extensive purification to reduce the amount of contaminating egg proteins and to minimize the risk of allergies against egg albumin. The shortage of eggs in a pandemic situation, the selection of egg-adapted variants and the presence of adventitious viruses has emphasized the necessity for production of influenza vaccines on a well characterized stable cell line. Our established Vero cell technology has been successfully adapted to large scale production of a variety of influenza virus strains. The production in 1200 litre fermenter cultures under serum-free conditions gave antigen yields comparable to the conventional embryonated egg technology. The development of a rapid and efficient purification scheme resulted in a safe high purity vaccine which was at least as immunogenic as conventional egg-derived vaccines in a mouse model. This vaccine has been shown to be safe and highly immunogenic in chimpanzees and to be capable of protecting ferrets against challenge with live virus. Clinical trials have now been initiated in the UK and Austria.


Assuntos
Vírus da Influenza A/imunologia , Vírus da Influenza B/imunologia , Vacinas Sintéticas/química , Células Vero/virologia , Vacinas Virais/química , Vacinas Virais/metabolismo , Animais , Células Cultivadas , Chlorocebus aethiops , Meios de Cultura Livres de Soro , Ovos/virologia , Furões/imunologia , Vírus da Influenza A/crescimento & desenvolvimento , Vírus da Influenza B/crescimento & desenvolvimento , Infecções por Orthomyxoviridae/prevenção & controle , Pan troglodytes/imunologia , Vacinas Sintéticas/uso terapêutico , Células Vero/metabolismo , Vacinas Virais/uso terapêutico
16.
Wien Klin Wochenschr ; 99(15): 531-5, 1987 Aug 07.
Artigo em Inglês | MEDLINE | ID: mdl-2958970

RESUMO

Urinary neopterin, a sensitive marker for activation of cell mediated immunity, is compared to clinical and laboratory data in 5 patients with AIDS, in 15 patients with ARC and in 40 male subjects without AIDS-related clinical signs attending an AIDS outpatient clinic. The sensitivity of neopterin for AIDS-related diseases was higher than that of the CD4+/CD8+ subset ratio. The differences in neopterin levels between the controls, ARC and AIDS patients were found to be more significant than the T-cell subset data. The observation that the 3 AIDS patients with the highest neopterin levels have died whereas the two others with the lower levels are still alive also underlines the prognostic potential of urinary neopterin level determinations. Measurement of urinary neopterin is thus recommended as an additional criterion for monitoring ARC and AIDS patients.


Assuntos
Complexo Relacionado com a AIDS/diagnóstico , Síndrome da Imunodeficiência Adquirida/diagnóstico , Biopterinas/análogos & derivados , Homossexualidade , Complexo Relacionado com a AIDS/imunologia , Síndrome da Imunodeficiência Adquirida/imunologia , Adolescente , Adulto , Idoso , Biopterinas/urina , Diagnóstico Diferencial , Humanos , Contagem de Leucócitos , Masculino , Pessoa de Meia-Idade , Neopterina , Prognóstico , Linfócitos T Auxiliares-Indutores/imunologia , Linfócitos T Reguladores/imunologia
18.
J Travel Med ; 21(5): 298-303, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24889210

RESUMO

BACKGROUND: In February 2012, crew and passengers of a cruise ship sailing off the coast of São Paulo, Brazil, were hospitalized for acute respiratory illness (ARI). A field investigation was performed to identify the disease involved and factors associated. METHODS: Information on passengers and crew with ARI was obtained from the medical records of hospitalized individuals. Active case finding was performed onboard the ship. ARI was defined as the presence of one nonspecific symptom (fever, chills, myalgia, arthralgia, headache, or malaise) and one respiratory symptom (cough, nasal congestion, sore throat, or dyspnea). A case-control study was conducted among the crew. The cases were crew members with symptoms of influenza-like illness (ILI) (fever and one of the following symptoms: cough, sore throat, and dyspnea) in February 2012. The controls were asymptomatic crew members. RESULTS: The study identified 104 ARI cases: 54 (51.9%) crew members and 50 (49.1%) passengers. Among 11 ARI hospitalized cases, 6 had influenza B virus isolated in nasopharyngeal swab. One mortality among these patients was caused by postinfluenza Staphylococcus aureus pneumonia. The crew members housed in the two lower decks and those belonging to the 18- to 32-year-old age group were more likely to develop ILI [odds ratio (OR) = 2.39, 95% confidence interval (CI) 1.09-5.25 and OR = 3.72, CI 1.25-11.16, respectively]. CONCLUSIONS: In February 2012, an influenza B outbreak occurred onboard a cruise ship. Among crew members, ILI was associated with lower cabin location and younger age group. This was the first influenza outbreak detected by Brazilian public health authorities in a vessel cruising in South American waters.


Assuntos
Surtos de Doenças , Vírus da Influenza B/isolamento & purificação , Influenza Humana/epidemiologia , Navios , Viagem , Adolescente , Adulto , Fatores Etários , Brasil/epidemiologia , Estudos de Casos e Controles , Feminino , Humanos , Controle de Infecções , Influenza Humana/prevenção & controle , Masculino , Pessoa de Meia-Idade
20.
Chirurg ; 82(9): 820, 822-7, 2011 Sep.
Artigo em Alemão | MEDLINE | ID: mdl-21678104

RESUMO

The anterolateral thigh flap (ATL) has become a standard procedure in reconstructive microsurgery. In this study the results with the ALT for reconstruction in the head and neck area after tumor resection in 33 patients were retrospectively analyzed. Patients included 28 men and 5 women aged 47-70 years who suffered from intraoral and extraoral tumors. Satisfactory soft tissue coverage could be achieved in all patients and no flaps were lost. The ALT is a versatile free flap enabling reliable soft tissue reconstruction of complex defects in the head and neck region. Flap dissection and preparation of the recipient area can usually be performed simultaneously. Additional advantages include the long and strong caliber vascular pedicle, the low donor site morbidity and the different possibilities of tissue composition, making the ALT a workhorse flap in modern reconstructive microsurgery.


Assuntos
Adenocarcinoma/cirurgia , Adenoma Pleomorfo/cirurgia , Carcinoma de Células Escamosas/cirurgia , Retalhos de Tecido Biológico/irrigação sanguínea , Microcirurgia/métodos , Neoplasias Otorrinolaringológicas/cirurgia , Adulto , Idoso , Anastomose Cirúrgica/métodos , Artérias/cirurgia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias Bucais/cirurgia , Neoplasias Orofaríngeas/cirurgia , Neoplasias Otorrinolaringológicas/radioterapia , Neoplasias dos Seios Paranasais/cirurgia , Complicações Pós-Operatórias/cirurgia , Radioterapia Adjuvante , Reoperação , Estudos Retrospectivos , Coleta de Tecidos e Órgãos/métodos , Veias/cirurgia
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