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1.
J Appl Microbiol ; 123(6): 1607-1613, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-28910512

RESUMO

AIM: USEPA Method 1623, or its equivalent, is currently used to monitor for protozoan contamination of surface drinking water sources worldwide. At least three approved staining kits used for detecting Cryptosporidium and Giardia are commercially available. This study focuses on understanding the differences among staining kits used for Method 1623. METHODS AND RESULTS: Merifluor and EasyStain labelling kits were used to monitor Cryptosporidium oocyst and Giardia cyst densities in New York City's raw surface water sources. In the year following a change to the approved staining kits for use with Method 1623, an anomaly was noted in the occurrence of Giardia cysts in New York City's raw surface water. Specifically, Merifluor-stained samples had higher Giardia cyst densities as compared with those stained with EasyStain. Side by side comparison revealed significantly lower fluorescence intensities of Giardia muris as compared with Giardia duodenalis cysts when labelled with EasyStain. CONCLUSIONS: This study showed very poor fluorescence intensity signals by EasyStain on G. muris cysts resulting in lower cyst counts, while Merifluor, with its broader Giardia cyst staining specificity, resulted in higher cyst counts, when using Methods 1623. SIGNIFICANCE AND IMPACT OF THE STUDY: These results suggest that detected Giardia cyst concentrations are dependent on the staining kits used, which can result in a more or less conservative estimation of occurrences and densities of zoonotic Giardia cysts by detecting a broader range of Giardia species/Assemblages.


Assuntos
Cryptosporidium/isolamento & purificação , Água Potável/parasitologia , Giardia/isolamento & purificação , Qualidade da Água , Cidade de Nova Iorque , Oocistos/isolamento & purificação , Abastecimento de Água
2.
Cell Mol Life Sci ; 72(15): 2961-71, 2015 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-25746226

RESUMO

The ubiquitin-proteasome system (UPS) plays a fundamental role in protein degradation in neurons, and there is strong evidence that it fulfills a key role in synaptic transmission. The aim of the present work was to study the implication of one component of the UPS, the HERC1 E3 Ubiquitin Ligase, in motor function and neuromuscular transmission. The tambaleante (tbl) mutant mouse carries a spontaneous mutation in HERC1 E3 Ubiquitin Ligase, provoking an ataxic phenotype that develops in the second month of life. Our results show that motor performance in mutant mice is altered at postnatal day 30, before the cerebellar neurodegeneration takes place. This defect is associated with by: (a) a reduction of the motor end-plate area, (b) less efficient neuromuscular activity in vivo, and (c) an impaired evoked neurotransmitter release. Together, these data suggest that the HERC1 E3 Ubiquitin Ligase is fundamental for normal muscle function and that it is essential for neurotransmitter release at the mouse neuromuscular junction.


Assuntos
Junção Neuromuscular/metabolismo , Transmissão Sináptica/fisiologia , Ubiquitina-Proteína Ligases/metabolismo , Animais , Vias Eferentes/metabolismo , Vias Eferentes/fisiologia , Camundongos , Músculos/metabolismo , Músculos/fisiologia , Junção Neuromuscular/fisiologia , Complexo de Endopeptidases do Proteassoma/metabolismo
3.
Diabet Med ; 32(4): 531-41, 2015 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-25381876

RESUMO

AIMS: To assess initial pharmacotherapy of Type 2 diabetes with the sodium-glucose cotransporter-2 inhibitor dapagliflozin. METHODS: This double-blind, placebo-controlled trial, randomly allocated people with Type 2 diabetes aged 18-77 years and inadequate glycaemic control on diet and exercise [HbA1c 53-86 mmol/mol (7.0-10.0%)] to receive placebo (n = 75) or dapagliflozin monotherapy 2.5 mg (n = 65), 5 mg (n = 64) or 10 mg (n = 70) once daily in the morning. After 24 weeks, low-dose double-blind metformin 500 mg/day was added to the placebo group regimen (placebo+low-dose metformin group). Changes in HbA1c level, fasting plasma glucose and body weight, as well as adverse events, were assessed over 102 weeks. RESULTS: Of the 274 participants randomized, 167 completed the study (60.9%). At 102 weeks, significant differences vs placebo+low-dose metformin with dapagliflozin 5 and 10 mg were observed for HbA1c (-5.8 mmol/mol [-0.53%], P = 0.018; and -4.8 mmol/mol [-0.44%], P = 0.048), respectively); and for FPG (-0.69 mmol/L, P = 0.044; and -1.12 mmol/l, P = 0.001, respectively). For body weight, the difference between the dapagliflozin 10-mg group and the placebo+low-dose metformin group was significant (-2.60 kg; P = 0.016). Hypoglycaemic events were uncommon, with rates of 5.3% for placebo+low-dose metformin group and 0-4.6% for the dapagliflozin groups. Genital infections and urinary tract infections were more common in the dapagliflozin groups than in the placebo+low-dose metformin group. CONCLUSIONS: Dapagliflozin as monotherapy in treatment-naïve people with early Type 2 diabetes improved glycaemic control and reduced weight without increasing hypoglycaemia over 102 weeks. Dapagliflozin may provide an alternative initial pharmacotherapy in such people.


Assuntos
Compostos Benzidrílicos/administração & dosagem , Diabetes Mellitus Tipo 2/tratamento farmacológico , Glucosídeos/administração & dosagem , Hipoglicemiantes/administração & dosagem , Adolescente , Adulto , Idoso , Compostos Benzidrílicos/efeitos adversos , Glicemia/metabolismo , Peso Corporal/efeitos dos fármacos , Diabetes Mellitus Tipo 2/sangue , Método Duplo-Cego , Esquema de Medicação , Feminino , Glucosídeos/efeitos adversos , Hemoglobinas Glicadas/metabolismo , Humanos , Hipoglicemiantes/efeitos adversos , Masculino , Metformina/administração & dosagem , Metformina/efeitos adversos , Pessoa de Meia-Idade , Inibidores do Transportador 2 de Sódio-Glicose , Resultado do Tratamento , Adulto Jovem
4.
J Fish Biol ; 87(1): 17-27, 2015 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-25973992

RESUMO

The ontogenesis of the saccus vasculosus (SV) of turbot Scophthalmus maximus is described using histological and immunohistochemical methods to assess the general morphology, as well as the distribution of proliferative cells and several calcium-binding proteins (CaBP). The results reveal that the SV begins to differentiate on hatching, when immature coronet cells are morphologically distinguishable. Further morphogenesis involves the formation of a tubular avascular SV, which remains until premetamorphic larval stages. Folding and vascularization of the SV occurs mostly during metamorphosis, when S. maximus settle down on the bottom. Proliferative cells were placed within the SV itself and in the neighbouring infundibular hypothalamus. Their putative relationship with the growth of the SV is discussed. The CaBPs analysed are expressed in coronet cells. Parvalbumin is expressed in these cells from the beginning of their differentiation, while calretinin expression arises in the tubular SV and becomes more widespread over time. These data emphasize the importance of calcium buffering in the function of coronet cells.


Assuntos
Calbindina 2/fisiologia , Proliferação de Células , Epitélio/embriologia , Linguados/embriologia , Morfogênese , Parvalbuminas/fisiologia , Animais , Larva/crescimento & desenvolvimento
5.
ESMO Open ; 9(5): 102974, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38796284

RESUMO

The European Society for Medical Oncology (ESMO) Clinical Practice Guidelines for the diagnosis, treatment and follow-up of patients with early breast cancer were updated and published online in 2023, and adapted, according to previously established standard methodology, to produce the Pan-Asian adapted (PAGA) ESMO consensus guidelines for the management of Asian patients with early breast cancer. The adapted guidelines presented in this manuscript represent the consensus opinions reached by a panel of Asian experts in the treatment of patients with breast cancer representing the oncological societies of China (CSCO), Indonesia (ISHMO), India (ISMPO), Japan (JSMO), Korea (KSMO), Malaysia (MOS), the Philippines (PSMO), Singapore (SSO), Taiwan (TOS) and Thailand (TSCO), co-ordinated by ESMO and KSMO. The voting was based on scientific evidence and was independent of the current treatment practices, drug access restrictions and reimbursement decisions in the different Asian regions represented by the 10 oncological societies. The latter are discussed separately in the manuscript. The aim is to provide guidance for the optimisation and harmonisation of the management of patients with early breast cancer across the different regions of Asia, drawing on the evidence provided by both Western and Asian trials, whilst respecting the differences in screening practices, molecular profiling, as well as the age and stage at presentation. Attention is drawn to the disparity in the drug approvals and reimbursement strategies, between the different regions of Asia.


Assuntos
Neoplasias da Mama , Humanos , Neoplasias da Mama/terapia , Neoplasias da Mama/diagnóstico , Feminino , Ásia/epidemiologia , Oncologia/normas , Guias de Prática Clínica como Assunto , Estadiamento de Neoplasias
6.
J Appl Microbiol ; 115(1): 298-309, 2013 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-23594204

RESUMO

AIMS: This study developed and systematically evaluated performance and limit of detection of an off-the-slide genotyping procedure for both Cryptosporidium oocysts and Giardia cysts. METHODS AND RESULTS: Slide standards containing flow-sorted (oo)cysts were used to evaluate the off-the-slide genotyping procedure by microscopy and PCR. Results show approximately 20% of cysts and oocysts are lost during staining. Although transfer efficiency from the slide to the PCR tube could not be determined by microscopy, it was observed that the transfer process aided in the physical lysis of the (oo)cysts likely releasing DNA. PCR detection rates for a single event on a slide were 44% for Giardia and 27% for Cryptosporidium, and a minimum of five cysts and 20 oocysts are required to achieve a 90% PCR detection rate. A Poisson distribution analysis estimated the relative PCR target densities and limits of detection, it showed that 18 Cryptosporidium and five Giardia replicates are required for a 95% probability of detecting a single (oo)cyst on a slide. CONCLUSIONS: This study successfully developed and evaluated recovery rates and limits of detection of an off-the-slide genotyping procedure for both Cryptosporidium and Giardia (oo)cysts from the same slide. SIGNIFICANCE AND IMPACT OF THE STUDY: This off-the-slide genotyping technique is a simple and low cost tool that expands the applications of US EPA Method 1623 results by identifying the genotypes and assemblages of the enumerated Cryptosporidium and Giardia. This additional information will be useful for microbial risk assessment models and watershed management decisions.


Assuntos
Cryptosporidium/isolamento & purificação , Técnicas de Genotipagem , Giardia/isolamento & purificação , Cryptosporidium/genética , Cryptosporidium/crescimento & desenvolvimento , Citometria de Fluxo , Giardia/genética , Giardia/crescimento & desenvolvimento , Oocistos/citologia , Reação em Cadeia da Polimerase , Estados Unidos
7.
J Appl Microbiol ; 114(2): 564-73, 2013 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-23167710

RESUMO

AIMS: A microarray was developed to simultaneously detect Cryptosporidium parvum, Cryptosporidium hominis, Enterococcus faecium, Bacillus anthracis and Francisella tularensis in water. METHODS AND RESULTS: A DNA microarray was designed to contain probes that specifically detected C. parvum, C. hominis, Ent. faecium, B. anthracis and F. tularensis. The microarray was then evaluated with samples containing target and nontarget DNA from near-neighbour micro-organisms, and tap water spiked with multiple organisms. Results demonstrated that the microarray consistently detected Ent. faecium, B. anthracis, F. tularensis and C. parvum when present in samples. Cryptosporidium hominis was only consistently detected through the use of shared probes between C. hominis and C. parvum. CONCLUSIONS: This study successfully developed and tested a microarray-based assay that can specifically detect faecal indicator bacteria and human pathogens in tap water. SIGNIFICANCE AND IMPACT OF THE STUDY: The use of indicator organisms has become a practical solution for monitoring for water quality. However, they do not always correlate well with the presence of many microbial pathogens, thus necessitating direct monitoring for most pathogens. This microarray can be used to simultaneously detect multiple organisms in a single sample. More importantly, it can provide occurrence information that may be used in assessing potential exposure risks to waterborne pathogens.


Assuntos
Bactérias/isolamento & purificação , Cryptosporidium/isolamento & purificação , Análise de Sequência com Séries de Oligonucleotídeos/métodos , Microbiologia da Água , Água/parasitologia , Bacillus anthracis/genética , Bacillus anthracis/isolamento & purificação , Cryptosporidium/genética , Cryptosporidium parvum/genética , Cryptosporidium parvum/isolamento & purificação , Enterococcus faecium/genética , Enterococcus faecium/isolamento & purificação , Fezes , Francisella tularensis/genética , Francisella tularensis/isolamento & purificação , Sondas de Oligonucleotídeos , Análise de Sequência de DNA
8.
Front Cell Dev Biol ; 10: 839715, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35493109

RESUMO

In the last decade, new non-apoptotic roles have been ascribed to apoptotic caspases. This family of proteins plays an important role in the sculpting of the brain in the early stages of development by eliminating excessive and nonfunctional synapses and extra cells. Consequently, impairments in this process can underlie many neurological and mental illnesses. This view is particularly relevant to dopamine because it plays a pleiotropic role in motor control, motivation, and reward processing. In this study, we analyze the effects of the elimination of caspase-8 (CASP8) on the development of catecholaminergic neurons using neurochemical, ultrastructural, and behavioral tests. To do this, we selectively delete the CASP8 gene in cells that express tyrosine hydroxylase with the help of recombination through the Cre-loxP system. Our results show that the number of dopaminergic neurons increases in the substantia nigra. In the striatum, the basal extracellular level of dopamine and potassium-evoked dopamine release decreased significantly in mice lacking CASP8, clearly showing the low dopamine functioning in tissues innervated by this neurotransmitter. This view is supported by electron microscopy analysis of striatal synapses. Interestingly, behavioral analysis demonstrates that mice lacking CASP8 show changes reminiscent of autism spectrum disorders (ASD). Our research reactivates the possible role of dopamine transmission in the pathogenesis of ASD and provides a mild model of autism.

9.
Trop Med Int Health ; 16(2): 162-73, 2011 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-21044236

RESUMO

OBJECTIVE: To evaluate the acceptance and long-term use of insecticide-treated (IT) materials for dengue vector control. METHODS: In 2007, IT jar covers and/or curtains (PermaNet®) were distributed under routine conditions to 4101 households (10 clusters) in Venezuela and to 2032 households (22 clusters) in Thailand. The use of IT tools was measured at distribution (uptake), at 5/6 months (short-term use) and at 18/22 months (continued use) after distribution. Determinants of use were assessed with logistic regression analysis. RESULTS: The uptake of IT curtains was 76.7% in Venezuela and 92.3% in Thailand. It was associated with being a resident for >5 years (OR Venezuela 3.0 95% CI 2.0-4.4; OR Thailand 3.5 95% CI 1.7-7.3) and with pre-intervention use of ordinary curtains (OR Venezuela 2.2 95% CI 1.4-3.6). The continued use decreased significantly to 38.4% of households in Venezuela and 59.7% in Thailand and was, conditional on short-term use, only determined by the perceived effectiveness of IT curtains (OR Venezuela 13.0 95%CI 8.7-19.5; OR Thailand 4.9 95% CI 3.1-7.8). Disease knowledge and pre-intervention perception of mosquito nuisance were not associated with IT curtains' uptake or use. The uptake of IT jar covers in Venezuela was 21.5% and essentially determined by the presence of uncovered jars in the household (OR 32.5 95% CI 14.5-72.6). Their continued use, conditional on short-time use, was positively associated with the household use of Abate® (OR 7.8 95% CI 2.1-28.9). CONCLUSION: The use of IT curtains rapidly declines over time. Continued use is mainly determined by the perceived effectiveness of the tool. This poses a real challenge if IT curtains are to be introduced in dengue control programmes.


Assuntos
Dengue/prevenção & controle , Utensílios Domésticos , Inseticidas/administração & dosagem , Controle de Mosquitos/métodos , Aedes , Animais , Serviços de Saúde Comunitária/métodos , Serviços de Saúde Comunitária/estatística & dados numéricos , Dengue/transmissão , Seguimentos , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Insetos Vetores , Decoração de Interiores e Mobiliário , Aceitação pelo Paciente de Cuidados de Saúde , Fatores Socioeconômicos , Tailândia , Venezuela , Abastecimento de Água
10.
Amino Acids ; 40(1): 61-8, 2011 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-20033827

RESUMO

Four variants of the highly hemolytic antimicrobial peptide Pin2 were chemically synthesized with the aim to investigate the role of the proline residue in this peptide, by replacing it with the motif glycine-valine-glycine [GVG], which was found to confer low hemolytic activity in a spider antimicrobial peptide. The proline residue in position 14 of Pin2 was substituted by [V], [GV], [VG] and [GVG]. Only the peptide variant with the proline substituted for [GVG] was less hemolytic compared to that of all other variants. The peptide variant [GVG] kept its antimicrobial activity in Muller-Hilton agar diffusion assays, whereas the other three variants were less effective. However, all Pin2 antimicrobial peptide variants, were active when challenged against a Gram-positive bacteria in Muller-Hilton broth assays suggesting that chemical properties of the antimicrobial peptides such as hydrophobicity is an important indication for antimicrobial activity in semi-solid environments.


Assuntos
Substituição de Aminoácidos , Antibacterianos/química , Antibacterianos/farmacologia , Bactérias Gram-Positivas/efeitos dos fármacos , Peptídeos/química , Peptídeos/farmacologia , Sequência de Aminoácidos , Animais , Antibacterianos/síntese química , Humanos , Interações Hidrofóbicas e Hidrofílicas , Testes de Sensibilidade Microbiana , Dados de Sequência Molecular , Peptídeos/síntese química , Peptídeos/genética , Estrutura Secundária de Proteína , Escorpiões/química , Escorpiões/metabolismo , Relação Estrutura-Atividade
11.
Farm Hosp ; 35(1): 1-7, 2011.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-20621531

RESUMO

OBJECTIVE: To describe interventions carried out by nurses in the Pharmaceutical Care Unit upon admission and in Outpatient Consultation (FACE) with the aim of promoting effective, safe and efficient pharmacotherapy for hospitalised patients. METHOD: A descriptive study of nursing activity carried out in the Outpatient Consultation Unit between April 2008 and March 2009. The nurse performs five specific, formalised activities: clarifying differences in the medical records related to drugs allergies or intolerances, identifying pharmacotherapy discrepancies between acute and chronic treatment, identifying opportunities for improving pharmacotherapy, contributing to patient education about his/her treatment upon discharge and dispensing limited duration drugs (less than 30 days) upon discharge to avoid accumulation of medication at home. RESULTS: During the study period the nurse took part in the pharmacotherapy administered to 1,360 patients (57.6% of total patients treated by the integral pharmaceutical care team), for a total of 1,709 individual interventions. These interventions were performed in order to clarify differences in medical records regarding drug allergies or intolerances (n=111), to identify pharmacotherapy discrepancies between acute and chronic treatment (n=118), to identify opportunities for improving pharmacotherapy (n=263), and upon discharge in order to educate the patient about his/her treatment (n=31) and to dispense limited duration drugs (n=1186). CONCLUSIONS: The nurse's contribution to the integral pharmaceutical care team helps to improve the quality of pharmacotherapy in terms of effectiveness, safety and efficiency pharmacotherapy.


Assuntos
Tratamento Farmacológico/enfermagem , Humanos , Equipe de Assistência ao Paciente , Estudos Prospectivos
12.
Cancers (Basel) ; 13(4)2021 Feb 17.
Artigo em Inglês | MEDLINE | ID: mdl-33671415

RESUMO

Exosomes are lipid membrane-enclosed vesicles released by all cell types that act at the paracrine or endocrine level to favor cell differentiation, tissue homeostasis, organ remodeling and immune regulation. Their biosynthesis begins with a cell membrane invagination which generates an early endosome that matures to a late endosome. By inward budding of the late endosome membrane, a multivesicular body (MVB) with intraluminal vesicles (ILVs) is generated. The fusion of MVBs with the plasma membrane releases ILVs into the extracellular space as exosomes, ranging in size from 30 to 100 nm in diameter. The bilipid exosome membrane is rich in cholesterol, ceramides and phosphatidylserine and can be loaded with DNA, RNA, microRNAs, proteins and lipids. It has been demonstrated that exosome secretion is a common mechanism used by the tumor to generate an immunosuppressive microenvironment that favors cancer development and progression, allowing tumor escape from immune control. Due to their ability to transport proteins, lipids and nucleic acids from the cell that gave rise to them, exosomes can be used as a source of biomarkers with great potential for clinical applications in diagnostic, prognostic or therapeutic areas. This article will review the latest research findings on exosomes and their contribution to cancer development.

13.
Probiotics Antimicrob Proteins ; 13(1): 187-194, 2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-32613533

RESUMO

Saccharomyces yeasts are able to ferment simple sugars to generate levels of ethanol that are toxic to other yeasts and bacteria. The tolerance to ethanol of different yeasts depends also on the incubation temperature. In this study, the ethanol stress responses of S. cerevisiae and the probiotic yeast S. boulardii CNCM I-745 were evaluated at two temperatures. The growth kinetics parameters were obtained by fitting the Baranyi and Roberts model to the experimental data. The four-parameter logistic Hill equation was used to describe the ethanol tolerance of the yeasts at the temperatures of 28 and 37 °C. Adequate determination coefficients were obtained (R2 > 0.91) in all cases. S. boulardii grown at 28 °C was selected as the yeast with the best ethanol tolerance (6-8%) for use in the elaboration of functional craft beers.


Assuntos
Cerveja/microbiologia , Etanol/metabolismo , Modelos Biológicos , Probióticos , Saccharomyces cerevisiae/metabolismo
14.
Eur J Clin Microbiol Infect Dis ; 29(7): 857-66, 2010 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-20428908

RESUMO

Numerous studies have been carried out to determine whether infection by the Epstein-Barr virus (EBV) can be considered as a risk factor for multiple sclerosis (MS). This work is a meta-analysis of case-control observational studies published before January 2009 aimed at assessing the degree of association between EBV and MS infections. A Medline electronic database search was carried out using "Epstein-Barr virus" and "multiple sclerosis" as keywords, from which we selected 30 published studies that met our methodology criteria. We found an association between MS and an exposure to EBV, studied by determining the anti-VCA IgG antibodies (odds ratio [OR] = 5.5; 95% confidence interval [CI] = 3.37-8.81; p < 0.0001), anti-complex EBNA IgG (OR = 5.4; 95% CI = 2.94-9.76; p < 0.0001) and anti-EBNA-1 IgG (OR = 12.1; 95% CI = 3.13-46.89; p < 0.0001). No significant association could be found when studying anti-EA IgG (OR = 1.3; 95% CI = 0.68-2.35; p = 0.457), EBV DNA in serum (OR = 1.8; 95% CI = 0.99-3.36; p = 0.051) and DNA in brain tissues and in cerebrospinal fluid (CSF) (OR = 0.9; 95% CI = 0.38-2.01; p = 0.768). This meta-analysis detected an association between infection by EBV and MS through the investigation of antibodies, mainly anti-EBNA-1, anti-complex EBNA and anti-VCA IgG.


Assuntos
Infecções por Vírus Epstein-Barr/complicações , Herpesvirus Humano 4/patogenicidade , Esclerose Múltipla/epidemiologia , Esclerose Múltipla/etiologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Anticorpos Antivirais/sangue , Encéfalo/virologia , Criança , DNA Viral/sangue , DNA Viral/líquido cefalorraquidiano , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
15.
Medicina UPB ; 41(1): 22-28, mar. 2022. tab
Artigo em Espanhol | LILACS, COLNAL | ID: biblio-1362447

RESUMO

Objetivo: una tecnología médica es el conjunto de técnicas, medicamentos, equipos y procedimientos utilizados por los profesionales de la salud en la atención médica. Este estudio busca identificar los criterios de evaluación de nuevas tecnologías en salud que utilizan algunos hospitales. Metodología: estudio observacional de corte transversal. Se incluyeron todos los directores de hospitales y clínicas del departamento de Antioquia que estuvieran interesados en participar en la investigación. Se aplicó una encuesta de 21 preguntas. Resultados: el 60 % de los encuestados dio la máxima importancia a la capacidad de producción de daños en la atención de los pacientes; el 90 % tiene en cuenta el criterio de seguridad clínica (éticos y jurídicos) y el 100 % lo hace con la evaluación de costo efectividad. En cuanto al orden de relevancia para la toma de decisiones en la adquisición de nuevas tecnologías, el perfil epidemiológico institucional tuvo mayor calificación. Conclusiones: las instituciones de salud encuestadas tienen protocolos establecidos para la evaluación de tecnologías. Se identificaron los temas a los que se les da mayor priorización, como son la producción de daños a la atención de pacientes, la seguridad clínica, aspectos éticos y jurídicos, y la evaluación de costo efectividad


Introduction: A medical technology is the set of techniques, drugs, equipment, and procedures used by health professionals in the delivery of medical care. Objective: to identify the criteria for evaluating new health technologies used by some hospitals. Methodology: An observational cross-sectional study was carried out. All the directors of Hospitals and Clinics of the department of Antioquia who belonged to one and who were interested in participating in the research were included. A survey of 21 questions was applied. Results: 60 % of the respondents gave the maximum importance to the capacity to produce damages in the care of patients, 90 % consider the criteria of clinical, ethical, and legal safety; and 100 % do it with the evaluation of cost effectiveness. In relation to the order of relevance for decision-making in the acquisition of new health technologies, it was evidenced that the institutional epidemiological profile had a higher rating. Conclusions: The surveyed health institutions have established protocols in the evaluation of new health technologies. Likewise, the issues that are given the highest priority were identified, such as the issue of harm to patient care, clinical safety, ethical and legal aspects, and cost-effectiveness evaluation.


Objetivo: uma tecnologia médica é o conjunto de técnicas, medicamentos, equipamentose procedimentos utilizados pelos profissionais da saúde na atenção médica. Este estudobusca identificar os critérios de avaliação de novas tecnologias na saúde que utilizam alguns hospitais. Metodologia: estudo observacional de corte transversal. Se incluíram todos os diretoresde hospitais e clínicas do Departamento de Antioquia que estiveram interessados em participar na investigação. Se aplicou uma enquete de 21 perguntas. Resultados: 60 % dos entrevistados deram a máxima importância na capacidade de produção de danos na atenção dos pacientes; 90% têm em conta o critério de segurançaclínica (éticos e jurídicos) e 100% o fazem com a avaliação de custo efetividade. Enquantoà ordem de relevância para a toma de decisões na aquisição de novas tecnologias, o perfil epidemiológico institucional teve maior qualificação. Conclusões: as instituições de saúde entrevistadas têm protocolos estabelecidos para a avaliação de tecnologias. Se identificaram os temas aos quais se deve dar maior priorização, como são a produção de danos à atenção de pacientes, a segurança clínica, aspectos éticos jurídicos, a avaliação de custo efetividade.


Assuntos
Humanos , Análise Custo-Benefício , Avaliação da Tecnologia Biomédica , Organização Mundial da Saúde , Custos e Análise de Custo , Economia , Equipamentos e Provisões
16.
J Comp Neurol ; 406(4): 425-32, 1999 Apr 19.
Artigo em Inglês | MEDLINE | ID: mdl-10205020

RESUMO

The expression of the calcium-binding protein calretinin was analysed by immunohistochemistry techniques in the retina of turbot (Psetta maxima) from embryonic to juvenile stages. Calretinin immunoreactivity was first detected in retinae from newly hatched larvae, in which the anlage of the inner plexiform layer and a subset of amacrine and ganglion cells displayed a faint immunolabelling. First appearance of photoreceptors during larval life coincided with an increase in the intensity of the labelling. During subsequent larval development, the expression of calretinin affected distinctive retinal components. The inner plexiform layer, optic fiber layer, and a population of amacrine and ganglion cells were invariably labelled. Occasional bipolar cells were labelled at the end of the larval period. By metamorphosis, calretinin is sequentially expressed in horizontal cells, and bipolar immunoreactive cells become numerous. The pattern of calretinin immunoreactivity of the inner plexiform layer changes from the larval to juvenile period. In all cases, calretinin immunoreactivity exhibited variations between the peripheral retina, which contains the most recently differentiated retinal components, and the remainder of the differentiated retina. Our results suggest that the progressive expression of calretinin in the turbot retina appears associated with some degree of neuronal differentiation. Once the definitive pattern of calretinin immunoreactivity is established in the turbot retina, both similarities and differences with the calretinin location in the retina of other vertebrates can be demonstrated.


Assuntos
Proteínas do Olho/análise , Linguados/metabolismo , Proteínas do Tecido Nervoso/análise , Retina/química , Proteína G de Ligação ao Cálcio S100/análise , Animais , Calbindina 2 , Embrião não Mamífero/química , Desenvolvimento Embrionário , Imunoquímica , Larva/química , Larva/crescimento & desenvolvimento , Metamorfose Biológica , Retina/embriologia , Retina/crescimento & desenvolvimento
17.
Biotechnol Adv ; 11(3): 387-97, 1993.
Artigo em Inglês | MEDLINE | ID: mdl-14545663

RESUMO

The effect of the partial pressure of O(2) and CO(2) on the acid protease production in solid state fermentation by Aspergillus niger on wheat bran was studied. A fermentation system was used, which allowed on-line reactor measurements and continuous data acquisition of pH, temperature, gas flow, pressure drop and CO(2) production. Six paired combinations of CO(2) and O(2) concentrations were studied. The results showed a direct relationship between pressure drop, production of CO(2) and temperature increase. The pH evolution patterns were similar in all cases but different if the measurements were made on-line or on a liquid homogenate of the fermented substrate. Acid protease production was increased when the gas had 4% CO(2), (vol/vol), and it reached its highest level, a 43% increase over air, with a mixture of 4% CO(2) and 21% O(2). The protease production was strongly related to the mold metabolic activity as represented by the total CO(2) evolved.

18.
Biotechnol Adv ; 11(3): 549-57, 1993.
Artigo em Inglês | MEDLINE | ID: mdl-14545676

RESUMO

In this work, the growth of the yeast Candida utilis on different solid substrate (wheat bran) and supports (sugarcane bagasse and Amberlite resin) imbibed with a liquid culture medium was studied. Growth was followed by sugars consumption, carbon dioxide production rate (CDPR) and cell count. The results showed the ability of the yeast to grow on the three solid media with fairly good viability and total dextrose consumption in the case of sugarcane bagasse and Amberlite, and partial consumption of wheat bran sugars. After two or three days of culture, a five hundred fold increase in cell population was observed.

19.
J Chem Neuroanat ; 24(3): 199-209, 2002 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-12297266

RESUMO

The ontogeny and organization of the terminal nerve (TN) during turbot development was studied using an antiserum to neuropeptide Y. First immunoreactive cells were detected in the olfactory placode at hatching time. At 1 day after hatching, a loose group of labeled neurons form an extracranial primordial ganglion of the TN. During the subsequent larval development, more perikarya displaying increased immunoreactivity were found along the course of the olfactory nerve. Moreover, labeled cells cross the meninx of the forebrain gathering in the olfactory bulb of larval turbot. Projections from these cells, directed both to the caudal brain and to the retina, develop when the cells become established in the olfactory bulb. The generation of immunoreactive cells in the olfactory organ extends into the metamorphic period, when a pronounced asymmetry affects the turbot morphology. At this time, the topological location of the immunoreactive cells in the TN becomes distorted. This developmental pattern was compared with those found in other teleosts and in other vertebrates. Preabsorption experiments of anti-neuropeptide Y serum with neuropeptide Y and FMRF-amide suggests that immunoreactive material observed in TN cells was not neuropeptide Y, and raises the possibility that other peptides, e.g. FMRF-amide-like peptides, exist in this neural system.


Assuntos
Linguados/embriologia , Linguados/crescimento & desenvolvimento , Bulbo Olfatório/química , Prosencéfalo/química , Animais , Imuno-Histoquímica , Neuropeptídeo Y/análise , Bulbo Olfatório/embriologia , Bulbo Olfatório/crescimento & desenvolvimento , Nervo Olfatório/química , Nervo Olfatório/embriologia , Nervo Olfatório/crescimento & desenvolvimento , Prosencéfalo/embriologia , Prosencéfalo/crescimento & desenvolvimento
20.
Toxicon ; 44(2): 149-56, 2004 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-15246762

RESUMO

We identified novel 10 multi-cysteine peptides, namely Magi 7-16, from the spider Macrothele gigas by simple random cDNA screening of the venom gland. Mass analysis of the crude venom detected the mass numbers of the cross-linked forms of all peptides, confirming their presence in the venom. Magi 11, a C-terminus amidated peptide, was chemically synthesized and was indistinguishable from the native peptide proving the feasibility of the method for peptide identification. Moreover, toxicological assays showed diverse lethal or paralytic activities of these peptide toxins on mice and/or insects.


Assuntos
Cisteína , Peptídeos/isolamento & purificação , Venenos de Aranha/química , Venenos de Aranha/isolamento & purificação , Sequência de Aminoácidos , Animais , Bioensaio , Clonagem Molecular , Glândulas Exócrinas/química , Glândulas Exócrinas/metabolismo , Biblioteca Gênica , Gryllidae/efeitos dos fármacos , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Dados de Sequência Molecular , Biblioteca de Peptídeos , Peptídeos/análise , Análise de Sequência de Proteína , Homologia de Sequência de Aminoácidos , Venenos de Aranha/toxicidade , Aranhas
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