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1.
PLoS One ; 19(7): e0306985, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39008462

RESUMEN

BACKGROUND: Amazonas was one of the most impacted Brazilian states by the COVID-19 pandemic. Mortality rates were high, and the health systems collapsed. It is important to identify possible intermediate reservoirs to avoid animal-to-human contamination. Several tropical fish are of commercial interest and are sold in large open-air markets in the region, representing a large economic and dietary importance. OBJECTIVES: This study aimed to verify if fish species of commercial importance, aerosols, and fish wastewater in local open-air markets, at a major capital city in the western Brazilian Amazon, are contaminated by SARS-CoV-2. METHODS: 488 fish, 50 aerosol, and 45 wastewater samples were analyzed for the presence of SARS-CoV-2. The samples were subjected to extraction using the BIOGENE Viral DNA/RNA Extraction kit, and the molecular diagnosis was tested for SARS-CoV-2 using the Bio-Manguinhos SARS-CoV-2 (EDx) Molecular Kit. RESULTS: It was not possible to detect the virus (Ct≤40, for Gene E) in these samples, however, in 181 samples of fish it was possible to detect the human RP gene (Ct≤35, for the RP Gene), indicating human contact. There was a high number of COVID-19 diagnoses in all city districts in which the samples were collected, showing that SARS-CoV-2 was circulating. CONCLUSION: This study indicates that fish of local commercial importance do not carry SARS-CoV-2 viral particles, despite circulation of SARS-CoV-2, and are not an important source of animal-to-human contamination. Despite these results, the human RP gene was found detectable in fish, air, and fish wastewater, showing that such places may carry human pathogens.


Asunto(s)
COVID-19 , Peces , SARS-CoV-2 , Animales , SARS-CoV-2/aislamiento & purificación , SARS-CoV-2/genética , Humanos , Brasil/epidemiología , COVID-19/virología , COVID-19/epidemiología , Peces/virología , Aguas Residuales/virología , Aerosoles , ARN Viral/genética , ARN Viral/aislamiento & purificación , ARN Viral/análisis
2.
Int J Biol Macromol ; 274(Pt 2): 133359, 2024 Jun 22.
Artículo en Inglés | MEDLINE | ID: mdl-38914393

RESUMEN

Heterogeneous biocatalysts were prepared by adsorbing T. lanuginosus lipase (TLL) onto uncalcined (SBAUC-TLL) and calcined (SBAC-TLL) SBA-15, using ammonium fluoride as a pore expander to facilitate TLL immobilization. At an enzyme load of 1 mg/g, high immobilization yields (>90 %) and recovered activities (>80 % for SBAUC-TLL and 70 % for SBAC-TLL) were achieved. When increasing the enzyme load to 5 mg/g, the immobilization yield of SBAUC-TLL was 80 %, and the recovered activity was 50 %, while SBAC-TLL had a yield of 100 % and a recovered activity of 36 %. Crosslinking with glutaraldehyde (GA) was conducted to improve stability (SBAUC-TLL-GA and SBAC-TLL-GA). Although SBAC-TLL-GA lost 25 % of initial activity after GA modifications, it exhibited the highest thermal (t1/2 = 5.7 h at 65 °C), when compared to SBAC-TLL (t1/2 = 12 min) and the soluble enzyme (t1/2 = 36 min), and operational stability (retained 100 % activity after 5 cycles). Both biocatalysts presented high storage stability since they retained 100 % of initial activity for 30 days. These results highlight SBA-15's potential as an enzyme support and the protocol's efficacy in enhancing stability, with implications for industrial applications in the food, chemical, and pharmaceutical sectors.

3.
Rev Bras Enferm ; 77(2): e20230348, 2024.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-38808898

RESUMEN

OBJECTIVES: to present the theoretical model, logic model, and the analysis and judgment matrix of the Fall TIPS Brazil Program. METHODS: a qualitative, participatory research approach, in the form of an evaluability study, encompassing the phases (1) problem analysis; (2) program design, development, and adaptation to the Brazilian context; (3) program dissemination. Data were collected through document analysis and workshops. RESULTS: through document analysis, workshops with stakeholders from the participating institution, and validation with key informants, it was possible to identify the program's objectives, expected outcomes, and the target audience. This allowed the construction of theoretical and logic models and, through evaluative questions, the identification of indicators for the evaluation of the Fall TIPS Brazil Program. FINAL CONSIDERATIONS: this study has provided insights into the Fall TIPS program, the topic of hospital fall prevention, and the proposed models and indicators can be employed in the implementation and future evaluative processes of the program.


Asunto(s)
Accidentes por Caídas , Hospitales de Enseñanza , Seguridad del Paciente , Investigación Cualitativa , Brasil , Humanos , Accidentes por Caídas/prevención & control , Accidentes por Caídas/estadística & datos numéricos , Seguridad del Paciente/normas , Seguridad del Paciente/estadística & datos numéricos , Evaluación de Programas y Proyectos de Salud/métodos
4.
An Acad Bras Cienc ; 96(2): e20231336, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38747801

RESUMEN

The disease coronavirus COVID-19 has been the cause of millions of deaths worldwide. Among the proteins of SARS-CoV-2, non-structural protein 12 (NSP12) plays a key role during COVID infection and is part of the RNA-dependent RNA polymerase complex. The monitoring of NSP12 polymorphisms is extremely important for the design of new antiviral drugs and monitoring of viral evolution. This study analyzed the NSP12 mutations detected in circulating SARS-CoV-2 during the years 2020 to 2022 in the population of the city of Manaus, Amazonas, Brazil. The most frequent mutations found were P323L and G671S. Reports in the literature indicate that these mutations are related to transmissibility efficiency, which may have contributed to the extremely high numbers of cases in this location. In addition, two mutations described here (E796D and R914K) are close and have RMSD that is similar to the mutations M794V and N911K, which have been described in the literature as influential on the performance of the NSP12 enzyme. These data demonstrate the need to monitor the emergence of new mutations in NSP12 in order to better understand their consequences for the treatments currently used and in the design of new drugs.


Asunto(s)
COVID-19 , Mutación , SARS-CoV-2 , Proteínas no Estructurales Virales , SARS-CoV-2/genética , Brasil , Proteínas no Estructurales Virales/genética , COVID-19/virología , COVID-19/transmisión , Mutación/genética , Humanos , Simulación por Computador
5.
J Histochem Cytochem ; 72(3): 131-148, 2024 03.
Artículo en Inglés | MEDLINE | ID: mdl-38454609

RESUMEN

Diabetes is not only an endocrine but also a vascular disease. Vascular defects are usually seen as consequence of diabetes. However, at the level of the pancreatic islet, vascular alterations have been described before symptom onset. Importantly, the cellular and molecular mechanisms underlying these early vascular defects have not been identified, neither how these could impact the function of islet endocrine cells. In this review, we will discuss the possibility that dysfunction of the mural cells of the microvasculature-known as pericytes-underlies vascular defects observed in islets in pre-symptomatic stages. Pericytes are crucial for vascular homeostasis throughout the body, but their physiological and pathophysiological functions in islets have only recently started to be explored. A previous study had already raised interest in the "microvascular" approach to this disease. With our increased understanding of the crucial role of the islet microvasculature for glucose homeostasis, here we will revisit the vascular aspects of islet function and how their deregulation could contribute to diabetes pathogenesis, focusing in particular on type 1 diabetes (T1D).


Asunto(s)
Diabetes Mellitus Tipo 1 , Islotes Pancreáticos , Humanos , Pericitos , Islotes Pancreáticos/irrigación sanguínea , Diabetes Mellitus Tipo 1/patología , Microvasos/patología
7.
Rev Endocr Metab Disord ; 25(2): 259-278, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-38048021

RESUMEN

Undernutrition is still a recurring nutritional problem in low and middle-income countries. It is directly associated with the social and economic sphere, but it can also negatively impact the health of the population. In this sense, it is believed that undernourished individuals may be more susceptible to the development of non-communicable diseases, such as diabetes mellitus, throughout life. This hypothesis was postulated and confirmed until today by several studies that demonstrate that experimental models submitted to protein undernutrition present alterations in glycemic homeostasis linked, in part, to the reduction of insulin secretion. Therefore, understanding the changes that lead to a reduction in the secretion of this hormone is essential to prevent the development of diabetes in undernourished individuals. This narrative review aims to describe the main molecular changes already characterized in pancreatic ß cells that will contribute to the reduction of insulin secretion in protein undernutrition. So, it will provide new perspectives and targets for postulation and action of therapeutic strategies to improve glycemic homeostasis during this nutritional deficiency.


Asunto(s)
Diabetes Mellitus Tipo 2 , Diabetes Mellitus , Desnutrición , Trastornos Nutricionales , Humanos , Secreción de Insulina , Insulina/metabolismo
8.
Rev. bras. enferm ; 77(2): e20230348, 2024. tab, graf
Artículo en Inglés | LILACS-Express | LILACS, BDENF - Enfermería | ID: biblio-1559474

RESUMEN

ABSTRACT Objectives: to present the theoretical model, logic model, and the analysis and judgment matrix of the Fall TIPS Brazil Program. Methods: a qualitative, participatory research approach, in the form of an evaluability study, encompassing the phases (1) problem analysis; (2) program design, development, and adaptation to the Brazilian context; (3) program dissemination. Data were collected through document analysis and workshops. Results: through document analysis, workshops with stakeholders from the participating institution, and validation with key informants, it was possible to identify the program's objectives, expected outcomes, and the target audience. This allowed the construction of theoretical and logic models and, through evaluative questions, the identification of indicators for the evaluation of the Fall TIPS Brazil Program. Final Considerations: this study has provided insights into the Fall TIPS program, the topic of hospital fall prevention, and the proposed models and indicators can be employed in the implementation and future evaluative processes of the program.


RESUMEN Objetivos: presentar el modelo teórico, modelo lógico y matriz de análisis y juicio del programa Fall TIPS Brasil. Métodos: investigación cualitativa, participativa tipo estudio de evaluabilidad, que abarca las fases (1) análisis del problema; (2) diseño, desarrollo y adaptación del programa a la realidad brasileña; (3) difusión del programa. Los datos se recopilaron mediante análisis documental y talleres. Resultados: a través del análisis documental, talleres con partes interesadas de la institución participante y validación con informantes clave, se pudieron identificar los objetivos del programa, los resultados esperados y el público beneficiario, construir los modelos teórico y lógico y, a través de preguntas evaluativas, señalar indicadores para la evaluación del programa Fall TIPS Brasil. Consideraciones Finales: el estudio aportó conocimientos sobre el programa Fall TIPS, sobre la temática de prevención de caídas en hospitales, y los modelos e indicadores propuestos pueden ser utilizados en la implementación y en futuros procesos de evaluación del programa.


RESUMO Objetivos: apresentar o modelo teórico, modelo lógico e matriz de análise e julgamento do programa Fall TIPS Brasil. Métodos: pesquisa qualitativa, participativa do tipo estudo de avaliabilidade, contempla as fases (1) análise do problema; (2) design, desenvolvimento e adaptação do programa à realidade brasileira; (3) disseminação do programa. Os dados foram coletados por análise documental e oficinas. Resultados: a partir da análise documental, oficinas com stakeholders da instituição participante e validação junto a informantes-chave, foi possível identificar os objetivos do programa, os resultados esperados e o público beneficiado, construir os modelos teórico e lógico e, mediante perguntas avaliativas, apontar indicadores para a avaliação do programa Fall TIPS Brasil. Considerações Finais: o estudo trouxe conhecimentos sobre o programa Fall TIPS, sobre a temática de prevenção de quedas hospitalares, e os modelos e indicadores propostos podem ser empregados na implantação e em processos avaliativos futuros do programa.

9.
Cell Metab ; 35(11): 1944-1960.e7, 2023 11 07.
Artículo en Inglés | MEDLINE | ID: mdl-37898119

RESUMEN

Human pancreatic plasticity is implied from multiple single-cell RNA sequencing (scRNA-seq) studies. However, these have been invariably based on static datasets from which fate trajectories can only be inferred using pseudotemporal estimations. Furthermore, the analysis of isolated islets has resulted in a drastic underrepresentation of other cell types, hindering our ability to interrogate exocrine-endocrine interactions. The long-term culture of human pancreatic slices (HPSs) has presented the field with an opportunity to dynamically track tissue plasticity at the single-cell level. Combining datasets from same-donor HPSs at different time points, with or without a known regenerative stimulus (BMP signaling), led to integrated single-cell datasets storing true temporal or treatment-dependent information. This integration revealed population shifts consistent with ductal progenitor activation, blurring of ductal/acinar boundaries, formation of ducto-acinar-endocrine differentiation axes, and detection of transitional insulin-producing cells. This study provides the first longitudinal scRNA-seq analysis of whole human pancreatic tissue, confirming its plasticity in a dynamic fashion.


Asunto(s)
Células Endocrinas , Análisis de Expresión Génica de una Sola Célula , Humanos , Páncreas , Diferenciación Celular
10.
Cell Rep ; 42(8): 112913, 2023 08 29.
Artículo en Inglés | MEDLINE | ID: mdl-37531253

RESUMEN

Pancreatic islets are endocrine organs that depend on their microvasculature to function. Along with endothelial cells, pericytes comprise the islet microvascular network. These mural cells are crucial for microvascular stability and function, but it is not known if/how they are affected during the development of type 1 diabetes (T1D). Here, we investigate islet pericyte density, phenotype, and function using living pancreas slices from donors without diabetes, donors with a single T1D-associated autoantibody (GADA+), and recent onset T1D cases. Our data show that islet pericyte and capillary responses to vasoactive stimuli are impaired early on in T1D. Microvascular dysfunction is associated with a switch in the phenotype of islet pericytes toward myofibroblasts. Using publicly available RNA sequencing (RNA-seq) data, we further found that transcriptional alterations related to endothelin-1 signaling and vascular and extracellular matrix (ECM) remodeling are hallmarks of single autoantibody (Aab)+ donor pancreata. Our data show that microvascular dysfunction is present at early stages of islet autoimmunity.


Asunto(s)
Diabetes Mellitus Tipo 1 , Islotes Pancreáticos , Humanos , Diabetes Mellitus Tipo 1/patología , Pericitos/patología , Células Endoteliales/patología , Islotes Pancreáticos/irrigación sanguínea , Autoanticuerpos
11.
Enzyme Microb Technol ; 170: 110300, 2023 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-37523882

RESUMEN

This review emphasizes the crucial role of enzyme immobilization technology in advancing the production of two main biofuels, ethanol and biodiesel, with a specific focus on the Cross-linked Enzyme Aggregates (CLEAs) strategy. This method of immobilization has gained attention due to its simplicity and affordability, as it does not initially require a solid support. CLEAs synthesis protocol includes two steps: enzyme precipitation and cross-linking of aggregates using bifunctional agents. We conducted a thorough search for papers detailing the synthesis of CLEAs utilizing amylases, cellulases, and hemicellulases. These key enzymes are involved in breaking down starch or lignocellulosic materials to produce ethanol, both in first and second-generation processes. CLEAs of lipases were included as these enzymes play a crucial role in the enzymatic process of biodiesel production. However, when dealing with large or diverse substrates such as lignocellulosic materials for ethanol production and oils/fats for biodiesel production, the use of individual enzymes may not be the most efficient method. Instead, a system that utilizes a blend of enzymes may prove to be more effective. To innovate in the production of biofuels (ethanol and biodiesel), enzyme co-immobilization using different enzyme species to produce Combi-CLEAs is a promising trend.


Asunto(s)
Biocombustibles , Enzimas Inmovilizadas , Estabilidad de Enzimas , Enzimas Inmovilizadas/metabolismo , Tecnología , Etanol , Reactivos de Enlaces Cruzados
12.
Gastroenterology ; 165(3): 696-716, 2023 09.
Artículo en Inglés | MEDLINE | ID: mdl-37263305

RESUMEN

BACKGROUND & AIMS: Genetic ancestry or racial differences in health outcomes exist in diseases associated with systemic inflammation (eg, COVID-19). This study aimed to investigate the association of genetic ancestry and race with acute-on-chronic liver failure (ACLF), which is characterized by acute systemic inflammation, multi-organ failure, and high risk of short-term death. METHODS: This prospective cohort study analyzed a comprehensive set of data, including genetic ancestry and race among several others, in 1274 patients with acutely decompensated cirrhosis who were nonelectively admitted to 44 hospitals from 7 Latin American countries. RESULTS: Three hundred ninety-five patients (31.0%) had ACLF of any grade at enrollment. Patients with ACLF had a higher median percentage of Native American genetic ancestry and lower median percentage of European ancestry than patients without ACLF (22.6% vs 12.9% and 53.4% vs 59.6%, respectively). The median percentage of African genetic ancestry was low among patients with ACLF and among those without ACLF. In terms of race, a higher percentage of patients with ACLF than patients without ACLF were Native American and a lower percentage of patients with ACLF than patients without ACLF were European American or African American. In multivariable analyses that adjusted for differences in sociodemographic and clinical characteristics, the odds ratio for ACLF at enrollment was 1.08 (95% CI, 1.03-1.13) with Native American genetic ancestry and 2.57 (95% CI, 1.84-3.58) for Native American race vs European American race CONCLUSIONS: In a large cohort of Latin American patients with acutely decompensated cirrhosis, increasing percentages of Native American ancestry and Native American race were factors independently associated with ACLF at enrollment.


Asunto(s)
Insuficiencia Hepática Crónica Agudizada , COVID-19 , Humanos , América Latina/epidemiología , Cirrosis Hepática/diagnóstico , Cirrosis Hepática/epidemiología , Cirrosis Hepática/genética , Estudios Prospectivos , COVID-19/complicaciones , Insuficiencia Hepática Crónica Agudizada/diagnóstico , Insuficiencia Hepática Crónica Agudizada/epidemiología , Insuficiencia Hepática Crónica Agudizada/genética , Inflamación/complicaciones , Pronóstico
14.
Enzyme Microb Technol ; 169: 110261, 2023 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-37269616

RESUMEN

This research proposes the preparation of a two-layer laccase biocatalyst using genipin or/and glutaraldehyde as cross-linking agents. The multilayer biocatalysts were prepared using different combinations of genipin and glutaraldehyde in the individual preparation of the first and second laccase layers. First, chitosan was treated with genipin or glutaraldehyde, followed by the immobilization of the first laccase layer to form a single-layer biocatalyst. Then, the immobilized laccases were coated once again with genipin or glutaraldehyde, and a new laccase layer was immobilized onto the system, resulting in the final two-layer biocatalyst. Compared to the single-layer biocatalysts, catalytic activity increased 1.7- and 3.4-fold when glutaraldehyde coating was used to prepare the second laccase layer. However, adding a second layer did not always produce more active biocatalysts, since the two-layer biocatalysts prepared with genipin (GenLacGenLac and GluLacGenLac) presented a decrease in activity of 65% and 28%, respectively. However, these two-layer biocatalysts prepared with genipin maintained 100% of their initial activity after 5 cycles of ABTS oxidation. Nevertheless, the two-layer, genipin-coated biocatalyst resulted in a higher removal of trace organic contaminants, since it removed 100% of mefenamic acid and 66% of acetaminophen, compared with the glutaraldehyde-coated biocatalyst, which removed 20% of mefenamic acid, and 18% of acetaminophen.


Asunto(s)
Enzimas Inmovilizadas , Lacasa , Glutaral , Acetaminofén , Ácido Mefenámico
15.
Sci Rep ; 13(1): 7306, 2023 05 05.
Artículo en Inglés | MEDLINE | ID: mdl-37147348

RESUMEN

The rapid spread of the SARS-CoV-2 Variant of Concern (VOC) Gamma in Amazonas during early 2021 fueled a second large COVID-19 epidemic wave and raised concern about the potential role of reinfections. Very few cases of reinfection associated with the VOC Gamma have been reported to date, and their potential impact on clinical, immunological, and virological parameters remains largely unexplored. Here we describe 25 cases of SARS-CoV-2 reinfection in Brazil. SARS-CoV-2 genomic analysis confirmed that individuals were primo-infected with distinct viral lineages between March and December 2020 (B.1.1, B.1.1.28, B.1.1.33, B.1.195, and P.2) and reinfected with the VOC Gamma between 3 to 12 months after primo-infection. We found a similar mean cycle threshold (Ct) value and limited intra-host viral diversity in both primo-infection and reinfection samples. Sera of 14 patients tested 10-75 days after reinfection displayed detectable neutralizing antibodies (NAb) titers against SARS-CoV-2 variants that circulated before (B.1.*), during (Gamma), and after (Delta and Omicron) the second epidemic wave in Brazil. All individuals had milder or no symptoms after reinfection, and none required hospitalization. These findings demonstrate that individuals reinfected with the VOC Gamma may display relatively high RNA viral loads at the upper respiratory tract after reinfection, thus contributing to onward viral transmissions. Despite this, our study points to a low overall risk of severe Gamma reinfections, supporting that the abrupt increase in hospital admissions and deaths observed in Amazonas and other Brazilian states during the Gamma wave was mostly driven by primary infections. Our findings also indicate that most individuals analyzed developed a high anti-SARS-CoV-2 NAb response after reinfection that may provide some protection against reinfection or disease by different SARS-CoV-2 variants.


Asunto(s)
COVID-19 , SARS-CoV-2 , Humanos , SARS-CoV-2/genética , Brasil/epidemiología , COVID-19/epidemiología , Diversidad de Anticuerpos , Rayos gamma , Reinfección , Gravedad del Paciente
16.
Nat Commun ; 14(1): 2048, 2023 04 11.
Artículo en Inglés | MEDLINE | ID: mdl-37041143

RESUMEN

The SARS-CoV-2 variants of concern (VOCs) Delta and Omicron spread globally during mid and late 2021, respectively. In this study, we compare the dissemination dynamics of these VOCs in the Amazonas state, one of Brazil's most heavily affected regions. We sequenced the virus genome from 4128 patients collected in Amazonas between July 1st, 2021, and January 31st, 2022, and investigated the viral dynamics using a phylodynamic approach. The VOCs Delta and Omicron BA.1 displayed similar patterns of phylogeographic spread but different epidemic dynamics. The replacement of Gamma by Delta was gradual and occurred without an upsurge of COVID-19 cases, while the rise of Omicron BA.1 was extremely fast and fueled a sharp increase in cases. Thus, the dissemination dynamics and population-level impact of new SARS-CoV-2 variants introduced in the Amazonian population after mid-2021, a setting with high levels of acquired immunity, greatly vary according to their viral phenotype.


Asunto(s)
COVID-19 , SARS-CoV-2 , Humanos , Brasil , Inmunidad Adaptativa
17.
Int J Biol Macromol ; 242(Pt 1): 124405, 2023 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-37100327

RESUMEN

The industrial residue of cashew apple juice processing (MRC) was evaluated as an alternative medium for bacterial cellulose (BC) production by Komagataeibacter xylinus ATCC 53582 and Komagataeibacter xylinus ARS B42. The synthetic Hestrin-Schramm medium (MHS) was used as a control for growing and BC production. First, BC production was assessed after 4, 6, 8, 10, and 12 days under static culture. After 12 days of cultivation, K. xylinus ATCC 53582 produced the highest BC titer in MHS (3.1 g·L-1) and MRC (3 g·L-1), while significant productivity was attained at 6 days of fermentation. To understand the effect of culture medium and fermentation time on the properties of the obtained films, BC produced at 4, 6, or 8 days were submitted to infrared spectroscopy with Fourier transform, thermogravimetry, mechanical tests, water absorption capacity, scanning electron microscopy, degree of polymerization and X-ray diffraction. The properties of BC synthesized in MRC were identical to those of BC from MHS, according to structural, physical, and thermal studies. MRC, on the other hand, allows the production of BC with a high water absorption capacity when compared to MHS. Despite the lower titer (0.88 g·L-1) achieved in MRC, the BC from K. xylinus ARS B42 presented a high thermal resistance and a remarkable absorption capacity (14664 %), suggesting that it might be used as a superabsorbent biomaterial.


Asunto(s)
Anacardium , Gluconacetobacter xylinus , Malus , Malus/metabolismo , Celulosa/química , Fermentación , Gluconacetobacter xylinus/metabolismo , Medios de Cultivo/química
18.
REME rev. min. enferm ; 27: 1511, jan.-2023. Tab.
Artículo en Inglés, Portugués | LILACS, BDENF - Enfermería | ID: biblio-1525394

RESUMEN

Objetivo: descrever o perfil das quedas notificadas de pacientes internados em um hospital público e de ensino. Método: estudo descritivo e retrospectivo, com análise estatística descritiva, inferencial e de correspondência múltipla dos dados de notificações do aplicativo Vigilância em Saúde e Gestão de Riscos Assistenciais Hospitalares sobre quedas de pacientes internados entre 2017 e 2019. Resultados: predominaram, dentre 153 notificações de quedas no período, as ocorridas no quarto, em unidades de atendimento cirúrgico, emergencial e clínico, sofridas por pacientes do sexo masculino, na faixa etária entre 20 e 59 anos. Nesta, destacaram-se os idosos. A abrasão foi o dano mais relatado. A análise de correspondência múltipla não apresentou significância. Conclusão: a análise dos eventos notificados contribuiu para o planejamento e a implantação do Programa Fall Tailoring Interventions for Patient Safety Brasil para aprimoramento da gestão dos riscos relacionados.(AU)


Objective: to describe the profile of reported falls of patients admitted to a public and teaching hospital. Method: descriptive and retrospective study, with descriptive, inferential, and multiple correspondence statistical analysis of notification data from the Health Surveillance and Hospital Care Risk Management app on falls of hospitalized patients between 2017 and 2019. Results: predominated, among 153 notifications of falls in the period, those occurring in the ward, in surgical, emergency, and clinical care units, suffered by male patients, aged between 20 and 59 years. In this, the elderly stood out. Abrasion was the most reported harm. Multiple correspondence analysis did not show significance. Conclusion: the analysis of reported events contributed to the planning and implementation of the Fall Tailoring Interventions for Patient Safety Program in Brazil to improve the management of related risks.(AU)


Objetivo: describir el perfil de las caídas de pacientes internados reportadas en un hospital público y de enseñanza. Método: estudio descriptivo y retrospectivo, con análisis estadístico descriptivo, inferencial y análisis de correspondencias múltiples de datos de notificación de la aplicación Vigilancia en Salud y Gestión de Riesgos de Atención Hospitalaria sobre caídas de pacientes hospitalizados entre 2017 y 2019. Resultados: predominó, entre 153 notificaciones de caídas en el período, las ocurridas en el dormitorio, en unidades quirúrgicas, de emergencia y de atención clínica, sufridos por pacientes del sexo masculino, con edades entre 20 y 59 años. En este último, se destacaron los adultos mayores. La abrasión fue el daño más reportado. El análisis de correspondencia múltiple no mostró significación. Conclusión: el análisis de los eventos notificados contribuyó para la planificación e implementación del Programa Fall Tailoring Interventions for Patient Safety en Brasil para mejorar la gestión de sus riesgos re-lacionados.(AU


Asunto(s)
Humanos , Masculino , Femenino , Recién Nacido , Lactante , Preescolar , Niño , Adolescente , Adulto , Persona de Mediana Edad , Anciano , Anciano de 80 o más Años , Gestión de Riesgos , Accidentes por Caídas/estadística & datos numéricos , Seguridad del Paciente , Notificación/estadística & datos numéricos , Hospitales de Enseñanza
19.
Enzyme Microb Technol ; 163: 110166, 2023 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-36455468

RESUMEN

This paper establishes an efficient protocol for the immobilization of Thermomyces lanuginosus lipase (TLL) on a hydrophobic resin, Streamline phenyl. The biocatalyst produced by TLL immobilization on Streamline phenyl resin was named iTLL. In addition, strategies to improve stability and reusability of iTLL were performed using polyethylenimine (PEI) or/and glutaraldehyde (GA), producing iTLL-GA, iTLL-PEI, iTLL-PEI-GA biocatalysts. The immobilization yield was about 50%, using 1 mg/g of enzyme loading, and the immobilized enzyme activity was about 77 U/g, achieving about 100% of recovered activity. Desorption assays of the enzyme from the support using 0.6% cetyltrimethylammonium bromide (CTAB) and thermal and operational stability assays were performed. Although iTLL-PEI-GA lost about 50% of its initial activity after PEI and GA modifications, it was the most thermally and operationally stable (increases its stability about 66% if comparing with soluble enzyme at 65 ºC and maintenance 90% of its initial activity after 5 cycles of pNPB hydrolysis at 25 °C and pH 7.0). Furthermore, it showed almost no desorption of enzyme molecules with 24 h of CTAB incubation. Moreover, the streamline phenyl demonstrated a high TLL loading potential, with no diffusion limitations up to 14 mg/g. These characteristics allow future application of the iTLL-PEI-GA biocatalyst in fluidized bed reactors.


Asunto(s)
Ascomicetos , Eurotiales , Lipasa/metabolismo , Cetrimonio , Enzimas Inmovilizadas/metabolismo , Glutaral , Polietileneimina/química , Estabilidad de Enzimas
20.
Enzyme Microb Technol ; 163: 110167, 2023 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-36493680

RESUMEN

Enzyme immobilization is used to improve the application of enzymes, allowing the reuse of biocatalysts and increasing their stability under reaction conditions. Immobilization of enzymes through structures, such as nanoflowers, is an innovative, simple, and low-cost method compared to other techniques. In this context, the main objective of this work is to synthesize hybrid biocatalytic nanostructures, similar to flowers, of lipases from Candida antarctica type B (CALB) and Thermomyces lanuginosus (TLL). The production of nanoflowers occurred by precipitation of lipases with CuCl2 or CuSO4 salts for 72 h. However, challenges and obstacles were faced in obtaining effective and practical nanoflowers, such as nanoflowers' low thermal stability and reusability. To overcome these challenges, two conditions were tested: nanoflowers cross-linked with glutaraldehyde and nanoflowers and nanoparticles cross-linked with glutaraldehyde. This last biocatalyst prepared by CuSO4 precipitation showed better thermal stability (half-life about 230 and 233 min for CALB and TLL, respectively, under incubation at 60 °C and pH 7). The CALB biocatalyst retained 70 % of its initial activity (2.31 U) after 10 cycles of hydrolysis. Therefore, this work shows not only the problems and barriers of nanoflowers synthesis, but also the possibility of producing more stable and efficient biocatalysts using improved protocols.


Asunto(s)
Candida , Proteínas Fúngicas , Glutaral , Proteínas Fúngicas/metabolismo , Lipasa/metabolismo , Enzimas Inmovilizadas/metabolismo , Estabilidad de Enzimas
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