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1.
Theor Appl Genet ; 135(11): 3709-3734, 2022 Nov.
Article in English | MEDLINE | ID: mdl-35665827

ABSTRACT

Crown rust, caused by Puccinia coronata f. sp. avenae (Pca), is a significant impediment to global oat production. Some 98 alleles at 92 loci conferring resistance to Pca in Avena have been designated; however, allelic relationships and chromosomal locations of many of these are unknown. Long-term monitoring of Pca in Australia, North America and elsewhere has shown that it is highly variable even in the absence of sexual recombination, likely due to large pathogen populations that cycle between wild oat communities and oat crops. Efforts to develop cultivars with genetic resistance to Pca began in the 1950s. Based almost solely on all all-stage resistance, this has had temporary benefits but very limited success. The inability to eradicate wild oats, and their common occurrence in many oat growing regions, means that future strategies to control Pca must be based on the assumption of a large and variable prevailing pathogen population with high evolutionary potential, even if cultivars with durable resistance are deployed and grown widely. The presence of minor gene, additive APR to Pca in hexaploid oat germplasm opens the possibility of pyramiding several such genes to give high levels of resistance. The recent availability of reference genomes for diploid and hexaploid oat will undoubtedly accelerate efforts to discover, characterise and develop high throughput diagnostic markers to introgress and pyramid resistance to Pca in high yielding adapted oat germplasm.


Subject(s)
Avena , Avena/genetics , Australia
2.
J Nutr Health Aging ; 24(8): 817-820, 2020.
Article in English | MEDLINE | ID: mdl-33009530

ABSTRACT

BACKGROUND/OBJECTIVES: Frailty is common in nursing homes. However, few studies reported longitudinal validation for death prediction or cut-off scores with the FRAIL-NH, which is designed to be used in nursing homes. Moreover, no studies came from Latin America, where frailty is highly prevalent. Our objectives were to evaluate (1) the prevalence of frailty according to the FRAIL-NH scale, and (2) its association to and the best cut-off score for predicting death after 12 months. DESIGN: longitudinal study with 12-month follow-up. SETTING: 6 nursing homes in southwest of Brazil. PARTICIPANTS: 293 residents with 60 years old or more. METHODS: Frailty was evaluated through the FRAIL-NH scale. Logistic regression was used to estimate the associated between frailty and mortality adjusted for age and sex. ROC curve was used to evaluate the accuracy of the scale for mortality prediction. RESULTS: Frailty was prevalent (47.4%) and was associated with death (odds ratio=1.31, 95% confidence interval [CI]=1.18-1.48, p<0.001). The area under the curve was 0.741 (95%CI=0.68-0.79). The sensitivity and specificity of the FRAIL-NH scale according to the best value of the Youden Index was 72.9% and 66.5%, respectively, for a cut-off > 8 points. CONCLUSIONS: Frailty is prevalent in nursing homes according to the FRAIL-NH and it was associated with one-year prediction of death for a cut-off > 8 points.


Subject(s)
Frail Elderly/statistics & numerical data , Frailty/mortality , Geriatric Assessment/methods , Mortality/trends , Aged , Aged, 80 and over , Brazil , Female , Humans , Longitudinal Studies , Male , Middle Aged , Nursing Homes , Prevalence
3.
J Nutr Health Aging ; 23(7): 641-647, 2019.
Article in English | MEDLINE | ID: mdl-31367729

ABSTRACT

BACKGROUND: The number of older adults attending emergency department (ED) is increasing all over the world. Usually, those patients are potentially more complex due to their greater number of comorbidities, cognitive disorders, and functional or physical disabilities. Frailty is a vulnerable state that could predict adverse outcomes of those patients. There are very few studies that addressed this topic in the ED, and none of them used a simple instrument for frailty assessment. OBJECTIVES: The primary outcome was to evaluate the association between frailty identified through the FRAIL questionnaire at baseline and death after a 6-month follow-up period after hospital discharge from the ED. Secondary outcomes were readmission to the ED and disability after 6 months. METHODS: A 6-month follow-up prospective study (FASES study) was conducted at a university-based trauma-center ED in Jundiaí, southwestern of Brazil. A total of 316 older adults aged 60 or older were randomly included based on a lottery of their medical record admission number. Frailty was evaluated through the FRAIL questionnaire. The association between frailty and death was estimated through a binary logistic regression adjusted for age, sex, and cognitive performance. RESULTS: From the total sample, the mean age was 72.11±8.0 years, and 51.6% were women. Participants presented 2.28±1.4 comorbidities and 25.6% were frail. Mean hospital stay was 5.43±5.6 days. Death occurred in 52 participants, readmission to the emergency in 55, and new disability in 16 after 6 months. Frailty was associated with an odds ratio of 2.18 for death after 6 months (95% CI = 1.10-4.31; p = 0.024). This association lost significance after multivariate analysis taking into account cognitive performance. There was no association between frailty status at baseline and readmission to the ED or disability. CONCLUSION: The identification of frailty using the FRAIL at admission was not predictive of death after a 6-month period after discharge from the ED. Simple frailty assessment could identify patients at higher risk for death in the follow-up.


Subject(s)
Comorbidity , Frail Elderly/statistics & numerical data , Frailty/mortality , Geriatric Assessment/statistics & numerical data , Aged , Aged, 80 and over , Brazil , Emergency Service, Hospital/statistics & numerical data , Female , Follow-Up Studies , Hospitalization/statistics & numerical data , Humans , Income , Length of Stay/statistics & numerical data , Logistic Models , Male , Odds Ratio , Patient Discharge/statistics & numerical data , Prospective Studies , Risk Assessment , Surveys and Questionnaires
4.
Vaccine ; 37(18): 2427-2429, 2019 04 24.
Article in English | MEDLINE | ID: mdl-30930006

ABSTRACT

Following the introduction of mandatory influenza vaccination for staff working in high risk clinical areas in 2018, we conducted active surveillance for adverse events following immunisation utilising an automated online survey to vaccine recipients at three and 42 days post immunisation. Most participants 2285 (92%) agreed to participate; 515 (32%) staff reported any symptom and eight (1.6%) sought medical attention. The odds of having a reaction decreased with age by approximately 2% per year. The system was acceptable to staff, and the data demonstrated rates of reported symptoms within expected rates for influenza vaccines from clinical trials. Rates of medical attendance were similar to previous surveillance. Participant centred real-time safety surveillance proved useful in this staff influenza vaccination context, providing reassurance with expected rates and profile of common adverse events following staff influenza vaccination.


Subject(s)
Health Personnel/statistics & numerical data , Influenza Vaccines/adverse effects , Influenza, Human/prevention & control , Public Health Surveillance , Adult , Australia , Female , Humans , Influenza Vaccines/administration & dosage , Male , Middle Aged , Surveys and Questionnaires , Vaccination/adverse effects
5.
J Frailty Aging ; 7(2): 108-112, 2018.
Article in English | MEDLINE | ID: mdl-29741195

ABSTRACT

OBJECTIVES: the aims of the present study were: (1) investigate the prevalence and association of polypharmacy and pre-frailty or frailty in a middle-income country sample of older adults; and (2) evaluate the prevalence of potential inappropriate prescription (PIP) and its association with pre-frailty or frailty. DESIGN: Cross-sectional observational study. SETTING: Outpatient center at a university-based hospital in the state of São Paulo, Brazil. PARTICIPANTS: 629 older adults from both sexes evaluated between June 2014 and July 2016. MEASUREMENTS: Frailty was identified through the FRAIL scale. All medications received were analyzed by research staff. Presence of PIP was evaluated according to the 2015 updated Beers list. Binary logistic regression tested the association between 4 definitions of polypharmacy (≥ 3, 4, 5, and 6 drugs), and presence of PIP, and the dependent variable pre-frailty and frailty. RESULTS: 15.7% of participants were frail. Polypharmacy was present in 219 (34.8%), and PIP was observed in 184 (29.3%) older adults. All definitions of polypharmacy were significantly associated with frailty (OR between 2.05 to 2.34, p < 0.001). Polypharmacy with 4 or 5 or more drugs were associated with pre-frailty (OR 1.53 and 1.47, respectively). PIP was not associated with frailty (OR 1.47, p = 0.149). CONCLUSIONS: Several definitions of polypharmacy were associated with frailty, but only two were associated with pre-frailty. The presence of PIP was not associated with pre-frailty or frailty.


Subject(s)
Frail Elderly/statistics & numerical data , Frailty/epidemiology , Inappropriate Prescribing/statistics & numerical data , Polypharmacy , Aged , Ambulatory Care Facilities , Brazil/epidemiology , Cross-Sectional Studies , Female , Humans , Male , Socioeconomic Factors
6.
Am J Transplant ; 18(7): 1680-1689, 2018 07.
Article in English | MEDLINE | ID: mdl-29247469

ABSTRACT

We report the results of a study of survival, liver and kidney functions, and growth with a median follow-up of 24 years following liver transplantation in childhood. From 1988 to 1993, 128 children underwent deceased donor liver transplantation (median age: 2.5 years). Twenty-year patient and graft survival rates were 79% and 64%, respectively. Raised serum aminotransferase and/or γ-glutamyl transferase activities were present in 42% of survivors after a single transplantation. Graft histology (35 patients) showed signs of chronic rejection in 11 and biliary obstruction in 5. Mean total fibrosis scores were 4.5/9 and 3/9 in patients with abnormal and normal serum liver tests, respectively. Glomerular filtration rate was <90 mL·min-1 in 35 survivors, including 4 in end-stage renal disease who were undergoing dialysis or had undergone renal transplantation. Median final heights were 159 cm for women and 172 cm for men; final height was below the target height in 37 patients. Twenty-year survival after childhood liver transplantation may be close to 80%, and final height is within the normal range for most patients. However, chronic kidney disease or altered liver biochemistries are present in over one third of patients, which is a matter of concern for the future.


Subject(s)
Graft Rejection/mortality , Graft Survival , Kidney Failure, Chronic/mortality , Liver Transplantation/mortality , Postoperative Complications , Renal Dialysis/statistics & numerical data , Survivors/statistics & numerical data , Adolescent , Adult , Child , Child, Preschool , Female , Follow-Up Studies , France/epidemiology , Glomerular Filtration Rate , Graft Rejection/epidemiology , Humans , Incidence , Infant , Kidney Failure, Chronic/epidemiology , Kidney Function Tests , Male , Prognosis , Risk Factors , Survival Rate , Young Adult
7.
Int Endod J ; 49(11): 1048-1056, 2016 Nov.
Article in English | MEDLINE | ID: mdl-26443466

ABSTRACT

AIM: To analyse the effect of commercial and experimental gutta-percha with the addition of niobium phosphate glass on biofilm formation by oral bacteria from human dental plaque. Additional pH and elemental release of the materials were analysed. METHODOLOGY: The multispecies biofilm was grown anaerobically from plaque bacteria on standardized discs of each material: hydroxyapatite (HA), gutta-percha pellets (OBT) (Obtura pellets, Shoreline, CT, USA), ProTaper gutta-percha (PTP) (ProTaper Universal Gutta-Percha Points, Dentsply Maillefer, Ballaigues, Switzerland), EndoSequence BC gutta-percha (GBC) (Brasseler USA, Savannah, GA, USA), experimental gutta-percha associated with niobium phosphate glass (GNB) and niobium phosphate glass (NPG). Specimens (n = 5 per group and per incubation period) were incubated in brain-heart infusion broth for 3, 14 and 30 days, at 37 °C, and stained using live/dead viability assay. Images were analysed by confocal laser scanning microscopy (CLSM) and the total biovolume (mm3 ), viable bacteria biovolume (mm3 ), and live percentage (%) were quantified. For pH measurement, specimens of each material (n = 3) were immersed in phosphate-buffered saline at 37 °C, and pH was monitored in multiple intervals, up to 30 days. For elemental analysis, additional specimens (n = 3) were immersed in deionized water and elemental release was analysed by ICP-OES (inductively coupled plasma - optical emission spectrometry) at time intervals of 3, 14 and 30 days. Differences between groups were evaluated by the two-way analysis of variation (anova) with Tukey's post hoc test (P < 0.05). RESULTS: The lowest total biovolume at 30 days was found in GNB, GBC and NPG. GNB had the lowest viable bacteria biovolume (mean value) at 30 days (P < 0.05), and the lowest live percentage of bacteria at 3 and 30 days (P < 0.05), whilst NPG had the lowest live percentage at 14 days (P < 0.05). GNB had the highest pH (8.45) after 30 days (P < 0.05), and the greatest Zn and Na release at all time intervals (P < 0.05). Both GBC and GNB had significantly higher Ca release at 14 and 30 days. CONCLUSION: GNB and GBC reduced biofilm formation, GNB had the lowest amount of viable bacteria in biofilms with the highest pH, and high Zn and Na release values after 30 days.


Subject(s)
Biofilms , Glass , Gutta-Percha/chemistry , Durapatite , Hydrogen-Ion Concentration , Microscopy, Confocal , Niobium , Root Canal Filling Materials/chemistry
8.
Nanoscale ; 7(30): 12943-54, 2015 Aug 14.
Article in English | MEDLINE | ID: mdl-26167654

ABSTRACT

Dendrimersomes are nanosized vesicles constituted by amphiphilic Janus dendrimers (JDs), which have been recently proposed as innovative nanocarriers for biomedical applications. Recently, we have demonstrated that dendrimersomes self-assembled from (3,5)12G1-PE-BMPA-G2-(OH)8 dendrimers can be successfully loaded with hydrophilic and amphiphilic imaging contrast agents. Here, we present two newly synthesized low generation isomeric JDs: JDG0G1(3,5) and JDG0G1(3,4). Though less branched than the above-cited dendrimers, they retain the ability to form self-assembled, almost monodisperse vesicular nanoparticles. This contribution reports on the characterization of such nanovesicles loaded with the clinically approved MRI probe Gadoteridol and the comparison with the related nanoparticles assembled from more branched dendrimers. Special emphasis was given to the in vitro stability test of the systems in biologically relevant media, complemented by preliminary in vivo data about blood circulation lifetime collected from healthy mice. The results point to very promising safety and stability profiles of the nanovesicles, in particular for those made of JDG0G1(3,5), whose spontaneous self-organization in water gives rise to a homogeneous suspension. Importantly, the blood lifetimes of these systems are comparable to those of standard liposomes. By virtue of the reported results, the herein presented nanovesicles augur well for future use in a variety of biomedical applications.


Subject(s)
Dendrimers/chemistry , Animals , Cell Line , Cell Proliferation/drug effects , Cell Survival/drug effects , Contrast Media/chemistry , Contrast Media/pharmacokinetics , Contrast Media/toxicity , Dendrimers/pharmacokinetics , Dendrimers/toxicity , Gadolinium/chemistry , Half-Life , Heterocyclic Compounds/chemistry , Humans , Magnetic Resonance Imaging , Male , Mice , Mice, Inbred BALB C , NIH 3T3 Cells , Organometallic Compounds/chemistry , Serum Albumin/chemistry , Serum Albumin/metabolism , Temperature , Water/chemistry
9.
Int Endod J ; 48(5): 451-9, 2015 May.
Article in English | MEDLINE | ID: mdl-24923365

ABSTRACT

AIM: To characterize an experimental gutta-percha and niobium phosphate glass composite (GNB) applied with a thermoplastic technique to the root canals without sealer in a moist environment and to evaluate its micropush-out bond strength to root canal wall dentine. METHODOLOGY: The root canals of sixty human mandibular pre-molars were prepared using rotary NiTi instruments and irrigation with sodium hypochlorite and EDTA. The teeth were then randomly divided into three groups according to the root filling material used: AH plus sealer and gutta-percha (AH), EndoSequence BC gutta-percha without sealer (GBC), and GNB without sealer. The root canals were filled with a single cone using warm vertical condensation. Push-out bond strengths associated with the filling materials in slices from middle root thirds was determined 30 days after root filling. The failure mode was analyzed with SEM. Analysis using EDX and SEM-EDS was carried out to verify the composition and distribution of the particles of the tested materials. Data were statistically analyzed by one-way anova and Tukey's test (P < 0.05). RESULTS: AH and GNB groups had bond strengths of 2.83 ± 0.64 MPa and 2.68 ± 0.84 MPa, respectively, with no significant difference between them (P > 0.05). The GBC group had the lowest mean bond strength (1.34 ± 0.42 MPa), which was significantly different compared with the other groups (P < 0.05). Cohesive failures prevailed in the AH group, whereas failures were mixed in the GBC and GNB groups. The SEM-EDS analysis on the surface and in the bulk of GBC revealed only a superficial coating of bioceramic particles. Glass particles were detected both on the surface and in the bulk of GNB. CONCLUSIONS: The experimental root filling composite (GNB) had an ability to adhere to root canal wall dentine equal to the current gold standard root filling with gutta-percha and sealer (AH Plus).


Subject(s)
Calcium Phosphates/chemistry , Epoxy Resins/chemistry , Glass/chemistry , Gutta-Percha/chemistry , Niobium/chemistry , Oxides/chemistry , Phosphates/chemistry , Root Canal Filling Materials/chemistry , Silicates/chemistry , Bicuspid/surgery , Dental Stress Analysis , Drug Combinations , Humans , In Vitro Techniques , Materials Testing , Microscopy, Electron, Scanning , Spectrometry, X-Ray Emission
10.
Plant Dis ; 89(8): 802-808, 2005 Aug.
Article in English | MEDLINE | ID: mdl-30786509

ABSTRACT

Race-specific resistance to crown rust, the most important disease of oat (Avena sativa) in Bra-zil, often fails within a few years of use in Brazilian cultivars. Virulence of 144 isolates of Puccinia coronata from cultivated oat in Brazil in 1997 to 1999 and 36 isolates from Uruguay in 1994-95 and 1998 was tested on a set of 27 oat crown rust differentials lines, each with a different Pc gene for race-specific resistance. Frequencies of virulence and mean virulence complexity were compared among these five collections from Brazil and Uruguay as well as with mean virulence complexity for a collection of 17 isolates from cultivated oat in western Siberia in Russia. Virulence-avirulence for each of the 27 Pc genes was polymorphic in both Brazil and Uruguay. Virulence frequencies were similar for collections from Brazil in 1998 and 1999 and for the collection from Uruguay from 1998, but there were large differences between the 1997 collection and the 1998 and 1999 collections from Brazil. Mean virulence complexity in both Brazil and Uruguay was greater than reported in the United States and much greater than in the Russian collection of P. coronata. A large number of races of P. coronata were found, with no more than five isolates of any race found in a single year in Brazil or Uruguay. The high virulence complexity and great diversity of virulence polymorphisms in Brazil and Uruguay make it unlikely that race-specific resistance can be effective there even though the South American populations of P. coronata are apparently entirely asexual.

11.
Rapid Commun Mass Spectrom ; 16(19): 1827-35, 2002.
Article in English | MEDLINE | ID: mdl-12271447

ABSTRACT

Careful analysis of the electron impact (EI) mass spectral data obtained for the trimethylsilyl (TMS) ethers of known trichothecene mycotoxins of the deoxynivalenol group permitted the construction of a database useful for the identification of these mycotoxins directly from a gas chromatography/mass spectrometry (GC/MS) run. Structures of the ions at m/z 103, 117, 147 and 191 were elucidated by high-resolution mass spectrometry (HRMS) and a fragmentation scheme was suggested. The relative abundances of these ions in the mass spectra of the trichothecenes allowed a fast structural diagnosis during analysis of biological matrices. A new mycotoxin of this group, 3-acetylnivalenol, was tentatively identified by using MS data interpretation only.


Subject(s)
Mycotoxins/analysis , Trichothecenes/analysis , Brazil , Fusarium/chemistry , Gas Chromatography-Mass Spectrometry , Trimethylsilyl Compounds/chemistry , Triticum/microbiology
12.
J Invest Dermatol ; 116(5): 664-71, 2001 May.
Article in English | MEDLINE | ID: mdl-11348453

ABSTRACT

There is growing evidence that necrosis, instead of apoptosis, could act as a natural adjuvant, which could activate an immune response. In this work we have investigated if induction of tumor necrosis could trigger the affluence of inflammatory cells at the tumor site, and thus induce an immune response. For this purpose, a liquid N2 spray was applied on human melanoma (IIB-MEL-J cell line) xenografted in nude mice and 24 h later some mice received intratumorally a single 500 U dose of recombinant murine granulocyte macrophage-colony-stimulating factor. 77-100% of the tumor mass underwent necrosis. Congestion, edema, and endothelial cell activation were the first noticeable events. A quick infiltrative response of polymorphonuclear leukocytes around the tumor was detected 24 h after liquid N2 application, peaking at day 3. Massive macrophage recruitment was observed since day 3. An early intratumoral infiltration with inflammatory cells was only detected in the group that received recombinant murine granulocyte macrophage- colony-stimulating factor after necrosis induction by liquid N2. Coexisting DEC 205- and F4/80-positive cells increased in number, and their localization was predominantly peritumoral after necrosis. Antibody response was only detected in the groups with tumor-induced necrosis. Our results suggest that cryosurgery-induced necrosis could be a useful model to analyze the interaction among necrosis, inflammation, and the generation of an immune response.


Subject(s)
Cryosurgery/adverse effects , Inflammation/pathology , Melanoma/pathology , Skin Neoplasms/pathology , Animals , Antibody Formation , Edema/pathology , Granulocyte-Macrophage Colony-Stimulating Factor/therapeutic use , Humans , Macrophages/pathology , Melanoma/immunology , Melanoma/therapy , Mice , Mice, Nude , Necrosis , Neoplasm Transplantation , Neutrophils/pathology , Postoperative Period , Skin Neoplasms/immunology , Skin Neoplasms/therapy , Transplantation, Heterologous , Tumor Cells, Cultured
14.
J Heart Valve Dis ; 6(6): 661-5, 1997 Nov.
Article in English | MEDLINE | ID: mdl-9427139

ABSTRACT

BACKGROUND AND AIMS OF THE STUDY: The ATS Medical valve was first implanted in 1992. The purpose of this report was to establish the normal range of each hemodynamic parameter, measured by Doppler echocardiography, in small aortic ATS Medical valves. METHODS: Twenty-five patients with small aortic ATS Medical valves, operated on over six months, and with no cardiac or prosthetic dysfunction, in sinus rhythm, on adequate oral anticoagulant therapy, and no other valve prosthesis or significant valvulopathy, were reviewed on the basis of physical examination and transthoracic Doppler echocardiography. RESULTS: For the aortic 21 Standard ATS Medical valve (n = 10), the following values were registered: peak velocity 2.40 +/- 0.39 m/s; peak gradient 23.7 +/- 6.8 mmHg; mean gradient 12.6 +/- 4.0 mmHg; valve effective orifice area 1.73 +/- 0.41 cm2; Doppler velocity index 0.47 +/- 0.11. For the aortic 19 Standard ATS Medical valve (n = 9), these values were: 3.41 +/- 0.43 m/s; 47.0 +/- 12.6 mmHg; 26.2 +/- 7.9 mmHg; 0.96 +/- 0.18 cm2; and 0.32 +/- 0.06, respectively. For the aortic 16 AP ATS Medical valve (n = 6), these parameters were 3.44 +/- 0.47 m/s; 47.7 +/- 12.0 mmHg; 27.0 +/- 7.3 mmHg; 0.61 +/- 0.09 cm2; and 0.30 +/- 0.04, respectively. CONCLUSIONS: Using Doppler echocardiography, the present study establishes the normal range of parameters which define the hemodynamic performance of the aortic 21 and 19 Standard and 16 AP ATS Medical valves, and demonstrates satisfactory hemodynamic performance of the aortic 21 and 19 Standard ATS Medical valves. It should be noted that the valve effective orifice area determined for the aortic 16 AP ATS Medical valve was smaller than that for the aortic 19 Standard ATS Medical valve, though these two prostheses have the same physical orifice area.


Subject(s)
Aortic Valve/physiopathology , Heart Valve Diseases/physiopathology , Heart Valve Prosthesis , Hemodynamics/physiology , Adult , Aged , Aortic Valve/diagnostic imaging , Aortic Valve/surgery , Echocardiography, Doppler , Female , Follow-Up Studies , Heart Valve Diseases/diagnostic imaging , Heart Valve Diseases/surgery , Heart Valve Prosthesis/standards , Heart Valve Prosthesis Implantation , Humans , Male , Middle Aged , Prosthesis Design , Retrospective Studies , Treatment Outcome
15.
Campinas; s.n; 1997. x p.
Thesis in Portuguese | Index Psychology - Theses | ID: pte-30108

ABSTRACT

A presente pesquisa investigou a utilização do DSM e da CID por terapeutas comportamentais e cognitivo-comportamentais brasileiros. Participaram como sujeitos 28 psicólogos, divididos em dois grupos de acordo com o tempo de atuação clínica, sendo denominados TCPP - Terapeutas Comportamentais com Pouca Prática e TCLP - Terapeutas Comportamentais com Longa Prática. Para coleta de dados foi elaborada uma ficha de identificação e um questionário contendo questões sobre o uso dos manuais. Os resultados apontaram que os terapeutas têm se reportado aos manuais, sendo o DSM o mais utilizado. No grupo TCPP, os manuais são consultados desde o início da prática clínica. O DSM tem sua utilidade na avaliação/diagnósticos em pesquisas e na troca de informações entre profissionais. Este grupo considera que os manuais devem ser empregados com cuidado e os terapeutas devem utilizá-los como instrumento auxiliar no diagnóstico e tratamento. No grupo TCLP, os manuais têm sido incorporados de forma gradativa à prática, sendo o DSM utilizado na troca de informações, registro em prontuários, fins estatísticos, e como fonte complementar da dados. ACI é utilizada em ambos os grupos para registro em prontuários e na troca de informações. Conclui que tempo de atuação revelou diferenças nas formas de utilização dos manuais. A falta de alternativas à abordagem sindrômica dentro da terapia/avaliação comportamental aliada ao amplo uso do DSM pelos profissionais no momento atual tornam a sua aplicação uma prática reforçadora (AU)

16.
J Infect Dis ; 169(3): 575-80, 1994 Mar.
Article in English | MEDLINE | ID: mdl-8158029

ABSTRACT

Previous studies have shown that recombinant granulocyte-macrophage colony-stimulating factor (GM-CSF) stimulates human and murine macrophages to inhibit growth and kill intracellularly. This study shows the effect of GM-CSF on Mycobacterium avium complex (MAC) infection in vivo using a C57BL/6 beige mouse model of disseminated MAC infection. Furthermore, it examined the activity of the combination of GM-CSF and amikacin or azithromycin, two antimicrobials active against MAC, on the survival of MAC within macrophages in vitro and in the mouse model of disseminated infection. Although GM-CSF (25 mg/kg) induced mycobactericidal and mycobacteriostatic activity in macrophages in vitro and in vivo, the combination of GM-CSF and amikacin (50 mg/kg) or azithromycin (250 mg/kg) was associated with a significant increase in killing of MAC both within cultured macrophages and in the beige mouse model. Therefore, a significant reduction in the number of viable bacteria was observed in blood, liver, and spleen of mice treated with a combination of GM-CSF and azithromycin or amikacin compared with control mice and those treated with GM-CSF or antimicrobials alone.


Subject(s)
Granulocyte-Macrophage Colony-Stimulating Factor/pharmacology , Mycobacterium avium-intracellulare Infection/drug therapy , Amikacin/therapeutic use , Animals , Azithromycin/pharmacology , Azithromycin/therapeutic use , Dose-Response Relationship, Drug , Drug Therapy, Combination/therapeutic use , Female , Humans , Macrophages/immunology , Mice , Mycobacterium avium Complex/drug effects , Recombinant Proteins/pharmacology
17.
J Infect Dis ; 168(4): 961-8, 1993 Oct.
Article in English | MEDLINE | ID: mdl-8376842

ABSTRACT

Mycobacterium avium complex (MAC) organisms are the most common bacterial cause of disseminated infection in patients with AIDS. MAC, facultative intracellular bacteria, invade and multiply within macrophages. Treatment of MAC-infected macrophages with ethanol (10-100 micrograms/dL) is associated with increased intracellular multiplication of MAC. To investigate whether this enhanced growth is due to a stress-related response induced by nonlethal concentrations of ethanol, strain 101 (serovar 1) was exposed to ethanol, and the regulation of the expression of proteins was examined. Exposure of MAC to ethanol (range, 10-100 micrograms/dL) was associated with up-regulation of the expression of a number of bacterial proteins, some of which (65 and 33 kDa) interfered with macrophage functions, such as production of superoxide anion and killing of Staphylococcus aureus. Thus, exposure of MAC to small concentrations of ethanol may induce a stress-related response with consequent increase in the synthesis of proteins possibly associated with its ability to survive within macrophages.


Subject(s)
Bacterial Proteins/biosynthesis , Cytokines/pharmacology , Ethanol/pharmacology , Macrophages/microbiology , Mycobacterium avium Complex/metabolism , Bacterial Proteins/isolation & purification , Cells, Cultured , Granulocyte-Macrophage Colony-Stimulating Factor/pharmacology , Hot Temperature , Humans , Hydrogen-Ion Concentration , Interferon-gamma/pharmacology , Kinetics , Macrophages/drug effects , Methionine/metabolism , Molecular Weight , Mycobacterium avium Complex/drug effects , Mycobacterium avium Complex/pathogenicity , Recombinant Proteins/pharmacology , Sulfur Radioisotopes , Tumor Necrosis Factor-alpha/pharmacology , Virulence/physiology
18.
Lymphokine Cytokine Res ; 10(5): 413-9, 1991 Oct.
Article in English | MEDLINE | ID: mdl-1662988

ABSTRACT

Ethanol intoxication has been associated with bacterial pneumonia and tuberculosis. More recently, ethanol was shown to impair the capacity of pulmonary macrophages to produce superoxide anion and tumor necrosis factor (TNF). Furthermore, exposure to ethanol compromises macrophage's ability to respond to stimulation with TNF and granulocyte-macrophage colony-stimulating factor (GM-CSF), and kill an intracellular pathogen, Mycobacterium avium. Based on these previous findings, we examined whether exposure to ethanol affects superoxide anion production, synthesis of cytokines, and expression of membrane receptors to TNF on human monocyte-derived macrophages. Brief exposure to 10 or 50 micrograms/dl of ethanol significantly reduced the macrophage's response to a subsequent stimulus with phorbol ester (phorbol-12-myristate-13-acetate, PMA), and this unresponsive state lasts for approximately 6 h following removal of ethanol. When macrophages were then treated with lipopolysaccharide (LPS) in the presence of ethanol, high concentrations of TNF and GM-CSF were produced, but subsequent stimulation with LPS (second stimulus) was associated with significant impairment on synthesis and release of both TNF and GM-CSF. In addition, although ethanol had no effect on TNF binding to resting macrophages and to macrophages infected with M. avium, ethanol significantly reduced the expression of TNF receptors on interferon-gamma-stimulated macrophages. The ethanol-induced inhibition of macrophage function suggests potential mechanisms for suppression of the host's immune response and consequently increased susceptibility for infectious diseases.


Subject(s)
Ethanol/pharmacology , Granulocyte-Macrophage Colony-Stimulating Factor/metabolism , Macrophages/drug effects , Mycobacterium Infections/immunology , Receptors, Cell Surface/drug effects , Tumor Necrosis Factor-alpha/metabolism , Cell Membrane/drug effects , Cells, Cultured , Granulocyte-Macrophage Colony-Stimulating Factor/immunology , Humans , Interferon-gamma , Macrophages/immunology , Macrophages/metabolism , Mycobacterium avium/immunology , Phagocytosis/drug effects , Receptors, Cell Surface/metabolism , Receptors, Tumor Necrosis Factor , Superoxides/metabolism , Tumor Necrosis Factor-alpha/antagonists & inhibitors
19.
Cytokine ; 2(4): 287-93, 1990 Jul.
Article in English | MEDLINE | ID: mdl-1966550

ABSTRACT

Granulocyte-macrophage colony-stimulating factor (GM-CSF) stimulates production of neutrophils in bone marrow and may decrease the incidence of infection during neutropenia. We evaluated the protective role of recombinant GM-CSF against Pseudomonas aeruginosa challenge in neutropenic mice. CD-1 mice treated with cyclophosphamide on days 1 and 2 of the experiment were given GM-CSF (1, 2, or 4 micrograms/day) starting at day 4 of the experiment according to the following protocol: 1) 1 microgram of GM-CSF 2 hr and 24 hr after challenge; 2) 1 microgram 24 hr before challenge, 2 hr and 24 hr after challenge; 3) 2 micrograms injected 24 hr before and 2 hr after challenge; 4) 2 micrograms given 24 hr before and 2 micrograms given 2 hr and 24 hr after challenge; 5) 4 micrograms administered 2 hr and 24 hr after challenge; and 6) saline and bovine albumin controls. The number of blood neutrophils by days 4 and 5 was similar for GM-CSF-treated and untreated animals. Survival was significantly greater in animals given 2 micrograms of GM-CSF at 24 hr before and at 2 hr and 24 hr after challenge with Pseudomonas. Neutrophils and splenic macrophages obtained from GM-CSF-treated mice (2 micrograms/animal) produced significantly greater amounts of O2- (204 +/- 36 nmoles/10(5) cells) than controls (21 +/- 10 nmoles/10(5) cells). Additionally, neutrophils and macrophages from GM-CSF-treated mice killed significantly more bacteria (P. aeruginosa) in vitro and had a greater number of C3b and Fc receptors (78 +/- 12% and 89 +/- 8%) than did cells obtained from control animals.(ABSTRACT TRUNCATED AT 250 WORDS)


Subject(s)
Granulocyte-Macrophage Colony-Stimulating Factor/therapeutic use , Macrophage Activation/drug effects , Neutropenia/drug therapy , Pseudomonas aeruginosa/immunology , Sepsis/drug therapy , Animals , Blood Bactericidal Activity , Cyclophosphamide/pharmacology , Female , Immunoglobulin G/metabolism , In Vitro Techniques , Leukocyte Count/drug effects , Mice , Mice, Inbred Strains , Neutrophils/physiology , Peritoneal Cavity/cytology , Phagocytosis , Recombinant Proteins/pharmacology , Sepsis/immunology , Spleen/cytology , Superoxides/metabolism
20.
Theor Appl Genet ; 78(1): 42-8, 1989 Jul.
Article in English | MEDLINE | ID: mdl-24227028

ABSTRACT

The potential of using hierarchical cluster analysis to classify entries from a germplasm collection according to their degree of similarity was assessed. Results suggest that similarity is generally greatest among individual entries by country of origin and that hierarchical cluster analysis could be used as a tool to classify entries from germplasm collections according to their respective gene pools, even when no passport data are available. Based on this technique, it is also shown that the segregative potential of entries can be estimated.

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