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1.
Braz J Med Biol Res ; 54(3): e10504, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33503201

RESUMEN

Molecular changes that affect mitochondrial glycolysis have been associated with the maintenance of tumor cells. Some metabolic factors have already been described as predictors of disease severity and outcomes. This systematic review was conducted to answer the question: Is the glycolytic pathway correlated with the prognosis of oral squamous cell carcinoma (OSCC)? A search strategy was developed to retrieve studies in English from PubMed, Scopus, and ISI Web of Science using keywords related to squamous cell carcinoma, survival, and glycolytic pathway, with no restriction of publication date. The search retrieved 1273 publications. After the titles and abstracts were analyzed, 27 studies met inclusion criteria. Studies were divided into groups according to two subtopics, glycolytic pathways and diagnosis, which describe the glycolytic profile of OSCC tumors. Several components of tumor energy metabolism found in this review are important predictors of survival of patients with OSCC.


Asunto(s)
Glucólisis , Neoplasias de la Boca/diagnóstico , Carcinoma de Células Escamosas de Cabeza y Cuello/diagnóstico , Humanos , Neoplasias de la Boca/metabolismo , Tomografía Computarizada por Tomografía de Emisión de Positrones , Carcinoma de Células Escamosas de Cabeza y Cuello/metabolismo
2.
Braz. j. med. biol. res ; 54(3): e10504, 2021. tab, graf
Artículo en Inglés | LILACS | ID: biblio-1153517

RESUMEN

Molecular changes that affect mitochondrial glycolysis have been associated with the maintenance of tumor cells. Some metabolic factors have already been described as predictors of disease severity and outcomes. This systematic review was conducted to answer the question: Is the glycolytic pathway correlated with the prognosis of oral squamous cell carcinoma (OSCC)? A search strategy was developed to retrieve studies in English from PubMed, Scopus, and ISI Web of Science using keywords related to squamous cell carcinoma, survival, and glycolytic pathway, with no restriction of publication date. The search retrieved 1273 publications. After the titles and abstracts were analyzed, 27 studies met inclusion criteria. Studies were divided into groups according to two subtopics, glycolytic pathways and diagnosis, which describe the glycolytic profile of OSCC tumors. Several components of tumor energy metabolism found in this review are important predictors of survival of patients with OSCC.


Asunto(s)
Humanos , Neoplasias de la Boca/diagnóstico , Carcinoma de Células Escamosas de Cabeza y Cuello/diagnóstico , Glucólisis , Neoplasias de la Boca/metabolismo , Tomografía Computarizada por Tomografía de Emisión de Positrones , Carcinoma de Células Escamosas de Cabeza y Cuello/metabolismo
3.
Mar Pollut Bull ; 160: 111648, 2020 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-32920255

RESUMEN

Acoustic data was collected across 15 sites distributed through the coastal area of Rio de Janeiro, Brazil, encompassing regions of different natural characteristics. Noise levels and the acoustic complexity index were calculated. Quantity and composition of anthropogenic sound sources varied across recording sites, with at least one type of sound source being registered in each location. A cluster analysis using third-octave levels from eight frequency bands divided recording sites into two groups, one considered as impacted by anthropogenic noise and the other as less-impacted. The noisiest recording locations were those with higher numbers of anthropogenic sound sources, specifically large ships. It was evidenced that anthropogenic noise affects not only noise levels, but also low-frequency acoustic complexity, which decreased in the presence of vessel traffic. The constant noise input of human activities tended to mask natural variability in the soundscape at lower frequencies.


Asunto(s)
Ruido , Sonido , Acústica , Brasil , Humanos , Navíos
4.
Abdom Radiol (NY) ; 45(12): 4260-4270, 2020 12.
Artículo en Inglés | MEDLINE | ID: mdl-32696213

RESUMEN

PURPOSE: To subjectively and quantitatively compare the quality of 3 Tesla magnetic resonance imaging of the prostate acquired with a novel flexible surface coil (FSC) and with a conventional endorectal coil (ERC). METHODS: Six radiologists independently reviewed 200 pairs of axial, high-resolution T2-weighted and diffusion-weighted image data sets, each containing one examination acquired with the FSC and one with the ERC, respectively. Readers selected their preferred examination from each pair and assessed every single examination using six quality criteria on 4-point scales. Signal-to-noise ratios were measured and compared. RESULTS: Two readers preferred FSC acquisition (36.5-45%) over ERC acquisition (13.5-15%) for both sequences combined, and four readers preferred ERC acquisition (41-46%). Analysis of pooled responses for both sequences from all readers shows no significant preference for FSC or ERC. Analysis of the individual sequences revealed a pooled preference for the FSC in T2WI (38.7% vs 17.8%) and for the ERC in DWI (50.9% vs 19.6%). Patients' weight was the only weak predictor of a preference for the ERC acquisition (p = 0.04). SNR and CNR were significantly higher in the ERC acquisitions (p<0.001) except CNR differentiating tumor lesions from benign prostate (p=0.1). CONCLUSION: Although readers have strong individual preferences, comparable subjective image quality can be obtained for prostate MRI with an ERC and the novel FSC. ERC imaging might be particularly valuable for sequences with inherently lower SNR as DWI and larger patients whereas the FSC is generally preferred in T2WI. FSC imaging generates a lower SNR than with an ERC.


Asunto(s)
Imágenes de Resonancia Magnética Multiparamétrica , Neoplasias de la Próstata , Humanos , Imagen por Resonancia Magnética , Masculino , Neoplasias de la Próstata/diagnóstico por imagen , Relación Señal-Ruido
5.
J Neurooncol ; 144(3): 475, 2019 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-31478154

RESUMEN

In the initial online version of the article, author F.M. Soriani was missing. The original article has been corrected.

6.
J Neurooncol ; 144(3): 463-473, 2019 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-31392596

RESUMEN

INTRODUCTION: Glioblastoma multiforme (GBM) is the most lethal form of gliomas. New therapies are currently in development to tackle treatment limitations such as chemotherapy resistance. One mechanism of resistance may be the stress granules (SG) assembly, a stress-related cellular response that allows cells to recruit and protect mRNAs during stress. SG are composed of various proteins, being G3BP1 a core element that enucleates and results in SG assembly. Here, we aimed to evaluate the effects of inhibiting the G3PB1 expression in the chemotherapeutical-induced cell death of the U87 glioblastoma cell line. MATERIALS AND METHODS: G3BP1 mRNA and protein expression were modulated with short-interference RNA (siRNA). The viability of U87 cells after Bortezomib (BZM), a proteasome inhibitor, and Temozolomide (TMZ), an alkylating agent, was assessed by MTT assay. Apoptosis was evaluated by staining cells with Annexin-V/7-AAD and analyzing by flow cytometry. Caspase-3 activation was evaluated by immunoblotting. The chorioallantoic membrane in vivo assay was used to evaluate angiogenesis. RESULTS: When G3BP1 was knocked-down, the SG assembly was reduced and the BZM-treated cells, but not TMZ-treated cells, had a significant increase in the apoptotic response. Corroborating this data, we observed increased Caspase-3 activation in the BZM-treated and G3BP1-knocked-down cells when compared to vehicle-treated and scramble-transfected cells. Worth mentioning, the conditioned culture medium of G3BP1-knocked-down BZM-treated cells inhibited angiogenesis when compared to controls. CONCLUSION: Our data suggest G3BP1 knockdown diminishes SG formation and stimulates BZM-induced apoptosis of U87 cells in vitro, in addition to inhibiting glioblastoma-induced angiogenesis in vivo.


Asunto(s)
Antineoplásicos/farmacología , Apoptosis/efectos de los fármacos , Bortezomib/farmacología , Gránulos Citoplasmáticos/efectos de los fármacos , ADN Helicasas/antagonistas & inhibidores , Glioblastoma/tratamiento farmacológico , Neovascularización Patológica/tratamiento farmacológico , Proteínas de Unión a Poli-ADP-Ribosa/antagonistas & inhibidores , ARN Helicasas/antagonistas & inhibidores , Proteínas con Motivos de Reconocimiento de ARN/antagonistas & inhibidores , Antineoplásicos Alquilantes/farmacología , Proliferación Celular/efectos de los fármacos , Gránulos Citoplasmáticos/patología , Glioblastoma/metabolismo , Glioblastoma/patología , Humanos , Neovascularización Patológica/metabolismo , Neovascularización Patológica/patología , Temozolomida/farmacología , Células Tumorales Cultivadas
7.
Poult Sci ; 98(11): 5801-5808, 2019 Nov 01.
Artículo en Inglés | MEDLINE | ID: mdl-31309222

RESUMEN

The objective of this study was to evaluate the effects of the dietary supplementation of canthaxanthin and cholecalciferol (25OHD3) to broiler breeders and their progenies on their performance. Eighty 25-wk-old Cobb 500 broiler breeders were distributed according to a completely randomized design in 2 experimental treatments, with 10 replicates of 4 birds each. The treatments consisted of the supplementation or not of a corn-soybean meal diet with canthaxanthin + 25OHD3 to broiler breeders fed from 25 to 62 wk of age. Egg production, fertility, hatchability, hatchability of fertile eggs, embryonic mortality, and egg specific gravity were evaluated. Breeders were inseminated at 35, 45, and 62 wk of age, the eggs were incubated, and the performance of the progenies was evaluated. From the progeny of each breeder age, 300 male chicks were distributed according to a completely randomized design in a 2 × 2 factorial arrangement (chicks from breeders supplemented or not with canthaxanthin + 25OHD3 and chicks supplemented or not with canthaxanthin + 25OHD3), totaling 4 treatments with 5 replicates of 15 birds each. Canthaxanthin + 25OHD3 were supplied to the chicks until 21 D of age. The combination of canthaxanthin and 25OHD3, containing 69 mg of 25OHD3 and 6 g of canthaxanthin, was supplemented at 1 kg/t of feed. Breeders supplemented with canthaxanthin + 25OHD3 showed higher egg production, total hatchability, hatchability of fertile eggs, and lower early embryo mortality compared with those fed the control diet. Broilers from breeders fed canthaxanthin + 25OHD3 and supplemented with this additive up to 21 D of age presented a better feed conversion ratio and higher carcass and breast yields than those derived from nonsupplemented breeders.


Asunto(s)
Antioxidantes/farmacología , Calcifediol/farmacología , Cantaxantina/farmacología , Pollos/fisiología , Carne/análisis , Reproducción/efectos de los fármacos , Vitaminas/farmacología , Alimentación Animal/análisis , Animales , Dieta/veterinaria , Suplementos Dietéticos/análisis , Femenino , Masculino , Distribución Aleatoria
8.
J Dent Res ; 98(10): 1103-1111, 2019 09.
Artículo en Inglés | MEDLINE | ID: mdl-31340134

RESUMEN

This study's objectives were to test correlations among groups of biomarkers that are associated with condylar morphology and to apply artificial intelligence to test shape analysis features in a neural network (NN) to stage condylar morphology in temporomandibular joint osteoarthritis (TMJOA). Seventeen TMJOA patients (39.9 ± 11.7 y) experiencing signs and symptoms of the disease for less than 10 y and 17 age- and sex-matched control subjects (39.4 ± 15.2 y) completed a questionnaire, had a temporomandibular joint clinical exam, had blood and saliva samples drawn, and had high-resolution cone beam computed tomography scans taken. Serum and salivary levels of 17 inflammatory biomarkers were quantified using protein microarrays. A NN was trained with 259 other condyles to detect and classify the stage of TMJOA and then compared to repeated clinical experts' classifications. Levels of the salivary biomarkers MMP-3, VE-cadherin, 6Ckine, and PAI-1 were correlated to each other in TMJOA patients and were significantly correlated with condylar morphological variability on the posterior surface of the condyle. In serum, VE-cadherin and VEGF were correlated with one another and with significant morphological variability on the anterior surface of the condyle, while MMP-3 and CXCL16 presented statistically significant associations with variability on the anterior surface, lateral pole, and superior-posterior surface of the condyle. The range of mouth opening variables were the clinical markers with the most significant associations with morphological variability at the medial and lateral condylar poles. The repeated clinician consensus classification had 97.8% agreement on degree of degeneration within 1 group difference. Predictive analytics of the NN's staging of TMJOA compared to the repeated clinicians' consensus revealed 73.5% and 91.2% accuracy. This study demonstrated significant correlations among variations in protein expression levels, clinical symptoms, and condylar surface morphology. The results suggest that 3-dimensional variability in TMJOA condylar morphology can be comprehensively phenotyped by the NN.


Asunto(s)
Inteligencia Artificial , Tomografía Computarizada de Haz Cónico , Osteoartritis/diagnóstico , Trastornos de la Articulación Temporomandibular/diagnóstico , Adulto , Biomarcadores/análisis , Estudios de Casos y Controles , Humanos , Persona de Mediana Edad , Articulación Temporomandibular/diagnóstico por imagen , Articulación Temporomandibular/fisiopatología
9.
Poult Sci ; 98(10): 4716-4721, 2019 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-30993341

RESUMEN

The objective of this study was to evaluate the effect of different trace mineral supplementation sources in the diet of broiler breeders on their performance and on their progenies. In total, 128 Cobb 500 broiler breeders were distributed according to a completely randomized experimental design in 2 experimental treatments. The control group was fed a diet supplemented with inorganic trace minerals (ITM), while the other group was fed a diet supplemented with reduced levels of trace minerals in the organic form. Eggs were collected when breeders were 35, 47, and 53 wk old. Their progeny (450 hatchlings) were divided according to trace mineral supplementation source from the maternal diet, creating 2 treatments with 16 replicates of 15 birds each. Organic trace mineral (OTM) supplementation improved broiler breeder performance, as shown by higher egg production and better eggshell quality of OTM-fed hens compared with those fed ITM. Egg fertility and hatchability were not influenced by the treatments. As to progeny performance, higher weight gain, and consequently, better feed conversion ratio, were obtained in the 41-day-old progenies of OTM-fed breeders, independently of hen age. Maternal diet trace mineral source did not affect broiler carcass, breast meat, or leg yields. The results of the present study show that supplementing broiler breeder diets with organic trace mineral sources enhances the performance of breeders and their progenies.


Asunto(s)
Pollos/fisiología , Suplementos Dietéticos/análisis , Minerales/metabolismo , Oligoelementos/metabolismo , Alimentación Animal/análisis , Fenómenos Fisiológicos Nutricionales de los Animales , Animales , Dieta/veterinaria , Femenino , Compuestos Inorgánicos/administración & dosificación , Compuestos Inorgánicos/metabolismo , Minerales/administración & dosificación , Compuestos Orgánicos/administración & dosificación , Compuestos Orgánicos/metabolismo , Oligoelementos/administración & dosificación
10.
Int J Impot Res ; 29(2): 70-75, 2017 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-27904148

RESUMEN

Depression (DEP) is one of the main disabling diseases and is considered a contributor factor for erectile dysfunction (ED). Both of these conditions may be associated with hormonal changes and sleep disturbances. We aimed to evaluate the interaction between ED complaints and depression symptoms on sleep parameters, hormone levels and quality of life in men. This was a cross-sectional study of 468 men aged 20-80 years. The participants were classified according to the presence of ED and/or DEP in groups of healthy individuals, ED, DEP and DEP with ED (DEP-ED). All participants completed questionnaires about sleep, clinical history and quality of life, and underwent polysomnography with blood collection the following morning. ED participants showed higher frequency of insomnia symptoms (65.5%), whereas DEP group had more complaints of difficulty in falling asleep and early morning awakening. In the polysomnography, all groups showed similar parameters. No differences were found in cortisol and total testosterone levels; however, free testosterone levels and the physiological domain of quality of life were lower in DEP-ED group. ED and DEP, as independent factors, negatively affected subjective sleep parameters. The interaction between these factors led to a low quality of life and was related to a decrease in free testosterone levels.


Asunto(s)
Depresión/epidemiología , Disfunción Eréctil/epidemiología , Disfunción Eréctil/psicología , Calidad de Vida/psicología , Apnea Obstructiva del Sueño/epidemiología , Adulto , Anciano , Brasil , Estudios de Casos y Controles , Comorbilidad , Estudios Transversales , Depresión/diagnóstico , Humanos , Hidrocortisona/sangre , Masculino , Persona de Mediana Edad , Polisomnografía , Escalas de Valoración Psiquiátrica , Factores de Riesgo , Apnea Obstructiva del Sueño/diagnóstico , Encuestas y Cuestionarios , Testosterona/sangre
11.
Obes Surg ; 27(3): 763-773, 2017 03.
Artículo en Inglés | MEDLINE | ID: mdl-27620342

RESUMEN

OBJECTIVE: This trial's objective was to investigate the effect of an exercise program with and without cognitive-behavioral therapy (CBT), compared by a control group, on weight, functional capacity, and cardiometabolic profile of morbidly obese individuals while waiting for bariatric surgery. MATERIALS AND METHODS: This randomized controlled trial investigated the effect of a 4-month low-intensity exercise program (two weekly sessions of 25 min each) on 66 morbidly obese individuals awaiting bariatric surgery. Participants were randomly divided into three groups: EXER, exercise program; EXER + CBT, exercise program plus support group sessions for lifestyle modification, with a CBT; and CONTROL, routine treatment. They were compared on weight, functional capacity, and cardiometabolic profile. RESULTS: The weight change (Kg) was -7.4 (-9.6 to 5,1); -4,2 (-6,8 to -1.6) and 2.9 (0.4 to 5.3) and the BMI change (kg/m2) was -2.7 (-3.6 to -1.8); -1.4 (-2.4 to -0.4) and 1.1 (0.1 to 2.1) for groups EXER, EXER + CBT, and CONTROL, respectively. Changes were significant when compared to the control group (p < 0.001), but there were no differences between the two intervention arms (p = 0.2). Functional capacity and cardiometabolic parameters significantly improved in the intervention arms and worsened in the control group. The adherence to the exercise program in both groups was above 78 %. CONCLUSION: A 4-month, twice-weekly supervised program of low-intensity physical activity that encourages individuals to adopt a more active lifestyle can positively interfere with weight loss and improvement in functional capacity and cardiometabolic parameters of morbidly obese individuals with and without the aid of support group sessions.


Asunto(s)
Cirugía Bariátrica , Terapia Cognitivo-Conductual/métodos , Terapia por Ejercicio/métodos , Obesidad Mórbida/rehabilitación , Psicoterapia de Grupo/métodos , Adulto , Antropometría/métodos , Presión Sanguínea/fisiología , Terapia Combinada , Prueba de Esfuerzo/métodos , Tolerancia al Ejercicio/fisiología , Femenino , Humanos , Estilo de Vida , Masculino , Persona de Mediana Edad , Obesidad Mórbida/fisiopatología , Obesidad Mórbida/cirugía , Cooperación del Paciente , Listas de Espera , Pérdida de Peso/fisiología
12.
Braz. j. biol ; 76(2): 435-438, Apr.-June 2016. tab, graf
Artículo en Inglés | LILACS | ID: lil-781410

RESUMEN

Abstract A new species of Tripartiella is described from the gills of the wild saddle cichlid Aequidens tetramerus in north Brazil. Wet smears of skin and gills of examined fish were air-dried at room temperature and impregnated with Klein’s dry silver method for examination of the adhesive disc’s structures and denticles. Total prevalence of parasitism was 65%. This ciliate is characterized as a small-sized trichodinid, body diameter 37.03 ± 4.9 μm, adhesive disc 30.50 ± 2.71 μm, denticulate ring 13.28 ± 0.8 μm and 24 ± 2.0 denticles. Taxonomic and morphometric data for the new species are discussed.


Resumo Um nova espécie de Tripartiella encontrada nas brânquias de Aequidens tetramerus da região Norte do Brasil é descrita. Esfregaços de pele e brânquias de peixes examinados foram secos à temperatura ambiente e impregnados pelo método de Klein para observação das estruturas do disco adesivo e dentículos. A prevalência do parasitismo foi de 65%. Este ciliado é caracterizado como pequeno trichodinídeo, com corpo medindo 37,03 ± 4,9 μm de diâmetro, disco adesivo com 30,50 ± 2,71 μm, anel denticulado com 13,28 ± 0,8 μm e 24 ± 2,0 dentículos. Dados taxonômicos e morfométricos para a nova espécie são discutidos.


Asunto(s)
Animales , Oligohimenóforos/clasificación , Cíclidos/parasitología , Brasil , Branquias
13.
Climacteric ; 19(3): 279-84, 2016 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-27095066

RESUMEN

Objectives To investigate the association between reproductive life stage, pain perception and musculoskeletal pain complaint in a representative sample of women from São Paulo, Brazil. Methods A population-based survey was carried out with 574 women who were classified as being in the premenopausal or postmenopausal stage. They answered questions about pain perception and musculoskeletal pain. Follicle stimulating hormone was collected to confirm menopausal condition along with clinical evaluation. Results In the whole sample, we found a prevalence of 56% for pain perception and 20.2% for complaints of musculoskeletal pain. Regarding the topography of musculoskeletal pain, the distributions were similar among the premenopausal and postmenopausal groups. No significant association was found between reproductive life stage and pain perception, as 58.1% of the premenopausal group and 52.0% of the postmenopausal group reported pain. Similarly, there was no significant association between menopausal stage and musculoskeletal pain, as 19.5% and 21.6% of the premenopausal and postmenopausal women, respectively, complained of musculoskeletal pain. There was no significant association of postmenopausal stage (early or late) with pain perception or musculoskeletal pain. The use of analgesics was significantly higher in postmenopausal compared to premenopausal women (p < 0.001). Conclusion A high prevalence of pain was found in women from the city of São Paulo. However, neither the presence of musculoskeletal pain nor pain perception were associated with the reproductive life stage, showing that both parameters was independent from the menopausal status in the studied women.


Asunto(s)
Menopausia/fisiología , Dolor Musculoesquelético/epidemiología , Adulto , Anciano , Analgésicos/uso terapéutico , Brasil/epidemiología , Estudios Transversales , Femenino , Hormona Folículo Estimulante/sangre , Humanos , Persona de Mediana Edad , Dolor Musculoesquelético/fisiopatología , Percepción del Dolor/fisiología , Posmenopausia/fisiología , Premenopausia/fisiología , Encuestas y Cuestionarios
14.
Braz J Biol ; 76(2): 435-8, 2016 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-26934157

RESUMEN

A new species of Tripartiella is described from the gills of the wild saddle cichlid Aequidens tetramerus in north Brazil. Wet smears of skin and gills of examined fish were air-dried at room temperature and impregnated with Klein's dry silver method for examination of the adhesive disc's structures and denticles. Total prevalence of parasitism was 65%. This ciliate is characterized as a small-sized trichodinid, body diameter 37.03 ± 4.9 µm, adhesive disc 30.50 ± 2.71 µm, denticulate ring 13.28 ± 0.8 µm and 24 ± 2.0 denticles. Taxonomic and morphometric data for the new species are discussed.


Asunto(s)
Cíclidos/parasitología , Oligohimenóforos/clasificación , Animales , Brasil , Branquias
16.
Mar Pollut Bull ; 83(1): 331-6, 2014 Jun 15.
Artículo en Inglés | MEDLINE | ID: mdl-24814251

RESUMEN

Underwater noise pollution has become a major concern in marine habitats. Guanabara Bay, southeastern Brazil, is an impacted area of economic importance with constant vessel traffic. One hundred acoustic recording sessions took place over ten locations. Sound sources operating within 1 km radius of each location were quantified during recordings. The highest mean sound pressure level near the surface was 111.56±9.0 dB re 1 µPa at the frequency band of 187 Hz. Above 15 kHz, the highest mean sound pressure level was 76.21±8.3 dB re 1 µPa at the frequency 15.89 kHz. Noise levels correlated with number of operating vessels and vessel traffic composition influenced noise profiles. Shipping locations had the highest noise levels, while small vessels locations had the lowest noise levels. Guanabara Bay showed noise pollution similar to that of other impacted coastal regions, which is related to shipping and vessel traffic.


Asunto(s)
Ruido , Navíos , Bahías , Brasil , Ecosistema , Sonido , Espectrografía del Sonido , Clima Tropical
17.
Sleep Sci ; 7(2): 114-6, 2014 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-26483913

RESUMEN

With increases life expectancy, the incidence of undesirable manifestations of menopause has increased as well. The effects of lost ovarian function include progressive decrease in estradiol secretion, trophic changes in the breast, vasomotor symptoms, anxiety, depression, and sleep disorders. Insomnia, which has physiological consequences and can result in a loss of quality of life, is prevalent in women after menopause. Hormone therapy has been widely used to reduce menopausal symptoms, but its use in recent years has been questioned because of the reported risks of cardiovascular events and increased incidence of tumors. This controversy has generated significant interest in non-hormonal treatments among both physicians and patients. Our previous research has shown a positive effect of massage therapy on menopausal symptoms. We explored the hypothesis that massage therapy would produce beneficial effects in postmenopausal women through inflammatory and immunological changes. Recent results from self-report questionnaires have shown improvements in sleep pattern and quality of life following massage therapy. These findings demonstrate the effectiveness of massage therapy for the treatment of postmenopausal symptoms, particularly insomnia, and indicate that it is a promising line of research.

18.
Andrology ; 1(6): 872-8, 2013 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-24123864

RESUMEN

Inflammatory markers like tumour necrosis factor-alpha (TNF-α) have been related to erectile dysfunction (ED) and may interact with other cardiovascular risk factors such as obstructive sleep apnoea syndrome (OSAS). The aim of this study was to examine the inflammatory, metabolic and hormonal profile of men with or without ED complaints and/or OSAS recruited through the Epidemiologic Sleep Study (EPISONO). A sample of 363 men completed sexual questionnaires for ED and had physical and blood examinations. OSAS was evaluated by polysomnography and clinical assessment. The blood samples were used for determination of TNF-α, interleukin-6, leptin, cholesterol and fractions, triglycerides, homocysteine, glucose and hormonal levels. After controlling for confounding factors, men with ED complaints presented higher systolic blood pressure and TNF-α, independent of OSAS. Significant interaction between ED and OSAS was only observed for neck circumference, which was higher in ED men with OSAS than men with OSAS without ED and men with ED without OSAS. Binary logistic regression showed that the predictor factors for ED were age >43 years, myocardial infarction events, TNF-α and systolic blood pressure. Finally, a receiver-operating characteristics curve suggested a cut-off point of 9.95 pg/mL for TNF-α with sensitivity of 60% and specificity of 59% in men with ED complaints. Furthermore, there was a significant association between high levels of TNF-α (>9.95 pg/mL) and the presence of ED complaints. The results showed that there was an association between TNF-α levels and ED complaints in men independent of OSAS.


Asunto(s)
Disfunción Eréctil/fisiopatología , Apnea Obstructiva del Sueño/sangre , Factor de Necrosis Tumoral alfa/sangre , Adulto , Presión Sanguínea , Brasil/epidemiología , Disfunción Eréctil/sangre , Disfunción Eréctil/epidemiología , Humanos , Masculino , Persona de Mediana Edad , Cuello/anatomía & histología , Apnea Obstructiva del Sueño/epidemiología , Apnea Obstructiva del Sueño/fisiopatología
19.
Rev Port Pneumol ; 19(4): 152-6, 2013.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-23639350

RESUMEN

Brazil is one of the world leaders on traffic accidents. The present article studied the excessive daytime sleepiness of public transport drivers in two Brazilian's capitals and their level of attention. It was conducted here a descriptive transversal study of a convenient sample. For the evaluation were used: anthropometric variables, a Sleep Questionnaire, Epworth Scale of Sonolency (ESS), Diffused Attention Test (TADIM), and Concentrated Attention Test (TACOM-A). There were evaluated 300 drivers from Brasilia and 104 from Florianopolis. The majority of the individuals were overweight and presented somnolence. The neck circumference was smaller in Brasília, where the drivers were also more sleepiness and presented worst attention on TACOM-A. The analysis of correlation was significant between attention tests and age and between BMI and ESS. Factors as differences in work journeys as well differences between the traffic in these two cities may be associated to our findings. We concluded that sleepiness is a common factor of risk between professional bus drivers and that was correlated with BMI, as well as the attention was correlated with age.


Asunto(s)
Atención , Conducción de Automóvil , Trastornos de Somnolencia Excesiva/epidemiología , Trastornos de Somnolencia Excesiva/fisiopatología , Enfermedades Profesionales/epidemiología , Enfermedades Profesionales/fisiopatología , Adulto , Brasil/epidemiología , Humanos , Masculino , Salud Urbana
20.
J Dent Res ; 92(7 Suppl): 97S-103S, 2013 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-23690359

RESUMEN

The goal of the current study was to estimate the prevalence of sleep bruxism (SB) in the general population using a representative sample of 1,042 individuals who answered questionnaires and underwent polysomnography (PSG) examinations. After PSG, the individuals were classified into 3 groups: absence of SB, low-frequency SB, and high-frequency SB. The results indicated that the prevalence of SB, indicated by questionnaires and confirmed by PSG, was 5.5%. With PSG used exclusively as the criterion for diagnosis, the prevalence was 7.4% regardless of SB self-reported complaints. With questionnaires alone, the prevalence was 12.5%. Of the 5.5% (n = 56) with confirmed SB, 26 were classified as low-frequency SB, and 30 as high-frequency. The episodes of SB were more frequent in stage 2 sleep, and the phasic bruxism events were more frequent than tonic or mixed events in all sleep stages in individuals with SB. A positive association was observed between SB and insomnia, higher degree of schooling, and a normal/overweight body mass index (BMI). These findings demonstrate the prevalence of SB in a population sampled by PSG, the gold standard methodology in the investigation of sleep disorders, combined with validated questionnaires.


Asunto(s)
Polisomnografía/estadística & datos numéricos , Bruxismo del Sueño/epidemiología , Adulto , Anciano , Anciano de 80 o más Años , Índice de Masa Corporal , Peso Corporal , Escolaridad , Electromiografía/estadística & datos numéricos , Humanos , Persona de Mediana Edad , Obesidad/epidemiología , Sobrepeso/epidemiología , Vigilancia de la Población , Prevalencia , Trastornos del Inicio y del Mantenimiento del Sueño/epidemiología , Fases del Sueño , Encuestas y Cuestionarios , Adulto Joven
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