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1.
Br J Nutr ; 125(7): 768-779, 2021 Apr 14.
Artículo en Inglés | MEDLINE | ID: mdl-32807252

RESUMEN

Protein supplementation may be beneficial for patients with chronic liver disease (CLD). This study compared the effects of whey protein isolate (WP) and casein (CA) supplementation on nutritional status and immune parameters of CLD patients who were randomly assigned to take 20 g of WP or CA twice per d as a supplement for 15 d. Body composition, muscle functionality and plasmatic immunomarkers were assessed before and after supplementation. Patients were also classified according to the model for end-stage liver disease (MELD) into less (MELD < 15) and more (MELD ≥ 15) severe disease groups. Malnutrition, determined by the Subjective Global Assessment at baseline, was observed in 57·4 % and 54·2 % of patients in the WP and CA groups, respectively (P = 0·649). Protein intake was lower at baseline in the WP group than in the CA group (P = 0·035), with no difference after supplementation (P = 0·410). Both the WP and CA MELD < 15 groups increased protein intake after supplementation according to the intragroup analysis. No differences were observed in body composition, muscle functionality, most plasma cytokines (TNF, IL-6, IL-1ß and interferon-γ), immunomodulatory proteins (sTNFR1, sTNFR2, brain-derived neurotrophic factor and glial cell line-derived neurotrophic factor) or immunomodulatory hormones (adiponectin, insulin and leptin) after supplementation in the WP groups at the two assessed moments. WP supplementation increased the levels of interferon-γ-induced protein-10/CXCL10 (P = 0·022), eotaxin-1/CCL11 (P = 0·031) and monocyte chemoattractant protein-1/CCL2 (P = 0·018) and decreased IL-5 (P = 0·027), including among those in the MELD ≥ 15 group, for whom IL-10 was also increased (P = 0·008). Thus, WP consumption by patients with CLD impacted the immunomodulatory responses when compared with CA with no impact on nutritional status.

2.
Arq. bras. med. vet. zootec. (Online) ; 71(6): 1889-1895, Nov.-Dec. 2019. tab, graf
Artículo en Portugués | LILACS, VETINDEX | ID: biblio-1055129

RESUMEN

A utilização da gema de ovo dificulta a padronização de meios diluidores e apresenta riscos biológicos. Assim, este estudo avaliou diferentes concentrações da lipoproteína de baixa densidade (LDL), em substituição à gema de ovo, para a confecção de diluentes para criopreservação espermática em ovinos. Foram utilizados um diluidor controle (CTR= 20% de gema de ovo) e cinco tratamentos, substituindo-se a gema pelas diferentes proporções de LDL (T1=6%; T2=8%; T3=12%; T4=16%; T5=20%), todos à base de TRIS-glicerol. Para o estudo, utilizaram-se dois ejaculados, de seis reprodutores da raça Santa Inês. Sessenta dias após a criopreservação, as amostras foram descongeladas e avaliadas subjetivamente quanto à motilidade total (MT, %) e progressiva (MP, %), ao vigor (1-5) e à integridade funcional (choque hisposmótico com água destilada, %) e estrutural (corante supravital eosina, %) das membranas espermáticas. As avaliações de vigor e funcionalidade de membrana não diferiram (P>0,05) entre os grupos. Entretanto, os grupos T4 (P<0,01) e T5 (P<0,05) foram superiores ao CTR para os parâmetros MT, MP e integridade estrutural de membrana, o que confirma que as LDLs podem ser alternativas eficientes para substituição da gema de ovo em diluidores para criopreservação de sêmen ovino.(AU)


The use of egg yolk makes it difficult to standardize extenders and presents biological hazards. Thus, this study evaluated different concentrations of low-density lipoprotein (LDL) to replace yolk extenders for production of sperm for cryopreservation in ovine. A control extender was used (CTR= 20% yolk) and five treatments, replacing the yolk by different ratios of LDL (T1= 6%; T2= 8%, T3= 12%; T4= 16%; T5= 20%) all based on TRIS-glycerol. For the study, two ejaculates from six Santa Ines breeding were used. Sixty days after cryopreservation, the samples were thawed and evaluated for total motility (MT, %) and progressive motility (MP, %), vigor (1-5) and the functional integrity (hyposmotic shock with distilled water, %) and structural (supravital dye eosin, %) of the sperm membranes. The evaluations of strength and membrane functionality didn't differ (P> 0.05) between groups. However, T4 (P< 0.01) and T5 (P< 0.05) groups were superior to the CTR for the MT, MP, and membrane structural integrity parameters, which confirms that LDLs can be efficient alternatives for yolk replacement in extenders for cryopreservation of ovine semen.(AU)


Asunto(s)
Animales , Masculino , Preservación de Semen/métodos , Ovinos , Criopreservación/veterinaria , Lipoproteínas LDL/administración & dosificación
3.
J Hum Nutr Diet ; 32(6): 693-701, 2019 12.
Artículo en Inglés | MEDLINE | ID: mdl-31334582

RESUMEN

BACKGROUND: Weight gain and obesity are important issues in liver transplant (LTx) recipients. Although dietary habits are probably related to excessive weight gain after LTx, some studies have failed to demonstrate these associations. The present study aimed to assess eating behaviour and verify its association with weight gain and excessive weight among LTx recipients. METHODS: The investigation comprised a cross-sectional study. Post-LTx patients, aged >18 years were evaluated about their eating behaviour [Three Factor Eating Questionnaire-R21 (TFEQ-R21)]. The scores of the TFEQ-R21 [uncontrolled eating (UE), cognitive restraint (CR) and emotional eating (EE)] were determined. Excessive weight was classified as body mass index ≥25 kg/m² and obesity ≥30 kg/m². RESULTS: In total, 270 patients (age 58.0 years; range 20.0-77.0 years; 64.1% men) were assessed. Average weight gain was 8.0 kg (range -16.0 to 41.0 kg). Of the patients, 64.1% (n = 173) had excessive weight and 23.3% (n = 63) were obese. Post-LTx weight gain was significantly correlated with UE (r = 0.311, P < 0.001) and EE (r = 0.287, P < 0.001). Patients with excessive weight had significantly higher scores than others: CR (61.0; range 0-122.0 versus 44.0; range 0-116.0) (P = 0.003) and EE (11.0; range 0-100.0 versus 0.0; range 0-100.0) (P = 0.030). Patients with obesity had higher scores than non-obese UE (22.0; range 0-77.0 versus 14.0; range 0-85.0; P = 0.028), CR (55.0; range 11.0-116.0 versus 50.0; range 0-122.0) (P = 0.017) and EE (16.0; range 0-100.0 versus 5.0; range 0-100.0) individuals (P < 0.001). The greatest quartiles of weight gain had higher scores on the eating behaviours of UE and EE, especially those with weight gain ≥14 kg. UE was associated with weight gain. CR was associated with being overweight. EE was associated with obesity. CONCLUSIONS: Uncontrolled eating is associated with weight gain, CR was associated with excessive weight and EE was associated with obesity after LTx.


Asunto(s)
Conducta Alimentaria/psicología , Trasplante de Hígado/psicología , Obesidad/psicología , Autocontrol/psicología , Aumento de Peso , Adulto , Anciano , Índice de Masa Corporal , Estudios Transversales , Femenino , Humanos , Masculino , Persona de Mediana Edad , Obesidad/epidemiología , Sobrepeso/epidemiología , Sobrepeso/psicología
4.
J Med Entomol ; 52(1): 3-8, 2015 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-26336274

RESUMEN

Malaria is a serious public health problem, the control of which involves actions directed against its vector, mosquitoes of the genus Anopheles Meigan, 1818. The study of insect biology, ecology, and behavior is simplified when these insects are maintained at the laboratory. However, many of the species are eurygamic and require induced mating. Females of Anopheles marajoara Galvão e Damasceno, 1942 were collected at Mazagão county, State of Amapá, Brazil. F1 eggs were obtained through forced oviposition and raised until mosquito emergence. Around 300 mosquitoes were maintained in each cage and were fed with a 10% sugar solution. Induced mating was made to obtain the other generations. Females had their spermathecae examined for the presence of sperm. The efficacy of coupling in each generation was evaluated. The viability of a sample of generations F5, F9, F12, and F14 was followed from larvae to adult. Two free mating attempts were done. The results demonstrate adaptation of An. marajoara to laboratory conditions over 21 generations, with viability rates temporally increasing. There was no evidence of adaptation to free mating.


Asunto(s)
Animales de Laboratorio/fisiología , Anopheles/fisiología , Insectos Vectores/fisiología , Conducta Sexual Animal , Animales , Brasil , Femenino , Malaria , Masculino
5.
Int J Sports Med ; 36(8): 661-5, 2015 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-25607523

RESUMEN

Transcutaneous electrical nerve stimulation (TENS) increases peripheral blood flow by attenuation of the muscle metaboreflex, improving oxygen supply to working muscles. We tested the hypothesis that application of TENS at ganglion improves exercise performance. 11 subjects underwent constant-work rate tests (CWR) to the limit of tolerance (Tlim) while receiving TENS or placebo. Oxygen uptake (V.O2), carbon dioxide (V.CO2), minute ventilation (V.E), ventilatory equivalent (V.E/V.CO2), heart rate (HR) and oxygen pulse (V.O2/HR) were analyzed at isotime separated by percentile and Tlim. V.O2 was lower and V.CO2 was higher at 100% of isotime during TENS, while there were no differences in V.E and V.E/V.CO2. HR was lower during exercise with TENS, and V.O2/HR increased at peak exercise (17.96±1.9 vs. 20.38±1 ml/min/bpm, P<0.05). TENS increased mechanical efficiency at isotime and Tlim (4.10±0.50 vs. 3.39±0.52%, P<0.05 and 3.95±0.67 vs. 3.77±0.45%, P<0.05) and exercise tolerance compared to P-TENS (390±41 vs. 321±41 s; P<0.05). Our data shows that the application of TENS can potentially increase exercise tolerance and oxygen supply in healthy subjects.


Asunto(s)
Tolerancia al Ejercicio/fisiología , Consumo de Oxígeno/fisiología , Estimulación Eléctrica Transcutánea del Nervio , Adulto , Estudios Cruzados , Prueba de Esfuerzo , Voluntarios Sanos , Frecuencia Cardíaca/fisiología , Humanos , Masculino , Método Simple Ciego
6.
Braz. j. med. biol. res ; 47(11): 990-994, 11/2014. tab, graf
Artículo en Inglés | LILACS | ID: lil-723905

RESUMEN

Estimates of occult hepatitis B virus (HBV) infection prevalence varies among different studies depending on the prevalence of HBV infection in the study population and on the sensitivity of the assay used to detect HBV DNA. We investigated the prevalence of occult HBV infection in cirrhotic patients undergoing liver transplantation in a Brazilian referral center. Frozen liver samples from 68 adults were analyzed using a nested polymerase chain reaction assay for HBV DNA. The specificity of the amplified HBV sequences was confirmed by direct sequencing of the amplicons. The patient population comprised 49 (72.1%) males and 19 (27.9%) females with a median age of 53 years (range=18-67 years). Occult HBV infection was diagnosed in three (4.4%) patients. The etiologies of the underlying chronic liver disease in these cases were alcohol abuse, HBV infection, and cryptogenic cirrhosis. Two of the patients with cryptic HBV infection also presented hepatocellular carcinoma. Markers of previous HBV infection were available in two patients with occult HBV infection and were negative in both. In conclusion, using a sensitive nested polymerase chain reaction assay to detect HBV DNA in frozen liver tissue, we found a low prevalence of occult HBV infection in cirrhotic patients undergoing liver transplant, probably due to the low prevalence of HBV infection in our population.


Asunto(s)
Adolescente , Adulto , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , Adulto Joven , ADN Viral/aislamiento & purificación , Virus de la Hepatitis B/aislamiento & purificación , Hepatitis B Crónica/epidemiología , Trasplante de Hígado , Cirrosis Hepática/virología , Infecciones Asintomáticas/epidemiología , Biomarcadores , Brasil/epidemiología , Carcinoma Hepatocelular/complicaciones , Virus de la Hepatitis B/genética , Hepatitis B Crónica/complicaciones , Hepatitis Crónica/complicaciones , Hepatitis Crónica/epidemiología , Neoplasias Hepáticas/complicaciones , Reacción en Cadena de la Polimerasa , Prevalencia , Centros de Atención Terciaria
7.
Klin Onkol ; 27(5): 367-8, 2014.
Artículo en Inglés | MEDLINE | ID: mdl-25312715

RESUMEN

We report a case of an 83-year-old previously healthy female patient presenting with a swiftly evolving erythematous violaceous, infiltrative, ulcerated onion like mass with hyperkeratotic surface on the left ear lobe. The lesion was excised and resulted as an atypical fibroxanthoma, an extremely rare neoplastic growth, being a superficial variant of pleomorphic malignant fibrous histiocytoma. A brief review of dia-gnosis, treatment and prognosis is discussed.


Asunto(s)
Pabellón Auricular/patología , Neoplasias del Oído/patología , Histiocitoma Fibroso Benigno/patología , Enfermedades Raras/patología , Neoplasias Cutáneas/patología , Anciano de 80 o más Años , Femenino , Humanos
8.
Braz J Med Biol Res ; 47(11): 990-4, 2014 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-25296362

RESUMEN

Estimates of occult hepatitis B virus (HBV) infection prevalence varies among different studies depending on the prevalence of HBV infection in the study population and on the sensitivity of the assay used to detect HBV DNA. We investigated the prevalence of occult HBV infection in cirrhotic patients undergoing liver transplantation in a Brazilian referral center. Frozen liver samples from 68 adults were analyzed using a nested polymerase chain reaction assay for HBV DNA. The specificity of the amplified HBV sequences was confirmed by direct sequencing of the amplicons. The patient population comprised 49 (72.1%) males and 19 (27.9%) females with a median age of 53 years (range=18-67 years). Occult HBV infection was diagnosed in three (4.4%) patients. The etiologies of the underlying chronic liver disease in these cases were alcohol abuse, HBV infection, and cryptogenic cirrhosis. Two of the patients with cryptic HBV infection also presented hepatocellular carcinoma. Markers of previous HBV infection were available in two patients with occult HBV infection and were negative in both. In conclusion, using a sensitive nested polymerase chain reaction assay to detect HBV DNA in frozen liver tissue, we found a low prevalence of occult HBV infection in cirrhotic patients undergoing liver transplant, probably due to the low prevalence of HBV infection in our population.


Asunto(s)
ADN Viral/aislamiento & purificación , Virus de la Hepatitis B/aislamiento & purificación , Hepatitis B Crónica/epidemiología , Cirrosis Hepática/virología , Trasplante de Hígado , Adolescente , Adulto , Anciano , Infecciones Asintomáticas/epidemiología , Biomarcadores , Brasil/epidemiología , Carcinoma Hepatocelular/complicaciones , Femenino , Virus de la Hepatitis B/genética , Hepatitis B Crónica/complicaciones , Hepatitis Crónica/complicaciones , Hepatitis Crónica/epidemiología , Humanos , Neoplasias Hepáticas/complicaciones , Masculino , Persona de Mediana Edad , Reacción en Cadena de la Polimerasa , Prevalencia , Centros de Atención Terciaria , Adulto Joven
9.
Transplant Proc ; 46(6): 1807-8, 2014.
Artículo en Inglés | MEDLINE | ID: mdl-25131042

RESUMEN

BACKGROUND: Recently there has been great concern about the quality of life and health of liver transplant patients (LTP). These patients often present with metabolic disorders, which can improve with regular physical exercise. The aim of this study was to investigate the effect of a physical exercise program on the functional capacity of LTP. METHOD: The distance walked in the 6-minute walk test and the resting energy expenditure (REE) were evaluated in 15 subjects who regularly attend the outpatient Bias Fortes Clinic at Universidade Federal de Minas Gerais. The patients were divided into 2 groups, the Exercise Group (EG) (6 men and 3 women; 52 ± 15 years old, BMI 22.4 ± 4.0 kg/m²) performed 24 sessions of continuous 30 min treadmill exercise. Intensity of exercise was increased from 50%-70% of the maximum heart rate over the training period. A group of 3 men and 3 women (39 ± 15 years, BMI 24.5 ± 4.4 kg/m²) served as controls (CG). RESULTS: After undergoing exercise training, patients in the EG showed a 19.4% increase in the distance walked (pre = 453.6 ± 128.0 m and post = 582.5 ± 90.1 m). Also, there was an increase in their REE (pre = 1,060.0 ± 194.2 kcal and post = 1,375.0 ± 258.6 kcal) (P < .05) indicating an increase in their exercise capacity and metabolic improvements. There were no differences in the distance walked (pre = 516.5 ± 62.0 m and post = 517.7 ± 71.9 m) and REE (pre = 1,393.0 ± 213.3 kcal to post = 1,465.0 ± 170.3 kcal) (P > .05) for CG. Our results are in agreement with previous studies. CONCLUSIONS: We conclude that the exercise program promoted significant improvements in functional capacity. These findings have positive implications for the control of metabolic diseases, which are common in patients after liver transplantation.


Asunto(s)
Enfermedad Hepática en Estado Terminal/cirugía , Terapia por Ejercicio , Trasplante de Hígado/rehabilitación , Aptitud Física , Cuidados Posoperatorios/métodos , Adulto , Enfermedad Hepática en Estado Terminal/fisiopatología , Metabolismo Energético , Prueba de Esfuerzo , Femenino , Humanos , Masculino , Persona de Mediana Edad , Calidad de Vida , Resultado del Tratamiento , Caminata/fisiología
10.
Inorg Chem ; 53(11): 5589-99, 2014 Jun 02.
Artículo en Inglés | MEDLINE | ID: mdl-24840935

RESUMEN

In this paper, we investigate a correlation between theoretical calculations and experimental data to explain the electronic structure and optical properties of silver molybdate (ß-Ag2MoO4) microcrystals synthesized by the microwave-assisted hydrothermal method. X-ray diffraction, Rietveld refinement, and micro-Raman spectroscopy confirmed that these microcrystals crystallize in a spinel-type cubic structure. Field-emission scanning electron microscopy images revealed that the processing temperatures influence in the final shape of microcrystals. Optical properties were analyzed by ultraviolet-visible diffuse reflectance spectroscopy; the increase in the optical band gap energy (Egap) (from 3.24 to 3.31 eV) with processing temperature is associated with the reduction of intermediary energy levels. First-principles quantum mechanical calculations based on the density functional theory at the B3LYP level were conducted. The calculated band structure revealed an indirect Egap of approximately 4.00 and 3.34 eV for the ß-Ag2MoO4 without and with the formation of defects, respectively. Theoretical calculations based on density of states and electron density maps were employed to understand the polarization phenomenon induced by structural defects in the ß-Ag2MoO4 crystals. Finally, photoluminescence properties at room temperature of ß-Ag2MoO4 microcrystals were explained by the charge-transfer mechanism involving tetrahedral [MoO4] clusters.

11.
Am J Transplant ; 14(1): 96-101, 2014 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-24369026

RESUMEN

Visceral leishmaniasis is an uncommon disease in transplant recipients; however, if left untreated, the mortality can be high. If an organ donor or recipient is known to be an asymptomatic Leishmania spp. carrier,monitoring is advised. This study proposes to assess the prevalence of asymptomatic Leishmania spp.infection in liver transplant donors and recipients from an endemic area. A total of 50 liver recipients and 17 liver donors were evaluated by direct parasite search, indirect fluorescent antibody test (IFAT), anti-Leishmania rK39 rapid test and Leishmania spp.DNA detection by polymerase chain reaction (PCR).Leishmania spp. amastigotes were not observed in liver or spleen tissues. Of the 67 serum samples, IFAT was reactive in 1.5% and indeterminate for 17.9%, and the anti-Leishmania rK39 rapid test was negative for all samples. The PCR test was positive for 7.5%, 8.9%, and 5.9% of blood, liver and spleen samples, respectively(accounting for 23.5% of the donors and 8% of the recipients). Leishmania infantum-specific PCR confirmed all positive samples. In conclusion, a high prevalence of asymptomatic L. infantum was observed in donors and recipients from an endemic area, and PCR was the most sensitive method for screening these individuals.


Asunto(s)
Leishmaniasis Visceral/epidemiología , Trasplante de Hígado/efectos adversos , Adolescente , Adulto , Anciano , Brasil/epidemiología , Niño , Preescolar , Estudios Transversales , ADN Protozoario/análisis , Femenino , Técnica del Anticuerpo Fluorescente , Humanos , Leishmania/genética , Leishmania infantum/inmunología , Leishmaniasis Visceral/diagnóstico , Masculino , Persona de Mediana Edad , Reacción en Cadena de la Polimerasa , Prevalencia , Estudios Prospectivos , Donantes de Tejidos
12.
Transplant Proc ; 45(1): 297-300, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-23375318

RESUMEN

The Model for End-Stage Liver Disease (MELD), which predicts mortality on the waiting list before liver transplantation, has changed organ allocation criteria to prioritize severely ill patients. The aim of this study was to investigate the impact of the new criteria on the incidence of Healthcare Associated Infections (HAI) and patient survival after liver transplantation. This retrospective cohort included liver transplant recipients from 2005 to 2007. Infection notification followed the recommended criteria of the National Healthcare Safety Network (NHSN). Statistical analysis was performed using the Statistical Package for the Social Sciences. Of 142 patients, 67 (47.2%) underwent transplantation before June 2006. There were no differences between the 2 periods considering patient gender, diagnosis, age, length of hospitalization, and mean time to first infection occurrence. However, the length of intensive care unit (ICU) hospitalization (P = .006) and central venous catheter (CVC) use (P = .025) were higher in the first period of the study. Comparison of time until first systemic infection before and after changes in allocation criteria showed no significant difference (log-rank = 0.06; P = .81). There was a trend toward greater lethality during the second period of the study (P = .09). There was no difference in time to death between the 2 periods (log-rank = 0.9; P = .76). However, when comparing time to death of all patients with systemic infection versus those without this event, patients without infection showed a higher mortality rate (log-rank = 15.7; P < .001).


Asunto(s)
Enfermedad Hepática en Estado Terminal/patología , Enfermedad Hepática en Estado Terminal/terapia , Fallo Hepático/cirugía , Trasplante de Hígado/métodos , Obtención de Tejidos y Órganos/métodos , Listas de Espera , Adolescente , Adulto , Anciano , Algoritmos , Brasil , Estudios de Cohortes , Enfermedades Transmisibles/complicaciones , Enfermedades Transmisibles/terapia , Femenino , Humanos , Masculino , Persona de Mediana Edad , Modelos Estadísticos , Factores de Tiempo , Resultado del Tratamiento , Adulto Joven
13.
Leukemia ; 26(3): 451-60, 2012 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-21869839

RESUMEN

The vitamin E derivative (+)α-tocopheryl succinate (α-TOS) exerts pro-apoptotic effects in a wide range of tumors and is well tolerated by normal tissues. Previous studies point to a mitochondrial involvement in the action mechanism; however, the early steps have not been fully elucidated. In a model of acute promyelocytic leukemia (APL) derived from hCG-PML-RARα transgenic mice, we demonstrated that α-TOS is as effective as arsenic trioxide or all-trans retinoic acid, the current gold standards of therapy. We also demonstrated that α-TOS induces an early dissipation of the mitochondrial membrane potential in APL cells and studies with isolated mitochondria revealed that this action may result from the inhibition of mitochondrial respiratory chain complex I. Moreover, α-TOS promoted accumulation of reactive oxygen species hours before mitochondrial cytochrome c release and caspases activation. Therefore, an in vivo antileukemic action and a novel mitochondrial target were revealed for α-TOS, as well as mitochondrial respiratory complex I was highlighted as potential target for anticancer therapy.


Asunto(s)
Arsenicales/uso terapéutico , Complejo I de Transporte de Electrón/antagonistas & inhibidores , Leucemia Promielocítica Aguda/tratamiento farmacológico , Mitocondrias/efectos de los fármacos , Óxidos/uso terapéutico , Tretinoina/uso terapéutico , alfa-Tocoferol/farmacología , alfa-Tocoferol/uso terapéutico , Animales , Antineoplásicos/farmacología , Antineoplásicos/uso terapéutico , Antioxidantes/farmacología , Antioxidantes/uso terapéutico , Apoptosis/efectos de los fármacos , Trióxido de Arsénico , Caspasas/metabolismo , Línea Celular Tumoral , Citocromos c/metabolismo , Modelos Animales de Enfermedad , Complejo II de Transporte de Electrones/antagonistas & inhibidores , Humanos , Leucemia Promielocítica Aguda/mortalidad , Potencial de la Membrana Mitocondrial/efectos de los fármacos , Ratones , Ratones Transgénicos , Células Madre Neoplásicas/efectos de los fármacos , Células Madre Neoplásicas/metabolismo , Proteínas de Fusión Oncogénica/metabolismo , Estabilidad Proteica/efectos de los fármacos , Ratas , Especies Reactivas de Oxígeno/metabolismo , Trasplante Isogénico
14.
Trop Med Int Health ; 16(9): 1134-42, 2011 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-21692958

RESUMEN

OBJECTIVE: To evaluate the frequency and clinical features of endemic and other opportunistic infections in liver or kidney transplant recipients in four transplant centres in different geographical areas of Brazil. METHODS: Retrospective analysis of medical and laboratory records of four transplant centres on endemic and other opportunistic infections in liver or kidney transplant recipients. Analyses were performed with spss statistical software. RESULTS: From 2001 to 2006, 1046 kidney and 708 liver transplants were registered in all centres. The average age was 42 years. Among 82 (4.7%) cases with infections, the most frequent was tuberculosis (2.0%), followed by systemic protozoal infections (0.7%), toxoplasmosis (0.4%) and visceral leishmaniasis (0.3%). Systemic fungal infections occurred in 0.6%, of which 0.4% were cryptococcosis and 0.2% were histoplasmosis. Dengue was the only systemic viral infection and was registered in two cases (0.1%), of which one was classified as the classic form and the other as dengue haemorrhagic fever. Nocardiosis was described in one case (0.05%). The infectious agents most frequently associated with diarrhoea were Blastocystis sp., Schistosoma mansoni and Strongyloides stercoralis. CONCLUSIONS: Opportunistic Infections in transplant patients have a wide spectrum and may vary from asymptomatic to severe infections with high mortality. A better understanding of the epidemiology of endemic pathogens and clinical manifestations can contribute to the establishment of an early diagnosis as well as correct treatment aimed at decreasing morbidity and mortality.


Asunto(s)
Enfermedades Endémicas/estadística & datos numéricos , Huésped Inmunocomprometido , Trasplante de Riñón/efectos adversos , Trasplante de Hígado/efectos adversos , Infecciones Oportunistas/epidemiología , Trasplante de Órganos/efectos adversos , Adulto , Brasil/epidemiología , Enfermedades Endémicas/prevención & control , Femenino , Humanos , Inmunosupresores/uso terapéutico , Trasplante de Riñón/mortalidad , Trasplante de Hígado/mortalidad , Masculino , Trasplante de Órganos/mortalidad , Complicaciones Posoperatorias/epidemiología , Estudios Retrospectivos
15.
Braz J Infect Dis ; 14(1): 54-9, 2010.
Artículo en Inglés | MEDLINE | ID: mdl-20428655

RESUMEN

Methicillin-resistant Staphylococcus aureus (MRSA) infections frequently complicate the post-operative course of transplant recipients, and despite nasal carriage and endemic colonization, MRSA outbreaks are not commonly described. This study reports a case of MRSA outbreak and discusses infection control measures and recommendations for this situation.


Asunto(s)
Infección Hospitalaria/epidemiología , Brotes de Enfermedades , Staphylococcus aureus Resistente a Meticilina/aislamiento & purificación , Infecciones Estafilocócicas/epidemiología , Trasplante , Trasplante de Médula Ósea/estadística & datos numéricos , Infección Hospitalaria/microbiología , Genotipo , Humanos , Trasplante de Riñón/estadística & datos numéricos , Trasplante de Hígado/estadística & datos numéricos , Fenotipo , Estudios Prospectivos , Factores de Riesgo , Infecciones Estafilocócicas/microbiología , Trasplante/estadística & datos numéricos
16.
Acta Crystallogr Sect E Struct Rep Online ; 66(Pt 6): o1436-7, 2010 May 22.
Artículo en Inglés | MEDLINE | ID: mdl-21579511

RESUMEN

The title compound, C(9)H(8)Br(2)N(2)O(3), is planar (r.m.s. deviation = 0.030 Å) with the exception of the terminal methyl group which lies out of the plane [1.219 (3) Å]. The conformation about the C=N double bond [1.268 (3) Å] is E. An intra-molecular N-H⋯N hydrogen bond occurs. Linear supra-molecular chains along the b axis mediated by O-H⋯O hydrogen-bonding inter-actions feature in the crystal structure. These chains are also stabilized by weak C-H⋯N contacts.

17.
J Nematol ; 42(1): 8-16, 2010 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-22736831

RESUMEN

Twenty seven essential oils, isolated from plants representing 11 families of Portuguese flora, were screened for their nematicidal activity against the pinewood nematode (PWN), Bursaphelenchus xylophilus. The essential oils were isolated by hydrodistillation and the volatiles by distillation-extraction, and both were analysed by GC and GC-MS. High nematicidal activity was achieved with essential oils from Chamaespartium tridentatum, Origanum vulgare, Satureja montana, Thymbra capitata, and Thymus caespititius. All of these essential oils had an estimated minimum inhibitory concentration ranging between 0.097 and 0.374 mg/ml and a lethal concentration necessary to kill 100% of the population (LC(100)) between 0.858 and 1.984 mg/ml. Good nematicidal activity was also obtained with the essential oil from Cymbopogon citratus. The dominant components of the effective oils were 1-octen-3-ol (9%), n-nonanal, and linalool (both 7%) in C. tridentatum, geranial (43%), neral (29%), and ß-myrcene (25%) in C. citratus, carvacrol (36% and 39%), γ-terpinene (24% and 40%), and p-cymene (14% and 7%) in O. vulgare and S. montana, respectively, and carvacrol (75% and 65%, respectively) in T. capitata and T. caespititius. The other essential oils obtained from Portuguese flora yielded weak or no activity. Five essential oils with nematicidal activity against PWN are reported for the first time.

18.
Transplant Proc ; 41(5): 1990-3, 2009 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-19545776

RESUMEN

Arterial steal syndrome after orthotopic liver transplantation (OLT) is characterized by arterial hypoperfusion of the graft, which is caused by a shift in blood flow into the splenic or gastroduodenal arteries. It causes hepatic hypoperfusion with attendant clinical manifestations of elevated liver function enzymes, allograft dysfunction, and cholestasis. Left untreated, the condition has a significant potential risk for postoperative morbidity and graft loss. Herein we have reported the case of a 68-year-old woman who developed splenic artery steal syndrome (SASS) after deceased donor liver transplantation. She was diagnosed by duplex Doppler ultrasonography and celiac trunk angiography, and subsequently treated with splenic artery embolization.


Asunto(s)
Embolización Terapéutica/métodos , Cirrosis Hepática Biliar/cirugía , Trasplante de Hígado/efectos adversos , Complicaciones Posoperatorias/patología , Arteria Esplénica/patología , Arteria Esplénica/cirugía , Adulto , Anciano , Bilirrubina/sangre , Femenino , Arteria Hepática/patología , Humanos , Fallo Hepático Agudo/cirugía , Masculino , Resultado del Tratamiento
19.
Transpl Infect Dis ; 11(2): 132-6, 2009 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-18983416

RESUMEN

Strongyloides stercoralis is an intestinal nematode that causes human infections and whose life cycle has special features, including autoinfection. Strongyloides infection may be asymptomatic for years, owing to a low parasite load. During immunosuppressive therapy, however, if cellular immunity is depressed, autoinfection can occur at a higher rate, resulting in hyperinfection syndrome. In this specific circumstance, it can become a fatal illness. We describe a case of hyperinfection syndrome in a liver transplant recipient and also review the literature.


Asunto(s)
Inmunosupresores/efectos adversos , Trasplante de Hígado/efectos adversos , Complicaciones Posoperatorias/parasitología , Strongyloides stercoralis , Estrongiloidiasis/etiología , Sobreinfección/etiología , Adulto , Animales , Antihelmínticos/uso terapéutico , Resultado Fatal , Rechazo de Injerto/prevención & control , Humanos , Inmunosupresores/uso terapéutico , Masculino , Complicaciones Posoperatorias/diagnóstico , Complicaciones Posoperatorias/tratamiento farmacológico , Recurrencia , Estrongiloidiasis/diagnóstico , Estrongiloidiasis/tratamiento farmacológico , Sobreinfección/diagnóstico , Sobreinfección/tratamiento farmacológico
20.
Arq. bras. med. vet. zootec ; 60(6): 1517-1522, dez. 2008. graf, tab
Artículo en Portugués | LILACS | ID: lil-506566

RESUMEN

Determinou-se a ocorrência de Staphylococcus aureus, Salmonella spp. e de microrganismos indicadores de contaminação fecal em queijos-coalho comercializados em 15 pontos de venda do Mercado Central de Aracaju, SE, durante quatro meses. Dezesseis amostras (26,7 por cento) foram positivas para Salmonella spp. e 28 (46,7 por cento) positivas para estafilococos coagulase positiva. Quanto à contaminação por coliformes totais, 56 (93,3 por cento) das amostras apresentaram valores entre 8,0 x10² e 1,23 x10(4)NMP/g, e de 2,72 x10² a 1,12 x10³NMP/g para coliformes termotolerantes. Estes valores não atenderam à legislação brasileira para queijo-coalho e as amostras analizadas podem ser classificadas como impróprios ao consumo humano.


The occurrence of Staphylococcus aureus, Salmonella spp., and microorganisms indicators of fecal contamination in "coalho"cheese commercialized in 15 retail store at the Central Market of Aracaju, SE during four months was determined. Sixteen samples (26.7 percent) were positive for Salmonella spp. and 28 (46.7 percent) for coagulase positive staphylococci. In relation to contamination by total coliforms, 56 samples (93.3 percent) presented values from 8.0 x10² to 1.23 x10(4)NMP/g; and for thermal tolerant coliforms, from 2.72 x10² to 1.12 x10³NMP/g. These values are not acceptable for the Brazilian legislation for "coalho" cheese. This indicates that the analyzed products were inappropriate to the human consumption.


Asunto(s)
Coliformes , Epidemiología , Higiene Alimentaria , Calidad de los Alimentos , Queso/análisis , Queso/microbiología , Salmonella/aislamiento & purificación , Staphylococcus aureus/aislamiento & purificación , Brasil , Legislación Alimentaria
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