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1.
Braz J Biol ; 84: e279979, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38747860

RESUMEN

Papaya is a climacteric fruit, rapidly ripening after harvesting due to ethylene production and increased respiratory rate. This swift ripening results in softening of fruit tissues, shortening the fruit shelf life. Pre-cooling serves as an alternative to minimize fruit ripening and post-harvest losses by reducing metabolism. This study aimed to evaluate the effect of pre-cooling on the quality and conservation of Formosa 'Tainung I' papaya. Papayas at maturation stage II were obtained from a commercial orchard with conventional production. The experimental design was a completely randomized 4×6 split-plot scheme, with pre-cooling treatments (Control, without pre-cooling treatment; pre-cooling at 15 °C in a cold chamber; pre-cooling at 7 °C in a cold chamber; and forced-air cooling at 7 °C) in the plot, and days of storage (0, 7, 14, 21, 28, and 35 days) in the subplot. Pre-cooling effectively delayed the ripening and senescence of Formosa papaya, reducing the loss of green color and firmness. Regardless of the treatment used, chilling injury and incidence of fungi from the genus Fusarium and Alternaria limited the shelf life of Formosa 'Tainung I' papaya up to 21 days of storage. Additionally, the appearance of hardened regions in the pulp compromised the sensory quality of the fruits, necessitating further investigation into the causes of this disorder.


Asunto(s)
Carica , Frío , Almacenamiento de Alimentos , Frutas , Carica/fisiología , Carica/microbiología , Factores de Tiempo , Frutas/microbiología , Conservación de Alimentos/métodos
2.
Braz J Biol ; 84: e276146, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38422282

RESUMEN

The objective of this work was characterizing persimmons of the 'Giombo' and 'Rama Forte' cultivars harvested at different ripening stages in the Brazilian semiarid. Fruits were harvested at three ripening stages - green, semi-ripe and ripe - then evaluated for the following characteristics: fruit weight and diameter, skin and pulp color, fruit firmness, pulp pH, soluble solids content, titratable acidity, SSC/TA ratio, total soluble sugars, reducing sugars, astringency index, and the contents of tannin, vitamin C, carotenoid, ß-carotene, and total extractable polyphenols. Also, total antioxidant activity by the DPPH and ABTS methods and pectin methylesterase, and polygalacturonase enzyme activities were evaluated. Two experiments were carried out in a completely randomized design, one for each cultivar, with treatments consisting of different stages of maturation, with five replications of three fruits each. Data were submitted to analysis of variance and the differences between the means were compared using the Tukey test at 5% probability. Fruit firmness and soluble solids content did not vary between maturation stages for any of the cultivars. However, the skin color index increased with advancing maturation for both 'Giombo' and 'Rama Forte'. The astringency index, the content of total extractable polyphenols, soluble tannins and the antioxidant capacity were lower in fruits harvested at the ripe stage, for both cultivars. It can be concluded that persimmons of the 'Giombo' and 'Rama Forte' cultivars present better physicochemical quality characteristics when harvested when ripe, with a totally yellow skin.


Asunto(s)
Antioxidantes , Diospyros , Antioxidantes/farmacología , Brasil , Ácido Ascórbico , Azúcares
3.
Braz J Biol ; 83: e272709, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37466514

RESUMEN

Heat treatment is used in the orange juice industry to neutralize the action of pathogenic microorganisms. However, it can reduce the nutritional value of the juice. Thus, our study assessed the cold plasma treatment as an alternative method against Escherichia coli and Candida albicans in 'Lima' orange juice. Both, plasma and heat treatments, reduced the amount of E. coli in the juice, inactivating 16.72 and 100%, respectively. Plasma did not inactivate C. albicans, but heat treatment inactivated 100%. Plasma and heat treatment increased Hue angle and luminosity (more yellowish juice). Plasma reduced vitamin C, carotenoids, and polyphenols content, while increased flavonoids. Heat treatment reduced the carotenoid content. However, neither heat nor plasma treatment altered the antioxidant activity. The plasma treatment reduced the intensity of color (chroma), the soluble solids content and the acidity ratio, total sugars, and the vitamin C content of juice compared to the heat-treated and control juices. Plasma-treated juice showed increased levels of yellow flavonoids, total phenolics and antioxidant activity until the 12th day of storage.


Asunto(s)
Antioxidantes , Citrus sinensis , Antioxidantes/análisis , Calor , Bebidas/análisis , Escherichia coli , Ácido Ascórbico/análisis , Carotenoides/análisis , Flavonoides
4.
Braz J Biol ; 84: e258476, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35613211

RESUMEN

Red pitaya (Hylocereus costaricensis) is a promising species, with high cultivation potential due to the organoleptic and functional qualities of its fruits. However, irrigation water salinity can affect the crop yield. Therefore, materials rich in organic substances can minimize the damage caused by excess salts in soil and/or water. Thus, the objective of this study was to evaluate the influence of organic matter sources as attenuators of salt stress on the production and biochemical responses of red pitaya seedlings. A completely randomized design in 4 × 5 factorial scheme, with five sources of organic matter (humus, sheep manure, biofertilizer, organic compost and sand + soil) and four salinities (0.6, 2.6, 4.6 and 6.6 dS m-1) with four replicates and two plants per plot was used. The shoot length, root length, cladode diameter, number of cladodes, number of sprotus, root volume, shoot dry mass, root dry mass and total dry mass, root and shoot dry mass ratio, chlorophyll a, b and total, amino acids and soluble sugars were evaluated at 120 days after the treatments began to be applied. Red pitaya is moderately tolerant to salinity (ECw from 4.0 to 6.0 dS m-1). Organic compost and sheep manure attenuate the harmful effects of salinity on red pitaya seedlings. Under salt stress conditions, red pitaya plants increase their levels of proline, amino acids and total sugars.


Asunto(s)
Cactaceae , Plantones , Animales , Aminoácidos/metabolismo , Aminoácidos/farmacología , Cactaceae/química , Cactaceae/metabolismo , Clorofila A/metabolismo , Clorofila A/farmacología , Fertilización , Estiércol , Salinidad , Estrés Salino , Ovinos , Suelo/química , Azúcares/metabolismo , Agua/metabolismo
5.
JAMA ; 321(23): 2292-2305, 2019 06 18.
Artículo en Inglés | MEDLINE | ID: mdl-31157366

RESUMEN

Importance: An intraoperative higher level of positive end-expiratory positive pressure (PEEP) with alveolar recruitment maneuvers improves respiratory function in obese patients undergoing surgery, but the effect on clinical outcomes is uncertain. Objective: To determine whether a higher level of PEEP with alveolar recruitment maneuvers decreases postoperative pulmonary complications in obese patients undergoing surgery compared with a lower level of PEEP. Design, Setting, and Participants: Randomized clinical trial of 2013 adults with body mass indices of 35 or greater and substantial risk for postoperative pulmonary complications who were undergoing noncardiac, nonneurological surgery under general anesthesia. The trial was conducted at 77 sites in 23 countries from July 2014-February 2018; final follow-up: May 2018. Interventions: Patients were randomized to the high level of PEEP group (n = 989), consisting of a PEEP level of 12 cm H2O with alveolar recruitment maneuvers (a stepwise increase of tidal volume and eventually PEEP) or to the low level of PEEP group (n = 987), consisting of a PEEP level of 4 cm H2O. All patients received volume-controlled ventilation with a tidal volume of 7 mL/kg of predicted body weight. Main Outcomes and Measures: The primary outcome was a composite of pulmonary complications within the first 5 postoperative days, including respiratory failure, acute respiratory distress syndrome, bronchospasm, new pulmonary infiltrates, pulmonary infection, aspiration pneumonitis, pleural effusion, atelectasis, cardiopulmonary edema, and pneumothorax. Among the 9 prespecified secondary outcomes, 3 were intraoperative complications, including hypoxemia (oxygen desaturation with Spo2 ≤92% for >1 minute). Results: Among 2013 adults who were randomized, 1976 (98.2%) completed the trial (mean age, 48.8 years; 1381 [69.9%] women; 1778 [90.1%] underwent abdominal operations). In the intention-to-treat analysis, the primary outcome occurred in 211 of 989 patients (21.3%) in the high level of PEEP group compared with 233 of 987 patients (23.6%) in the low level of PEEP group (difference, -2.3% [95% CI, -5.9% to 1.4%]; risk ratio, 0.93 [95% CI, 0.83 to 1.04]; P = .23). Among the 9 prespecified secondary outcomes, 6 were not significantly different between the high and low level of PEEP groups, and 3 were significantly different, including fewer patients with hypoxemia (5.0% in the high level of PEEP group vs 13.6% in the low level of PEEP group; difference, -8.6% [95% CI, -11.1% to 6.1%]; P < .001). Conclusions and Relevance: Among obese patients undergoing surgery under general anesthesia, an intraoperative mechanical ventilation strategy with a higher level of PEEP and alveolar recruitment maneuvers, compared with a strategy with a lower level of PEEP, did not reduce postoperative pulmonary complications. Trial Registration: ClinicalTrials.gov Identifier: NCT02148692.


Asunto(s)
Cuidados Intraoperatorios , Enfermedades Pulmonares/prevención & control , Obesidad/complicaciones , Respiración con Presión Positiva/métodos , Complicaciones Posoperatorias/prevención & control , Procedimientos Quirúrgicos Operativos/efectos adversos , Adulto , Anestesia General , Índice de Masa Corporal , Femenino , Humanos , Enfermedades Pulmonares/etiología , Masculino , Persona de Mediana Edad , Enfermedades Pleurales/etiología , Enfermedades Pleurales/prevención & control , Atelectasia Pulmonar/terapia , Insuficiencia Respiratoria/etiología , Insuficiencia Respiratoria/prevención & control , Volumen de Ventilación Pulmonar , Resultado del Tratamiento
6.
Br J Anaesth ; 122(3): 361-369, 2019 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-30770054

RESUMEN

BACKGROUND: The aim of this post hoc analysis of a large cohort study was to evaluate the association between night-time surgery and the occurrence of intraoperative adverse events (AEs) and postoperative pulmonary complications (PPCs). METHODS: LAS VEGAS (Local Assessment of Ventilatory Management During General Anesthesia for Surgery) was a prospective international 1-week study that enrolled adult patients undergoing surgical procedures with general anaesthesia and mechanical ventilation in 146 hospitals across 29 countries. Surgeries were defined as occurring during 'daytime' when induction of anaesthesia was between 8:00 AM and 7:59 PM, and as 'night-time' when induction was between 8:00 PM and 7:59 AM. RESULTS: Of 9861 included patients, 555 (5.6%) underwent surgery during night-time. The proportion of patients who developed intraoperative AEs was higher during night-time surgery in unmatched (43.6% vs 34.1%; P<0.001) and propensity-matched analyses (43.7% vs 36.8%; P=0.029). PPCs also occurred more often in patients who underwent night-time surgery (14% vs 10%; P=0.004) in an unmatched cohort analysis, although not in a propensity-matched analysis (13.8% vs 11.8%; P=0.39). In a multivariable regression model, including patient characteristics and types of surgery and anaesthesia, night-time surgery was independently associated with a higher incidence of intraoperative AEs (odds ratio: 1.44; 95% confidence interval: 1.09-1.90; P=0.01), but not with a higher incidence of PPCs (odds ratio: 1.32; 95% confidence interval: 0.89-1.90; P=0.15). CONCLUSIONS: Intraoperative adverse events and postoperative pulmonary complications occurred more often in patients undergoing night-time surgery. Imbalances in patients' clinical characteristics, types of surgery, and intraoperative management at night-time partially explained the higher incidence of postoperative pulmonary complications, but not the higher incidence of adverse events. CLINICAL TRIAL REGISTRATION: NCT01601223.


Asunto(s)
Atención Posterior/estadística & datos numéricos , Complicaciones Intraoperatorias/epidemiología , Enfermedades Pulmonares/epidemiología , Complicaciones Posoperatorias/epidemiología , Procedimientos Quirúrgicos Operativos , Adulto , Anciano , Estudios de Cohortes , Femenino , Humanos , Incidencia , Internacionalidad , Masculino , Persona de Mediana Edad , Estudios Prospectivos , Factores de Riesgo
8.
Br J Anaesth ; 121(4): 899-908, 2018 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-30236252

RESUMEN

BACKGROUND: There is limited information concerning the current practice of intraoperative mechanical ventilation in obese patients, and the optimal ventilator settings for these patients are debated. We investigated intraoperative ventilation parameters and their associations with the development of postoperative pulmonary complications (PPCs) in obese patients. METHODS: We performed a secondary analysis of the international multicentre Local ASsessment of VEntilatory management during General Anesthesia for Surgery' (LAS VEGAS) study, restricted to obese patients, with a predefined composite outcome of PPCs as primary end-point. RESULTS: We analysed 2012 obese patients from 135 hospitals across 29 countries in Europe, North America, North Africa, and the Middle East. Tidal volume was 8.8 [25th-75th percentiles: 7.8-9.9] ml kg-1 predicted body weight, PEEP was 4 [1-5] cm H2O, and recruitment manoeuvres were performed in 7.7% of patients. PPCs occurred in 11.7% of patients and were independently associated with age (P<0.001), body mass index ≥40 kg m-2 (P=0.033), obstructive sleep apnoea (P=0.002), duration of anaesthesia (P<0.001), peak airway pressure (P<0.001), use of rescue recruitment manoeuvres (P<0.05) and routine recruitment manoeuvres performed by bag squeezing (P=0.021). PPCs were associated with an increased length of hospital stay (P<0.001). CONCLUSIONS: Obese patients are frequently ventilated with high tidal volume and low PEEP, and seldom receive recruitment manoeuvres. PPCs increase hospital stay, and are associated with preoperative conditions, duration of anaesthesia and intraoperative ventilation settings. Randomised trials are warranted to clarify the role of different ventilatory parameters in obese patients. CLINICAL TRIAL REGISTRATION: NCT01601223.


Asunto(s)
Enfermedades Pulmonares/etiología , Obesidad/complicaciones , Obesidad/fisiopatología , Complicaciones Posoperatorias/etiología , Respiración Artificial , Anestesia General , Índice de Masa Corporal , Peso Corporal , Humanos , Estimación de Kaplan-Meier , Tiempo de Internación , Enfermedades Pulmonares/epidemiología , Respiración con Presión Positiva , Complicaciones Posoperatorias/epidemiología , Síndromes de la Apnea del Sueño/complicaciones , Volumen de Ventilación Pulmonar
9.
Br J Anaesth ; 119(1): 140-149, 2017 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-28974067

RESUMEN

BACKGROUND: High inspiratory oxygen fraction ( FIO2 ) may improve tissue oxygenation but also impair pulmonary function. We aimed to assess whether the use of high intraoperative FIO2 increases the risk of major respiratory complications. METHODS: We studied patients undergoing non-cardiothoracic surgery involving mechanical ventilation in this hospital-based registry study. The cases were divided into five groups based on the median FIO2 between intubation and extubation. The primary outcome was a composite of major respiratory complications (re-intubation, respiratory failure, pulmonary oedema, and pneumonia) developed within 7 days after surgery. Secondary outcomes included 30-day mortality. Several predefined covariates were included in a multivariate logistic regression model. RESULTS: The primary analysis included 73 922 cases, of whom 3035 (4.1%) developed a major respiratory complication within 7 days of surgery. For patients in the high- and low-oxygen groups, the median FIO2 was 0.79 [range 0.64-1.00] and 0.31 [0.16-0.34], respectively. Multivariate logistic regression analysis revealed that the median FIO2 was associated in a dose-dependent manner with increased risk of respiratory complications (adjusted odds ratio for high vs low FIO2 1.99, 95% confidence interval [1.72-2.31], P -value for trend <0.001). This finding was robust in a series of sensitivity analyses including adjustment for intraoperative oxygenation. High median FIO2 was also associated with 30-day mortality (odds ratio for high vs low FIO2 1.97, 95% confidence interval [1.30-2.99], P -value for trend <0.001). CONCLUSIONS: In this analysis of administrative data on file, high intraoperative FIO2 was associated in a dose-dependent manner with major respiratory complications and with 30-day mortality. The effect remained stable in a sensitivity analysis controlled for oxygenation. CLINICAL TRIAL REGISTRATION: NCT02399878.


Asunto(s)
Terapia por Inhalación de Oxígeno/efectos adversos , Complicaciones Posoperatorias/etiología , Trastornos Respiratorios/etiología , Adulto , Anciano , Femenino , Humanos , Periodo Intraoperatorio , Modelos Logísticos , Masculino , Persona de Mediana Edad , Oxígeno/sangre , Terapia por Inhalación de Oxígeno/métodos , Insuficiencia Respiratoria/etiología , Riesgo
10.
Anaesthesia ; 72(11): 1334-1343, 2017 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-28891046

RESUMEN

We thought that the rate of postoperative pulmonary complications might be higher after pressure-controlled ventilation than after volume-controlled ventilation. We analysed peri-operative data recorded for 109,360 adults, whose lungs were mechanically ventilated during surgery at three hospitals in Massachusetts, USA. We used multivariable regression and propensity score matching. Postoperative pulmonary complications were more common after pressure-controlled ventilation, odds ratio (95%CI) 1.29 (1.21-1.37), p < 0.001. Tidal volumes and driving pressures were more varied with pressure-controlled ventilation compared with volume-controlled ventilation: mean (SD) variance from the median 1.61 (1.36) ml.kg-1 vs. 1.23 (1.11) ml.kg-1 , p < 0.001; and 3.91 (3.47) cmH2 O vs. 3.40 (2.69) cmH2 O, p < 0.001. The odds ratio (95%CI) of pulmonary complications after pressure-controlled ventilation compared with volume-controlled ventilation at positive end-expiratory pressures < 5 cmH2 O was 1.40 (1.26-1.55) and 1.20 (1.11-1.31) when ≥ 5 cmH2 O, both p < 0.001, a relative risk ratio of 1.17 (1.03-1.33), p = 0.023. The odds ratio (95%CI) of pulmonary complications after pressure-controlled ventilation compared with volume-controlled ventilation at driving pressures of < 19 cmH2 O was 1.37 (1.27-1.48), p < 0.001, and 1.16 (1.04-1.30) when ≥ 19 cmH2 O, p = 0.011, a relative risk ratio of 1.18 (1.07-1.30), p = 0.016. Our data support volume-controlled ventilation during surgery, particularly for patients more likely to suffer postoperative pulmonary complications.


Asunto(s)
Enfermedades Pulmonares/epidemiología , Complicaciones Posoperatorias/epidemiología , Respiración Artificial/efectos adversos , Adulto , Anciano , Presión del Aire , Femenino , Humanos , Ventilación con Presión Positiva Intermitente , Enfermedades Pulmonares/etiología , Mediciones del Volumen Pulmonar , Masculino , Persona de Mediana Edad , Oportunidad Relativa , Respiración con Presión Positiva , Puntaje de Propensión , Respiración Artificial/estadística & datos numéricos , Medición de Riesgo , Factores de Riesgo , Volumen de Ventilación Pulmonar
12.
Genet Mol Res ; 16(2)2017 May 31.
Artículo en Inglés | MEDLINE | ID: mdl-28613379

RESUMEN

The success of recovery programs on degraded areas is dependent on the genetic material to be used, which should present heterozygosity and genetic diversity in native and recovered populations. This study was carried out to evaluate the model efficiency to enable the recovery of a degraded area of the Lower São Francisco, Sergipe, Brazil. The target species for this study was Schinus terebinthifolius Raddi. Three populations were analyzed, the recovered area, seed-tree source population, and native tree population border established to the recovered area. The random amplified polymorphic DNA (RAPD) markers were used for diversity analysis. Genetic structure was estimated to evaluate the level of genetic variability existent in each population. There was no correlation between the spatial distribution and the genetic distances for all trees of the recovered area. The heterozygosity present in the recovered population was higher than the native tree population. The seed-tree source population presents genetic bottlenecks. Three clusters were suggested (ΔK = 3) with non-genetic structure. High intra-population genetic variability and inter-population differentiation are present. However, gene flow may also introduce potentially adaptive alleles in the populations of the recovered area, and the native population is necessary to ensure the sustainability and maintenance of the populations by allelic exchange.


Asunto(s)
Anacardiaceae/genética , Especies en Peligro de Extinción , Adaptación Fisiológica , Alelos , Anacardiaceae/crecimiento & desarrollo , Flujo Génico , Genotipo , Heterocigoto , Polimorfismo Genético , Semillas/genética
13.
Trials ; 18(1): 202, 2017 04 28.
Artículo en Inglés | MEDLINE | ID: mdl-28454590

RESUMEN

BACKGROUND: Postoperative pulmonary complications (PPCs) increase the morbidity and mortality of surgery in obese patients. High levels of positive end-expiratory pressure (PEEP) with lung recruitment maneuvers may improve intraoperative respiratory function, but they can also compromise hemodynamics, and the effects on PPCs are uncertain. We hypothesized that intraoperative mechanical ventilation using high PEEP with periodic recruitment maneuvers, as compared with low PEEP without recruitment maneuvers, prevents PPCs in obese patients. METHODS/DESIGN: The PRotective Ventilation with Higher versus Lower PEEP during General Anesthesia for Surgery in OBESE Patients (PROBESE) study is a multicenter, two-arm, international randomized controlled trial. In total, 2013 obese patients with body mass index ≥35 kg/m2 scheduled for at least 2 h of surgery under general anesthesia and at intermediate to high risk for PPCs will be included. Patients are ventilated intraoperatively with a low tidal volume of 7 ml/kg (predicted body weight) and randomly assigned to PEEP of 12 cmH2O with lung recruitment maneuvers (high PEEP) or PEEP of 4 cmH2O without recruitment maneuvers (low PEEP). The occurrence of PPCs will be recorded as collapsed composite of single adverse pulmonary events and represents the primary endpoint. DISCUSSION: To our knowledge, the PROBESE trial is the first multicenter, international randomized controlled trial to compare the effects of two different levels of intraoperative PEEP during protective low tidal volume ventilation on PPCs in obese patients. The results of the PROBESE trial will support anesthesiologists in their decision to choose a certain PEEP level during general anesthesia for surgery in obese patients in an attempt to prevent PPCs. TRIAL REGISTRATION: ClinicalTrials.gov identifier: NCT02148692. Registered on 23 May 2014; last updated 7 June 2016.


Asunto(s)
Anestesia General , Cuidados Intraoperatorios/métodos , Enfermedades Pulmonares/prevención & control , Pulmón/fisiopatología , Obesidad/complicaciones , Respiración con Presión Positiva/métodos , Procedimientos Quirúrgicos Operativos , Anestesia General/efectos adversos , Índice de Masa Corporal , Protocolos Clínicos , Femenino , Humanos , Cuidados Intraoperatorios/efectos adversos , Enfermedades Pulmonares/diagnóstico , Enfermedades Pulmonares/etiología , Enfermedades Pulmonares/fisiopatología , Masculino , Obesidad/diagnóstico , Obesidad/fisiopatología , Respiración con Presión Positiva/efectos adversos , Factores Protectores , Proyectos de Investigación , Factores de Riesgo , Procedimientos Quirúrgicos Operativos/efectos adversos , Factores de Tiempo , Resultado del Tratamiento
14.
Genet Mol Res ; 14(3): 10298-307, 2015 Aug 28.
Artículo en Inglés | MEDLINE | ID: mdl-26345968

RESUMEN

The goal of this study was to characterize the structure of two natural populations of the coral tree using RAPD and ISSR markers. The study evaluated all individuals in two different areas in the northeastern region of Brazil: the first was in the riparian area, 10 km x 100 m along the edge of the lower São Francisco River, and the second was in the municipality of Pinhão, in a semiarid region between the municipalities of Neópolis and Santana do São Francisco. We used all the coral trees present in those two areas (37 individuals). The results of the RAPD and ISSR markers were highly congruent, supporting the reliability of the techniques used. Similarity was estimated using the Jaccard arithmetic complement index. A dendrogram was constructed using the unweighted pair group method with arithmetic mean cluster algorithm, and the robustness of the data was bootstrapped with 5000 replicates. A principal coordinate analysis was performed on the basis of Jaccard coefficients. The total genetic variation observed was 21%, corresponding to the variation between the populations, and 79% of the variation was observed within the populations.


Asunto(s)
Erythrina/genética , Extinción Biológica , Genética de Población , Sitios Genéticos , Variación Genética , Filogenia , Análisis de Componente Principal
15.
Int J Oral Maxillofac Surg ; 43(11): 1352-9, 2014 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-25052573

RESUMEN

Dentofacial deformities and their treatment have physical and psychological repercussions on quality of life (QOL). Seventy-four patients were evaluated preoperatively (T0) and at 4-6 months postoperatively (T1). Oral health-related QOL was assessed using the short form of the Oral Health Impact Profile (OHIP-14). There was a statistically significant reduction in the average overall OHIP-14 score between T0 (13.23±6.45) and T1 (3.26±4.19). In addition, there were significant decreases in all seven OHIP-14 domains. Class III patients benefited in all domains evaluated, while a significant improvement was seen only in the psychological disability domain for class I patients. Class II patients showed a significant benefit in all domains except the domain of functional limitation. With regard to the total sample (n=74) and class III patients (n=58), correlations between domains were identified for all domains. The same correlation was not identified for class I (n=5) and II (n=11) patients. The entire sample and class III patients showed significant improvements in OHIP-14 scores for all degrees of postoperative sensory disturbance in the upper and lower lips, except for patients with degree 5 (extreme) disturbance of the upper lip. Orthognathic surgical treatment had a positive impact on oral health-related QOL in the patients evaluated.


Asunto(s)
Deformidades Dentofaciales/psicología , Salud Bucal , Calidad de Vida , Perfil de Impacto de Enfermedad , Adolescente , Adulto , Deformidades Dentofaciales/terapia , Femenino , Humanos , Masculino , Persona de Mediana Edad
16.
Acta Trop ; 117(3): 212-5, 2011 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-21187054

RESUMEN

Infective third-stage larvae of the cystidicolid nematode Pseudoproleptus sp. were found encapsulated in the mesentery of the freshwater fish Satanoperca jurupari Heckel (Cichlidae) from the Guamá River, close to the Amazon River Delta, Pará State, Brazil. The prevalence in fish (total body length 9-24 cm) examined from March 2009 to June 2010 (n=53) was 37%, with an intensity of 4-45 (mean 14±11) larvae per fish. The nematode larvae (body length 16.2-21.6mm), characterized by the cephalic end provided with a helmet-like cuticular structure having a thickened free posterior margin, were studied based on light and scanning electron microscopy. Fish play a role of paratenic hosts for this nematode species. This is the first record of a larval nematode of the genus Pseudoproleptus from fish, and the second record of a larval nematode belonging to Cystidicolidae in the Amazon and in the Neotropics. Additional larval specimens were found free in the stomach of only 0.9% Ageneiosus ucayalensis Castelnau (Auchenipteridae) examined (n=205). This finding can be considered as occasional parasitism.


Asunto(s)
Cíclidos/parasitología , Enfermedades de los Peces/parasitología , Larva/ultraestructura , Mesenterio/parasitología , Animales , Brasil , Agua Dulce , Larva/fisiología , Microscopía Electrónica , Nematodos/fisiología , Nematodos/ultraestructura , Prevalencia , Ríos
17.
Scand J Immunol ; 72(6): 529-39, 2010 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-21044127

RESUMEN

The clinical manifestations of human Chagas disease are associated with distinct and complex host-parasite interactions that directly involve the host's immune system. In this study, we analysed the relationship between the production of intracytoplasmic cytokines after in vitro stimulation with the recombinant antigens CRA (cytoplasmatic repetitive antigen) or FRA (flagellar repetitive antigen) from Trypanosoma cruzi and the chronic cardiac or indeterminate clinical forms of Chagas disease. The chagasic patient groups consisted of 39 individuals, selected at the Chagas Disease Unit of the Oswaldo Cruz University Hospital, whom presented either a cardiac form without cardiac dilatation (CARD 1), cardiac form with cardiac dilatation (CARD 2) or indeterminate form (IND). Blood samples were obtained from these patients and cultured in the presence of CRA or FRA. The cytokines produced by lymphocytes and monocytes after antigen stimulation were analysed by flow cytometry. Our results showed that the IFN-γ and TNF-α, produced by CD8+ T lymphocytes after in vitro stimulation with CRA, differed among chagasic patients with CARD 1, CARD 2 or IND. We propose that these cytokines could be utilized as immunological markers for clinical cardiac forms of Chagas disease. In a prospective study of patients presenting IND and CARD 1, the assay performed in this paper could serve as a tool to monitor therapeutic interventions, thus improving the patient's quality of life.


Asunto(s)
Antígenos de Protozoos/inmunología , Cardiomiopatía Chagásica/inmunología , Citocinas/biosíntesis , Trypanosoma cruzi/inmunología , Adulto , Anciano , Biomarcadores/metabolismo , Células Cultivadas , Cardiomiopatía Chagásica/diagnóstico , Progresión de la Enfermedad , Femenino , Flagelos/inmunología , Humanos , Linfocitos/inmunología , Masculino , Persona de Mediana Edad , Monocitos/inmunología , Proteínas Recombinantes/inmunología
18.
J Clin Lab Anal ; 21(5): 271-6, 2007.
Artículo en Inglés | MEDLINE | ID: mdl-17847109

RESUMEN

The wide range of clinical Chagas' disease manifestations, of which heart involvement is the most significant, because of its characteristics, frequency and consequences, and lack of treatment and cure, justify research in this area. Specific immunoglobulin G (IgG) antibody subclasses have been associated with human Chagas' disease. Thus, in this study, the profile of IgG subclasses against cytoplasmic (CRA) and flagellar (FRA) recombinant repetitive T. cruzi-specific antigens was correlated with cardiac (CARD, n=33), cardiodigestive (CD, n=7), and indeterminate (IND, n=20) forms of Chagas' disease by indirect enzyme-linked immunosorbent assay (ELISA). IgG subclasses were detected in almost all Chagas patients studied. Nevertheless, only specific IgG2 isotype FRA was found with a significant statistical difference in CARD patients when compared to IND patients. This result suggests the potential use of this isotype for prognostic purposes, for monitoring the progression of chronic Chagas' disease, and for predicting the risk of CARD damage. This is important information, as it could help physicians to evaluate and manage the treatment of their patients. However, a follow-up study is necessary to confirm our result.


Asunto(s)
Anticuerpos Antiprotozoarios/sangre , Antígenos de Protozoos/sangre , Enfermedad de Chagas/inmunología , Inmunoglobulina G/sangre , Trypanosoma cruzi/inmunología , Adulto , Anciano , Animales , Formación de Anticuerpos , Enfermedad Crónica , Femenino , Humanos , Inmunoglobulina G/clasificación , Masculino , Persona de Mediana Edad
19.
Eur Respir J ; 29(6): 1174-81, 2007 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-17360726

RESUMEN

Bronchoconstriction in asthma results in patchy ventilation forming ventilation defects (VDefs). Patchy ventilation is clinically important because it affects obstructive symptoms and impairs both gas exchange and the distribution of inhaled medications. The current study combined functional imaging, oscillatory mechanics and theoretical modelling to test whether the degrees of constriction of airways feeding those units outside VDefs were related to the extent of VDefs in bronchoconstricted asthmatic subjects. Positron emission tomography was used to quantify the regional distribution of ventilation and oscillatory mechanics were measured in asthmatic subjects before and after bronchoconstriction. For each subject, ventilation data was mapped into an anatomically based lung model that was used to evaluate whether airway constriction patterns, consistent with the imaging data, were capable of matching the measured changes in airflow obstruction. The degree and heterogeneity of constriction of the airways feeding alveolar units outside VDefs was similar among the subjects studied despite large inter-subject variability in airflow obstruction and the extent of the ventilation defects. Analysis of the data amongst the subjects showed an inverse relationship between the reduction in mean airway conductance, measured in the breathing frequency range during bronchoconstriction, and the fraction of lung involved in ventilation defects. The current data supports the concept that patchy ventilation is an expression of the integrated system and not just the sum of independent responses of individual airways.


Asunto(s)
Asma/diagnóstico , Asma/patología , Pulmón/patología , Ventilación Pulmonar , Respiración , Adulto , Simulación por Computador , Femenino , Humanos , Imagenología Tridimensional , Masculino , Persona de Mediana Edad , Modelos Teóricos , Oscilometría , Tomografía de Emisión de Positrones/métodos , Intercambio Gaseoso Pulmonar
20.
Arq. bras. med. vet. zootec ; 57(supl.2): 270-272, set. 2005. tab
Artículo en Portugués | LILACS | ID: lil-432025

RESUMEN

The frequency 01 Pteromalidae species lound in Diptera pupae that were collected Irom cattle 'dung in Pandmá, State 01 Goiás, Brazil, between May and December 2003 was studied. The pupae were obtained by the jlotation method and were individually placed in gelatin capsules until the emergence 01 the adultjlies or their parasitoids. The overall percentage 01 parasitism was i4. 7. The percentage 01 parasitismpresented by the parasitoids Pachycrepoideus vindemmiae (Rondani), Spalangia cameroni Perkins,Spalangia drosophilae Ashmead, Spalangia endius Walker, Spalangia nigra Latrielle and Spalangia nigroaenea Curtis were i. 7, iA, 2.4, 0.7, 204 and 6. i, respectively.


Asunto(s)
Bovinos , Heces/parasitología , Parásitos , Enfermedades Parasitarias
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