Biological and behavioral markers of pain following nerve injury in humans.

The evolution of peripheral and central changes following a peripheral nerve injury imply the onset of afferent signals that affect the brain. Changes to inflammatory processes may contribute to peripheral and central alterations such as altered psychological state and are not well characterized in humans. We focused on four elements that change peripheral and central nervous systems following ankle injury in 24 adolescent patients and 12 age-sex matched controls. Findings include (a) Changes in tibial, fibular, and sciatic nerve divisions consistent with neurodegeneration; (b) Changes within the primary motor and somatosensory areas as well as higher order brain regions implicated in pain processing; (c) Increased expression of fear of pain and pain reporting; and (d) Significant changes in cytokine profiles relating to neuroinflammatory signaling pathways. Findings address how changes resulting from peripheral nerve injury may develop into chronic neuropathic pain through changes in the peripheral and central nervous system.

Clonal spread of carbapenem-resistant Acinetobacter baumannii in a neonatal intensive care unit.

Acinetobacter baumannii has often been associated with colonization and/or infection in neonatal intensive care units (NICU). This study describes a clonal spread of carbapenem-resistant A. baumannii (CRAB) isolates in an NICU. In total, 21 CRAB isolates were collected from premature newborns. Only polymyxin B was active against such isolates. Nineteen CRAB isolates were clonally related (Cluster C, which belonged to worldwide-disseminated ST1). All newborns had peripheral access and had received ß-lactam therapy previously. The implementation of strict infection control measures was of fundamental importance to eradicate the clonal type in the study hospital.

Natural variation of selenium in Brazil nuts and soils from the Amazon region.

Brazil nut tree (Bertholletia excelsa) is native of the Amazon rainforest. Brazil nuts are consumed worldwide and are known as the richest food source of selenium (Se). Yet, the reasoning for such Se contents is not well stablished. We evaluated the variation in Se concentration of Brazil nuts from Brazilian Amazon basin, as well as soil properties, including total Se concentration, of the soils sampled directly underneath the trees crown, aiming to investigate which soil properties influence Se accumulation in the nuts. The median Se concentration in Brazil nuts varied from 2.07 mg kg-1 (in Mato Grosso state) to 68.15 mg kg-1 (in Amazonas state). Therefore, depending on its origin, a single Brazil nut could provide from 11% (in the Mato Grosso state) up to 288% (in the Amazonas state) of the daily Se requirement for an adult man (70 µg). The total Se concentration in the soil also varied considerably, ranging from <65.76 to 625.91 µg kg-1, with highest Se concentrations being observed in soil samples from the state of Amazonas. Se accumulation in Brazil nuts generally increased in soils with higher total Se content, but decreased under acidic conditions in the soil. This indicates that, besides total soil Se concentration, soil acidity plays a major role in Se uptake by Brazil nut trees, possibly due to the importance of this soil property to Se retention in the soil.

Controle estatístico de processo univariado: monitoramento da produção de comprimidos de dipirona / Univariate Statistical Process Control: monitoring the production of dipyrone tablets

Investigou-se, através de histogramas e cartas de controle X e S, a ferramenta do Controle Estatístico de Processo (CEP) univariado e os parâmetros físicos dureza, peso médio e friabilidade da produção de dez lotes de dipirona sódica comprimidos. Por sua complexidade e influência no processo, a etapa de granulação de cada lote foi concomitantemente caracterizada através de determinações de densidade bruta, densidade compactada, índice de compressibilidade e fator de Hausner, além dos ângulos de repouso, tempos de escoamento e repartições granulométricas. As caracterizações dos granulados serviram como base na investigação da possível influência da etapa de granulação como uma das prováveis causas que poderiam levar o processo a se apresentar fora de controle estatístico. Os resultados da caracterização indicaram certa uniformidade entre os granulados, o que pode significar que não há ligação aparente entre a etapa de granulação e a falta de controle estatístico do processo, demonstrada na avaliação das cartas de controle. Na medida em que permitiu uma maior compreensão do processo, o CEP univariado mostrou sua importância no monitoramento da produção de comprimidos.

In this study, by means of histograms and and s control charts, the production control tool, univariate Statistical Process Control (SPC), was assessed for monitoring the physical variables hardness, weight and friability during the production of ten batches of sodium dipyrone tablets. In view of its complexity and influence on the process, the granulation step was concurrently characterized by determining the gross density, compacted density, compressibility index and Hausner factor, plus the angle of repose, flow time and particle size distributions of each batch. The properties of the granules were used as a basis for testing the hypothesis that the granulation step is probably the cause when the process runs out of statistical control. The results of the characterization indicated a degree of uniformity among the granules, which may mean that the lack of statistical process control demonstrated in the control charts does not arise from the granulation step. To the extent that it enabled a greater understanding of the process, univariate SCP proved its importance in the monitoring of tablet production.

Modelos de avaliação da estabilidade de fármacos e medicamentos para a indústria farmacêutica / Stability models assessing of drugs and drug products for pharmaceutical industry

O estudo de estabilidade de fármacos e medicamentos, descrito pela resolução RE nº1/05 ANVISA determina a quantificação dos produtos de degradação, assim comoo método analítico utilizado correspondente. Como consequência, gerou-se a publicação do Informe Técnico nº 1/2008, com o objetivo de esclarecer procedimentos a serem realizados, nos casos em que a impureza ou padrões dos produtos de degradação não estão disponíveis. Diante das novas exigências, o delineamento do estudo torna-se uma das grandes dificuldades de sua realização, desafiando profissionais da área de desenvolvimento de produtos farmacêuticos.

The stability testing of drugs and medicines, as described in ANVISA resolution RE 1 / 05, specifies the quantitation of degradation products, as well as the analytical method concerned. As a consequence, Technical Report 1/2008 was published, with the aim of clarifying the procedures to be followed in cases where the impurity or patterns of degradation products are not available. In light of the new requirements, the study design constitutes one of the hardest problems for their implementation, facing professionals with new challenges in the area of pharmaceutical product development.

Electron transfer properties of the R2 protein of ribonucleotide reductase from Escherichia coli.

The enzyme ribonucleotide reductase from Escherichia coli consists of two proteins, R1 and R2. The active R2 protein contains two dinuclear iron centers and the catalytically essential tyrosyl radical. We have explored the redox properties of the tyrosyl radical and estimate an apparent redox potential of +1000 +/- 100 mV (vs SHE) on the basis of the behavior of numerous mediators. The inability of most of these mediators to equilibrate with the tyrosyl radical supports the notion that the radical exists in an extremely protected hydrophobic pocket that prevents most radical scavengers from interacting with the radical, resulting in its unusual stability. The formal midpoint potential of the diiron clusters of the R2 protein was determined to be -115 +/- 2 mV at pH 7.6 and 4 degrees C. This reduction is a two-electron transfer process, making the R2 protein the first of the nonheme diiron proteins not to stabilize a mixed valence intermediate at ambient temperature. The formal midpoint potential of the dinuclear iron centers is pH dependent, exhibiting a 30 mV/pH unit variance, which indicates that one proton is accepted from the solvent per two electrons transferred to the dinuclear iron center upon reduction. The midpoint potential of the site-directed mutant Y122F R2 protein was also investigated under the same conditions, and this midpoint potential was determined to be -178 mV, providing the first direct evidence that the presence of the Y122 residue modulates the redox properties of the diiron clusters. The redox potentials of both the wild type and Y122F proteins experience cathodic shifts when measured in the presence of azide or the R1 protein. For the latter, the midpoint potentials were determined to be -226 mV for the wild type protein and -281 mV for the Y122F mutant protein, representing a negative shift of over 100 mV for both proteins. These results indicate that the presence of the Y122 residue does not influence the effect of R1 binding, that the R1 protein preferentially binds the oxidized form of R2, and that the binding of R1 acts as a regulatory control mechanism to prevent unnecessary turnover of the dinuclear iron centers.