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1.
Heliyon ; 9(9): e19875, 2023 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-37809478

RESUMEN

Caffeine (CAF) exposures have been shown to cause several pharmacological and biological effects in target and non-target organisms. Although there are already several ecotoxicological studies with CAF in non-target organisms, they are focused on marine organisms, with relevant concentrations in these ecosystems, therefore, less ecologically relevant to freshwater ecosystems (the main ecoreceptor of this type of anthropogenic contaminant). The present study aimed to assess the chronic effects (28 days) of sub-lethal and environmentally relevant concentrations of CAF (0.16, 0.42, 1.09, 2.84, 7.40, 19.23, and 50 µg/L) in Danio rerio. Biochemical endpoints as biomarkers of antioxidant defense, biotransformation, lipid peroxidation, energy sources, and neurotransmission were assessed. CAF exposure induced alterations in antioxidant defenses (superoxide dismutase and glutathione reductase activities, and glutathione content) preventing lipid peroxidation. Lactate dehydrogenase activity decreased in all the concentrations tested, while acetylcholinesterase activity was only affected by the highest concentrations tested (19.23 and 50 µg/L). We also utilized a multi-biomarker approach (Integrated Biomarker Response version 2, IBRv2) to investigate the effects of CAF in the dispersion scope of individual biochemical responses of D. rerio. IBRv2 showed that the concentration of 50 µg/L promotes the highest stress. However, the results showed that CAF induced disturbances in the metabolic pathways studied in D. rerio. These results demonstrated the toxic effects of CAF on freshwater fish, compromising their physiological functions and evidencing the need for monitoring the residues of CAF released into the inland aquatic environments. Furthermore, this research evidence that phylogenetically and physiologically different species may present different biological responses with concern for ecologically relevant environmental conditions. In this sense, the present study generated ecotoxicologically relevant data, that can be considered by environment regulators, since the here-endpoints evaluated showed sensitivity and consistency in the evaluation of caffeine risks in freshwater environments.

2.
J Matern Fetal Neonatal Med ; 36(2): 2262078, 2023 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-37766418

RESUMEN

OBJECTIVES: The aim of this study was to evaluate if screening Group B Streptococcus colonization by intrapartum polymerase chain reaction could improve intrapartum administration of antibiotic prophylaxis, compared with antepartum culture screening and analyze the sensitivity and specificity of polymerase chain reaction test. METHODS: 198 pregnant women with Group B Streptococcus colonization antepartum culture screening were included. When they arrived at hospital for delivery, two rectovaginal swabs were collected: for culture and polymerase chain reaction method. RESULTS: The rate of Group B Streptococcus colonization antepartum detected by culture was 16.7%; at delivery was 17.2% when detected by culture and 19.7% using polymerase chain reaction method. The rate of inconclusive polymerase chain reaction tests was 0.5%. Considering intrapartum culture screening as gold standard, sensitivity and specificity of polymerase chain reaction test for intrapartum Group B Streptococcus colonization was 97.1% and 95.7%, respectively. The global rate of discordance between antepartum and intrapartum Group B Streptococcus colonization was 6.6%. The rate of women not treated with intrapartum antibiotic prophylaxis in the setting of positive intrapartum culture was significantly lower using intrapartum polymerase chain reaction test (0.5%) than with antepartum culture method (3.5%, p = 0.035). CONCLUSION: The use of intrapartum antibiotic prophylaxis can be more efficient when screening Group B Streptococcus colonization intrapartum by polymerase chain reaction test. Polymerase chain reaction method had a good performance in our study, with high sensitivity and specificity.


Asunto(s)
Complicaciones Infecciosas del Embarazo , Infecciones Estreptocócicas , Embarazo , Femenino , Humanos , Complicaciones Infecciosas del Embarazo/diagnóstico , Complicaciones Infecciosas del Embarazo/tratamiento farmacológico , Infecciones Estreptocócicas/diagnóstico , Infecciones Estreptocócicas/tratamiento farmacológico , Reacción en Cadena de la Polimerasa/métodos , Parto , Streptococcus agalactiae/genética , Vagina
3.
J Bodyw Mov Ther ; 35: 158-163, 2023 07.
Artículo en Inglés | MEDLINE | ID: mdl-37330763

RESUMEN

INTRODUCTION: Cerebral palsy (CP) can be described as a group of permanent non-progressive disorders that occur in the developing fetal or infant brain. Studies have shown that children and adolescents with CP have low cardiorespiratory fitness and higher energy expenditure during daily activities when compared to typical children. Therefore, interventions focused on the physical conditioning of this population could be critical. OBJECTIVE: To evaluate the effect of physical conditioning training on distance walked and maximum oxygen consumption (VO2 max) in individuals with CP, through a systematic review. METHOD: Two independent researchers performed systematic searches in the PUBMED, SciELO, PEDro, ERIC, and Cochrane databases using the search terms "physical fitness", "aerobic training" or "endurance" combined with "cerebral palsy". INCLUSION CRITERIA: (1) population (children and adolescents with CP between 5 and 18 years old); (2) type of study (experimental studies); (3) type of intervention (physical conditioning protocols); (4) outcome (distance walked in the 6 min walking test - 6MWT, and VO2 max). RESULTS: 386 studies were identified and 5 articles were considered eligible. After physical conditioning training, there was an increase of 46.34 m (p = 0.07) and 5.93. ml. kg-1. min -1 (p < 0.001) in the 6MWT and VO2 max, respectively. CONCLUSION: Physical conditioning training appears to be clinically beneficial to the cardiorespiratory fitness of children and adolescents with CP.


Asunto(s)
Parálisis Cerebral , Ejercicio Físico , Humanos , Adolescente , Niño , Preescolar , Aptitud Física , Caminata , Prueba de Esfuerzo/métodos , Parálisis
4.
Environ Res ; 233: 116435, 2023 09 15.
Artículo en Inglés | MEDLINE | ID: mdl-37331556

RESUMEN

In this study, samples of bromeliad Tillandsia usneoides (n = 70) were transplanted and exposed for 15 and 45 days in 35 outdoor residential areas in Brumadinho (Minas Gerais state, Brazil) after one of the most severe mining dam collapses in the world. Trace elements aluminum (Al), arsenic (As), chromium (Cr), copper (Cu), iron (Fe), mercury (Hg), manganese (Mn), nickel (Ni) and zinc (Zn) were quantified by atomic absorption spectrometry. Scanning electron microscope generated surface images of T. usneoides fragments and particulate matter (PM2.5, PM10 and PM > 10). Aluminum, Fe and Mn stood out from the other elements reflecting the regional geological background. Median concentrations in mg kg-1 increased (p < 0.05) between 15 and 45 days for Cr (0.75), Cu (1.23), Fe (474) and Mn (38.1), while Hg (0.18) was higher at 15 days. The exposed-to-control ratio revealed that As and Hg increased 18.1 and 9.4-fold, respectively, not showing a pattern associated only with the most impacted sites. The PM analysis points to a possible influence of the prevailing west wind on the increase of total particles, PM2.5 and PM10 in transplant sites located to the east. Brazilian public health dataset revealed increase in cases of some cardiovascular and respiratory diseases/symptoms in Brumadinho in the year of the dam collapse (1.38 cases per 1000 inhabitants), while Belo Horizonte capital and its metropolitan region recorded 0.97 and 0.37 cases, respectively. Although many studies have been carried out to assess the consequences of the tailings dam failure, until now atmospheric pollution had not yet been evaluated. Furthermore, based on our exploratory analysis of human health dataset, epidemiological studies are required to verify possible risk factors associated with the increase in hospital admissions in the study area.


Asunto(s)
Contaminantes Atmosféricos , Mercurio , Metales Pesados , Tillandsia , Oligoelementos , Humanos , Oligoelementos/análisis , Material Particulado/análisis , Tillandsia/química , Brasil , Monitoreo Biológico , Salud Pública , Aluminio , Contaminantes Atmosféricos/análisis , Monitoreo del Ambiente/métodos , Cromo/análisis , Mercurio/análisis , Manganeso/análisis , Metales Pesados/análisis
5.
Int J Mol Sci ; 23(15)2022 Jul 27.
Artículo en Inglés | MEDLINE | ID: mdl-35955406

RESUMEN

Cancer is still a challenging disease to treat, both in terms of harmful side effects and therapeutic efficiency of the available treatments. Herein, to develop new therapeutic molecules, we have investigated the anticancer activity of halogenated derivatives of different components of the bioluminescent system of marine Coelenterazine: Coelenterazine (Clz) itself, Coelenteramide (Clmd), and Coelenteramine (Clm). We have found that Clz derivatives possess variable anticancer activity toward gastric and lung cancer. Interestingly, we also found that both brominated Clmd (Br-Clmd) and Clm (Br-Clm) were the most potent anticancer compounds toward these cell lines, with this being the first report of the anticancer potential of these types of molecules. Interestingly, Br-Clm possessed some safety profile towards noncancer cells. Further evaluation revealed that the latter compound induced cell death via apoptosis, with evidence for crosstalk between intrinsic and extrinsic pathways. Finally, a thorough exploration of the chemical space of the studied Br-Clm helped identify the structural features responsible for its observed anticancer activity. In conclusion, a new type of compounds with anticancer activity toward gastric and lung cancer was reported and characterized, which showed interesting properties to be considered as a starting point for future optimizations towards obtaining suitable chemotherapeutic agents.


Asunto(s)
Antineoplásicos , Neoplasias Pulmonares , Neoplasias Gástricas , Antineoplásicos/química , Antineoplásicos/farmacología , Apoptosis , Línea Celular Tumoral , Proliferación Celular , Humanos , Pulmón , Neoplasias Pulmonares/tratamiento farmacológico , Estructura Molecular , Neoplasias Gástricas/tratamiento farmacológico , Relación Estructura-Actividad
7.
Cureus ; 14(3): e22834, 2022 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-35382198

RESUMEN

Tuberculosis is a public health problem in Portugal. It can have extrapulmonary manifestations, with the spine being the most frequent and significant location affected within the bone area. We present the case of a 65-year-old man with left lumbar sciatic pain, 11% body weight loss, and anorexia. Later, he developed left crural hemiparesis and hypoesthesia, failing to respond to analgesia. A computerized tomography scan of the lumbar spine showed L5-S1 spondylodiscitis. The patient was admitted for study and started empirical antibiotic therapy. Due to lack of clinical and analytical response and inconclusive bone biopsy, surgical decompression of the lumbar abscess was performed, with isolation of multi-sensitive Mycobacterium tuberculosis. He took anti-tuberculostatic drugs for a year and did physiotherapy, fully recovering from neurological deficits due to his illness. On account of tuberculosis's prolonged and non-specific clinical presentation, a high index of clinical suspicion is needed for a well-timed diagnosis and treatment to prevent serious complications.

8.
Int J Mol Sci ; 23(7)2022 Mar 29.
Artículo en Inglés | MEDLINE | ID: mdl-35409123

RESUMEN

Eugenol, 4-allyl-2-methoxyphenol, is the main constituent of clove essential oil and has demonstrated relevant biological activity, namely anticancer activity. Aiming to increase this activity, we synthesized a series of eugenol ß-amino alcohol and ß-alkoxy alcohol derivatives, which were then tested against two human cancer cell lines, namely gastric adenocarcinoma cells (AGS) and lung adenocarcinoma cells (A549). An initial screening was performed to identify the most cytotoxic compounds. The results demonstrated that three ß-amino alcohol derivatives had anticancer activity that justified subsequent studies, having been shown to trigger apoptosis. Importantly, the most potent molecules displayed no appreciable toxicity towards human noncancer cells. Structure-activity relationships show that changes in eugenol structure led to enhanced cytotoxic activity and can contribute to the future design of more potent and selective drugs.


Asunto(s)
Antineoplásicos , Eugenol , Alcoholes , Amino Alcoholes , Antineoplásicos/química , Antineoplásicos/farmacología , Apoptosis , Aceite de Clavo/química , Humanos
10.
World J Microbiol Biotechnol ; 38(1): 7, 2021 Nov 27.
Artículo en Inglés | MEDLINE | ID: mdl-34837108

RESUMEN

In anaerobic digestion of agro-industrial effluents and livestock wastes, concentrations of ammoniacal nitrogen above 800 mg L-1 are reported to lead to the eutrophication of water bodies. Through the metabolic versatility of microalgae, this nitrogen source can be used and removed, producing carotenoids, phycobiliproteins, polyhydroxyalkanoates, and fatty acids of industrial interest. The challenge of making it feasible is the toxicity of ammoniacal nitrogen to microalgae. Therefore, three strategies were evaluated. The first one was to find species of cyanobacteria with high ammoniacal nitrogen removal efficiency comparing Arthrospira platensis, Synechocystis D202, and Spirulina labyrinthiformis cultivations. The most promising species was cultivated in the second strategy, where cell acclimatization and increasing of the inoculum were evaluated. The cultivation condition that culminated in the best efficiency of ammoniacal nitrogen removal was combined with the third strategy, which consisted of conducting the fed-batch bioprocess. In the batch mode, ammoniacal nitrogen was supplied only once in one fed and was present in high initial concentrations. In fed-batch, multiple feedings with low concentrations of ammoniacal nitrogen were used to decrease the inhibitory effect of ammoniacal nitrogen. Arthrospira platensis showed high potential for ammoniacal nitrogen removal. Using the highest initial cell concentration of Arthrospira platensis cultivated by fed-batch, an increase in the consumption of NH3 to 165.1 ± 1.8 mg L-1 and an ammoniacal nitrogen removal efficiency close to 90% were observed. Under this condition, 180.52 ± 11.67 mg g-1 of phycocyanin was attained. Also, the fed-batch cultivations have the potential to reduce the biomass cost production by 33% in comparison to batch experiments.


Asunto(s)
Amoníaco/metabolismo , Cianobacterias/crecimiento & desarrollo , Nitrógeno/metabolismo , Técnicas de Cultivo Celular por Lotes , Biodegradación Ambiental , Cianobacterias/metabolismo , Ficocianina/metabolismo , Spirulina/crecimiento & desarrollo , Spirulina/metabolismo , Synechocystis/crecimiento & desarrollo , Synechocystis/metabolismo
11.
Fish Physiol Biochem ; 47(5): 1541-1558, 2021 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-34370152

RESUMEN

This study aimed at assessing the effects of the dietary tryptophan (Trp) supplementation on growth and feed utilization, brain serotonin content, and expression of selected liver genes (involved in the liver serotonin pathway, protein synthesis degradation, and antioxidant activity) in zebrafish. A growth trial was conducted with zebrafish juveniles fed five experimental isoproteic (40%DM) and isolipidic (8%DM) fishmeal-based diets containing graded levels of Trp: a Trp-non-supplemented diet (diet Trp0, with 0.22% Trp) and four Trp-supplemented diets containing 2-16 times higher Trp content (diets Trp2, Trp4, Trp8, and Trp16 with 0.40, 0.91, 2.02, and 3.34% Trp, respectively). Diets were tested in quadruplicate, with fish being fed twice a day, 6 days a week for 6 weeks to apparent visual satiation. At the end of the trial, growth performance and feed utilization were assessed, and fish from all experimental groups were sampled for whole-body composition analysis. In addition, fish fed low (Trp0), medium (Trp4), and high (Trp16) Trp diets were also sampled for analysis of brain serotonin content and liver gene expression. Tested tryptophan levels did not influence growth performance nor feed intake. However, values of energy and nitrogen retention as well as body energy content indicate a better feed utilization with diets containing around 0.9% and 2.0% DM Trp. Brain serotonin content increased with increasing dietary tryptophan levels. In addition, regarding liver genes, dietary treatment had a modulatory effect on the expression of Htr1aa and Htr2cl1 genes (encoding for serotonin receptors), TPH1a gene (encoding for tryptophan hydroxylase, the rate-limiting enzyme in the synthesis of serotonin from tryptophan), TOR gene (involved in protein synthesis), and Keap1 gene (involved in antioxidant responses).


Asunto(s)
Triptófano , Pez Cebra , Alimentación Animal/análisis , Animales , Antioxidantes , Encéfalo , Dieta/veterinaria , Suplementos Dietéticos , Proteína 1 Asociada A ECH Tipo Kelch , Hígado , Factor 2 Relacionado con NF-E2 , Serotonina , Triptófano/farmacología
13.
Phys Ther ; 101(10)2021 10 01.
Artículo en Inglés | MEDLINE | ID: mdl-34228785

RESUMEN

OBJECTIVE: The purpose of this study was to assess the prevalence of postural changes in women who had urinary incontinence (UI) with myofascial dysfunction (MD) and women who had UI without MD in the pelvic floor muscles (PFM). METHODS: A cross-sectional study was performed with 234 women who had UI and were at least 18 years old at the urogynecology outpatient clinic of a tertiary academic hospital. The International Consultation on Incontinence Questionnaire-Short Form and the International Consultation on Incontinence Questionnaire-Overactive Bladder were used to collect urinary data. Standing postural assessment was performed using photogrammetry in anterior, posterior, and right and left lateral views and was analyzed with Postural Assessment Software. MD was defined as pain of any intensity during palpation of the PFM, and the strength of these muscles was evaluated using the Modified Oxford Scale. RESULTS: The prevalence of MD in women with UI was 51.7% (121/234). Women with MD had significantly smaller angles in the horizontal alignment of the pelvis in the right-side view (mean [SD] = -11.9 [6.9] degrees and -9.6 [7.1] degrees), left-side view (-13.6 [6] degrees and -11.5 [6.6] degrees), and vertical alignment of the body in the left-side view (3 [1.5] degrees and 3.4 [1.5] degrees), showing anterior pelvic tilt and posterior displacement of the body. CONCLUSION: Women with UI and MD had greater anterior pelvic tilt and posterior displacement of the body than women without dysfunction. IMPACT: This study informs physical therapists and other health care professionals about the prevalence of MD in the pelvic floor muscles of women with UI and highlights the need to rule out MD, because it appears to be a concomitant impairment in women who self-report UI. During a postural screen, health care professionals should look for anterior pelvic tilt relative to horizon when evaluating posture in women with UI and MD. The findings of postural changes in women with MD and UI may influence the PFM assessment. LAY SUMMARY: Women with involuntary urinary loss, pain, and stiffness in the pelvic area may show changes in posture associated with this condition.


Asunto(s)
Síndromes del Dolor Miofascial , Diafragma Pélvico/fisiopatología , Postura , Incontinencia Urinaria/fisiopatología , Adolescente , Adulto , Estudios Transversales , Femenino , Humanos , Persona de Mediana Edad , Contracción Muscular , Fuerza Muscular , Fotogrametría , Equilibrio Postural , Adulto Joven
14.
Fisioter. Bras ; 22(2): 261-271, Maio 25, 2021.
Artículo en Portugués | LILACS | ID: biblio-1284175

RESUMEN

Introdução: Uma doença altamente infecciosa do trato respiratório, a doença de coronavírus 2019 (COVID-19) pode causar disfunção respiratória, física e psicológica em pacientes. Portanto, a reabilitação pulmonar é crucial para pacientes admitidos e que recebem alta da COVID-19. As sequelas de longo prazo são desconhecidas, mas as evidências de surtos anteriores de CoV demonstram comprometimento da função pulmonar e física, redução da qualidade de vida e sofrimento emocional. Métodos: Trata-se de uma revisão sistemática da literatura realizada através de busca digital em artigos publicados em revistas impressas e eletrônicas, ensaios clínicos, estudos randomizados, revisões sistemáticas, no período compreendido entre os anos de 2003 e 2020. Resultados: Muitos sobreviventes da COVID-19 que necessitam de cuidados críticos podem desenvolver comprometimentos psicológicos, físicos e cognitivos. Conclusão: Existe uma clara necessidade de orientação sobre a reabilitação dos sobreviventes da COVID-19. (AU)


Introduction: A highly infectious disease of the respiratory tract, coronavirus disease 2019 (COVID-19) can cause respiratory, physical, and psychological dysfunction in patients. Therefore, pulmonary rehabilitation is crucial for patients admitted and discharged from COVID-19. The long-term sequelae of COVID-19 are unknown, but evidence of previous CoV outbreaks demonstrates impaired lung and physical function, reduced quality of life and emotional distress. Methods: This is a systematic review of the literature carried out through digital bibliographic search of scientific articles published in printed and electronic journals, clinical trials, randomized studies, systematic reviews, in the period between the years 2003 and 2020. Results: Many survivors of COVID-19 that require critical care can develop psychological, physical, and cognitive impairments. Conclusion: There is a clear need for guidance on the rehabilitation of COVID-19 survivors. (AU)


Asunto(s)
Humanos , Rehabilitación , Sistema Respiratorio , COVID-19 , Infecciones por Coronavirus , Coronavirus , Cuidados Críticos , Pulmón
16.
Environ Res ; 193: 110526, 2021 02.
Artículo en Inglés | MEDLINE | ID: mdl-33249035

RESUMEN

On January 2019, the B1 iron ore tailings' dam collapsed in Brumadinho, Brazil, being one of the worst mining-related disasters, with 270 human deaths (11 of them still missing) and 12.106 m3 of tailings released to the environment. The tailings devastated the Córrego do Feijão brook and reached the adjacent Paraopeba River, the region's main watercourse and a major tributary of the São Francisco basin. Although physicochemical parameters of the river were strongly impacted, and acute toxicological effects have been reported from exposure experiments, contamination of aquatic biota had not yet been assessed. Therefore, the aim of this study was to evaluate contamination by trace elements (As, Al, Cd, Co, Cr, Cu, Fe, Hg, Mn, Ni, Pb and Zn) in sediment, fish and macrophytes along the Paraopeba River, upstream and downstream from the dam failure site, during the dry and wet season. With the exception of Cd and Hg, all elements in sediment samples had lower median concentrations downstream. An inverse pattern was observed for the aquatic biota, with significant higher concentrations of Fe, Mn, Ni and Zn in fishes, and increased concentrations of most elements in macrophytes, indicating an increase in element bioavailability. A significant seasonal variation was observed with increased concentrations of As (dry season) and Pb (wet season) in fish samples, with the same trend occurring in macrophytes. Concentrations of potentially toxic elements in fish samples in wet weight (Cr: 1.80 ± 1.31 mg kg-1, Hg: 0.21 ± 0.11 mg kg-1 and Pb: 0.79 ± 0.80 mg kg-1) were lower than those reported before the disaster. Furthermore, As and Pb concentrations exceeded the safety threshold for fish consumption in 3% and 41% of samples, respectively, representing a matter of concern for public health.


Asunto(s)
Metales Pesados , Colapso de la Estructura , Oligoelementos , Contaminantes Químicos del Agua , Animales , Brasil , Monitoreo del Ambiente , Peces , Sedimentos Geológicos , Humanos , Metales Pesados/análisis , Estaciones del Año , Oligoelementos/análisis , Contaminantes Químicos del Agua/análisis
17.
Am J Med Genet A ; 182(12): 3007-3013, 2020 12.
Artículo en Inglés | MEDLINE | ID: mdl-32990340

RESUMEN

Chediak-Higashi disease is a rare disease caused by bi-allelic mutations in the lysosomal trafficking regulator gene, LYST. Individuals typically present in early childhood with partial oculocutaneous albinism, a bleeding diathesis, recurrent infections secondary to immune dysfunction, and risk of developing hemophagocytic lymphohistiocytosis (HLH). Without intervention, mortality is high in the first decade of life. However, some individuals with milder phenotypes have attenuated hematologic and immunologic presentations, and lower risk of HLH. Both classic and milder phenotypes develop progressive neurodegeneration in early adulthood. Here we present a remarkable patient diagnosed with Chediak-Higashi disease at age 67, many decades after the diagnosis is usually established. Diagnosis was suspected by observing the pathognomonic granules within leukocytes, and confirmed by identification of bi-allelic mutations in LYST, reduced LYST mRNA expression, enlarged lysosomes within fibroblasts, and decreased NK cell lytic activity. This case further expands the phenotype of Chediak-Higashi disease and highlights the need for increased awareness. Individuals with milder phenotypes may escape early diagnosis, but identification is important for close monitoring of potential complications, and to further our understanding of the function of LYST.


Asunto(s)
Síndrome de Chediak-Higashi/diagnóstico , Mutación , Fenotipo , Proteínas de Transporte Vesicular/genética , Anciano , Alelos , Síndrome de Chediak-Higashi/genética , Femenino , Humanos
18.
Dev Med Child Neurol ; 62(11): 1274-1282, 2020 11.
Artículo en Inglés | MEDLINE | ID: mdl-32686119

RESUMEN

AIM: To examine the efficacy of Hand-Arm Bimanual Intensive Therapy (HABIT) on daily functioning, unimanual dexterity, and bimanual performance of children with bilateral cerebral palsy (CP) compared with customary care. METHOD: Forty-one children with bilateral CP, aged 4 to 16 years, classified in levels I to III of the Manual Ability Classification System, were randomly assigned to HABIT (90h) (n=21) or to customary care (4.5h) (n=20). Participants' daily functioning (Pediatric Evaluation of Disability Inventory [PEDI], Canadian Occupational Performance Measure [COPM]), unimanual dexterity (Jebsen-Taylor Test of Hand Function, Box and Blocks Test [BBT]), and bimanual performance (Both Hands Assessment) were assessed pre-, post-, and 6 months after the intervention. Linear mixed-effects models were used for inferential analysis. RESULTS: Children participating in HABIT showed greater improvements in daily functioning (COPMperformance : χ 1 2 =9.50, p<0.01; COPMsatisfaction : χ 1 2 =5.07, p<0.05; PEDIfunctional skills : χ 1 2 =6.81, p<0.01; PEDIcaregiver assistance : χ 1 2 =6.23, p<0.05) and in the dexterity of the dominant hand (BBT: χ 1 2 =3.99, p<0.05) compared with children maintaining customary care. Group or time effects did not explain any variance in bimanual performance or in the dexterity of the non-dominant hand. INTERPRETATION: HABIT may be beneficial for children with bilateral CP, with benefits evidenced for daily functioning outcomes. WHAT THIS PAPER ADDS: Hand-Arm Bimanual Intensive Therapy (HABIT) improved daily functioning of children with bilateral cerebral palsy (CP). Bimanual performance, measured by the Both Hands Assessment, did not change after HABIT in children with bilateral CP. Children with asymmetric and symmetric hand use exhibited similar improvements after HABIT.


Asunto(s)
Actividades Cotidianas , Brazo/fisiopatología , Parálisis Cerebral/fisiopatología , Parálisis Cerebral/rehabilitación , Lateralidad Funcional/fisiología , Mano/fisiopatología , Destreza Motora/fisiología , Terapia Ocupacional/métodos , Evaluación de Resultado en la Atención de Salud , Adolescente , Niño , Preescolar , Femenino , Humanos , Masculino , Estudios Prospectivos , Método Simple Ciego
19.
GE Port J Gastroenterol ; 28(1): 26-31, 2020 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-33558845

RESUMEN

INTRODUCTION: Yersinia enterocolitica infection is a zoonotic disease that varies from self-limited gastroenteritis to more severe forms. Its propensity to affect the terminal ileum and to spread to regional lymph nodes explains the potential misdiagnosis with appendicitis. METHODS: We reviewed the Y. enterocoliticainfection cases in a pediatric population for the last 12 years. RESULTS: There were 11 cases of Y. enterocolitica infection in the selected period. Four patients had a suspected surgical diagnosis: 1 intussusception, 3 acute appendicitis. Patients who presented with appendicitis-like features were older, whereas younger children most commonly presented with diarrhea and fever. Ultrasound and abdominal computed tomography (CT) were performed in appendicitis-like patients and ruled out appendicitis in 2 of the 3 cases. The only patient submitted to surgery had abnormal CT findings and an important risk factor for this infection that was not recognized at presentation. CONCLUSION: This condition should be considered in patients with known risk factors (such as iron overload) and with the right epidemiological setting when presenting with abdominal symptoms. The suspicion of this diagnosis in these particular cases might obviate unnecessary surgical interventions.


INTRODUÇÃO: A infecção por Yersinia enterocolitica é uma zoonose que se pode apresentar como uma gastroenterite auto-limitada ou assumir formas mais graves. A sua propensão em afectar o íleo terminal e, consequentemente, os gânglios linfáticos regionais explica o potencial confundimento diagnóstico com a apendicite aguda. MÉTODOS: Foram revistos todos os casos reportados de infecção por Y. enterocolitica em população pediátrica, nos últimos 12 anos. RESULTADOS: Foram identificados 11 casos de infecção por Y. enterocolitica no período selecionado. Em 4 destes pacientes foi suspeitado inicialmente um diagnóstico cirúrgico: 1 invaginação intestinal e 3 apendicites agudas. Os doentes que apresentaram caraterísticas típicas de apendicite aguda eram mais velhos, enquanto os pacientes de menor idade mais comumente se apresentaram com diarreia e febre. Nos doentes com suspeita de apendicite, a ecografia e a tomografia computorizada abdominal foram realizadas em todos os doentes e excluíram o diagnóstico em 2/3 casos. O único paciente submetido a cirurgia tinha relato de alterações radiológicas típicas de apendicite aguda e apresentava um factor de risco importante para a infecção por Y. enterocolitica que não foi inicialmente reconhecido. CONCLUSÃO: O diagnóstico de Yersinose deve ser suspeitado em doentes com sintomas gastrointestinais que apresentem fatores de risco (sobrecarga de ferro) e o contexto epidemiológico adequado. A suspeição precoce deste diagnóstico neste contexto pode evitar intervenções cirúrgicas desnecessárias.

20.
Anal Chem ; 91(14): 9266-9276, 2019 07 16.
Artículo en Inglés | MEDLINE | ID: mdl-31149811

RESUMEN

Algae biomass is formed by an extremely complex set of metabolites, and its molecular characterization has been very challenging. We report the characterization of microalgae extracts via traveling wave ion mobility-mass spectrometry (TWIM-MS) by two different analysis strategies. First, the extracts were analyzed by direct infusion electrospray ionization (ESI) with no previous chromatographic separation (DI-ESI-TWIM-MS). Second, the samples were screened for metabolites and lipids using an untargeted high-throughput method that employs ultrahigh-performance liquid chromatography (UHPLC) using data-independent analysis (DIA) - MSE (UHPLC-HDMSE). Sixteen different microalgae biomasses were evaluated by both strategies. DI-ESI-TWIM-MS was able, via distinct drift times, to set apart different classes of metabolites, with the differences in the profiles of each microalga readily evident. With the UHPLC-HDMSE approach, 1251 different compounds were putatively annotated across 16 samples with 210 classified as lipids. From the normalized abundance for each annotated compound category, a detailed profiling in terms of metabolites, lipids, and lipid classes of each sample was performed. The reported workflow represents a powerful tool to determine the most suitable biotechnological applications for a given alga type and may allow for real-time monitoring of the algae composition distribution as a function of growth conditions, feedstocks, and the like. The determination of collision cross section results in improved confidence in the identification of triacylglycerols in samples, highly applicable to biofuels production. The two analysis strategies explored in this work offer powerful tools for the biomass industry by aiding in the identification of ideal strains and culture conditions for a specific application, saving analysis time and facilitating identification of a large number of constituents at once.


Asunto(s)
Biomasa , Espectrometría de Movilidad Iónica/métodos , Lípidos/análisis , Metaboloma , Microalgas/química , Espectrometría de Masa por Ionización de Electrospray/métodos , Cromatografía Líquida de Alta Presión , Lipidómica/métodos , Metabolómica/métodos
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