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1.
Rhinology ; 62(1): 55-62, 2024 Feb 01.
Artículo en Inglés | MEDLINE | ID: mdl-37772802

RESUMEN

BACKGROUND: Although the COVID-19 pandemic has increased the prevalence of cases with olfactory loss, other respiratory viruses can also cause this condition. We aimed to compare the prevalence of acute SARS-CoV-2 infection and other respiratory viruses in patients with sudden smell loss, and to assess the impact of SARS-CoV-2 viral load and co-infection on olfactory symptoms. METHODS: Patients with sudden smell loss were recruited in a multicenter prospective cohort study in 15 hospitals in Brazil. Clinical questionnaire, Connecticut Chemosensory Clinical Research Center (CCCRC) olfactory test and nasopharyngeal swab to perform a PCR-based respiratory viral panel were collected at first visit (day 0) and 30 and 60 days after recruitment. RESULTS: 188 of 213 patients presented positive test result for SARS-CoV-2, among which 65 were co-infected with other respiratory viruses (e.g., rhinovirus, enterovirus, and parainfluenza). 25 had negative test results for SARS-CoV-2. Patients in both SARSCoV-2 and non-SARS-CoV-2 groups had objective anosmia (less than 2 points according to the psychophysical olfactory CCCRC) at day 0, with no significant difference between them. Both groups had significant smell scores improvement after 30 and 60 days, with no difference between them. Co-infection with other respiratory viruses, and SARS-CoV-2 viral load did not impact olfactory scores. CONCLUSION: Patients with sudden smell loss associated with SARS-CoV-2 and other respiratory viruses had similar presentation, with most participants initiating with anosmia, and total or near total recovery after 60 days. SARS-CoV-2 viral load and co-infections with other respiratory viruses were not associated with poorer olfactory outcomes.


Asunto(s)
COVID-19 , Coinfección , Trastornos del Olfato , Humanos , SARS-CoV-2 , COVID-19/complicaciones , Anosmia/complicaciones , Anosmia/epidemiología , Estudios Prospectivos , Pandemias , Coinfección/complicaciones , Coinfección/epidemiología , Trastornos del Olfato/diagnóstico , Trastornos del Olfato/epidemiología , Trastornos del Olfato/etiología , Olfato
2.
Braz J Med Biol Res ; 55: e11819, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35766706

RESUMEN

Diabetes is associated with a worse prognosis and a high risk of morbidity and mortality in COVID-19 patients. We aimed to evaluate the main factors involved in the poor prognosis in diabetic patients. A total of 984 patients diagnosed with COVID-19 admitted to the hospital were included in this study. Patients were first divided into type-2 diabetic (DM+) and non-diabetic (DM-) groups. The participants were analyzed based on the National Early Warning Score (NEWS) and on the Quick-Sequential Organ Failure Assessment (qSOFA) to find the best prognostic risk score for our study. The DM+ and DM- groups were divided into non-severe and severe groups. Comparative and correlative analyses were used to identify the physiological parameters that could be employed for creating a potential risk indicator for DM+ COVID-19 patients. We found a poorer prognosis for the DM+ COVID-19 patients with a higher ICU admission rate, mechanical ventilation rate, vasopressor use, dialysis, and longer treatment times compared with the DM- group. DM+ COVID-19 patients had increased plasma glucose, lactate, age, urea, NEWS, and D-dimer levels, herein referred to as the GLAUND set, and worse prognosis and outcomes when compared with infected DM- patients. The NEWS score was a better indicator for assessing COVID-19 severity in diabetic patients than the q-SOFA score. In conclusion, diabetic COVID-19 patients should be assessed with the NEWS score and GLAUND set for determining their prognosis COVID-19 prognosis.


Asunto(s)
COVID-19 , Diabetes Mellitus Tipo 2 , Sepsis , COVID-19/complicaciones , Diabetes Mellitus Tipo 2/complicaciones , Mortalidad Hospitalaria , Humanos , Unidades de Cuidados Intensivos , Puntuaciones en la Disfunción de Órganos , Curva ROC , Estudios Retrospectivos , Sepsis/diagnóstico
4.
Braz. j. med. biol. res ; 55: e11819, 2022. graf
Artículo en Inglés | LILACS-Express | LILACS | ID: biblio-1384145

RESUMEN

Diabetes is associated with a worse prognosis and a high risk of morbidity and mortality in COVID-19 patients. We aimed to evaluate the main factors involved in the poor prognosis in diabetic patients. A total of 984 patients diagnosed with COVID-19 admitted to the hospital were included in this study. Patients were first divided into type-2 diabetic (DM+) and non-diabetic (DM-) groups. The participants were analyzed based on the National Early Warning Score (NEWS) and on the Quick-Sequential Organ Failure Assessment (qSOFA) to find the best prognostic risk score for our study. The DM+ and DM- groups were divided into non-severe and severe groups. Comparative and correlative analyses were used to identify the physiological parameters that could be employed for creating a potential risk indicator for DM+ COVID-19 patients. We found a poorer prognosis for the DM+ COVID-19 patients with a higher ICU admission rate, mechanical ventilation rate, vasopressor use, dialysis, and longer treatment times compared with the DM- group. DM+ COVID-19 patients had increased plasma glucose, lactate, age, urea, NEWS, and D-dimer levels, herein referred to as the GLAUND set, and worse prognosis and outcomes when compared with infected DM- patients. The NEWS score was a better indicator for assessing COVID-19 severity in diabetic patients than the q-SOFA score. In conclusion, diabetic COVID-19 patients should be assessed with the NEWS score and GLAUND set for determining their prognosis COVID-19 prognosis.

5.
Arq. bras. med. vet. zootec. (Online) ; 73(2): 477-486, Mar.-Apr. 2021. tab
Artículo en Inglés | LILACS, VETINDEX | ID: biblio-1248929

RESUMEN

The objective of this study was to evaluate different supplementation strategies concentrated to F1 Holstein x Zebu lactating cows managed in deferred signal grass pasture on the yield and composition of milk and body weight gain. Thirty six F1 Holstein x Zebu cows with an average lactation period of 267 ± 10 days, mean body weight of 548 ± 19kg were used following a completely randomized design in a 4 x 5 factorial scheme, being four feeding strategies and five days under evaluation. The treatments consisted of four nutritional strategies: deferred pasture as a source of roughage without supplementation (PDSS); deferred pasture as a source of roughage with protein supplement offer (PDCS); deferred pasture supplemented with 15 kilos of corn silage (natural base) + 1,200 grams of protein supplement (PDSP) and corn silage (ad libitum) + 700 grams of protein supplement (SMP). There was no interaction (P> 0.05) between the nutritional plans and days under evaluation for any of the variables. It was found that cows fed SMP showed milk production 26.06% higher than the other nutritional plans (mean of 11.46kg/day). F1 Holstein/Zebu cows handled in deferred pasture in a traditional way supplemented with protein maintains milk yield.(AU)


Objetivou-se avaliar diferentes planos nutricionais para vacas F1 Holandês/Zebu mantidas em pasto diferido de capim-braquiária sobre a produção e a composição do leite e no ganho em peso corporal. Foram utilizadas 36 vacas F1 Holandês/Zebu com período médio de lactação de 267 ± 10 dias, peso corporal médio de 548 ± 19kg, seguindo o delineamento inteiramente ao acaso, em esquema fatorial 4 x 5, sendo quatro estratégias de alimentação e cinco dias em avaliação. Os tratamentos consistiram de quatro planos nutricionais: pasto diferida como fonte de forragem sem suplementação (PDSS); pastagem diferida como fonte de forragem com oferta de suplemento de proteico (PDCS); pasto diferido suplementado com 15 quilos de silagem de milho (base natural) + 1.200 gramas de suplemento proteico (PDSP) e silagem de milho (ad libitum) + 700 gramas de suplemento de proteína (SMP). Verificou-se que as vacas alimentadas com SMP apresentaram produção de leite 26,06% superior aos demais planos nutricionais (média de 11,46kg/dia). Vacas F1 Holandês/Zebu tratadas em pastagem diferida de maneira tradicional, suplementada com proteína, mantêm o rendimento de leite.(AU)


Asunto(s)
Animales , Femenino , Bovinos , Proteínas en la Dieta/administración & dosificación , Brachiaria , Leche/química , Alimentación Animal/análisis , Pastizales/análisis
7.
Lymphology ; 53(1): 29-37, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32521128

RESUMEN

One of the main obstacles to studying the pathophysiology of lymphedema development is the lack of appropriate experimental models. Fol-lowing up on a mouse-tail method that has been described, we performed changes to the method which made it easier to perform in our hands and demonstrated similar results. Twenty C57Black mice were operated on using the previous tech-nique and euthanized after 3 or 6 weeks. Another twenty mice were submitted to the new technique developed in our laboratory and euthanized at the same time points. Tissue samples were collected from the proximal part of the tail (control) and from the distal part (lymphedema) for both mod-els. Animals in both operative groups developed marked edema in the distal part of the tail. This was characterized by lymph vessels dilation, edema, inflammatory cell infiltration, and adipose tissue deposition. Lymphedema was detected after 3 weeks in both models, reaching its maximum after 6 weeks. Adipocytes detected by histology (Oil red O staining) and molecular markers for adipogenesis, lymphangiogenesis and inflam-mation (lipin 1 and 2, SLP76, and F4-80) were demonstrated to be increased equally in both models. In conclusion, both models provide a reliable method to study lymphedema pathophys-iology. However, our modified technique is easier and faster to perform while still providing reliable and consistent results.


Asunto(s)
Adipogénesis , Modelos Animales de Enfermedad , Inflamación/patología , Linfangiogénesis , Vasos Linfáticos/patología , Cola (estructura animal)/patología , Animales , Inflamación/cirugía , Ratones , Ratones Endogámicos C57BL , Cola (estructura animal)/cirugía
8.
J Clin Pharm Ther ; 42(4): 414-424, 2017 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-28556392

RESUMEN

WHAT IS KNOWN AND OBJECTIVES: Most antineoplastic drugs are highly toxic and have low therapeutic indexes, which can result in drug-related problems. In this context, pharmacist interventions may play an important role in the success of the treatment. The objective of this study was to examine the effects of pharmacist interventions on adult outpatients with cancer using antineoplastic drugs. METHODS: A literature search was performed using PubMed, ISI Web of Science and LILACS databases from January 1990 to April 2016, using MeSH terms or text words related to pharmacist interventions, cancer and outpatient care. Studies published in English, Portuguese or Spanish on the effects of pharmacist interventions in outcome measures in adult outpatients with cancer were included. Two independent authors performed study selection and data extraction with a consensus process. The articles were analysed according to previously established criteria, such as country, study design, setting, population, type of cancer, description of the intervention and control groups, outcomes, main conclusions and study limitations. RESULTS AND DISCUSSION: A total of 874 records were identified, of which 11 satisfied the inclusion criteria. The studies were conducted mainly in the United States and included patients aged >50 years. Most studies had a before-after design. Pharmacist interventions primarily included educating and counselling patients on the management of adverse events. Rates of nausea and vomiting control, medication adherence and patient satisfaction were the most common outcome measures; a significant benefit in these parameters as a result of pharmacist interventions was noted in most studies. WHAT IS NEW AND CONCLUSION: The findings from this systematic review indicate that pharmacist interventions can improve outcome measures in outpatients with cancer. However, the collective quality of the studies was poor and gaps identified indicate that further research is needed to provide more robust results.


Asunto(s)
Antineoplásicos/administración & dosificación , Neoplasias/tratamiento farmacológico , Farmacéuticos/organización & administración , Adulto , Atención Ambulatoria/organización & administración , Humanos , Cumplimiento de la Medicación , Evaluación de Resultado en la Atención de Salud , Pacientes Ambulatorios , Satisfacción del Paciente , Rol Profesional
9.
J Clin Pharm Ther ; 41(2): 189-97, 2016 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-27009796

RESUMEN

WHAT IS KNOWN AND OBJECTIVE: Given the increasing healthcare costs and the recent introduction of novel agents in the treatment for multiple myeloma (MM), an incurable haematologic malignancy, more efficient use of existing resources is fundamental. The objective of this study was to systematically review economic evaluations of the use of novel agents in MM and assess their reporting quality. METHODS: A literature search was performed in PubMed/Medline, Latin American and Caribbean Health Sciences Literature, Cost-Effectiveness Analysis Registry and the National Health Services Economic Evaluation Database for economic evaluations up to June 2015. The search strategy included Medical Subject Headings terms or text words related to MM, economic evaluations and drugs. Full economic evaluations of bortezomib, thalidomide or lenalidomide in patients with MM that were published in English, Portuguese or Spanish were included. Two independent authors performed study selection, data extraction and quality assessment using 24 items from the Consolidated Health Economic Evaluation Reporting Standards (CHEERS) statement. RESULTS AND DISCUSSION: Of the 132 potentially relevant records identified, eight satisfied the inclusion criteria. Most studies were cost-effectiveness analyses combined with cost-utility analyses (n = 6) from the public payer perspective (n = 4) and were performed in Europe (n = 6) on patients with refractory or relapsed MM (n = 5). All studies were based on economic models, with four of them using discrete event simulation. We found bortezomib-based therapies to be one of the more commonly selected treatment strategies for comparison (n = 7). Overall, the intervention was more effective and costlier than the alternative strategy (average of $54 630 per life year; $68 261 per quality-adjusted life year-QALY). The CHEERS' total score was 14·6 (SD = 2·6) with the most frequent problems being the lack of precision measures for all model parameters, no evaluation of heterogeneity of the results by subgroup analyses and no description of the role the funder in the identification, design, conduct and reporting of the analysis. WHAT IS NEW AND CONCLUSION: Most analyses of the novel therapeutic agents determined that they were cost-effective in MM at a threshold of up to $100 000/QALY. Nevertheless, the poor reporting quality of the economic studies requires improvement to ensure greater transparency.


Asunto(s)
Antineoplásicos/economía , Antineoplásicos/uso terapéutico , Mieloma Múltiple/tratamiento farmacológico , Mieloma Múltiple/economía , Análisis Costo-Beneficio/economía , Europa (Continente) , Costos de la Atención en Salud , Humanos , Modelos Económicos , Años de Vida Ajustados por Calidad de Vida
10.
Tumour Biol ; 37(5): 6035-44, 2016 May.
Artículo en Inglés | MEDLINE | ID: mdl-26602383

RESUMEN

Breast cancer is a prevalent neoplastic disease among women worldwide which treatments still present several side effects and resistance. Considering that cancer cells present derangements in their energetic homeostasis, and that peroxisome proliferator-activated receptor- gamma coactivator 1 (PGC-1) is crucial for cellular metabolism and redox signaling, the main objective of this study was to investigate whether there is a relationship between PGC-1 expression, the proliferation of breast cancer cells and the mechanisms involved. We initially assessed PGC-1ß expression in complementary DNA (cDNA) from breast tumor of patients bearing luminal A, luminal B, and HER2-overexpressed and triple negative tumors. Our data showed that PGC-1ß expression is increased in patients bearing HER2-overexpressing tumors as compared to others subtypes. Using quantitative PCR and immunoblotting, we showed that breast cancer cells with HER2-amplification (SKBR-3) have greater expression of PGC-1ß as compared to a non-tumorous breast cell (MCF-10A) and higher proliferation rate. PGC-1ß expression was knocked down with short interfering RNA in HER2-overexpressing cells, and cells decreased proliferation. In these PGC-1ß-inhibited cells, we found increased citrate synthase activity and no marked changes in mitochondrial respiration. Glycolytic pathway was decreased, characterized by lower intracellular lactate levels. In addition, after PGC-1ß knockdown, SKBR-3 cells showed increased reactive oxygen species production, no changes in antioxidant activity, and decreased expression of ERRα, a modulator of metabolism. In conclusion, we show an association of HER2-overexpression and PGC-1ß. PGC-1ß knockdown impairs HER2-overexpressing cells proliferation acting on ERRα signaling, metabolism, and redox balance.


Asunto(s)
Neoplasias de la Mama/genética , Neoplasias de la Mama/metabolismo , Proteínas Portadoras/metabolismo , Regulación Neoplásica de la Expresión Génica , Genes erbB-2 , Redes y Vías Metabólicas , Oxidación-Reducción , Anciano , Neoplasias de la Mama/patología , Línea Celular Tumoral , Proliferación Celular , Supervivencia Celular/genética , Femenino , Técnicas de Silenciamiento del Gen , Silenciador del Gen , Humanos , Persona de Mediana Edad , Clasificación del Tumor , Estadificación de Neoplasias , ARN Interferente Pequeño/genética , Proteínas de Unión al ARN , Especies Reactivas de Oxígeno , Receptores de Estrógenos/genética , Receptores de Estrógenos/metabolismo , Neoplasias de la Mama Triple Negativas/genética , Neoplasias de la Mama Triple Negativas/metabolismo , Neoplasias de la Mama Triple Negativas/patología , Carga Tumoral , Receptor Relacionado con Estrógeno ERRalfa
11.
Mol Neurobiol ; 53(10): 6635-6643, 2016 12.
Artículo en Inglés | MEDLINE | ID: mdl-26637327

RESUMEN

The cholinergic anti-inflammatory pathway controls the inflammatory response and nonreflexive consciousness through bidirectional communication between the brain and immune system. Moreover, brain acetylcholinesterase activity may have a role in regulating the vagus nerve in this pathway. Thus, we analyzed the role of acetylcholine (ACh) in the inflammatory response 15 days after induction of sepsis by cecal ligation and puncture (CLP). Balb/c mice were pretreated with or without donepezil (5 mg/kg/day, orally) 7 days before CLP, and mice homozygous for vesicular ACh transporter (VAChT) knockdown (KD) were subjected to CLP. All animals were sacrificed 15 days after CLP, and the plasma, spleen, and hippocampus were collected. Characterization of splenic lymphocytes and cytokine levels in the plasma, spleen, and hippocampus was determined. Our results showed a splenomegaly in group CLP. The numbers of cytotoxic T cells, helper T cells, regulatory T cells, B cells, and Th17 cells differed between mice subjected to CLP and to sham operation in both untreated and donepezil-treated groups. In VAChT-KD mice, CLP resulted in decreased cytotoxic and helper T cells and increased in Th17 cells compared with the sham. Additionally, in VAChT-KD mice, the levels of pro-inflammatory cytokines, such as IL-1ß, IL-6, and TNF-α, were increased following CLP. Thus, we concluded that ACh affected the inflammatory response at 15 days after CLP since stimulation of cholinergic transmission increased the proliferation of lymphocytes, including regulatory T cells, in association with a lower inflammatory profile and VAChT-KD decreased the number of lymphocytes and increased inflammation.


Asunto(s)
Acetilcolina/farmacología , Ciego/patología , Inflamación/complicaciones , Inflamación/patología , Punciones , Sepsis/complicaciones , Sepsis/patología , Animales , Citocinas/sangre , Citocinas/metabolismo , Hipocampo/metabolismo , Ligadura , Linfocitos/patología , Masculino , Ratones Endogámicos BALB C , Tamaño de los Órganos , Bazo/patología , Análisis de Supervivencia
12.
Mol Neurobiol ; 53(5): 3389-3399, 2016 07.
Artículo en Inglés | MEDLINE | ID: mdl-26081155

RESUMEN

Septic encephalopathy represents the most frequently observed form of encephalopathy in intensive care units. Interactions between the immune and nervous systems have been observed in experimental sepsis. Therefore, the aim of the current study was to characterize the effect of different severities of sepsis on encephalopathy and the inflammatory profile of the spleen. We hypothesized that different grades of sepsis severity would lead to variations in encephalopathy and activation of spleen cells. We induced sepsis of different severities in Balb/c mice by cecal ligature and puncture (CLP). Six and 12 h after CLP induction, behavioral impairment was assessed by the SmithKline/Harwell/Imperial College/Royal Hospital/Phenotype Assessment (SHIRPA) test. The animals were then killed, and the plasma, spleen, and hippocampus were removed. Levels of the encephalopathy marker S100ß were measured in plasma. Spleens were weighed and then a characterization of splenic lymphocytes was performed by flow cytometry (cytotoxic T lymphocyte, T helper lymphocytes, B lymphocytes, T regulatory cells, and Th17 cells). Cytokine levels in the spleen and hippocampus were determined by enzyme-linked immunosorbent assay (ELISA), and cytokine levels in plasma were performed with MilliPlex® technology. Our results showed that behavioral impairment as measured by the SHIRPA test and elevation in plasma S100ß levels were significant in moderate and severe CLP groups compared to those in the sham control group. Regarding immunological alterations, we were unable to observe changes in the weights of the spleen and the profile of lymphocytes 6 h after CLP. However, several cytokines, including IL-6, IL-10, and IL-1ß, were increased in spleen and plasma. In conclusion, we observed variations in encephalopathy as measured by plasma S100ß, which were mediated by the severity of sepsis; however, we did not observe a different activation of spleen cells 6 h post-CLP, despite evidence of inflammation. Taken together, our data indicate that the severity of sepsis impacts the brain in absence of a change in the spleen lymphocyte profile.


Asunto(s)
Encefalopatías/patología , Ciego/patología , Linfocitos/patología , Punciones , Sepsis/etiología , Bazo/patología , Animales , Conducta Animal , Encefalopatías/sangre , Citocinas/metabolismo , Hipocampo/patología , Ligadura , Masculino , Ratones Endogámicos BALB C , Tamaño de los Órganos , Subunidad beta de la Proteína de Unión al Calcio S100/sangre , Sepsis/sangre , Índice de Severidad de la Enfermedad , Análisis de Supervivencia
13.
Rev. bras. plantas med ; 18(1,supl.1): 240-247, 2016. tab, graf
Artículo en Portugués | LILACS | ID: lil-782989

RESUMEN

RESUMO O uso de espécies vegetais para curar doenças e sintomas remonta ao início da civilização. Em várias culturas produtos botânicos eram empregados para essa finalidade. No Brasil, sob influência das interações culturais entre índios, negros e portugueses, essa relação homem-natureza permitiu a disseminação da sabedoria herdada em relação ao uso e cultivo de diversas espécies vegetais. O presente trabalho objetivou realizar um levantamento das plantas medicinais indicadas pelos índios da etnia Kantaruré, aldeia Baixa das Pedras com ação antiparasitária. Para a coleta de dados foram realizadas entrevistas semiestruturadas com quatorze pessoas, pertencentes a uma população de 150 indígenas, selecionadas pela técnica da bola de neve, reconhecidas pela comunidade como maiores detentores do conhecimento sobre a realidade local e sobre plantas. Os resultados indicam que doze espécies são utilizadas na medicina tradicional local com ação antiparasitária, podendo destacar a caçatinga (Croton argyrophylloides Muell. Arg.), mastruz (Chenopodium ambrosioides L.), hortelã miúdo (Mentha piperita L.) e babosa (Aloe vera (L.) Burm f.) como as mais indicadas. As plantas citadas pertencem à vegetação nativa, sendo que as espécies cultivadas são encontradas principalmente nos quintais, nas proximidades das residências e em locais de cultivo próprio. Os dados levantados nesta pesquisa evidenciam a importância terapêutica, cultural e histórica do uso de espécies botânicas na prevenção e cura de enfermidades. A aldeia estudada depende diretamente dos recursos vegetais para as suas práticas de cura. Os resultados dessa pesquisa podem servir como base para bioprospecção bem como para seleção de espécies da caatinga para estudos futuros visando o seu uso e manejo sustentável.


ABSTRACT The use of plant species to cure diseases and symptoms dates back to the dawn of civilization. In various cultures, botanical products were employed for this purpose. In Brazil, influenced by cultural interactions between native indians, Africans, and the Portuguese, this man-nature relationship allowed the spread of inherited knowledge regarding the use and cultivation of various species of plants. The purpose of this study was to carry out a survey of medicinal plants with antiparasitic action indicated by the Kantaruré indians from the Baixa das Pedras village. For data collection, semi-structured interviews were conducted with 14 people belonging to an indigenous population of 150, selected by the snowball technique, recognized by the community as the most knowledgeable on the local situation and plants. The results indicate that 12 species with antiparasitic action are used in traditional local medicine, with emphasis on the caçatinga (Croton argyrophylloides Muell. Arg.), mastruz (Chenopodium ambrosioides L.), peppermint (Mentha piperita L.), and babosa (Aloe vera (L.) Burm f.) as the most suitable. These plants belong to the native vegetation, and the cultivated species are found mainly in backyards, near homes, and on cultivation sites. The data from this study demonstrate the therapeutic, cultural, and historical importance of the use of botanical species to prevent and cure diseases. The village studied depends directly on plant resources for their healing practices. The results of this study can serve as a basis for bioprospecting as well as for the selection of caatinga species in future studies toward its use and sustainable management.


Asunto(s)
Humanos , Plantas Medicinales/clasificación , Antiparasitarios/análisis , Etnobotánica/métodos , Medicina Tradicional
15.
Caries Res ; 48(4): 299-305, 2014.
Artículo en Inglés | MEDLINE | ID: mdl-24526110

RESUMEN

This study analyzed the effects of fluoride varnishes supplemented with sodium trimetaphosphate (TMP) on the remineralization of caries-like lesions in vitro. Bovine enamel discs were selected through surface hardness (SH) and caries-like lesions were induced. SH was again determined and the blocks were divided into 7 experimental groups (n = 24/group): placebo (no fluoride or TMP), 5% TMP, 2.5% NaF, 2.5% NaF/5% TMP, 5% NaF, 5% NaF/5% TMP and commercial formulation (Duraphat™, 5% NaF), following a blind protocol. Discs were treated with the varnishes and kept in a remineralizing solution for 4 h and a demineralizing solution for 2 h. Varnishes were then removed and half of the discs were used for analysis of loosely (CaF2) and firmly bound fluoride. The remaining discs were submitted to a pH-cycling regimen for 6 days. The percentage of surface hardness recovery (%SHR), cross-sectional hardness (ΔKHN) and enamel CaF2 and fluoride were determined. Data were analyzed by ANOVA and by Student-Newman-Keuls' test (p < 0.05). A dose-response relationship was observed between fluoride concentrations in the varnishes and %SHR. The 5% TMP varnish led to %SHR similar to that obtained for the placebo. When TMP was used in association with fluoride, however, significantly higher %SHR were observed in comparison with their counterparts without TMP. Moreover, ΔKHN obtained for the 5% NaF/5% TMP was significantly lower among all groups tested. Higher concentrations of CaF2 and fluoride were observed for Duraphat and 5% NaF, followed by 5% NaF/5% TMP, 2.5% NaF and 2.5% NaF/5% TMP (p < 0.05). It was concluded that the supplementation of fluoride varnishes with TMP leads to enhanced remineralizing effect of artificial caries lesions in vitro.


Asunto(s)
Cariostáticos/farmacología , Fluoruros Tópicos/farmacología , Polifosfatos/farmacología , Remineralización Dental/métodos , Anatomía Transversal , Animales , Biopsia , Fluoruro de Calcio/análisis , Bovinos , Esmalte Dental/química , Esmalte Dental/efectos de los fármacos , Relación Dosis-Respuesta a Droga , Sinergismo Farmacológico , Fluoruros Tópicos/uso terapéutico , Dureza , Concentración de Iones de Hidrógeno , Placebos , Fluoruro de Sodio/uso terapéutico , Factores de Tiempo , Desmineralización Dental/fisiopatología
16.
Toxicol In Vitro ; 23(1): 111-9, 2009 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-19059332

RESUMEN

Pothomorphe umbellata, a native Brazilian plant, is popularly known to be effective in the treatment of skin lesions. This benefit is attributed to 4-nerolidylcatechol (4-NC), a compound extracted from P. umbellata. Since melanomas show prominent resistance to apoptosis and exhibit extreme chemoresistance to multiple forms of therapy, novel compounds addressing induction of cell death are worth investigating. Here, we evaluated effects on cell cycle progression and possible cytotoxic activity of 4-NC in melanoma cell lines as well as human dermal fibroblasts. Inhibitory effects on cell invasion and MMP activity were also investigated. 4-NC showed cytotoxic activity for all melanoma cell lines tested (IC50=20-40 microM, 24h for tumoral cell lines; IC50=50 microM for fibroblast cell line) associated with its capacity to induce apoptosis. Furthermore, this is the first time that 4-NC is described as an inhibitor of cell invasiveness, due mainly to a G1 cell cycle arrest and inhibition of MMP-2 activity in melanoma cell lines.


Asunto(s)
Antineoplásicos/farmacología , Apoptosis/efectos de los fármacos , Catecoles/farmacología , Melanoma/tratamiento farmacológico , Piperaceae/química , Neoplasias Cutáneas/tratamiento farmacológico , Ciclo Celular/efectos de los fármacos , Línea Celular Tumoral , Supervivencia Celular/efectos de los fármacos , Relación Dosis-Respuesta a Droga , Ensayos de Selección de Medicamentos Antitumorales , Fibroblastos/efectos de los fármacos , Fibroblastos/patología , Humanos , Metaloproteinasa 2 de la Matriz/metabolismo , Inhibidores de la Metaloproteinasa de la Matriz , Melanoma/secundario , Invasividad Neoplásica/patología , Invasividad Neoplásica/prevención & control , Extractos Vegetales/química , Extractos Vegetales/farmacología , Neoplasias Cutáneas/patología
17.
Arq. bras. med. vet. zootec ; 60(6): 1531-1537, dez. 2008. graf, tab
Artículo en Portugués | LILACS | ID: lil-506568

RESUMEN

Acompanhou-se o desenvolvimento dos processos da salga em salmoura saturada (salga úmida) e salga seca de filés de tilápia-do-nilo (Oreochromis niloticus) e avaliaram-se algumas características indicativas de qualidade do produto durante a estocagem. Os processos foram acompanhados por 156 horas na salga úmida e por 96 horas na salga seca, e os filés salgados foram estocados, respectivamente, por 60 e 45 dias à temperatura ambiente. Os teores máximos de cloreto nos filés (14 por cento) foram atingidos com 72 horas na salga úmida e com 36 horas na salga seca. Os filés de tilápia salgados em salmoura mantiveram as características próprias do produto por um período de 45 dias, e os submetidos à salga seca apresentaram baixo teor de umidade (6 por cento) e alta concentração de extrato etéreo (4,6 por cento). Recomenda-se somente o processo de salga em salmoura saturada como forma de conservação dos filés de tilápia-do-nilo.


The processes of salting of Nile tilapia fillets (Oreochromis niloticus) submitted to saturated brine and dry salting were observed, and some characteristics that indicate the quality of the product during the storage were evaluated. The brine saturated process was followed up to 156 hours and the dry salting was followed up to 96 hours. When the salting finished, fillets were stored for 45 (dry salting) and 60 days (saturated brine), respectively. The highest values for chloride in fillets (14 percent) were reached within 72 hours in brine salting and 36 hours in dry salting. The tilapia fillets salted in brine kept the proper characteristics of the product for a period of 45 days and the fillets submitted to dry salting showed low moisture ratios (6 percent) and a high concentration of lipids (4.6 percent). Thereby, it is only recommended the salting process in saturated brine to be used as a mean of conservation for Nile tilapia fillets.


Asunto(s)
Animales , Cíclidos , Cloruros , Conservación de Alimentos/métodos , Contaminación de Alimentos/análisis , Calidad de los Alimentos
18.
Toxicol In Vitro ; 16(6): 741-7, 2002 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-12423658

RESUMEN

The fatty acids have an important role in the control of leukocyte metabolism and function. Higher concentrations of certain fatty acids, particularly polyunsaturated fatty acids (PUFAs) and volatile fatty acids, can cause cell death via apoptosis or, when concentrations are greater, necrosis. In this study, we determined the highest concentrations of various fatty acids that are non-toxic to two human leukemic cell lines, Jurkat (T-lymphocyte) and Raji (B-lymphocyte). Toxicity was evaluated by either loss of membrane integrity and/or DNA fragmentation using flow cytometric analysis. There were no remarkable differences for the toxicity of the fatty acids between B and T cell lines. The cytotoxicity of the fatty acids was related to the carbon chain length and number of double bonds: docosahexaenoic acid=eicosapentaenoic acid=arachidonic acid=gamma-linolenic acid=stearic acid=palmitic acid > linoleic acid=palmitoleic acid > vacenic acid=lauric acid > oleic acid > elaidic acid > capric acid > butyric acid > caprylic acid=caproic acid=propionic acid. The proportion of cells undergoing apoptosis or necrosis, induced by the fatty acids tested, remains to be investigated.


Asunto(s)
Daño del ADN , Ácidos Grasos Insaturados/toxicidad , Ácidos Grasos Volátiles/toxicidad , Apoptosis , Citometría de Flujo , Humanos , Células Jurkat , Leucemia/patología , Necrosis , Valores de Referencia , Células Tumorales Cultivadas
19.
Rev Inst Med Trop Sao Paulo ; 43(5): 257-61, 2001.
Artículo en Inglés | MEDLINE | ID: mdl-11696847

RESUMEN

In order to study B. henselae transmission among cats, five young cats were kept in confinement for two years, one of them being inoculated by SC route with B. henselae (10(5) UFC). Only occasional contact among cats occurred but the presence of fleas was observed in all animals throughout the period. Blood culture for isolation of bacteria, PCR-HSP and FTSZ (gender specific), and BH-PCR (species-specific), as well as indirect immunofluorescence method for anti-B. henselae antibodies were performed to confirm the infection of the inoculated cat as well as the other naive cats. Considering the inoculated animal, B. henselae was first isolated by blood culture two months after inoculation, bacteremia last for four months, the specific antibodies being detected by IFI during the entire period. All contacting animals presented with bacteremia 6 months after experimental inoculation but IFI did not detect seroconversion in these animals. All the isolates from these cats were characterized as Bartonella (HSP and FTSZ-PCR), henselae (BH-PCR). However, DNA of B. henselae could not be amplified directly from peripheral blood by the PCR protocols used. Isolation of bacteria by blood culture was the most efficient method to diagnose infection compared to PCR or IFI. The role of fleas in the epidemiology of B. henselae infection in cats is discussed.


Asunto(s)
Anticuerpos Antibacterianos/análisis , Infecciones por Bartonella/veterinaria , Bartonella henselae/inmunología , Enfermedades de los Gatos/transmisión , Transmisión de Enfermedad Infecciosa/veterinaria , Animales , Infecciones por Bartonella/diagnóstico , Infecciones por Bartonella/transmisión , Enfermedades de los Gatos/diagnóstico , Gatos , ADN Bacteriano/análisis , Técnica del Anticuerpo Fluorescente Indirecta/veterinaria , Reacción en Cadena de la Polimerasa , Sensibilidad y Especificidad
20.
J Pediatr (Rio J) ; 77(1): 45-8, 2001.
Artículo en Portugués | MEDLINE | ID: mdl-14647619

RESUMEN

OBJECTIVE: Childhood thyroid carcinoma is a rare entity whose management is controversial. The objective of the present study was to evaluate the characteristics of these patients in terms of diagnosis and evolution. PATIENT AND METHODS: The evolution of six patients with thyroid cancer, followed at a Pediatric Endocrinology Unit during the past 17 years, was retrospectively reviewed. RESULTS: Six female patients with age ranging from 4.5 to 12 years were studied. In all 6 cases, thyroid nodules were present on the initial evaluation. Ultrasonography and 131I scintigraphy showed solid and cold nodules in four patients. Histologic findings indicated four papillary and two follicular carcinomas. All patients were submitted to total thyroidectomy; four were subsequently submitted to radiodine therapy due to the presence metastases and/or residual thyroid tissue. CONCLUSION: Our findings support the notion that children and adolescents with thyroid carcinoma have a positive prognosis; no cases of death occurred after 17 years of follow-up. Our data are in agreement with the literature, which describes low mortality rates for these cases.

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