Effects of HAART in the nutritional status of children and adolescents infected by HIV in Brazil: a systematic review.

The verification of factors associated with growth, body composition and nutritional and nutritional aspects after HIV infection in children or adolescents in Brazil is fundamental for progress in this area. We selected articles published until 2018, available on the platforms PubMed and Lilacs, using the keywords The following descriptors and their associations were used, extracted from MeSH: "Children", "Adolescent", "Anthropometry", "Nutritional Assessment", "HIV", "Brazil" adding the filter "and" for advanced searches. A total of 1,450 articles were found, and after selection and full reading, 19 were selected. The studies agreed that children and adolescents living with HIV present or may present alterations in bone metabolism, lipid metabolism and body composition due to infection or associated with therapy. Significant differences were observed in weight and height in infected infants compared to uninfected infants. The evaluation and monitoring of diet quality, as well as serum micronutrient monitoring, are fundamental to guarantee the clinical and treatment conditions of these patients, as well as to prevent disorders due to low nutrient intakes.

Effects of HAART in the nutritional status of children and adolescents infected by HIV in Brazil: a systematic review / Efeitos da HAART no estado nutricional de crianças e adolescentes infectados pelo HIV no Brasil: uma revisão sistemática

Abstract The verification of factors associated with growth, body composition and nutritional and nutritional aspects after HIV infection in children or adolescents in Brazil is fundamental for progress in this area. We selected articles published until 2018, available on the platforms PubMed and Lilacs, using the keywords The following descriptors and their associations were used, extracted from MeSH: "Children", "Adolescent", "Anthropometry", "Nutritional Assessment", "HIV", "Brazil" adding the filter "and" for advanced searches. A total of 1,450 articles were found, and after selection and full reading, 19 were selected. The studies agreed that children and adolescents living with HIV present or may present alterations in bone metabolism, lipid metabolism and body composition due to infection or associated with therapy. Significant differences were observed in weight and height in infected infants compared to uninfected infants. The evaluation and monitoring of diet quality, as well as serum micronutrient monitoring, are fundamental to guarantee the clinical and treatment conditions of these patients, as well as to prevent disorders due to low nutrient intakes.

Resumo A verificação de fatores associados ao crescimento, composição corporal e aspectos alimentares e nutricionais, após a infecção pelo HIV em crianças ou adolescentes no Brasil é fundamental para avanços nesta área. Foram selecionados artigos publicados até 2018, disponibilizados nas plataformas PubMed e Lilacs, extraídas do MeSH: "Children", "Adolescent", "Anthropometry", "Nutritional Assessment", "HIV", "Brazil" adicionadas do filtro "and" para as pesquisas. Foram encontrados 1.450 artigos e após seleção e leitura integral foram selecionados 19. Os estudos concordaram que crianças e adolescentes vivendo com HIV apresentam ou podem apresentar alterações no metabolismo ósseo, de lipídeos e na composição corporal devido à infecção ou associadas à terapia. Observou-se diferença significativa do peso e estatura em crianças infectadas em relação às não infectadas. Percebe-se que a avaliação e o monitoramento da qualidade da dieta, bem como o acompanhamento sérico de micronutrientes, são fundamentais para garantir as condições clínicas e de tratamento destes pacientes, bem como para prevenir desordens por baixo consumo de nutrientes.

Historic and teaching aspects of anatomy and Cebus genus role in Ccntemporary anatomy / Aspectos históricos y de enseñanza de la anatomía y el papel del género Cebus en la anatomía moderna

Anatomy is the science that studies the body and a basic discipline in health and biological sciences indispensable to students that study this area, and plays a important role in the comparison of species. Nowadays anatomy is falling into academic and scientific crisis. Recently, the number of papers and reviews on health science education have increased considerably. Pre-clinical disciplines are essential for all health and biological science courses; among them anatomy is considered to be the basis of morphological sciences. For that reason, throughout history, this discipline has been viewed as a factual knowledge base that must be learned in its entirety. History of anatomy demonstrated that teaching in this area is facilitated by the use of dissection of both animal and human disciplines. In absence of human cadavers, it is possible to use animals for dissection for the benefits of students. The aim of this paper is to serve as a reminder to understand that anatomy is the basis of current health science and to realize what is important in the teaching of anatomy. It is also important to learn anatomy since researchers sometimes draw wrong conclusion because of lack of anatomical knowledge.

La anatomía es la ciencia que estudia el cuerpo y una disciplina básica en ciencias de la salud y biológicas, indispensables para los estudiantes que tratan esta materia, teniendo además, un importante papel en la comparación de las especies. Actualmente, la anatomía está en una crisis académica y científica. Por otra parte, recientemente, el número de artículos y revisiones en la educación en ciencias de la salud han aumentado considerablemente. Las disciplinas pre-clínicas son esenciales para todos los cursos de salud y ciencias biológicas, entre ellas, la anatomía es considerada como la base de las ciencias morfológicas. Por esa razón, a lo largo de la historia, la anatomía ha sido considerada como una base de conocimiento de los hechos que deben ser aprendidas en su totalidad. La historia de la anatomía ha demostrado que la enseñanza en esta área se ve facilitada por el uso de la disección de animales. En ausencia de cadáveres humanos, es posible utilizar los animales para la disección, generando así beneficios para los estudiantes. El objetivo de este trabajo fue recordar el pasado para entender que la anatomía es la base de la ciencia de la salud actual y darse cuenta de la importancia de la enseñanza de esta disciplina. Finalmente, es importante recordar que los investigadores algunas veces han llegado a conclusiones erróneas debido a la falta de conocimiento sobre temas anatómicos.

Teaching embryology using models construction in practical classes / La enseñanza de embriología usando la construcción de modelos en las clases prácticas

Recently, the curriculum and the educational methodologies associated with health sciences courses are being reviewed and adapted. Pre-clinical sciences, such as anatomy and embryology are as well subjected to those changes. In human embryology courses it is common to use models to represent the different phases of development to facilitate learning, since the students can see and touch the models, obtaining knowledge by analogies. The purpose of the present study was to investigate if the construction of models by the students during practical embryology classes would improve or facilitate their learning. One year after the classes, 60 students answered a questionnaire with nine objective questions, including spaces for suggestions and observations. The student's responses suggested that the construction of models contributed to their learning.

Recientemente, el plan de estudios y las metodologías educativas asociadas a los cursos de ciencias de la salud están siendo revisados y adaptados. Ciencias pre-clínicas tales como la Anatomía y la Embriología son también sometidas a cambios. En los cursos de Embriología Humana, es común el uso de modelos para representar las diferentes fases del desarrollo, y así facilitar el aprendizaje, ya que los estudiantes pueden ver y tocar los modelos, así se realiza la obtención de conocimientos por medio de analogías. El propósito del presente estudio fue investigar si la construcción de modelos por parte de los estudiantes, durante las clases prácticas de Embriología, mejora o facilita su aprendizaje. Después de un año, 60 estudiantes respondieron a un cuestionario con nueve preguntas objetivas, incluidos los espacios para sugerencias y observaciones. De acuerdo con las respuestas de los estudiantes, la construcción de modelos han contribuido a su aprendizaje.

Development and validation of the analytical method by high performance liquid chromatography (HPLC) for Lamotrigine raw material / Desenvolvimento e validação do método analítico por cromatografia líquida de alta eficiência (CLAE) para a matéria prima Lamotrigina

Currently when all roads lead to the pursuit of total quality in production of drugs, it is essential to fully understand each phase of a production process. In this case, validation is the appropriate tool to ensure reliability of a production process involving new equipment and the analytical methodology, either in the pharmaceutical, food, computer, microelectronics area or any other area where the quality of the manufactured product is one of the main reasons for the existence of a given company. This study aimed to analyze the main aspects of the validation of analytical methods for Lamotrigine, new drug for bipolar disorder with wide use today. In conclusion, the proposed analytical method for determination of the lamotrigine content in raw materials is adequate, effective and capable of reproducing reliable results during analysis. This method is fast (running time of 10 minutes), selective, accurate, precise and robust for the determination of the drug, with no observed interfering substances in the optimum wavelength. It could be concluded that this may be a routine method for quality control laboratories to certify the quality of Lamotrigine.

Atualmente quando todos os caminhos levam à busca da qualidade total na produção de medicamentos, torna -se indispensável conhecer perfeitamente cada fase de um processo produtivo. Neste caso, a validação é a ferramenta adequada para garantir a confiabilidade de instalação de um processo produtivo, de equipamento novo e, inclusive, da metodologia analítica, seja do setor farmacêutico, alimentício, informática microeletrônico ou qualquer outra área onde a qualidade do produto fabricado é uma das principais razões da existência da empresa. O presente trabalho teve por objetivo analisar os principais aspectos da validação de métodos analíticos para Lamotrigina, fármaco novo para transtorno bipolar com amplo uso atualmente. Em conclusão, o método analítico proposto para determinação do teor de Lamotrigina em matéria-prima é adequado, eficaz e capaz de reproduzir resultados confiáveis durante as análises. É um método rápido (tempo de corrida de apenas 10 minutos), seletivo, exato, preciso e robusto para a determinação do fármaco, não sendo observada interferência de outras substâncias no melhor comprimento de onda. Concluímos então que este pode ser um método de rotina para laboratórios de controle de qualidade para atestarem a qualidade da Lamotrigina utilizada.

Validation of a spectrophotometric method to determine ciprofibrate content in tablets / A validação de um método espectrofotométrico para determinar o conteúdo de ciprofibrato em comprimidos

Ciprofibrate is a drug indicated in cases of hypertriglyceridemia and mixed hyperlipidemia, but no monographs are available in official compendia for the analysis of this substance in tablets. The objective of this work was to develop and validate a spectrophotometric method for routine analysis of ciprofibrate in tablets. In this study, commercial and standard ciprofibrate were used, as well as placebo in absolute ethanol, analyzed by UV spectrophotometer. All tests followed the rules of Resolution RE-899, 2003. The results showed that the developed and validated method offers low cost, easy implementation, precision and accuracy, and may be included in the routine of quality control laboratories.

O ciprofibrato é um fármaco indicado em casos de hipertrigliceridemia e hiperlipidemia mista, mas não há monografias em compêndios oficiais para a análise desta substância em comprimidos. O objetivo deste trabalho é desenvolver e validar um método espectrofotométrico para análise de rotina de ciprofibrato em comprimidos. Neste estudo foram empregados ciprofibrato comercial, padrão e placebo em etanol absoluto, analisadas por espectrofotometria UV. Todos os testes seguiram as regras da Resolução RE- 899, 2003. Os resultados mostraram que o método desenvolvido e validado apresenta baixo custo, fácil implementação, precisão e exatidão e pode ser incluído em rotina de laboratórios de controle de qualidade.

The practice of dissection as teaching methodology in anatomy applied to medical education / La práctica de la disección como metodología de enseñanza en anatomía aplicada a la educación médica

In 2003, the UFG Faculty of Medicine, to revamp its educational project, reduced the hourly load of some subjects, among them those of anatomy, which in general leads to eliminate the practice of dissection. This practice is essential for the basic training of students, being then used in other sciences such as pathology. The objective of this study was to compare and link data between groups that made or did not make dissection after the anatomy course. Questionnaires were issued to 86 medical students from the UFG Faculty of Medicine, and from these, 10 made dissection and 76 did not. Analyzing the answers, it was found that both groups recognize the importance of this practice for the knowledge of the anatomy discipline and for future disciplines or their profession. It follows that dissection could help in the consolidation of post-modern paradigm in medical education since it improves the attention and learning of students.

En el 2003, la Facultad de Medicina de la UFG para reformar su proyecto educacional disminuyó la carga horaria de algunos campos, entre ellos la anatomía, lo que en general llevó a eliminar la práctica de la disección. Esta práctica es esencial para el entrenamiento de los estudiantes, que se posteriormente utilizarán en otras ciencias como la patología. El objetivo de este estudio fue comparar y vincular los datos entre los grupos que hicieron o dejaron de hacer disección después del curso de anatomía. Los cuestionarios fueron hechos a 86 estudiantes de la medicina de la UFG, de estos, 10 hicieron disecciones y 76 no las hicieron. Analizando respuestas, se encontró que ambos grupos reconocen la importancia de esta práctica para el conocimiento de la disciplina de anatomía y para disciplinas futuras o incluso su profesión. De esto se deduce de que la disección podría ayudar en la consolidación del paradigma postmoderno en la educación médica, ya que mejora la atención y el aprendizaje del estudiante.

Anatomy of the nervous of forearm and hand of cebus libidinosus (Rylands, 2000) / Anatomía de los nervios del antebrazo y mano de cebus libidinosus (Rylands, 2000)

The knowledge on the macroscopic internal structure of Cebus will provide data for histological and biochemical studies and too will contribute to ethological studies. Behavior, memory, use of tools and encephalization index have put the Cebus genus near to chimpanzees in relation to these aspects. The objective of this study is to characterize the nervous model of the forearm and hand of the Cebus monkey. For this, the main nerves and their branches located in the forearm and hand of the Cebus monkey were anatomically characterized, taking into consideration their frequency, number, origin and distribution. The data were compared with the same nerves found in specialized literature in humans, also specialized in other non-human primates. In this study, 7 Cebus libidinosus monkeys were used. The monkeys were provided by IBAMA (Brazilian Institute for the Environment and Renewable Natural Resources), from the city of Sete Lagoas, State of Minas Gerais, in 1970, and housed at the anatomy collection of the Goißs Federal University (UFG). For the nerves of the forearm of Cebus, no variations were observed in the innervation pattern of the muscles, except for the deep flexor muscle of the fingers, which in Cebus and baboons is innervated by the ulnar nerve and in humans and chimpanzees by the median nerve; however, these nerves exchange fibers in the arm and in the brachial plexus. Innervation variations may occur in the fingers of Cebus in relation to other primates, but these variations have been reported with variations in humans. This identical innervation pattern in relation to the nerves of the arm and forearm and hand in Cebus justify its use as model for anthropological evolutionary studies.

El conocimiento sobre la estructura macroscópica del interior del Cebus proporcionará datos para los estudios histológicos y bioquímicos y también contribuirá a estudios etológicos. El comportamiento, la memoria, el uso de herramientas y el índice del encefalización del género Cebus se plantean en torno a los chimpancés, en relación con estos aspectos. El objetivo de este estudio fue caracterizar el modelo de los nervios del antebrazo y la mano del mono Cebus. Para ello, los principales nervios y sus ramos situados en el antebrazo y la mano se caracterizaron anatómicamente, teniendo en cuenta sus frecuencia, número, origen y distribución. En este estudio se utilizaron 7 monos Cebus libidinosus, todos adultos sanos, con variaciones en tamaño y edad. Los monos fueron suministradas por el Ibama (Instituto Brasileño de Medio Ambiente y los Recursos Naturales Renovables), ciudad de Sete Lagoas, Estado de Minas Gerais, en 1970 de la colección anatómica de la Universidad Federal de Goiás (UFG). En el antebrazo de Cebus no se observaron variaciones en las características de los nervios de los músculos, excepto para el músculo flexor profundo de los dedos, que en Cebus y babuinos, está inervado por el nervio ulnar y en los seres humanos y los chimpancés por el nervio mediano; sin embargo, estas fibras nerviosas cambian en el cuello y en el plexo braquial. Las variaciones de los nervios pueden ocurrir en los dedos de Cebus con respecto a otros primates, pero estos cambios están relacionados con las variaciones que ocurren en los seres humanos. Este patrón similar de los nervios de los nervios del brazo y antebrazo y mano en Cebus, justifica su uso como modelo evolutivo para estudios antropológicos.

Immunohistochemical study of acute effects of ethanol on midbrain of wistar rats associated with the date of birth of neurons in encephalon / Estudio inmunohistoquímico de los efectos agudos del etanol sobre el mesencéfalo de ratas wistar asociado con la fecha de formación de neuronas en el cerebro

The verification of the acute effects of ethanol on the midbrain, which neurons are mainly formed in E14, will ratify if the acute effects of ethanol are associated, in terms of prevalence, to the date of birth of neurons in certain regions of the brain. The aim of this study was to determine the effects of acute exposure to ethanol on the neuronal density of the midbrain and to associate these results with acute effects of ethanol in other regions of the brain under the same conditions. The rats were treated with intraperitoneal ethanol during one day (E12) and 1h after the last ethanol injection was applied to BrdU. The animals were sacrificed; the brains were removed and sectioned. The sections were treated with DAB for the BrdU revelation, the slides were stained with safranin for one group and another group was stained with H & E. The effects of acute injection of ethanol in E12 on the midbrain were not detected in this study. Data from literature suggest that the deleterious action of acute ethanol consumption only occur if the drug is injected at times near the beginning of the migration of neurons in that particular region of the brain.

La verificación de los efectos agudos del etanol sobre el mesencéfalo, cuyas neuronas se forman principalmente en la E14, puede ratificar si los efectos agudos del etanol están asociados, en términos de prevalencia, a la fecha de nacimiento de neuronas en ciertas regiones del cerebro. El objetivo de este estudio fue determinar los efectos de la exposición aguda al etanol sobre la densidad neuronal del mesencéfalo y asociar estos resultados con los efectos agudos de etanol en otras regiones del cerebro bajo las mismas condiciones. Las ratas fueron tratadas con etanol intraperitoneal durante un día (E12) y 1h después de la última inyección de etanol fue aplicado BrdU. Los animales fueron sacrificados, los cerebros fueron removidos y seccionados. Las secciones fueron tratados con DAB para la revelación de BrdU, las secciones fueron teñidas con safranina para un grupo y otro grupo se tiñeron con H&E. Los efectos agudos de la inyección de etanol en E12 sobre el mesencéfalo no fueron detectados en este estudio. Los datos de la literatura sugieren que los efectos deletéreos del consumo agudo de etanol sólo se producen si la droga se inyecta en etapas cercanas al comienzo de la migración de las neuronas en esa región particular del cerebro.

Pequeno comprometimento do encéfalo em ratos Holtzman imunossuprimidos e infectados por Trypanosoma cruzi / Encephalic damage in Holtzman rats submitted to immunosuppression and infected by Trypanosoma cruzi

A tripanossomíase americana ainda constitui problema de saúde pública. O curso da infecção depende das características de cada isolado de Trypanosoma cruzi e do hospedeiro considerado. Foi aventada a hipótese de tropismo para o sistema nervoso central(SNC) de algumas cepas. Neste trabalho, foi testado o grau de infecção de encéfalos de ratos Holtzman imunossuprimidos. Foram utilizadas as cepas Y e PNM e o clone CL-Brener emratos Holtzman irradiados (irradiação gama 700 rad) aos 29 dias de idade e inoculados aos 30 dias. A imunossupressão aumentou a parasitemia sanguínea pelo T. cruzi para todas as cepas analisadas em relação aos animais-controle. Entretanto, para as condições do experimento atual não se verificou o neurotropismo do parasito, como se verifica na literatura. A parasitemia encontrada no SNC foi pequena em relação aos dados já publicados, possivelmente pelo pouco tempo de exposição ao parasita.

American trypanosomiasis is still a public health problem in Brazil and Latin America. The infection depends on the characteristics of each isolate of Trypanosoma cruzi and its host. The hypothesis of central nervous system (CNS) tropism has been proposed for certain strains. This work tested the infection rate of the encephalon of immunosuppressed Holtzman rats. The Y and PNM strains were used as well as the CL-Brener clone, inoculated in Holtzman rats irradiated (700 rad gamma) at 29 days of age and inoculated at 30 days of age. Immunosuppression increased the parasitemia by T. cruzi on SNC for all analyzed strains in comparison to the control animals. Neurotropism not was verified of T. cruzi under these conditions as in the literature. The parasitemia detected in the SNC was small compared to literature data, perhaps due to the short time of parasite exposure.

The effect of acute and chronic exposure to ethanol on the developing encephalon: a review / Os efeitos da exposição aguda e crônica ao etanol sobre o desenvolvimento do encéfalo: uma revisão

OBJECTIVES: to compare the acute and chronic effects of ethanol on the neural development, by analysis of the ontogenetic neural structure of mammals. METHODS: searches were performed in the following electronic databases: MEDLINE, SciElo, PubMed, LILACS, CAPES periodical, and the Open Journal System. The descriptors used were: "chronic ethanol toxicity", "chronic alcohol toxicity", "acute ethanol toxicity", "acute alcohol", "neural ontogenic development", "neuronal migration disturbances", "neural structure". The following inclusion criteria were used: articles published between 2003 and 2007, some classic articles in the field and an important neuropsychology textbook. RESULTS: the analysis of papers revealed that, although several studies of the chronic effects of ethanol exposure on the mammalian nervous system have been conducted, only a few have investigated the acute effects of ethanol on specific days of gestation, and these studies have revealed important disorders relating to the cerebral tissue. CONCLUSIONS: it should be recommended that women refrain from the consumption of ethanol during gestational phase to protect the fetus' health. Furthermore, the acute consumption of ethanol by women nearing the eighth or ninth week of gestation has been shown to be potentially harmful to the nervous tissue of the fetus.

OBJETIVOS: comparar os efeitos agudo e crônico do etanol sobre o desenvolvimento do sistema nervoso através da análise da estrutura ontogênica neural dos mamíferos. MÉTODOS: pesquisas foram feitas nas bases eletrônicas: MEDLINE, SciElo, PubMed, LILACS, CAPES periodical, Open Journal System. Os descritores usados foram: "toxidade crônica ao etanol", "toxidade crônica ao álcool", "toxicidade aguda ao etanol", "toxicidade aguda ao álcool", "desenvolvimento ontogênico neural", "distúrbios da migração neuronal", "estrutura neural".Foram considerados critérios de inclusão: artigos publicados no periódo de 2003 e 2007, alguns artigos clássicos da área, e um livro básico em neuropsicologia. RESULTADOS constatou-se que muitos estudos sobre os efeitos crônicos do etanol sobre o sistema neural de mamíferos foram feitos, mas poucos estudos foram realizados sobre os efeitos agudos do etanol em dias específicos da gestação, e esses revelaram importantes desordens sobre o tecido neural. CONCLUSÕES: o consumo de etanol não é recomendado para mulheres na fase gestacional para preservar a saúde do feto, e o consumo agudo de etanol entre mulheres próxima à oitava e nona semanas de gestação têm demonstrado ser potencialmente perigoso para o tecido neural do feto.