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1.
J Steroid Biochem Mol Biol ; 241: 106528, 2024 Apr 26.
Artigo em Inglês | MEDLINE | ID: mdl-38677380

RESUMO

Circulating calcitriol may contribute to the risk of cardiovascular disease (CVD), but its regulation in patients with CVD is poorly characterized. We therefore aimed to assess determinants of circulating calcitriol in these patients. We analyzed 2183 independent samples from a large cohort of patients scheduled for coronary angiography and 1727 independent samples from different other cohorts from patients with a wide range of CVDs, including heart transplant candidates, to quantify the association of different parameters with circulating calcitriol. We performed univariable and multivariable linear regression analyses using the mathematical function that fitted best with circulating calcitriol. In the multivariable analysis of the large single cohort, nine parameters remained significant, explaining 30.0 % (32.4 % after exclusion of 22 potential outliers) of the variation in circulating calcitriol (r=0.548). Log-transformed 25-hydroxyvitamin D [25(OH)D] and log-transformed glomerular filtration rate were the strongest predictors, explaining 17.6 % and 6.6 %, respectively, of the variation in calcitriol. In the analysis of the combined other cohorts, including heart transplant candidates, the multivariable model explained a total of 42.6 % (46.1 % after exclusion of 21 potential outliers) of the variation in calcitriol (r=0.653) with log-transformed fibroblast growth factor-23 and log-transformed 25(OH)D explaining 29.0 % and 6.2 %, respectively. Circulating 25(OH)D was positively and FGF-23 inversely associated with circulating calcitriol. Although significant, PTH was only a weak predictor of calcitriol in both analyses (<2.5 %). In patients with CVD, FGF-23 and 25(OH)D are important independent determinants of circulating calcitriol. The relative importance of these two parameters may vary according to CVD severity. Future studies should focus on the clinical importance of regulating circulating calcitriol by different parameters.

2.
Am J Physiol Cell Physiol ; 324(2): C517-C531, 2023 02 01.
Artigo em Inglês | MEDLINE | ID: mdl-36622067

RESUMO

The use of autografts, as primary cell and tissue source, is the current gold standard approach to treat critical size bone defects and nonunion defects. The unique mixture of the autografts, containing bony compartments and bone marrow (BM), delivers promising results. Although BM mesenchymal stromal cells (BM-MSCs) still represent a major target for various healing approaches in current preclinical research and respective clinical trials, their occurrence in the human BM is typically low. In vitro expansion of this cell type is regulatory challenging as well as time and cost intensive. Compared with marginal percentages of resident BM-MSCs in BM, BM mononuclear cells (BM-MNCs) contained in BM aspirates, concentrates, and bone autografts represent a readily available abundant cell source, applicable within hours during surgical procedures without the need for time-consuming and regulatory challenging cell expansion. This benefit is one reason why autografting has become a clinical standard procedure. However, the exact anatomy and cellularity of BM-MNCs in humans, which is strongly correlated to their unique mode of action and wide application range remains to be elucidated. The aim of this review was to present an overview of the current knowledge on these specific cell types found in human BM, emphasize the contribution of BM-MNCs in bone healing, highlight donor site dependence, and discuss limitations in the current isolation and subsequent characterization procedures. Hereby, the most recent and relevant examples of human BM-MNC cell characterization, flow cytometric analyses, and findings are summarized, with a strong focus on bone therapy.


Assuntos
Medula Óssea , Consolidação da Fratura , Humanos , Autoenxertos , Transplante Autólogo , Células da Medula Óssea
3.
Calcif Tissue Int ; 112(2): 158-177, 2023 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-35238975

RESUMO

Recent research activities have provided new insights in vitamin D metabolism in various conditions. Furthermore, substantial progress has been made in the analysis of vitamin D metabolites and related biomarkers, such as vitamin D binding protein. Liquid chromatography tandem mass spectrometric (LC-MS/MS) methods are capable of accurately measuring multiple vitamin D metabolites in parallel. Nevertheless, only 25(OH)D and the biologically active form 1,25(OH)2D are routinely measured in clinical practice. While 25(OH)D remains the analyte of choice for the diagnosis of vitamin D deficiency, 1,25(OH)2D is only recommended in a few conditions with a dysregulated D metabolism. 24,25(OH)2D, free and bioavailable 25(OH)D, and the vitamin D metabolite ratio (VMR) have shown promising results, but technical pitfalls in their quantification, limited clinical data and the lack of reference values, impede their use in clinical practice. LC-MS/MS is the preferred method for the measurement of all vitamin D related analytes as it offers high sensitivity and specificity. In particular, 25(OH)D and 24,25(OH)2D can accurately be measured with this technology. When interpreted together, they seem to provide a functional measure of vitamin D metabolism beyond the analysis of 25(OH)D alone. The determination of VDBP, free and bioavailable 25(OH)D is compromised by unresolved analytical issues, lacking reference intervals and insufficient clinical data. Therefore, future research activities should focus on analytical standardization and exploration of their clinical value. This review provides an overview on established and new vitamin D related biomarkers including their pathophysiological role, preanalytical and analytical aspects, expected values, indications and influencing conditions.


Assuntos
Relevância Clínica , Espectrometria de Massas em Tandem , Cromatografia Líquida/métodos , Espectrometria de Massas em Tandem/métodos , Vitamina D/metabolismo , Ergocalciferóis , Vitaminas , Proteína de Ligação a Vitamina D
4.
Calcif Tissue Int ; 112(2): 178-196, 2023 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-35150288

RESUMO

Vitamin K, a cofactor for the γ-glutamyl carboxylase enzyme, is required for the post-translational activation of osteocalcin and matrix Gla protein, which play a key role in bone and muscle homeostasis. In vivo and in vitro models for osteoporosis and sarcopenia suggest the vitamin K could exert a positive effect in both conditions. In bone, it increases osteoblastogenesis, whilst decreases osteoclast formation and function. In muscle, it is associated with increased satellite cell proliferation and migration and might play a role in energy metabolism. Observational trials suggest that high levels of vitamin K are associated with increased bone mineral density and reduced fracture risk. However, interventional studies for vitamin K supplementation yielded conflicting results. Clinical trials in sarcopenia suggest that vitamin K supplementation could improve muscle mass and function. One of the main limitations on the vitamin K studies are the technical challenges to measure its levels in serum. Thus, they are obtained from indirect sources like food questionnaires, or levels of undercarboxylated proteins, which can be affected by other environmental or biological processes. Although current research appoints to a beneficial effect of vitamin K in bone and muscle, further studies overcoming the current limitations are required in order to incorporate this supplementation in the clinical management of patients with osteosarcopenia.


Assuntos
Sarcopenia , Vitamina K , Humanos , Vitamina K/metabolismo , Vitamina K/uso terapêutico , Densidade Óssea , Sarcopenia/tratamento farmacológico , Osso e Ossos/metabolismo , Osteocalcina/metabolismo , Músculos
5.
Phys Rev Lett ; 129(19): 195002, 2022 Nov 04.
Artigo em Inglês | MEDLINE | ID: mdl-36399755

RESUMO

The application of an external 26 Tesla axial magnetic field to a D_{2} gas-filled capsule indirectly driven on the National Ignition Facility is observed to increase the ion temperature by 40% and the neutron yield by a factor of 3.2 in a hot spot with areal density and temperature approaching what is required for fusion ignition [1]. The improvements are determined from energy spectral measurements of the 2.45 MeV neutrons from the D(d,n)^{3}He reaction, and the compressed central core B field is estimated to be ∼4.9 kT using the 14.1 MeV secondary neutrons from the D(T,n)^{4}He reactions. The experiments use a 30 kV pulsed-power system to deliver a ∼3 µs current pulse to a solenoidal coil wrapped around a novel high-electrical-resistivity AuTa_{4} hohlraum. Radiation magnetohydrodynamic simulations are consistent with the experiment.

6.
Sci Rep ; 12(1): 15375, 2022 09 13.
Artigo em Inglês | MEDLINE | ID: mdl-36100634

RESUMO

Spin-lock based functional magnetic resonance imaging (fMRI) has the potential for direct spatially-resolved detection of neuronal activity and thus may represent an important step for basic research in neuroscience. In this work, the corresponding fundamental effect of Rotary EXcitation (REX) is investigated both in simulations as well as in phantom and in vivo experiments. An empirical law for predicting optimal spin-lock pulse durations for maximum magnetic field sensitivity was found. Experimental conditions were established that allow robust detection of ultra-weak magnetic field oscillations with simultaneous compensation of static field inhomogeneities. Furthermore, this work presents a novel concept for the emulation of brain activity utilizing the built-in MRI gradient system, which allows REX sequences to be validated in vivo under controlled and reproducible conditions. Via transmission of Rotary EXcitation (tREX), we successfully detected magnetic field oscillations in the lower nano-Tesla range in brain tissue. Moreover, tREX paves the way for the quantification of biomagnetic fields.


Assuntos
Campos Magnéticos , Imageamento por Ressonância Magnética , Encéfalo/diagnóstico por imagem , Encéfalo/fisiologia , Imageamento por Ressonância Magnética/métodos , Neurônios/fisiologia , Imagens de Fantasmas
7.
Osteoarthritis Cartilage ; 30(8): 1116-1129, 2022 08.
Artigo em Inglês | MEDLINE | ID: mdl-35569800

RESUMO

OBJECTIVE: Hip osteoarthritis (OA) affects all components of the osteochondral unit, leading to bone marrow (BM) lesions, and unknown consequences on BM cell functionality. We analyzed the cellular composition in OA-affected acetabula compared to proximal femur shafts obtained of hip OA patients to reveal yet not explored immune and stem cell compartments. DESIGN: Combining flow cytometry, cellular assays and transcription analyses, we performed extensive ex vivo phenotyping of acetabular BM cells from 18 hip OA patients, comparing them with their counterparts from patient-matched femoral shaft BM samples. Findings were related to differences in skeletal sites and age. RESULTS: Acetabular BM had a greater frequency of T-lymphocytes, non-hematopoietic cells and colony-forming units fibroblastic potential than femoral BM. The incidence of acetabular CD45+CD3+ T-lymphocytes increased (95% CI: 0.1770 to 0.0.8416), while clonogenic hematopoietic progenitors declined (95% CI: -0.9023 to -0.2399) with age of patients. On the other side, in femoral BM, we observed higher B-lymphocyte, myeloid and erythroid cell frequencies. Acetabular mesenchymal stromal cells (MSCs) showed a senescent profile associated with the expression of survival and inflammation-related genes. Efficient osteogenic and chondrogenic differentiation was detected in acetabular MSCs, while adipogenesis was more pronounced in their femoral counterparts. CONCLUSION: Our results suggest that distinctions in BM cellular compartments and MSCs may be due to the influence of the OA-stressed microenvironment, but also acetabular vs femoral shaft-specific peculiarities cannot be excluded. These results bring new knowledge on acetabular BM cell populations and may be addressed as novel pathogenic mechanisms and therapeutic targets in OA.


Assuntos
Doenças das Cartilagens , Osteoartrite do Quadril , Acetábulo , Medula Óssea , Células da Medula Óssea , Doenças das Cartilagens/metabolismo , Diferenciação Celular , Humanos , Osteoartrite do Quadril/metabolismo , Células-Tronco
8.
Ophthalmologie ; 119(6): 552-560, 2022 Jun.
Artigo em Alemão | MEDLINE | ID: mdl-35294593

RESUMO

BACKGROUND AND OBJECTIVES: Climate change is also an increasingly important issue in the healthcare system. Due to its anatomical and physiological nature, the eye is directly exposed to environmental influences and changes in a special way. METHODS: The current literature is used to illustrate the effects of climate-induced changes and the respective influences on the eye. A PubMed search (cut-off date 3 October 2021) using the search terms "climate change" or "planetary health" or "global health" and in each case "ophthalmology" or "eye" or "ocular" was used to determine the development of the number of publications between 2011 and 2021. RESULTS: Measurable effects of climate change are already evident in a wide variety of ophthalmological fields. The significance of this topic, for instance, is reflected in a relatively constant increase in the number of publications and an almost tenfold increase in the number of publications per year from 2011 to 2021. CONCLUSION: The impact of climate change on eye diseases and on the field of ophthalmology is multifaceted and could be expected to intensify in the coming years. Therefore, the interrelationships need to be further investigated in future studies, preferably on a large scale.


Assuntos
Mudança Climática , Saúde Global , Previsões
9.
Sci Total Environ ; 806(Pt 4): 151392, 2022 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-34740665

RESUMO

Terrestrial and freshwater secondary salinization is a global phenomenon arising partially from anthropogenic activities. How low-level direct (e.g., sodium exposure through irrigation runoff) or indirect (e.g., sodium exposure through sodium-enriched leaves as riparian plants uptake sodium that via senescence enters detrital systems) impacts detrital processes in riparia have received little attention. Based on the sodium ecosystem respiration hypothesis, we predicted low-level salinization of an inland mesic riparia would result in increased detrital processing and increased leachate dissolved organic carbon (DOC) and conductivity. Two riparian soil mesocosm experiments tested how low-level salinization affects leachate chemistry and conductivity and riparian decomposition rates and detritivore community structure: 1) direct low-level NaCl deposition in water (weekly additions of 300 ml of 0.05% NaCl or just H2O (controls)), and 2) indirect low-level NaCl deposition through Na-enriched artificial litter (0.05% NaCl or just H2O (controls)). After three months, leachate Na+ concentrations were 12-fold and 1.5-fold higher in Na-addition than control mesocosms for direct and indirect Na-addition experiments, respectively. Contrary to predictions, decomposition rate was 1.3-fold lower in indirect Na-addition than control mesocosms but invertebrate communities were similar. Decomposition rate did not differ in direct Na-addition experiments, and although invertebrate abundance was lower, diversity was 1.4-fold higher in Na-addition than control mesocosms. Leachate DOC did not differ between Na-addition and control mesocosms for either direct or indirect Na-addition experiments. This study adds to the growing evidence that even low-level Na addition can stress inland mesic terrestrial systems and demonstrates that even Na-enriched detritus alone can induce salt-stress in riparian soil systems. These results suggest that even low-level salinization of riparia can impact riparian ecosystem function and leachate chemistry through direct exposure and indirectly through Na-enriched detritus, a previously overlooked pathway.


Assuntos
Ecossistema , Sódio , Laboratórios , Folhas de Planta , Água
10.
Arch Orthop Trauma Surg ; 142(4): 579-590, 2022 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33174612

RESUMO

INTRODUCTION: Non-unions remain a clinical problem and are characterised by the failure to heal after a defined period of time. Current preclinical non-union models apply a wide variety of techniques to diminish intrinsic healing potential deviating from the clinical situation. The aim of this study was to develop and characterise a non-union model in rats using internal plate fixation without the need for additional healing insults, whereby bone healing can be longitudinally assessed using microCT. It was hypothesized that healing/non-unions can be accurately predicted at early time points by microCT. MATERIALS AND METHODS: Female, skeletally mature Fischer F344 rats received a 2 mm or 1 mm femoral osteotomy, stabilized with either a 2 mm thick plate or a 1.25 mm thick plate. Healing was monitored by microCT over 14 weeks and histological analysis at euthanasia. The mechanical environment was characterised using finite element (FE) modelling and biomechanical testing. RESULTS: The majority of animals receiving the 2 mm thick plate displayed poor healing responses in both the 2 mm and 1 mm defect size groups. Bone and cartilage formation were markedly improved using the 1.25 mm thick plate. MicroCT could accurately predict bone forming capacity at early time points (3-4 weeks). CONCLUSIONS: The 2 mm thick plating system confers poor healing responses in female Fischer F344 rats, comparable to atrophic non-unions. By reducing plate thickness to increase interfragmentary strain within the defect site healing is improved, leading to borderline healing situations or increased abundance of cartilage tissue present in the defect site with ultimate failure to bridge the defect (hypertrophic non-union). Furthermore, microCT can reliably identify delayed/non-healing animals within 4 weeks, thereby allowing their selective targeting for the testing of novel, clinically relevant treatment strategies in different clinical situations aimed at restoring impaired bone healing.


Assuntos
Placas Ósseas , Consolidação da Fratura , Animais , Feminino , Fixação Interna de Fraturas/métodos , Consolidação da Fratura/fisiologia , Ratos , Ratos Endogâmicos F344 , Microtomografia por Raio-X
11.
J Psychiatr Res ; 143: 268-275, 2021 11.
Artigo em Inglês | MEDLINE | ID: mdl-34530337

RESUMO

Recent studies indicate differential involvement of the centromedial amygdala (CM) and the bed nucleus of the stria terminalis (BNST) during processing (anticipation and confrontation) of threat stimuli. Here, temporal predictability was shown to be a relevant factor. In this study, we want to investigate the relevance of these effects, which were found in healthy subjects, for anxiety disorders. Therefore, we investigated the differential involvement of CM and BNST in the anticipation and confrontation of phobic stimuli under variation of temporal predictability in spider phobia. 21 patients with spider phobia and 21 healthy controls underwent a temporally predictable/unpredictable phobic and neutral anticipation and confrontation paradigm using functional magnetic resonance imaging (fMRI) and ROI analyses. During the anticipation phase, healthy controls showed higher CM and BNST activity during the predictable compared with the unpredictable condition compared with the anxiety patients. During a confrontation phase that followed the anticipation phase, CM was more activated than BNST during the phobic compared with the neutral confrontation. While this effect was independent of threat predictability in patients, healthy controls showed higher activation in the CM compared with the BNST only during the predictable spider confrontation compared with the predictable bird confrontation. The results contribute to a better understanding of the separate roles of the CM and BNST during phobic processes. The CM was found to be more relevant to phobic confrontation in patients with spider phobia compared with the BNST.


Assuntos
Transtornos Fóbicos , Núcleos Septais , Aranhas , Tonsila do Cerebelo/diagnóstico por imagem , Animais , Antecipação Psicológica , Humanos , Imageamento por Ressonância Magnética , Transtornos Fóbicos/diagnóstico por imagem
12.
Arch Toxicol ; 95(9): 3133-3136, 2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-34363510

RESUMO

The EU chemicals strategy for sustainability (CSS) asserts that both human health and the environment are presently threatened and that further regulation is necessary. In a recent Guest Editorial, members of the German competent authority for risk assessment, the BfR, raised concerns about the scientific justification for this strategy. The complexity and interdependence of the networks of regulation of chemical substances have ensured that public health and wellbeing in the EU have continuously improved. A continuous process of improvement in consumer protection is clearly desirable but any initiative directed towards this objective must be based on scientific knowledge. It must not confound risk with other factors in determining policy. This conclusion is fully supported in the present Commentary including the request to improve both, data collection and the time-consuming and bureaucratic procedures that delay the publication of regulations.


Assuntos
Saúde Pública/legislação & jurisprudência , Medição de Risco/legislação & jurisprudência , União Europeia , Substâncias Perigosas/toxicidade , Política de Saúde/legislação & jurisprudência , Humanos
13.
Behav Brain Res ; 396: 112883, 2021 01 01.
Artigo em Inglês | MEDLINE | ID: mdl-32860830

RESUMO

Recent animal and human studies highlight the uncertainty about the onset of an aversive event as a crucial factor for the involvement of the centromedial amygdala (CM) and bed nucleus of the stria terminalis (BNST) activity. However, studies investigating temporally predictable or unpredictable threat anticipation and confrontation processes are rare. Furthermore, the few existing fMRI studies analyzing temporally predictable and unpredictable threat processes used small sample sizes or limited fMRI paradigms. Therefore, we measured functional brain activity in 109 predominantly female healthy participants during a temporally predictable-unpredictable threat paradigm, which aimed to solve limited aspects of recent studies. Results showed higher BNST activity compared to the CM during the cue indicating that the upcoming confrontation is aversive relative to the cue indicating an upcoming neutral confrontation. Both the CM and BNST showed higher activity during the confrontation with unpredictable and aversive stimuli, but the reaction to aversive confrontation relative to neutral confrontation was stronger in the CM compared to the BNST. Additional modulation analyses by NPSR1 rs324981 genotype revealed higher BNST activity relative to the CM in unpredictable anticipation relative to predictable anticipation in T-carriers compared to AA carriers. Our results indicate that during the confrontation with aversive or neutral stimuli, temporal unpredictability modulates CM and BNST activity. Further, there is a differential activity concerning threat processing, as BNST is more involved when focussing on fear-related anticipation processes and CM is more involved when focussing on threat confrontation.


Assuntos
Tonsila do Cerebelo/fisiologia , Antecipação Psicológica/fisiologia , Mapeamento Encefálico , Medo/fisiologia , Núcleos Septais/fisiologia , Adulto , Feminino , Humanos , Imageamento por Ressonância Magnética , Masculino , Receptores Acoplados a Proteínas G/genética , Fatores de Tempo , Adulto Jovem
14.
Am J Physiol Regul Integr Comp Physiol ; 320(2): R162-R172, 2021 02 01.
Artigo em Inglês | MEDLINE | ID: mdl-33296278

RESUMO

Oxytocin appears to be involved in the neuroendocrine regulation of sympathetic blood pressure (BP) homeostasis. In animals, intracerebral administration of oxytocin induces BP-relevant sympathetic activation. In humans, central nervous effects of oxytocin on BP regulation remain unclear. Intranasal administration supposedly delivers oligopeptides such as oxytocin directly to the brain. We investigated the effects of intranasal oxytocin on sympathetic vascular baroreflex function in humans using microneurographic techniques. In a balanced, double-blind crossover design, oxytocin or placebo was administered intranasally to 12 lean, healthy males (age 25 ± 4 yr). Muscle sympathetic nerve activity (MSNA) was assessed microneurographically before (presubstance), 30-45 min (postsubstance I), and 105-120 min (postsubstance II) after oxytocin administration. Baroreflex was challenged via graded infusions of vasoactive drugs, and correlation of BP with MSNA and heart rate (HR) defined baroreflex function. Experiments were conducted in the afternoon after a 5-h fasting period. After oxytocin, resting MSNA (burst rate and total activity) showed significant net increases from pre to postsubstance II compared with placebo [Δincrease = +4.3 ± 1.2 (oxytocin) vs. +2.2 ± 1.4 bursts/min (placebo), ANOVA; P < 0.05; total activity = 184 ± 11.5% (oxytocin) vs. 121 ± 14.3% (placebo), ANOVA; P = 0.01). This was combined with a small but significant net increase in resting diastolic BP, whereas systolic and mean arterial BP or HR as well as baroreflex sensitivity at vasoactive drug challenge were not altered. Intranasally administered oxytocin induced vasoconstrictory sympathoactivation in healthy male humans. The concomitant increase of diastolic BP was most likely attributable to increased vascular tone. This suggests oxytocin-mediated upward resetting of the vascular baroreflex set point at centers superordinate to the mere baroreflex-feedback loop.


Assuntos
Ocitócicos/administração & dosagem , Ocitócicos/farmacologia , Ocitocina/administração & dosagem , Ocitocina/farmacologia , Administração Intranasal , Adulto , Estudos Cross-Over , Método Duplo-Cego , Humanos , Masculino , Nitroglicerina/administração & dosagem , Nitroglicerina/farmacologia , Fenilefrina/administração & dosagem , Fenilefrina/farmacologia , Simpatomiméticos/administração & dosagem , Simpatomiméticos/farmacologia , Vasodilatadores/administração & dosagem , Vasodilatadores/farmacologia , Adulto Jovem
16.
Braz. j. biol ; 80(2): 368-372, Apr.-June 2020. graf
Artigo em Inglês | LILACS | ID: biblio-1132376

RESUMO

Abstract Melanoides tuberculata is a freshwater gastropod native to Africa and Asia, and currently presents distributed worldwide. The first record of Melanoides tuberculata in South America occurred in Brazil, in the city of Santos, state of São Paulo, in 1967. Therefore, the objective of the present study is to report the occurrence of Melanoides tuberculata for Banana Lagoon and to characterize the current population situation. The gastropods were collected through direct visualization of shells, morphometric measurements of Melanoides tuberculata shells were determined using a digital caliper. After identifying the gastropod and its first distribution in the area, a preliminary descriptive analysis of the population was carried out. The gastropods were classified by grouping the individuals into four classes according to the shell width (mm). This is the first record of the occurrence of Melanoides tuberculata, in Banana Lagoon, Caucaia municipality, Ceará state, Northeast Brazil, being the largest specimen cited in the literature (33.77 mm) and 92.65% of the gastropods present in sizes above the first reproduction stages.


Resumo Melanoides tuberculata é um gastrópode de água doce nativo da África e da Ásia e atualmente apresenta-se distribuído mundialmente. O primeiro registro de Melanoides tuberculata na América do Sul ocorreu no Brasil, na cidade de Santos, estado de São Paulo, em 1967. Portanto, o objetivo do presente estudo é relatar a ocorrência de Melanoides tuberculata para Lagoa do Banana, caracterizando a situação atual da população no local. Os gastrópodes foram coletados através da visualização direta de conchas, e as medidas morfométricas das conchas de Melanoides tuberculata foram determinadas por meio de um paquímetro digital. Após identificar o gastrópode e constando sua primeira distribuição na área, realizou-se uma análise preliminar descritiva da população. Os gastrópodes foram classificados agrupando os indivíduos em quatro classes de acordo com a largura da concha (mm). Este é o primeiro registro da ocorrência de Melanoides tuberculata, na Lagoa da Banana, município de Caucaia, estado do Ceará, Nordeste do Brasil, sendo o maior exemplar citado na literatura (33,77 mm) já registrado e 92,65% dos gastrópodes apresentam-se em tamanhos acima do primeiro estágios de reprodução.


Assuntos
Humanos , Animais , Gastrópodes , Caramujos , Brasil , Água Doce
17.
Anaesthesist ; 69(5): 323-330, 2020 05.
Artigo em Alemão | MEDLINE | ID: mdl-32350543

RESUMO

Due to the current COVID-19 pandemic there is a need for a rapid increase in intensive care and ventilation capacities. Delivery times for additional intensive care respirators are currently not foreseeable. An option to increase ventilation capacities not only for COVID-19, but for all patients requiring mechanical ventilation is to use home respirators. Home respirators are turbine respirators, so they can usually be operated without high-pressure oxygen connections and can therefore also be used in areas outside the classical intensive care medical infrastructure. Due to their limited technical features, home respirators are not suitable for the treatment of severely affected patients but can be used for weaning after respiratory improvement, which means that intensive care respirators are available again more quickly. Respiratory therapists are specially trained nurses or therapists in the field of out of hospital ventilation and can independently use home ventilation respirators, for example for weaning in the intensive care unit. Thus, they relieve intensive care nursing staff in the pandemic. Due to the COVID-19 pandemic medical students from the Oldenburg University are currently being trained in operating home respirators to provide basic support in the hospital if necessary.


Assuntos
Infecções por Coronavirus , Serviços de Assistência Domiciliar , Pandemias , Pneumonia Viral , Ventiladores Mecânicos , Betacoronavirus , COVID-19 , Fortalecimento Institucional , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/terapia , Educação Médica , Humanos , Pneumonia Viral/epidemiologia , Pneumonia Viral/terapia , SARS-CoV-2 , Índice de Gravidade de Doença , Estudantes de Medicina , Desmame do Respirador
18.
Brain Cogn ; 140: 105549, 2020 04.
Artigo em Inglês | MEDLINE | ID: mdl-32088499

RESUMO

Approaching real life decision making through Quasi Realistic Decision Making may increase the ecological validity of decision making experiments. This could help narrow the gap between laboratory settings and observations in real world contexts and thus allow for generalization of laboratory results to everyday life. A binary decision task with quasi realistic context and stimuli was created to investigate neural processing of certain and uncertain decision making, using functional Magnetic Resonance Imaging. On the basis of behavioral data (consistency of decisions in identical contexts), trials with uncertain and certain decision making were identified. This allowed for comparing uncertain and certain conditions, and contrasting each condition with a low level baseline (i.e., between trial fixation dot). A Conjunction analysis between contrasts of uncertainty versus baseline and certainty versus baseline indicated a large overlap of neural network recruitment distributed in bilateral middle frontal, medial frontal, inferior parietal, occipito-temporal, and medio-temporal areas, and the cingulate cortex. While basic neural processing principles in uncertain and certain contexts were comparable, the direct contrast revealed activation foci in middle cingulate and in frontal and parietal areas. The quasi realistic approach revealed a common network for decision making which is modulated by uncertainty.


Assuntos
Mapeamento Encefálico , Córtex Cerebral/fisiologia , Tomada de Decisões/fisiologia , Incerteza , Adulto , Córtex Cerebral/diagnóstico por imagem , Feminino , Humanos , Imageamento por Ressonância Magnética , Masculino , Adulto Jovem
19.
New Microbes New Infect ; 34: 100650, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32025312

RESUMO

We report a novel case of an infection with Bordetella hinzii, a pathogen usually detected in poultry, supporting a peripancreatic abscess formation as a complication of an acute necrotizing pancreatitis.

20.
Braz J Biol ; 80(2): 368-372, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31508657

RESUMO

Melanoides tuberculata is a freshwater gastropod native to Africa and Asia, and currently presents distributed worldwide. The first record of Melanoides tuberculata in South America occurred in Brazil, in the city of Santos, state of São Paulo, in 1967. Therefore, the objective of the present study is to report the occurrence of Melanoides tuberculata for Banana Lagoon and to characterize the current population situation. The gastropods were collected through direct visualization of shells, morphometric measurements of Melanoides tuberculata shells were determined using a digital caliper. After identifying the gastropod and its first distribution in the area, a preliminary descriptive analysis of the population was carried out. The gastropods were classified by grouping the individuals into four classes according to the shell width (mm). This is the first record of the occurrence of Melanoides tuberculata, in Banana Lagoon, Caucaia municipality, Ceará state, Northeast Brazil, being the largest specimen cited in the literature (33.77 mm) and 92.65% of the gastropods present in sizes above the first reproduction stages.


Assuntos
Gastrópodes , Animais , Brasil , Água Doce , Humanos , Caramujos
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