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1.
Ludovica pediátr ; 25(1): 10-21, jul.2022.
Artigo em Espanhol | LILACS, Redbvs, ARGMSAL, BINACIS | ID: biblio-1391520

RESUMO

La pandemia por COVID-19 expuso a los trabajadores de salud a una enorme exigencia y presión en su labor cotidiana. Objetivo: Evaluar el nivel de depresión, ansiedad y estrés en trabajadores de salud durante la pandemia por COVID-19 y su asociación con características personales, laborales,sentimientos, experiencias y conductas relacionadas a la pandemia. Materiales y métodos: Estudio analítico de corte transversal. Durante el mes de junio del 2020 se enviaron formularios vía e-mail y redes sociales a trabajadores de la salud del sector público de La Plata y Gran La Plata. Se evaluó el nivel de depresión, ansiedad, y estrés mediante el cuestionario DASS-21. Se relevaron variables personales, laborales, sentimientos, experiencias y conductas vinculados a la pandemia. Se analizó la asociación entre las características de los trabajadores y la presencia de síntomas psicológicos mencionados. Resultados: Participaron 515 trabajadores, 41 años (33;50), 83,3% femenino. El síntoma psicológico más frecuente fue el estrés (58,2 %), seguido por ansiedad (33,1%) y depresión (24,7%). Se hallaron mayores chances de presentar estos síntomas en trabajadores que percibieron sentimientos, experiencias y conductas negativas vinculados a la pandemia. Los trabajadores de enfermería y administración, y aquellos que convivían con personas de riesgo tuvieron mayores chances de presentar ansiedad. Conclusión: Los trabajadores de salud de La Plata y Gran La Plata presentaron diversos grados de depresión, ansiedad y estrés que se asocian a sentimientos negativos relacionados con la pandemia


The COVID-19 pandemic exposed health workers to enormous demands and pressure in their daily work. Objective: To evaluate the level of anxiety, depression and stress in health workers during the COVID-19 pandemic and its association with personal and work characteristics, feelings, experiences, and behaviors related to the pandemic. Materials and methods: Cross-sectional analytical study. During the month of June 2020, forms were sent via e-mail and social networks to health workers in the public sector of La Plata and Gran La Plata. The level of depression, anxiety, and stress was evaluated using the DASS-21 questionnaire. Personal and work variables, feelings, experiences and behaviors linked to the pandemic were surveyed. The association between the characteristics of the workers and the presence of the aforementioned psychological symptoms was analyzed. Results: 515 workers participated, 41 years old (33;50), 83.3% female. The most frequent psychological symptom was stress (58.2%), followed by anxiety (33.1%) and depression (24.7%). Greater chances of presenting these symptoms were found in workers who perceived negative feelings, experiences and behaviors linked to the pandemic. Nursing and administration workers, and those who lived with people at risk had a higher chance of presenting anxiety. Conclusion: Health workers from La Plata and Gran La Plata presented varying degrees of depression, anxiety, and stress that are associated with negative feelings related to the pandemic


Assuntos
Ansiedade , Pessoal de Saúde , Depressão
2.
Sci Rep ; 11(1): 19061, 2021 09 24.
Artigo em Inglês | MEDLINE | ID: mdl-34561509

RESUMO

Coral reefs across the globe are threatened by warming oceans. The last few years have seen the worst mass coral bleaching events recorded, with more than one quarter of all reefs irreversibly impacted. Considering the widespread devastation, we need to increase our efforts to understanding the physiological and metabolic shifts underlying the breakdown of this important symbiotic ecosystem. Here, we investigated the proteome (PRIDE accession # PXD011668) of both host and symbionts of the reef-building coral Acropora millepora exposed to ambient (~ 28 °C) and elevated temperature (~ 32 °C for 2 days, following a five-day incremental increase) and explored associated biomolecular changes in the symbiont, with the aim of gaining new insights into the mechanisms underpinning the collapse of the coral symbiosis. We identified 1,230 unique proteins (774 host and 456 symbiont) in the control and thermally stressed corals, of which 107 significantly increased and 125 decreased in abundance under elevated temperature relative to the control. Proteins involved in oxidative stress and proteolysis constituted 29% of the host proteins that increased in abundance, with evidence of impairment to endoplasmic reticulum and cytoskeletal regulation proteins. In the symbiont, we detected a decrease in proteins responsible for photosynthesis and energy production (33% of proteins decreased in abundance), yet minimal signs of oxidative stress or proteolysis. Lipid stores increased > twofold despite reduction in photosynthesis, suggesting reduced translocation of carbon to the host. There were significant changes in proteins related to symbiotic state, including proteins linked to nitrogen metabolism in the host and the V-ATPase (-0.6 fold change) known to control symbiosome acidity. These results highlight key differences in host and symbiont proteomic adjustments under elevated temperature and identify two key proteins directly involved in bilateral nutrient exchange as potential indicators of symbiosis breakdown.


Assuntos
Antozoários/fisiologia , Temperatura Alta , Proteômica/métodos , Simbiose , Animais , Antozoários/parasitologia , Recifes de Corais , Estresse Oxidativo , Fotossíntese
3.
Scand J Rheumatol ; 50(6): 475-478, 2021 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-33827364

RESUMO

Objective: The aim of this study was to investigate the clinical phenotypes of Italian patients with Behçet's syndrome (BS) according to gender. BS is a rare chronic multisystemic disorder with a wide spectrum of clinical manifestations. Human leucocyte antigen (HLA)-B51, gender, and ethnicity have been suggested as factors that could influence the clinical manifestations in BS patients. To date, few data assessing gender differences in Italian BS patients are available in the literature.Method: We retrospectively evaluated a group of Italian patients seen consecutively at our dedicated tertiary centre from 1 January 2000 to 31 May 2018. Demographics, clinical features during follow-up, and HLA status were obtained from a review of medical records and analysed in male and female groups.Results: In total, 285 [168 male (M) and 117 female (F)] patients were eligible for the study. Males had papulopustolar lesions, posterior uveitis, and deep venous thrombosis more often than females (83.3% M vs 46.2% F, 36.9% M vs 18.8% F, and 8.3% M vs 0.9% F, respectively; p < 0.01). Erythema nodosum (59.0% F vs 41.1% M; p < 0.01) and arthralgia (52.1% F vs 31.6% M; p < 0.01) were more frequent in females. No differences were found in HLA-B51 status (59.2% M vs 59.0% F).Conclusion: In our Italian cohort, BS was slightly more prevalent in males. Some gender-related differences were observed when comparing male and female cohorts. The data also confirmed that BS tends to be less aggressive in Italian female patients.


Assuntos
Síndrome de Behçet , Síndrome de Behçet/epidemiologia , Síndrome de Behçet/genética , Feminino , Antígeno HLA-B51/genética , Humanos , Itália/epidemiologia , Masculino , Fenótipo , Estudos Retrospectivos , Distribuição por Sexo
4.
HLA ; 2018 Mar 26.
Artigo em Inglês | MEDLINE | ID: mdl-29577660

RESUMO

The novel ERAP1 allelic variant is a missense polymorphism leading to the Arg53Pro substitution.

5.
Vox Sang ; 113(4): 317-328, 2018 May.
Artigo em Inglês | MEDLINE | ID: mdl-29441601

RESUMO

Conventional storage of platelet concentrates limits their shelf life to between 5 and 7 days due to the risk of bacterial proliferation and the development of the platelet storage lesion. Cold storage and cryopreservation of platelets may facilitate extension of the shelf life to weeks and years, and may also provide the benefit of being more haemostatically effective than conventionally stored platelets. Further, treatment of platelet concentrates with pathogen inactivation systems reduces bacterial contamination and provides a safeguard against the risk of emerging and re-emerging pathogens. While each of these alternative storage techniques is gaining traction individually, little work has been done to examine the effect of combining treatments in an effort to further improve product safety and minimize wastage. This review aims to discuss the benefits of alternative storage techniques and how they may be combined to alleviate the problems associated with conventional platelet storage.


Assuntos
Plaquetas/efeitos dos fármacos , Preservação de Sangue/métodos , Criopreservação/métodos , Refrigeração/métodos , Anti-Infecciosos/farmacologia , Preservação de Sangue/efeitos adversos , Humanos
6.
Transl Psychiatry ; 7(5): e1141, 2017 05 30.
Artigo em Inglês | MEDLINE | ID: mdl-28556830

RESUMO

The catechol-o-methyltransferase (COMT) genetic variations produce pleiotropic behavioral/neuroanatomical effects. Some of these effects may vary among sexes. However, the developmental trajectories of COMT-by-sex interactions are unclear. Here we found that extreme COMT reduction, in both humans (22q11.2 deletion syndrome COMT Met) and mice (COMT-/-), was associated to cortical thinning only after puberty and only in females. Molecular biomarkers, such as tyrosine hydroxylase, Akt and neuronal/cellular counting, confirmed that COMT-by-sex divergent effects started to appear at the cortical level during puberty. These biochemical differences were absent in infancy. Finally, developmental cognitive assessment in 22q11DS and COMT knockout mice established that COMT-by-sex-dichotomous effects in executive functions were already apparent in adolescence. These findings uncover that genetic variations severely reducing COMT result in detrimental cortical and cognitive development selectively in females after their sexual maturity. This highlights the importance of taking into account the combined effect of genetics, sex and developmental stage.


Assuntos
Catecol O-Metiltransferase/genética , Síndrome de DiGeorge/genética , Lobo Frontal/crescimento & desenvolvimento , Puberdade/genética , Caracteres Sexuais , Adolescente , Animais , Biomarcadores/metabolismo , Encéfalo/anatomia & histologia , Encéfalo/diagnóstico por imagem , Encéfalo/metabolismo , Cognição/fisiologia , Feminino , Lobo Frontal/diagnóstico por imagem , Lobo Frontal/metabolismo , Variação Genética , Genótipo , Humanos , Imageamento por Ressonância Magnética/métodos , Masculino , Camundongos , Camundongos Knockout , Puberdade/metabolismo
7.
Psychol Med ; 47(8): 1442-1453, 2017 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-28112057

RESUMO

BACKGROUND: Alterations of the reward system have been proposed as one of the core mechanisms underlying the expression of negative symptoms in schizophrenia. Specifically, deficits in specific reward components and white matter (WM) integrity of the reward system have been highlighted. The putative link between negative symptoms and the hedonic experience, or structural connectivity of the reward system has never been examined in the 22q11.2 deletion syndrome (22q11DS), a condition with increased risk for psychosis. METHOD: Anticipatory and consummatory dimensions of pleasure were assessed in participants with 22q11DS (N = 54) and healthy controls (N = 55). In patients with 22q11DS, the association between pleasure scores and positive or negative symptoms was investigated. Furthermore, WM integrity of the accumbofrontal tract was quantified using diffusion tensor imaging (DTI). Associations between DTI measures, pleasure dimensions and negative symptoms were examined. RESULTS: Patients with 22q11DS showed reduced anticipatory and consummatory pleasure compared to controls. Furthermore, anticipatory pleasure scores were negatively correlated to negative and positive symptoms in 22q11DS. WM microstructural changes of the accumbofrontal tract in terms of increased fractional anisotropy and reduced radial anisotropy were also identified in patients. However, no significant correlation between the DTI measures and pleasure dimensions or psychotic symptoms was observed. CONCLUSIONS: This study revealed that participants with 22q11DS differed in their experience of pleasure compared to controls. The anticipatory pleasure component appears to be related to negative and positive symptom severity in patients. Alterations of WM integrity of the accumbofrontal tract seem to be related to myelination abnormalities in 22q11DS patients.


Assuntos
Síndrome de DiGeorge/diagnóstico por imagem , Síndrome de DiGeorge/fisiopatologia , Imagem de Tensor de Difusão/métodos , Prazer/fisiologia , Recompensa , Substância Branca/diagnóstico por imagem , Adolescente , Adulto , Criança , Feminino , Humanos , Masculino , Adulto Jovem
8.
J Neural Transm (Vienna) ; 123(8): 823-39, 2016 08.
Artigo em Inglês | MEDLINE | ID: mdl-27094177

RESUMO

Patients affected by 22q11.2 deletion syndrome (22q11DS) present a characteristic cognitive and psychiatric profile and have a genetic predisposition to develop schizophrenia. Although brain morphological alterations have been shown in the syndrome, they do not entirely account for the complex clinical picture of the patients with 22q11DS and for their high risk of psychotic symptoms. Since Friston proposed the "disconnection hypothesis" in 1998, schizophrenia is commonly considered as a disorder of brain connectivity. In this study, we review existing evidence pointing to altered brain structural and functional connectivity in 22q11DS, with a specific focus on the role of dysconnectivity in the emergence of psychotic symptoms. We show that widespread alterations of structural and functional connectivity have been described in association with 22q11DS. Moreover, alterations involving long-range association tracts as well as midline structures, such as the corpus callosum and the cingulate gyrus, have been associated with psychotic symptoms in this population. These results suggest common mechanisms for schizophrenia in syndromic and non-syndromic populations. Future directions for investigations are also discussed.


Assuntos
Encéfalo/patologia , Síndrome de DiGeorge/complicações , Síndrome de DiGeorge/patologia , Vias Neurais/patologia , Transtornos Psicóticos/etiologia , Adolescente , Anisotropia , Criança , Síndrome de DiGeorge/diagnóstico por imagem , Imagem de Difusão por Ressonância Magnética , Feminino , Humanos , Processamento de Imagem Assistida por Computador , Imageamento por Ressonância Magnética , Masculino , Testes Neuropsicológicos , Transtornos Psicóticos/diagnóstico por imagem , PubMed/estatística & dados numéricos , Adulto Jovem
9.
J Perinatol ; 36(8): 654-9, 2016 08.
Artigo em Inglês | MEDLINE | ID: mdl-26963428

RESUMO

OBJECTIVE: To predict mortality or length of stay (LOS) >109 days (90th percentile) among infants with congenital diaphragmatic hernia (CDH). STUDY DESIGN: We conducted a retrospective analysis using the Children's Hospital Neonatal Database during 2010 to 2014. Infants born >34 weeks gestation with CDH admitted at 22 participating regional neonatal intensive care units were included; patients who were repaired or were at home before admission were excluded. The primary outcome was death before discharge or LOS >109 days. Factors associated with this outcome were used to develop a multivariable equation using 80% of the cohort. Validation was performed in the remaining 20% of infants. RESULTS: The median gestation and age at referral in this cohort (n=677) were 38 weeks and 6 h, respectively. The primary outcome occurred in 242 (35.7%) infants, and was distributed between mortality (n=180, 27%) and LOS >109 days (n=66, 10%). Regression analyses showed that small for gestational age (odds ratio (OR) 2.5, P=0.008), presence of major birth anomalies (OR 5.9, P<0.0001), 5- min Apgar score ⩽3 (OR 7.0, P=0.0002), gradient of acidosis at the time of referral (P<0.001), the receipt of extracorporeal support (OR 8.4, P<0.0001) and bloodstream infections (OR 2.2, P=0.004) were independently associated with death or LOS >109 days. This model performed well in the validation cohort (area under curve (AUC)=0.856, goodness-of-fit (GF) χ(2), P=0.16) and acted similarly even after omitting extracorporeal support (AUC=0.82, GF χ(2), P=0.05). CONCLUSIONS: Six variables predicted death or LOS ⩾109 days in this large, contemporary cohort with CDH. These results can assist in risk adjustment for comparative benchmarking and for counseling affected families.


Assuntos
Hérnias Diafragmáticas Congênitas/mortalidade , Tempo de Internação/estatística & dados numéricos , Bases de Dados Factuais , Feminino , Idade Gestacional , Humanos , Lactente , Recém-Nascido , Unidades de Terapia Intensiva Neonatal , Modelos Logísticos , Masculino , Análise Multivariada , Razão de Chances , Estudos Retrospectivos , Risco Ajustado/métodos , Estados Unidos/epidemiologia
10.
J Perinatol ; 35(4): 290-6, 2015 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-25393081

RESUMO

OBJECTIVE: To characterize infants affected with perinatal hypoxic ischemic encephalopathy (HIE) who were referred to regional neonatal intensive care units (NICUs) and their related short-term outcomes. STUDY DESIGN: This is a descriptive study evaluating the data collected prospectively in the Children's Hospital Neonatal Database, comprised of 27 regional NICUs within their associated children's hospitals. A consecutive sample of 945 referred infants born ⩾36 weeks' gestation with perinatal HIE in the first 3 days of life over approximately 3 years (2010-July 2013) were included. Maternal and infant characteristics are described. Short-term outcomes were evaluated including medical comorbidities, mortality and status of survivors at discharge. RESULT: High relative frequencies of maternal predisposing conditions, cesarean and operative vaginal deliveries were observed. Low Apgar scores, profound metabolic acidosis, extensive resuscitation in the delivery room, clinical and electroencephalographic (EEG) seizures, abnormal EEG background and brain imaging directly correlated with the severity of HIE. Therapeutic hypothermia was provided to 85% of infants, 15% of whom were classified as having mild HIE. Electrographic seizures were observed in 26% of the infants. Rates of complications and morbidities were similar to those reported in prior clinical trials and overall mortality was 15%. CONCLUSION: Within this large contemporary cohort of newborns with perinatal HIE, the application of therapeutic hypothermia and associated neurodiagnostic studies appear to have expanded relative to reported clinical trials. Although seizure incidence and mortality were lower compared with those reported in the trials, it is unclear whether this represented improved outcomes or therapeutic drift with the treatment of milder disease.


Assuntos
Hipotermia Induzida , Hipóxia-Isquemia Encefálica/terapia , Convulsões/terapia , Acidose , Estudos de Coortes , Eletroencefalografia , Feminino , Grupos Focais , Hospitais Pediátricos , Humanos , Recém-Nascido , Unidades de Terapia Intensiva Neonatal , Masculino , Ressuscitação , Resultado do Tratamento
11.
Genet Mol Res ; 13(4): 9861-6, 2014 Nov 27.
Artigo em Inglês | MEDLINE | ID: mdl-25501195

RESUMO

Cassia angustifolia Vahl. (senna) is commonly used in self-medication and is frequently used to treat intestine constipation. A previous study involving bacteria and plasmid DNA suggested the possible toxicity of the aqueous extract of senna (SAE). The aim of this study was to extend the knowledge concerning SAE genotoxicity mechanisms because of its widespread use and its risks to human health. We investigated the impact of SAE on nuclear DNA and on the stability of mitochondrial DNA in Saccharomyces cerevisiae (wt, ogg1, msh6, and ogg1msh6) strains, monitoring the formation of petite mutants. Our results demonstrated that SAE specifically increased Can(R) mutagenesis only in the msh6 mutant, supporting the view that SAE can induce misincorporation errors in DNA. We observed a significant increase in the frequency of petite colonies in all studied strains. Our data indicate that SAE has genotoxic activity towards both mitochondrial and nuclear DNA.


Assuntos
Núcleo Celular/genética , Genoma Mitocondrial/efeitos dos fármacos , Instabilidade Genômica/efeitos dos fármacos , Extratos Vegetais/farmacologia , Saccharomyces cerevisiae/genética , Senna/química , Água/química , Saccharomyces cerevisiae/efeitos dos fármacos
12.
J Perinatol ; 34(10): 736-40, 2014 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-25144157

RESUMO

OBJECTIVE: To characterize the population and short-term outcomes in preterm infants with surgical necrotizing enterocolitis (NEC). STUDY DESIGN: Preterm infants with surgical NEC were identified from 27 hospitals over 3 years using the Children's Hospitals Neonatal Database; infants with gastroschisis, volvulus, major congenital heart disease or surgical NEC that resolved prior to referral were excluded. Patient characteristics and pre-discharge morbidities were stratified by gestational age (<28 vs 28(0/7) to 36(6/7) weeks' gestation). RESULT: Of the 753 eligible infants, 60% were born at <28 weeks' gestation. The median age at referral was 14 days; only 2 infants were inborn. Male gender (61%) was overrepresented, whereas antenatal steroid exposure was low (46%). Although only 11% had NEC totalis, hospital mortality (<28 weeks' gestation: 41%; 28(0/7) to 36(6/7) weeks' gestation: 32%, P=0.02), short bowel syndrome (SBS)/intestinal failure (IF) (20% vs 26%, P=0.06) and the composite of mortality or SBS/IF (50% vs 49%, P=0.7) were prevalent. Also, white matter injury (11.7% vs 6.6%, P=0.02) and grade 3 to 4 intraventricular hemorrhages (23% vs 2.7%, P<0.01) were commonly diagnosed. After referral, the median length of hospitalization was longer for survivors (106 days; interquartile range (IQR) 79, 152) relative to non-survivors (2 days; IQR 1,17; P<0.001). These survivors were prescribed parenteral nutrition infrequently after hospital discharge (<28 weeks': 5.2%; 28(0/7) to 36(6/7) weeks': 9.9%, P=0.048). CONCLUSION: After referral for surgical NEC, the short-term outcomes are grave, particularly for infants born <28 weeks' gestation. Although analyses to predict outcomes are urgently needed, these data suggest that affected infants are at a high risk for lengthy hospitalizations and adverse medical and neuro-developmental abnormalities.


Assuntos
Enterocolite Necrosante/mortalidade , Enterocolite Necrosante/cirurgia , Mortalidade Hospitalar , Recém-Nascido Prematuro , Causas de Morte , Estudos de Coortes , Bases de Dados Factuais , Procedimentos Cirúrgicos do Sistema Digestório/métodos , Procedimentos Cirúrgicos do Sistema Digestório/mortalidade , Enterocolite Necrosante/diagnóstico , Feminino , Seguimentos , Hospitais Pediátricos , Humanos , Recém-Nascido , Unidades de Terapia Intensiva Neonatal , Masculino , Encaminhamento e Consulta/estatística & dados numéricos , Estudos Retrospectivos , Medição de Risco , Índice de Gravidade de Doença , Taxa de Sobrevida , Fatores de Tempo , Resultado do Tratamento , Estados Unidos
13.
J Perinatol ; 34(8): 582-6, 2014 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-24603454

RESUMO

The Children's Hospitals Neonatal Consortium is a multicenter collaboration of leaders from 27 regional neonatal intensive care units (NICUs) who partnered with the Children's Hospital Association to develop the Children's Hospitals Neonatal Database (CHND), launched in 2010. The purpose of this report is to provide a first summary of the population of infants cared for in these NICUs, including representative diagnoses and short-term outcomes, as well as to characterize the participating NICUs and institutions. During the first 2 1/2 years of data collection, 40910 infants were eligible. Few were born inside these hospitals (2.8%) and the median gestational age at birth was 36 weeks. Surgical intervention (32%) was common; however, mortality (5.6%) was infrequent. Initial queries into diagnosis-specific inter-center variation in care practices and short-term outcomes, including length of stay, showed striking differences. The CHND provides a contemporary, national benchmark of short-term outcomes for infants with uncommon neonatal illnesses. These data will be valuable in counseling families and for conducting observational studies, clinical trials and collaborative quality improvement initiatives.


Assuntos
Bases de Dados Factuais , Hospitais Pediátricos/estatística & dados numéricos , Doenças do Recém-Nascido/epidemiologia , Unidades de Terapia Intensiva Neonatal/estatística & dados numéricos , Avaliação de Resultados em Cuidados de Saúde/estatística & dados numéricos , Padrões de Prática Médica/estatística & dados numéricos , Humanos , Recém-Nascido , Doenças do Recém-Nascido/diagnóstico , Doenças do Recém-Nascido/terapia , Unidades de Terapia Intensiva Neonatal/organização & administração , Estados Unidos
14.
J Perinatol ; 34(7): 543-8, 2014 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-24651732

RESUMO

OBJECTIVE: To estimate the risk of death or tracheostomy placement (D/T) in infants with severe bronchopulmonary dysplasia (sBPD) born < 32 weeks' gestation referred to regional neonatal intensive care units. STUDY DESIGN: We conducted a retrospective cohort study in infants born < 32 weeks' gestation with sBPD in 2010-2011, using the Children's Hospital Neonatal Database. sBPD was defined as the need for FiO2 ⩾ 0.3, nasal cannula support >2 l min(-1) or positive pressure at 36 weeks' post menstrual age. The primary outcome was D/T before discharge. Predictors associated with D/T in bivariable analyses (P < 0.2) were used to develop a multivariable logistic regression equation using 80% of the cohort. This equation was validated in the remaining 20% of infants. RESULT: Of 793 eligible patients, the mean gestational age was 26 weeks' and the median age at referral was 6.4 weeks. D/T occurred in 20% of infants. Multivariable analysis showed that later gestational age at birth, later age at referral along with pulmonary management as the primary reason for referral, mechanical ventilation at the time of referral, clinically diagnosed pulmonary hypertension, systemic corticosteroids after referral and occurrence of a bloodstream infection after referral were each associated with D/T. The model performed well with validation (area under curve 0.86, goodness-of-fit χ(2), P = 0.66). CONCLUSION: Seven clinical variables predicted D/T in this large, contemporary cohort with sBPD. These results can be used to inform clinicians who counsel families of affected infants and to assist in the design of future prospective trials.


Assuntos
Displasia Broncopulmonar/mortalidade , Traqueostomia/estatística & dados numéricos , Displasia Broncopulmonar/cirurgia , Estudos de Coortes , Feminino , Idade Gestacional , Humanos , Lactente , Recém-Nascido , Recém-Nascido Prematuro , Unidades de Terapia Intensiva Neonatal , Tempo de Internação/estatística & dados numéricos , Modelos Logísticos , Masculino , Respiração Artificial , Estudos Retrospectivos , Medição de Risco
15.
J Perinatol ; 33(11): 877-81, 2013 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-23828204

RESUMO

OBJECTIVE: To characterize the treatments and short-term outcomes in infants with severe bronchopulmonary dysplasia (sBPD) referred to regional neonatal intensive care units. STUDY DESIGN: Infants born <32 weeks' gestation with sBPD were identified using the Children's Hospital Neonatal Database. Descriptive outcomes are reported. RESULT: A total of 867 patients were eligible. On average, infants were born at 26 weeks' gestation and referred 43 days after birth. Infants frequently experienced lung injury (pneumonia: 24.1%; air leak: 9%) and received systemic corticosteroids (61%) and mechanical ventilation (median duration 37 days). Although 91% survived to discharge, the mean post-menstrual age was 47 weeks. Ongoing care such as supplemental oxygen (66%) and tracheostomy (5%) were frequently needed. CONCLUSION: Referred infants with sBPD sustain multiple insults to lung function and development. Because affected infants have no proven, safe or efficacious therapy and endure an exceptional burden of care even after referral, urgent work is required to observe and improve their outcomes.


Assuntos
Displasia Broncopulmonar/terapia , Recém-Nascido Prematuro , Corticosteroides/uso terapêutico , Humanos , Recém-Nascido , Unidades de Terapia Intensiva Neonatal , Respiração Artificial , Resultado do Tratamento
16.
Lett Appl Microbiol ; 55(6): 467-75, 2012 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-23020203

RESUMO

UNLABELLED: This study correlated the composition of the spoilage bacterial flora with the main gaseous and volatile organic compounds (VOCs) found in the package headspace of spoiled, chilled, vacuum-packed meat. Fifteen chilled, vacuum-packed beef samples, suffering from blown pack spoilage, were studied using 16S rRNA clone sequencing. More than 50% of the bacteria were identified as lactic acid bacteria (LAB), followed by clostridia and enterobacteria. Fifty-one volatile compounds were detected in the spoiled samples. Although the major spoilage compounds were identified as alcohols and aldehydes, CO2 was identified as the major gas in the spoiled samples by headspace technique. Different species of bacteria contribute to different volatile compounds during meat spoilage. LAB played an important role in blown pack deterioration of the Brazilian beef studied. SIGNIFICANCE AND IMPACT OF THE STUDY: The data generated by this study provided useful information to correlate the microbial contamination of Enterobacteriaceae, lactic acid bacteria and Clostridium with the VOC and gaseous compound production to define, in a faster manner, not only the type of contamination, but also to prevent it.


Assuntos
Contaminação de Alimentos/análise , Embalagem de Alimentos , Gases/análise , Carne/microbiologia , Compostos Orgânicos Voláteis/análise , Animais , Técnicas de Tipagem Bacteriana , Sequência de Bases , Brasil , Bovinos , Clostridium/classificação , Clostridium/genética , Clostridium/isolamento & purificação , DNA Bacteriano/genética , Enterobacteriaceae/classificação , Enterobacteriaceae/genética , Enterobacteriaceae/isolamento & purificação , Gases/metabolismo , Lactobacillales/classificação , Lactobacillales/genética , Lactobacillales/isolamento & purificação , RNA Ribossômico 16S/genética , Análise de Sequência de DNA , Compostos Orgânicos Voláteis/metabolismo
17.
Infect Immun ; 78(8): 3475-83, 2010 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-20515935

RESUMO

Many lipoproteins are expressed on the surfaces of mycoplasmas, and some have been implicated as playing roles in pathogenesis. Family 2 lipoproteins of Mycoplasma pneumoniae have a conserved "mycoplasma lipoprotein X" central domain and a "mycoplasma lipoprotein 10" C-terminal domain and are differentially expressed in response to environmental conditions. Homologues of family 2 lipoproteins are Mycoplasma specific and include the lipoprotein of Mycoplasma gallisepticum, encoded by the MGA0674 gene. Comparative transcriptomic analysis of the M. gallisepticum live attenuated vaccine strain F and the virulent strain R(low), reported in this study, indicated that MGA0674 is one of several differentially expressed genes. The MGA0674-encoded lipoprotein is a proteolytically processed, immunogenic, TX-114 detergent-phase protein which appears to have antigenic divergence between field strains R(low) and S6. We examined the virulence of an R(low) Delta MGA0674 mutant (P1H9) in vivo and observed reduced recovery and attenuated virulence in the tracheas of experimentally infected chickens. The virulence of two additional R(low) Delta MGA0674 mutants, 2162 and 2204, was assessed in a second in vivo virulence experiment. These mutants exhibited partial to complete attenuation in vivo, but recovery was observed more frequently. Since only Mycoplasma species harbor homologues of MGA0674, the gene product has been renamed "Mycoplasma-specific lipoprotein A" (MslA). Collectively, these data indicate that MslA is an immunogenic lipoprotein exhibiting reduced expression in an attenuated strain and plays a role in M. gallisepticum virulence.


Assuntos
Proteínas de Bactérias/fisiologia , Lipoproteínas/fisiologia , Infecções por Mycoplasma/veterinária , Mycoplasma gallisepticum/patogenicidade , Doenças das Aves Domésticas/microbiologia , Fatores de Virulência/fisiologia , Animais , Proteínas de Bactérias/genética , Galinhas , Feminino , Deleção de Genes , Perfilação da Expressão Gênica , Lipoproteínas/deficiência , Infecções por Mycoplasma/microbiologia , Infecções por Mycoplasma/patologia , Doenças das Aves Domésticas/patologia , Traqueia/microbiologia , Traqueia/patologia , Virulência , Fatores de Virulência/deficiência
18.
Eur J Vasc Endovasc Surg ; 38(3): 346-55, 2009 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-19541510

RESUMO

Technical advances have seen the rapid adoption of genomics and multiplex genetic polymorphism identification to research on vascular diseases. The utilization of proteomics for the study of vascular diseases has been limited by comparison. In this review we outline currently available proteomics techniques, the challenges to using these approaches and modifications which may improve the utilization of proteomics in the study of vascular diseases.


Assuntos
Proteínas/análise , Proteômica/tendências , Doenças Vasculares/diagnóstico , Doenças Vasculares/terapia , Biomarcadores/análise , Eletroforese em Gel Bidimensional/tendências , Eletroforese em Gel de Poliacrilamida/tendências , Humanos , Espectrometria de Massas/tendências , Valor Preditivo dos Testes , Análise Serial de Proteínas/tendências , Reprodutibilidade dos Testes
19.
Anal Bioanal Chem ; 391(3): 847-57, 2008 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-18265963

RESUMO

The aim of this work was to identify the degradation compounds produced during irradiation of multilayer polyamide 6 (PA-6) films and to study their migration into water and 95% ethanol food simulant. After irradiation of multilayer PA-6 films at 3, 7 and 12 kGy, degradation compounds were extracted using solid-phase microextraction, for which the time and temperature of extraction and stirring were optimized, and identified by gas chromatography-mass spectrometry. Caprolactam, 2-cyclopentylcyclopentanone and aldehydes, among other compounds, were identified in the headspace of the films. Polydimethylsiloxane was considered the best fiber for extraction. The optimum conditions of time, temperature and stirring to extract the compounds were 20 min, 80 degrees C and 225 rpm. For validation purposes, the compounds were quantified in water and 95% ethanol and the results showed high sensitivity, good precision and accuracy. Migration of compounds from irradiated and non-irradiated multilayer PA-6 films into water and 95% ethanol food simulants was carried out at 40 degrees C for 10 days. The method was efficient for the quantification of decaldehyde, 2-cyclopentylcyclopentanone and caprolactam that migrated from multilayer PA-6 films into food simulants.


Assuntos
Aldeídos/análise , Caprolactama/análogos & derivados , Caprolactama/análise , Ciclopentanos/análise , Raios gama , Membranas Artificiais , Polímeros/efeitos da radiação , Caprolactama/química , Caprolactama/efeitos da radiação , Queijo , Dimetilpolisiloxanos/química , Relação Dose-Resposta à Radiação , Cromatografia Gasosa-Espectrometria de Massas/métodos , Carne , Estrutura Molecular , Polímeros/química , Reprodutibilidade dos Testes , Microextração em Fase Sólida/métodos , Temperatura , Fatores de Tempo
20.
Toxicol In Vitro ; 22(1): 212-8, 2008 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-17826029

RESUMO

Senna (Cassia angustifolia Vahl.) is widely used as a laxative, although potential side effects, such as toxicity and genotoxicity, have been reported. This study evaluated genotoxic and mutagenic effects of senna aqueous extract (SAE) by means of four experimental assays: inactivation of Escherichia coli cultures; bacterial growth inhibition; reverse mutation test (Mutoxitest) and DNA strand break analysis in plasmid DNA. Our results demonstrated that SAE produces single and double strand breaks in plasmid DNA in a cell free system. On the other hand, SAE was not cytotoxic or mutagenic to Escherichia coli strains tested. In effect, SAE was able to avoid H(2)O(2)-induced mutagenesis and toxicity in Escherichia coli IC203 (uvrA oxyR) and IC205 (uvrA mutM) strains, pointing to a new antioxidant/antimutagenic action of SAE.


Assuntos
Mutagênicos/toxicidade , Extrato de Senna/toxicidade , Antimutagênicos/farmacologia , Antimutagênicos/toxicidade , Antioxidantes/farmacologia , Antioxidantes/toxicidade , Quebras de DNA de Cadeia Dupla/efeitos dos fármacos , Quebras de DNA de Cadeia Simples/efeitos dos fármacos , Escherichia coli/efeitos dos fármacos , Escherichia coli/genética , Escherichia coli/crescimento & desenvolvimento , Peróxido de Hidrogênio/metabolismo , Técnicas In Vitro , Testes de Mutagenicidade/métodos , Mutagênicos/farmacologia , Plasmídeos/efeitos dos fármacos , Plasmídeos/metabolismo , Extrato de Senna/farmacologia , Senna/química
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