Antibacterial properties and modulation analysis of antibiotic activity of NaCe(MoO4)2 microcrystals.

This study reports the antibacterial properties and modulation analysis of antibiotic activity by NaCe(MoO4)2 microcrystals as well as their structural and morphological characterization. Evaluation of the antibacterial and antibiotic-modulating activity was carried out using the broth microdilution method. The Minimum Inhibitory Concentrations (MICs) of the compounds were expressed as the geometric mean of the triplicate values obtained through the use of Resazurin. Compound concentrations in the plates ranged from 512 to 0.5 µg/mL. Regarding its direct antibacterial activity, NaCe(MoO4)2 had a MIC ≥ 1024 µg/mL against all studied strains. As for its modulatory effect, it presented synergism with the antibiotic Gentamicin against the S. aureus strain and with Norfloxacin against E. coli, causing a reduction of 75% and 60%, respectively, in the antibiotic quantity required to have the same effect on the strain in study.

Challenges of Organ Donation: Potential Donors for Transplantation in an Area of Brazil's Northeast.

BACKGROUND: New strategies to manage the pool of potential donors are needed to increase organ donation rates. The purpose of the study was to identify the main causes of lack of organ donation and to identify the sociodemographic and clinical profiles of potential organ donors in an area of northeastern Brazil. METHODS: We conducted a cross-sectional, retrospective, observational study between November 2015 and January 2017. RESULTS: A total of 150 potential donors were included in the sample. The main cause of death among potential donors was hemorrhagic stroke (35.3%). Hypertension was the most prevalent comorbidity (25.6%). Family member's refusal was cited as the most common reason for not performing organ donation (49.4%). Among the causes of family member's refusal, the most prevalent was declaration of non-consent in life (23%), followed by family disagreement (20.3%). CONCLUSION: There is clearly a need for public educational efforts with regard to organ donation. Educational advertising campaigns can help improve the authorization rate of organ donation.

ß-Ag2MoO4 microcrystals: Characterization, antibacterial properties and modulation analysis of antibiotic activity.

This study reports the antibacterial properties and modulation analysis of antibiotic activity by ß-Ag2MoO4 microcrystals as well as their structural and vibrational characterization. The silver molybdate was obtained by the conventional hydrothermal method, and the structural, vibrational and morphological properties of the sample were determined using X-ray diffraction, Raman spectroscopy and scanning electron microscopy images. ß-Ag2MoO4 microcrystals obtained show spinel-type cubic structure (Fd-3m) with irregular shapes. The evaluation of antibacterial and modulatory-antibiotic activity was performed using the microdilution method to determine the Minimum Inhibitory Concentration (MIC) of the ß-Ag2MoO4 and antibiotics alone and associated with the silver molybdate. The ß-Ag2MoO4 modulates the antibiotic activity against all bacteria assayed in a synergistic (as the norfloxacin and gentamicin against S. aureus and gentamicin against E. coli) or an antagonistic form (as the norfloxacin against E.coli and P. aeruginosa). The reversion of antibiotic resistance by combinations with Ag2MoO4 could be a novel strategy to combat infections caused by multiple drug resistance (MDR) pathogens. Our results indicate that these silver molybdates present a clinically relevant antibacterial activity and enhanced the antibiotic activity of some antibiotics against MDR strain of S. aureus and E. coli, being an interesting alternative to combat antibiotic-resistant bacterial infectious agents.

Efficacy and safety of low molecular weight heparin in patients with mechanical heart valves: systematic review and meta-analysis.

BACKGROUND: Low molecular weight heparins (LMWHs) are not approved for patients with mechanical heart valves (MHVs). However, in several guidelines, temporary LMWH off-label use in this clinical setting is considered to be a valid treatment option. Therefore, we reviewed the efficacy and safety of LMWHs in patients with MHVs. METHODS: MEDLINE and CENTRAL databases were searched from inception to June 2013. Review articles and references were also searched. We included experimental and observational studies that compared LMWHs with unfractionated heparin (UFH) or vitamin K antagonists (VKAs). Data were analyzed and pooled to estimate odds ratios (ORs) with 95% confidence intervals (CIs) for thromboembolic and major bleeding events. Statistical heterogeneity was evaluated with the I(2) -test. RESULTS: Nine studies were included: one randomized controlled trial (RCT) and eight observational studies, with a total of 1042 patients. No differences were found between LMWHs and UFH/VKAs in the risk of thromboembolic events (OR 0.67; 95% CI 0.27-1.68; I(2) = 9%) or major bleeding events (OR 0.66; 95% CI 0.36-1.19; I(2) = 0%). CONCLUSIONS: The best evidence available might support the temporary use of LMWHs as a prophylactic treatment option in patients with MHVs. However, conclusions are mostly based on observational data (with large CIs), and an adequately powered RCT is urgently needed in this clinical setting.

Effect of eslicarbazepine acetate on the pharmacokinetics of metformin in healthy subjects.

PURPOSE: Eslicarbazepine acetate (ESL) is a new voltage-gated sodium channel blocker currently in development for the treatment of neuropathic pain, including that of diabetic origin. The primary objective was to investigate the effect of ESL on the pharmacokinetics of metformin, a commonly used oral antidiabetic drug. METHODS: Randomized, open-label, two-way crossover study in 20 healthy subjects. The volunteers received an 850 mg single-dose of metformin hydrochloride on two occasions - once as such and once after pre-treatment with an oral once-daily dose of ESL 1200 mg for 6 days - separated by a washout period of at least 2 weeks. The bioequivalence approach was used for assessing the effect of ESL on the pharmacokinetics of metformin. Test/Reference geometric mean ratios (GMR) and 90% confidence intervals (90% CI) were calculated for AUC0- yen, AUC0-12 and Cmax of metformin. RESULTS: Test/Reference metformin GMR (90% CI) was 0.95 (0.86; 1.05) for AUC0- yen, 0.95 (0.88; 1.06) for AUC0-12, and 0.88 (0.77; 1.00) for Cmax. Formal bioequivalence could not be demonstrated for metformin Cmax. However, the extent of exposure to metformin, as reflected by AUC0-12 and AUC0- yen, allows the claim of bioequivalence since the 90% CI of the GMR fall within the pre-specified bioequivalence acceptance interval (0.80; 1.25). CONCLUSION: Once-daily administration of ESL 1,200 mg had no relevant effect on the systemic exposure to metformin pharmacokinetics in healthy subjects.

A randomized, double-blind, and placebo-controlled study with tranexamic acid of bleeding and fibrinolytic activity after primary coronary artery bypass grafting.

Cardiopulmonary bypass is frequently associated with excessive blood loss. Platelet dysfunction is the main cause of non-surgical bleeding after open-heart surgery. We randomized 65 patients in a double-blind fashion to receive tranexamic acid or placebo in order to determine whether antifibrinolytic therapy reduces chest tube drainage. The tranexamic acid group received an intravenous loading dose of 10 mg/kg, before the skin incision, followed by a continuous infusion of 1 mg kg(-1) h(-1) for 5 h. The placebo group received a bolus of normal saline solution and continuous infusion of normal saline for 5 h. Postoperative bleeding and fibrinolytic activity were assessed. Hematologic data, convulsive seizures, allogeneic transfusion, occurrence of myocardial infarction, mortality, allergic reactions, postoperative renal insufficiency, and reopening rate were also evaluated. The placebo group had a greater postoperative blood loss (median (25th to 75th percentile) 12 h after surgery (540 (350-750) vs 300 (250-455) mL, P = 0.001). The placebo group also had greater blood loss 24 h after surgery (800 (520-1050) vs 500 (415-725) mL, P = 0.008). There was a significant increase in plasma D-dimer levels after coronary artery bypass grafting only in patients of the placebo group, whereas no significant changes were observed in the group treated with tranexamic acid. The D-dimer levels were 1057 (1025-1100) microg/L in the placebo group and 520 (435-837) microg/L in the tranexamic acid group (P = 0.01). We conclude that tranexamic acid effectively reduces postoperative bleeding and fibrinolysis in patients undergoing first-time coronary artery bypass grafting compared to placebo.

A randomized, double-blind, and placebo-controlled study with tranexamic acid of bleeding and fibrinolytic activity after primary coronary artery bypass grafting

Cardiopulmonary bypass is frequently associated with excessive blood loss. Platelet dysfunction is the main cause of non-surgical bleeding after open-heart surgery. We randomized 65 patients in a double-blind fashion to receive tranexamic acid or placebo in order to determine whether antifibrinolytic therapy reduces chest tube drainage. The tranexamic acid group received an intravenous loading dose of 10 mg/kg, before the skin incision, followed by a continuous infusion of 1 mg kg-1 h-1 for 5 h. The placebo group received a bolus of normal saline solution and continuous infusion of normal saline for 5 h. Postoperative bleeding and fibrinolytic activity were assessed. Hematologic data, convulsive seizures, allogeneic transfusion, occurrence of myocardial infarction, mortality, allergic reactions, postoperative renal insufficiency, and reopening rate were also evaluated. The placebo group had a greater postoperative blood loss (median (25th to 75th percentile) 12 h after surgery (540 (350-750) vs 300 (250-455) mL, P = 0.001). The placebo group also had greater blood loss 24 h after surgery (800 (520-1050) vs 500 (415-725) mL, P = 0.008). There was a significant increase in plasma D-dimer levels after coronary artery bypass grafting only in patients of the placebo group, whereas no significant changes were observed in the group treated with tranexamic acid. The D-dimer levels were 1057 (1025-1100) æg/L in the placebo group and 520 (435-837) æg/L in the tranexamic acid group (P = 0.01). We conclude that tranexamic acid effectively reduces postoperative bleeding and fibrinolysis in patients undergoing first-time coronary artery bypass grafting compared to placebo.

Identification of Hake species (Merluccius Genus) using sequencing and PCR-RFLP analysis of mitochondrial DNA control region sequences.

The use of DNA-based methodologies in identification of hake species belonging to the Merluccius genus was shown to be successful. A short fragment of the left hypervariable domain of the mitochondrial control region was amplified, sequenced, and digested from 11 hake species. The hake-specific PCR product, due to its limited size, was obtained in a variety of tissue samples with different levels of DNA concentration and degradation, including sterilized food products. On the basis of this phylogenetically informative 156-bp sequence were selected four restriction enzymes (ApoI, DdeI, DraIII, and MboII) that allow the hake species discrimination. Species identification by phylogenetic analysis of sequences or by PCR-RFLP methodologies is useful in a variety of scenarios including authentication of thermally processed food, detection of food components, and species determination of individuals whose morphological characters are removed.

Identification of flatfish (Pleuronectiforme) species using DNA-based techniques.

Identification of flatfish species using a DNA-based methodology was studied. The polymerase chain reaction was employed to obtain a 464 bp amplicon from mitochondrial cytochrome b gene. The sequences from this fragment belonging to 24 species were analyzed using a genetic distance method, and polymorphic sites were determined. The fragment was found to be highly polymorphic (231 sites), and this permitted the differentiation of most of the species. Phylogenetic tree construction was employed to allow the identification of flatfish species. As a result, each species was grouped in a well-differentiated clade, except for two pairs: Limanda ferruginea and L. limanda, and Solea impar and S. lascaris, which could not be differentiated. On the basis of the sequences obtained, restriction enzymes were selected to provide specific restriction profiles, which allow the differentiation of 21 species of flatfish in a faster and less expensive manner than sequencing. This polymerase chain reaction-restriction fragment length polymorphism methodology (PCR-RFLP) was tested using commercial samples.

Development of a DNA-based method aimed at identifying the fish species present in food products.

Analysis of restriction fragment length polymorphism (RFLP) profiles of a 464 bp amplicon obtained from the mitochondrial cytochrome b gene was used to differentiate between several different fish species. The method was tested by a collaborative study in which 12 European laboratories participated to ascertain whether the method was reproducible. Each laboratory was required to identify 10 unknown samples by comparison with RFLP profiles from authentic species. From a total of 120 tests performed, unknown samples were correctly identified in 96% of cases. Further work attempting to use the method to analyze mixed and processed fish samples was also performed. In all cases the species contained within mixed samples were correctly identified, indicating the efficacy of the method for detecting fraudulent substitution of fish species in food products.

Use of restriction fragment length polymorphism to distinguish between salmon species.

Identification of 10 salmon species using DNA-based methodology was investigated. Amplification of DNA was carried out using a primer set which amplified a region of the mitochondrial cytochrome b gene. Sequences of PCR-amplified DNA from the salmon species were used to select six restriction enzymes allowing species to be uniquely classified. RFLP patterns generated following analysis with each enzyme were resolved using polyacrylamide gel electrophoresis and visualized by silver staining. Results indicate that it is possible to differentiate between all 10 salmon species and that the technique could be easily adopted by the food industry for analysis of processed salmon products.

Schistosomiasis on Bohol Island, Philippines, with special emphasis on the successful discovery of new habitats of the vector snail, Oncomelania quadrasi, and area-wide mollusciciding.

In the endemic area of schistosomiasis on Bohol Island, we succeeded in locating seven new colonies of the vector snail, Oncomelania quadrasi, four in Trinidad and three in Talibon, in addition to six locations from which the snails were previously recorded. We were led by the proximity of the snail habitat to the residence of the infected individuals. In northern Bohol the continuous wet season would appear to make the major differences between the places that do and those that do not support O. quadrasi. Twice-yearly weed clearance and applying chemical molluscicides (niclosamide and phebrol) for the control of O. quadrasi have been extensively in effect over the snail colonies, since July 1986. Although it has not yet yielded satisfactory results in certain colonies, snails have been eliminated from six habitats in a period of two and a half years.

Negative conversion of COP (circumoval precipitation) reactions after selective mass chemotherapy on schistosomiasis japonica with praziquantel in Bohol, Philippines.

For the longitudinal survey of human schistosomiasis japonica in the villages of Sto. Tomas and San Vicente in the province of Bohol, Philippines, the circumoval precipitin (COP) test was used for case detection. Plasma collected by finger prick from the community people and lyophilized eggs of Schistosoma japonicum were used for the assay. Degree of precipitation at type 2 or 3 of Yokogawa et al. [1] was considered as positive. Selective mass chemotherapy with praziquantel was given to the patients including cases with only positive COP reactions. San Vicente and Sto. Tomas villages were examined in 1984 and 1982, respectively and followed up in 1986. Positive COP reactions were converted to negative in 82.1% or 55 out of 67 cases treated in 1984 and 1985 at San Vicente. Similarly, negative conversion was observed in 75.4% or 43 out of 57 cases treated in 1981 and 1982 at Sto. Tomas. The cases with persistent positive COP reaction after treatment were considered as incomplete cure or reinfection. The concentrated distribution of positive cases around the habitat of Oncomelania snails was observed at San Vicente where the prevalence of COP positives declined from 22.2% to 14.0% in 2 years. These results suggest that in the area with selective mass chemotherapy on schistosomiasis japonica, COP reactions of treated cases are converted to negative at high proportions in 2 years, and the positives detected by subsequent survey after 2 years are considered mostly as new infections or reinfections.

Population studies on Oncomelania quadrasi, the snail intermediate host of Schistosoma japonicum, in the Philippines. 5. Quantitative analysis on successful snail control by land reclamation.

For the control of Oncomelania quadrasi, environmental modifications, i.e., clearing of vegetation, leveling of swampy depression and draining of stagnant water by channeling and excavation were carried out at 3 areas in Leyte, Philippines from 1974 to 1977. The change of snail population resulted in the land reclamation was evaluated by the methods previously developed by the population studies on this snail. As a result of statistical analysis based on y = log(x + 0.01) transformation and the antilogarithmic mean density A-y = (antilog -y) -0.01, the reduction of snail population was observed at 13 out of 18 sites studied at 3 project areas and the significant reduction was statistically confirmed at 9 sites of them. Particularly at Dagami area, which was a wide and heavily snail-infested land adjacent to Dagami Poblacion, the reduction rate of snail density reached 87.7% to 99.2% and some wet depressions have been converted into good rice fields with little snail infestation at the last survey.

An attempt to study the case fatality rate in Schistosoma japonicum infection in the Philippines.

As a sequence to a cross-sectional study on the clinical gradient of the disease by Pesigan et al., (1965) a follow-up of the subjects in that study was made after 12 years. Of the 135 untreated cases followed up, 23 (17.04%) died from various causes of which 12 (8.89%) had signs and symptoms attributable to schistosomiasis as the immediate cause or one of the main causes of death. This occurred in 1 to 11 years with an average of 5 years, which corresponds roughly to 1.78% of the infected cases per year. This is considered a conservative estimate because in the other deaths due to other diseases, schistosomiasis is a contributory cause. A diminishing severity of the disease was observed among the surviving patients which could imply that they must have developed some degree of immunity to the disease.

The cercarial emergence of Schistosoma japonicum from Oncomelania quadrasi under outdoor conditions in the Philippines.

The cercarial emergence of Schistosoma japonicum from Oncomelania quadrasi was observed under outdoor conditions in Leyte, Philippines. Nocturnal periodicity of the emergence within 24 hours was recognized. Peak emergence usually occurs between 18:00 and 20:00 and occasionally between 8:00 and 10:00. The peaks were usually synchronized with a sudden lowering of water temperature and light intensity and occasionally with their increase. As the nocturnal periodicity of the emergence was observed in the dark and outdoors, it was suggested that emergence might be dependent on temperature, which is secondarily influenced by photoperiodicity and light intensity.

Longitudinal study on Schistosoma japonicum infections in the Philippines. 4. Effect of mass-chemotherapy with praziquantel on incidence at Dagami, Leyte.

The effect of selective mass-chemotherapy with praziquantel at a dose of 60 mg/kg a day on the annual incidence of Schistosoma japonicum infection was examined by a follow-up study of 1,800 school children enrolled at 9 primary schools at Dagami Area, Leyte, Philippines. The incidence rates before mass-chemotherapy were 22.2, 24.2, 26.9, 9.6 and 28.4% in a period from school year (SY) 1975/76 to 1979/80, respectively, where the incidence of 9.6% in SY 1978/79 was probably due to extraordinary drought in the previous year. Egg positives including village people were treated and the numbers treated yearly were 22, 943, 273, 300 and 341 from SY 1978/79 to SY 1982/83, respectively. The incidence was reduced drastically as early as one year following the start of mass-chemotherapy, i.e., 8.4, no survey, 6.8 and 15.4%, from SY 1980/81 to SY 1983/84, respectively, and which demonstrated the efficacy of mass-chemotherapy on reduction of transmission.