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1.
Diabet Med ; 38(2): e14400, 2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-32918322

RESUMO

AIMS: To evaluate the relationship between self-reported colour-race, genomic ancestry, and metabolic syndrome in an admixed Brazilian population with type 1 diabetes. METHODS: We included 1640 participants with type 1 diabetes. The proportions of European, African and Amerindian genomic ancestries were determined by 46 ancestry informative markers of insertion deletion. Two different sets of analyses were performed to determine whether self-reported colour-race and genomic ancestry were predictors of metabolic syndrome. RESULTS: Metabolic syndrome was identified in 29.8% of participants. In the first model, the factors associated with metabolic syndrome were: female gender (odds ratio 1.95, P < 0.001); diabetes duration (odds ratio 1.04, P < 0.001); family history of type 2 diabetes (odds ratio 1.36, P = 0.019); and acanthosis nigricans (odds ratio 5.93, P < 0.001). Colour-race was not a predictive factor for metabolic syndrome. In the second model, colour-race was replaced by European genomic ancestry. The associated factors were: female gender (odds ratio 1.95, P < 0.001); diabetes duration (odds ratio 1.04, P < 0.001); family history of type 2 diabetes (odds ratio 1.39, P = 0.011); and acanthosis nigricans (odds ratio 6.12, P < 0.001). Physical exercise (≥3 times a week) was a protective factor (odds ratio 0.77, P = 0.041), and European genomic ancestry was not associated with metabolic syndrome but showed an odds ratio of 1.77 (P = 0.05). CONCLUSIONS: Although a higher level of European genomic ancestry was observed among participants with metabolic syndrome in the univariate analysis, this association did not persist after multivariable adjustments. Further prospective studies in other highly admixed populations remain necessary to better evaluate whether the European ancestral component modulates the development of metabolic syndrome in type 1 diabetes.


Assuntos
Diabetes Mellitus Tipo 1/epidemiologia , Exercício Físico/estatística & dados numéricos , Síndrome Metabólica/etnologia , Acantose Nigricans/epidemiologia , Adolescente , Adulto , Indígena Americano ou Nativo do Alasca/genética , Indígena Americano ou Nativo do Alasca/estatística & dados numéricos , População Negra/genética , População Negra/estatística & dados numéricos , Brasil/epidemiologia , Criança , Estudos Transversais , Diabetes Mellitus Tipo 2 , Feminino , Genômica , Humanos , Masculino , Anamnese , Síndrome Metabólica/epidemiologia , Síndrome Metabólica/genética , Pessoa de Meia-Idade , Fatores de Proteção , Fatores de Risco , Fatores Sexuais , População Branca/genética , População Branca/estatística & dados numéricos , Adulto Jovem
3.
Interface Focus ; 9(4): 20180086, 2019 Aug 06.
Artigo em Inglês | MEDLINE | ID: mdl-31263530

RESUMO

Despite there being many studies that have evaluated breast implant rupture, there is no consensus about causes and incidence. Most studies lack a multifactorial analysis of what causes breast implants to rupture. To fill this gap, an experimental protocol was developed to compare ruptured and intact Poly Implant Prothèse (PIP) breast implants from the same woman. These conditions guarantee that the physical/biological variables are the same for each pair of ruptured and intact implants. A total of 1008 samples from 22 PIP explants (11 intact and 11 ruptured) and three control PIP implants were analysed. The mechanical properties (tensile strength) of the ruptured and intact implants were compared according to brand, lot, implantation time and demographic conditions. In general, statistically significant differences were found between the intact and ruptured PIP implants. Ruptured implants were thinner (0.73 ± 0.10 mm versus 0.91 ± 0.11 mm) and weaker (7.42 ± 2.65 MPa versus 9.59 ± 2.37 MPa) than intact implants. Intact and ruptured implants have shown distinct mechanical behaviours and variations in thickness. Our understanding is that these differences may be associated with the typical manufacturing process of breast implant shells. These results stress the importance of thorough control of the shell thickness. Given its relevance, shell thickness should be used as a quality control measure for homologation purposes. Thus, the homogeneity of the shell should be considered as a relevant parameter during the manufacturing process. This will translate into an improved quality of life for patients and will potentiate safer and longer lasting products.

4.
Arq. bras. med. vet. zootec. (Online) ; 71(2): 473-480, mar.-abr. 2019. tab, graf
Artigo em Português | VETINDEX, LILACS | ID: biblio-1011260

RESUMO

Objetivou-se avaliar a correção da medida ultrassonográfica da área do músculo Longissimus dorsi, em coelhos da raça Nova Zelândia, pela análise de covariância usando modelos mistos. Foram realizadas análises em delineamento em blocos completos ao acaso, com cinco tratamentos (operadores) e seis blocos (animais), considerando na análise: a inexistência de covariáveis; a covariável comprimento de olho de lombo; a covariável profundidade de olho de lombo; e as duas covariáveis juntas. Como os animais são uma amostra aleatória, o efeito de bloco foi considerado como aleatório. Consideraram-se as covariáveis como medidas com efeito fixo sem erro, independentemente do tratamento e do comportamento linear. As estatísticas de critério de decisão CV%, R ² e R ¯ ² evidenciaram relação direta entre si e podem ser consideradas para avaliar a precisão experimental em ensaios com avaliação de carcaças. Os valores das estatísticas AIC, BIC e AICC apresentam coerência com a interpretação dos critérios de decisão e indicam que o modelo com duas covariáveis proporciona resultados acurados. A inclusão das covariáveis complementa o controle de local com melhoria na precisão do experimento. A utilização das medidas ultrassonográficas de profundidade e comprimento corrige a média da área do músculo Longissimus dorsi avaliado por diferentes operadores.(AU)


The objective of this study was to evaluate the correction ultrasonographic measurement of area the Longissimus dorsi muscle in New Zealand rabbits by covariance analysis using mixed linear models. The analyzes were performed in randomized block design with 5 treatments (operators) and 6 blocks (animals), considering in the analysis: absence of covariates; rib eye length as covariate; rib eye depth as covariate; the two covariates together. As the animals are a random sample, the block effect was considered to be random. The covariates were considered as measures of fixed effect without error, independent of treatment and linear comportment. The decision criterion statistics CV%, R², and R ¯ ²showed a direct relationship between them and can be taken into consideration to evaluate the experimental accuracy in tests with carcass evaluation. The AIC, BIC, and AICC statistics are consistent with the interpretation of the decision criteria and indicate that the two covariates in model provides accurate results. The inclusion of covariates complements the local control to improve the accuracy of the experiment. The use of ultrasound measurements of depth and length corrects the mean area of the Longissimus dorsi muscle evaluated by different operators.(AU)


Assuntos
Animais , Masculino , Coelhos , Coelhos/anatomia & histologia , Músculos/diagnóstico por imagem , Indústria da Carne , Ultrassonografia/veterinária
5.
J Mech Behav Biomed Mater ; 72: 22-28, 2017 08.
Artigo em Inglês | MEDLINE | ID: mdl-28437660

RESUMO

Breast implant durability and the mechanisms of rupture are important topics in the medical community, for patients, manufactures and regulatory medical agencies. After concerns about the Poly Implant Prosthesis (PIP) implants, the need for understanding the adverse outcomes and the failure mode to improve the breast implants increased. The objective of this research is to analyze and describe the rupture characteristics of failed explanted PIP implants to study the modes and causes of rupture. Eleven explanted PIP implants were analyzed by visual inspection and scanning electron microscopy (SEM). To simulate hypothetical ruptures caused by cyclic mechanical stress (fatigue) in the implant shell, two control implants were submitted to fatigue tests, and analyzed with SEM. Small ruptures (either Hole or split) striations were found, which normally appear due to fatigue phenomena. Similar striations were also found in specimens (control) tested under laboratory controlled conditions. In the context of this work, the striations found in explants constitute a significant finding as they point to the occurrence of fatigue phenomena associated with mammary implants rupture. This research, also demonstrates that rupture surface analysis of explanted breast implants has the potential to become a useful indicator for assessing implant rupture mechanisms.


Assuntos
Implantes de Mama , Falha de Prótese , Estresse Mecânico , Humanos , Microscopia Eletrônica de Varredura , Géis de Silicone
7.
Med Mycol ; 54(1): 97-102, 2016 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-26337089

RESUMO

Cryptococcal infection is transmitted by the inhalation of Cryptococcus spp. propagules. Information about the Cryptococcus species inhabiting plants might be clinically relevant due to the epidemiological role of these habitats as possible sources of human infection. The aim of this study was to increase the knowledge about the environmental occurrence of cryptococcosis agents. Hollow tree vegetal debris of nine plant species was sampled quarterly over a 12-month period. Melanized colonies were screened for Cryptococcus neoformans and C. gattii by biochemical tests, followed by URA5-RFLP molecular analysis, M13 fingerprinting assays, and mating-typing with the specific a and α primers. The susceptibility to fluconazole of all of the confirmed species colonies was determined using the AFST-EUCAST broth dilution method. We found that the typical Brazilian flora tree Hymenaea courbaril yielded a high cryptococcal burden (median, 10(2) CFU/g) during the summer, autumn and winter seasons. C. neoformans VNI molecular type MAT alpha was identified in all of the samples. The fingerprinting analyses showed great molecular variability with no correlation with the susceptibility profile to fluconazole (MIC range 4 to ≥64 mg/l). To our knowledge, this study is the first describing the association between C. neoformans and Hymenaea courbaril. These observations extend the known geographic distribution of and substantiate a new urban environmental niche for C. neoformans and also emphasize the genetic diversity of the environmental C. neoformans VNI molecular type isolates.


Assuntos
Cryptococcus neoformans/classificação , Cryptococcus neoformans/isolamento & purificação , Genes Fúngicos Tipo Acasalamento , Genótipo , Hymenaea/microbiologia , Madeira/microbiologia , Antifúngicos/farmacologia , Brasil , Contagem de Colônia Microbiana , Cryptococcus neoformans/genética , Cryptococcus neoformans/fisiologia , Fluconazol/farmacologia , Variação Genética , Testes de Sensibilidade Microbiana , Tipagem Molecular , Técnicas de Tipagem Micológica , Polimorfismo de Fragmento de Restrição , Estações do Ano
8.
Med Mycol ; 54(1): 97-102, 2016. ilus, tab
Artigo em Inglês | LILACS, Sec. Est. Saúde SP, SESSP-IALPROD, Sec. Est. Saúde SP, SESSP-IALACERVO | ID: biblio-1022473

RESUMO

Cryptococcal infection is transmitted by the inhalation of Cryptococcus spp. propagules. Information about the Cryptococcus species inhabiting plants might be clinically relevant due to the epidemiological role of these habitats as possible sources of human infection. The aim of this study was to increase the knowledge about the environmental occurrence of cryptococcosis agents. Hollow tree vegetal debris of nine plant species was sampled quarterly over a 12-month period. Melanized colonies were screened for Cryptococcus neoformans and C. gattii by biochemical tests, followed by URA5-RFLP molecular analysis, M13 fingerprinting assays, and mating-typing with the specific a and α primers. The susceptibility to fluconazole of all of the confirmed species colonies was determined using the AFST-EUCAST broth dilution method. We found that the typical Brazilian flora tree Hymenaea courbaril yielded a high cryptococcal burden (median, 10(2) CFU/g) during the summer, autumn and winter seasons. C. neoformans VNI molecular type MAT alpha was identified in all of the samples. The fingerprinting analyses showed great molecular variability with no correlation with the susceptibility profile to fluconazole (MIC range 4 to ≥64 mg/l). To our knowledge, this study is the first describing the association between C. neoformans and Hymenaea courbaril. These observations extend the known geographic distribution of and substantiate a new urban environmental niche for C. neoformans and also emphasize the genetic diversity of the environmental C. neoformans VNI molecular type isolates.


Assuntos
Estações do Ano , Variação Genética , Madeira/microbiologia , Polimorfismo de Fragmento de Restrição , Brasil , Contagem de Colônia Microbiana , Testes de Sensibilidade Microbiana , Fluconazol/farmacologia , Técnicas de Tipagem Micológica , Cryptococcus neoformans , Cryptococcus neoformans/isolamento & purificação , Cryptococcus neoformans/classificação , Cryptococcus neoformans/fisiologia , Genes Fúngicos Tipo Acasalamento , Hymenaea/microbiologia , Tipagem Molecular , Genótipo , Antifúngicos/farmacologia
9.
Neotrop Entomol ; 44(5): 481-8, 2015 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-26245268

RESUMO

In the present study, we describe the testis morphology and spermatogenesis of the sugarcane borer, one of the most destructive pests of sugarcane, using light, transmission, and scanning electron microscopies. Diatraea saccharalis (F.) larvae have paired, kidney-shaped testes that are limited externally and divided into four follicles by tunica cells. The adults have two fused whitish and spherical testes that are divided into eight follicles and are composed of spermatogonia, spermatocyte, spermatid, and sperm bundles. The spermatogonia and spermatocyte cysts are located at the apical extremity of the follicle, while the spermatid cysts and sperm bundles are located at the basal extremity of the follicle. Inside of the cysts, which are formed by the somatic cells, the germ line cells develop synchronously and are interconnected by cytoplasmic bridges. Each cyst contains only apyrene or eupyrene, and none of the cysts contain both of the cells. The inner part of the apyrene cyst consists of an electron-dense cap as opposed to a nucleus. The eupyrene sperm contains a nucleus, acrosome, and reticular and lacinate appendages. Both of the sperm types have a "9 + 9 + 2" axoneme and two mitochondrial derivatives at the tail region. The spermatogenesis process and spermatozoa morphology are similar to that of other Lepidoptera.


Assuntos
Lepidópteros/fisiologia , Espermátides/citologia , Espermatogênese , Testículo/fisiologia , Animais , Masculino , Saccharum
10.
Arq. bras. med. vet. zootec ; 67(3): 899-908, May-Jun/2015. tab, graf
Artigo em Português | LILACS | ID: lil-753938

RESUMO

Empregando o método dos quadrados mínimos e polinômios B-spline quadráticos, diferentes modelos estatísticos foram testados para identificar o mais apropriado para modelar as trajetórias médias do peso vivo e do rendimento de carcaça de tilápias do Nilo (Oreochromis niloticus). Dados de peso vivo (8.758) e de rendimento de carcaça (2.042) de tilápias com idades entre 106 e 245 dias foram obtidos de 72 famílias provenientes de 36 machos e 72 fêmeas. As variáveis sexo e tanque de criação foram consideradas como classificatórias, e os coeficientes dos polinômios B-spline quadráticos com dois a cinco intervalos de mesmo tamanho foram utilizados como covariáveis. Segundo a maioria dos critérios de ajuste utilizados, os modelos com polinômio B-spline quadrático com cinco intervalos de mesmo tamanho apresentaram os melhores ajustes. O aumento do número de intervalos do polinômio B-spline melhorou o ajuste dos polinômios aos dados. A inclusão dos efeitos classificatórios de sexo, tanque de criação, interação entre esses efeitos e polinômio B-spline quadrático aninhado a essa interação indicou que, com o decorrer do tempo, cada sexo, cultivado em diferente tanque, apresentou trajetória média diferente, sendo necessária a inclusão do aninhamento do tempo na interação sexo x tanque de criação para que, em programas de melhoramento genético da espécie, os valores genéticos dos candidatos à seleção não sejam sub ou superestimados.


Employing the method of least squares and quadratic B-spline polynomials, different statistical models were tested to identify the most appropriate to model the mean trajectories of live weight and carcass yield of Nile tilapia (Oreochromis niloticus). Data of live weight (8,758) and carcass yield (2,042) of tilapias with ages between 106 and 245 days were obtained from 72 families derived from 36 males and 72 females. The sex and tank variables were considered as classificatory and the coefficients of quadratic polynomials B-spline of two to five intervals of the same size were used as covariables. According to most fit criteria used, the models with quadratic B-spline polynomial with five intervals of the same size presented the best adjustments. The increase in number of intervals of B-spline polynomial improved the fit of the polynomials to the data. The inclusion of classificatory effects from sex, tank, the interaction of these effects and the quadratic polynomial B-spline nested in this interaction indicated that, over time, each sex, grown in different tank, presented different mean trajectory, necessitating the inclusion of nesting time in the interaction sex x tank in order to avoid the under or overestimation of breeding values of the selection candidates in breeding programs of this species.


Assuntos
Animais , Ciclídeos , Análise dos Mínimos Quadrados , Modelos Estatísticos , Probabilidade , Pesos e Medidas Corporais/veterinária
11.
Genet Mol Res ; 14(1): 53-62, 2015 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-25729935

RESUMO

Adult stem cells are known for their plasticity and their potential to differentiate into several different cell types; these characteristics have implications for cell therapy and reproductive biotechnologies. In this study, we report on the isolation and characterization of mesenchymal stem cells (MSC) derived from bovine and buffalo adipose tissue. Cells isolated using enzymatic digestion of bovine and buffalo adipose-tissue biopsy samples were grown in vitro for at least 15 passages, verifying their capacity to proliferate. These cells were also subjected to immunophenotypic characterization for the presence of CD90, CD105, and CD79, and the absence of CD45, CD34, and CD73, which are positive and negative markers of MSC, respectively. To prove their multipotency, the cells were induced to differentiate into three different cell types, chondrocytes, osteoblasts, and adipocytes, which were stained with tissue-specific dyes (Chondrogenic-Alcian Blue, Osteogenic-Alizarin Red, and Adipogenic-Oil-Red O, respectively) to confirm differentiation. Gene expression analysis of pluripotency-related genes was also conducted. Our results suggest that adipose tissue from bovines and buffalos can be used as a source of MSC, making adipose tissue-derived cells an interesting option for cell therapy and regenerative medicine. Additionally, these findings have implications for reproductive biotechnology because the use of MSC as nuclear donors has been linked to an increase in the efficiency of nuclear transfer.


Assuntos
Tecido Adiposo/citologia , Separação Celular/métodos , Células-Tronco Multipotentes/citologia , Adipogenia , Animais , Búfalos , Bovinos , Proliferação de Células , Condrogênese , Imunofenotipagem , Osteogênese
12.
Arq. bras. med. vet. zootec ; 67(1): 189-197, 2/2015. tab
Artigo em Português | LILACS | ID: lil-741114

RESUMO

Objetivou-se avaliar a utilização da silagem de sorgo, feno de maniçoba e duas proporções de concentrado (10 e 15% na MS) em dietas à base de palma forrageira na alimentação de vacas em lactação. Foram utilizadas oito vacas da raça Girolando, com peso vivo médio e produção inicial de 463 e 9,65kg, respectivamente, com 95 dias de lactação. O delineamento experimental utilizado foi o quadrado latino 4x4 em esquema fatorial 2x2 (feno de maniçoba e silagem de sorgo x 10% e 15% de concentrado), sendo utilizados dois quadrados simultâneos. Cada período experimental teve duração de 21 dias, sendo 14 de adaptação e sete para coleta de dados e amostras. Não houve interação entre volumosos e proporções de concentrado para nenhuma das variáveis avaliadas. Assim, os fatores foram analisados e discutidos separadamente. Os consumos de proteína bruta, fibra em detergente neutro e nutrientes digestíveis totais diferiram em função dos volumosos utilizados, com menores consumos para o feno de maniçoba (1,50; 4,10; 6,17kg/dia, respectivamente). A digestibilidade aparente da matéria seca, matéria orgânica, proteína bruta e fibra em detergente neutro diferiram de acordo com os volumosos, verificando menores valores para o feno de maniçoba (51,70; 53,91; 62,30 e 20,74%, respectivamente). A produção de leite com ou sem correção para 4% de gordura (9,65 e 9,1kg/dia, respectivamente) e composição do leite não diferiram entre os volumosos, nem entre os níveis de concentrados. A eficiência de síntese de proteína microbiana diferiu entre os volumosos, sendo menor no tratamento com silagem de sorgo (99,46g/kg de NDT). A concentração de ureia no plasma diferiu entre as proporções de concentrado, com menores valores na dieta com 15% de concentrado (31,41mg/dL). Para o atendimento das exigências nutricionais e redução dos custos com suplementação, sugere-se o fornecimento de silagem de sorgo como volumoso e a proporção de 10% de concentrado na dieta de vacas em lactação.


The trial was conducted to evaluate the use of sorghum silage, maniçoba hay, and two concentrate levels (10.0% and 15.0% DM) in diets based on spineless cactus of dairy cows. Eight Girolando cows were used with average body weight and milk yield of 463 and 9.65kg, respectively, with 95 days of lactation. The experimental design was a 4 x 4 Latin Square in a 2 x 2 factorial arrangement (maniçoba hay and sorghum silage x 10.0% and 15.0% of concentrate), two simultaneous Latin Square were used. Each experimental period lasted 21 days; 14 days for adaptation and seven for data and sample collection. There was no interaction between roughage and concentrate level for any of the variables. Thereby the factors were analyzed and discussed separately. The intake of crude protein, neutral detergent fiber and total digestible nutrients differ according to roughage used with lower intake for maniçoba hay (1.50; 4.10; 6.17kg/day, respectively). The apparent digestibility of dry matter, organic matter, crude protein and neutral detergent fiber differed according to the roughage, and lower values were found for maniçoba hay (51.70; 53.91 and 20.74%, respectively). The milk yield with and without adjustment to 4.0% of fat (9.65 and 9.1kg/day, respectively) and the milk composition did not differ between roughages or between concentrate levels. The efficiency of microbial protein synthesis differs between roughages and was lower in the treatment with sorghum (99.46g/kg TDN). The concentration of plasma urea differed between the ratios of concentrate with lower amounts in the diet with 15.0% concentrate (1.41mg/dL). To meet the nutritional requirements and cost reduction with supplementation a supply with sorghum silage as roughage and 100% of concentrate for diet of lactation cows is suggested.


Assuntos
Animais , Feminino , Lactente , Bovinos , Ração Animal/análise , Ração Animal/normas , Silagem/estatística & dados numéricos
13.
Transplant Proc ; 46(9): 3039-42, 2014 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-25420817

RESUMO

INTRODUCTION: Co-infected HIV and hepatitis subjects are candidates for a liver transplantation because of progressive liver disease. Chronic liver disease, co-infected or not, requires assessment of respiratory function before liver transplantation. The respiratory evaluation of these 2 groups compared with healthy individuals can define deficits, and this can impair a full recovery after transplant surgery. OBJECTIVE: This study sought to compare the respiratory profile in co-infected patients with chronic liver disease who are candidates for liver transplantation with that of healthy subjects. METHODS: Through respiratory evaluation of flows and lung volumes (spirometry), muscle activity (surface electromyography), and maximum pressure (manovacuometer), 250 people were distributed into 3 groups: 14 patients with HIV and liver disease, 65 healthy subjects, and 171 patients with chronic liver disease. The mean age (years) was respectively 47.5 ± 6.2, 48.3 ± 14.1, and 52.9 ± 8.5. The average body mass index (kg/m(2)) of the groups was 24.6 ± 4.5, 26.0 ± 3.2, and 28.5 ± 5.3, respectively. RESULTS: There was a statistical difference among the groups in the root means square (RMS) rectus abdominis (µV) (P = .0016), RMS diaphragm (µV) (P = .0001), maximal inspiratory pressure (cmH2O) (P = .001), forced exhaled volume at the end of first second (%) (P = .002), and maximal mid expiratory flow 25% to 75% (%) (P = .0001) for the Kruskal-Wallis test. The multivariate analysis among the groups showed that the RMS diaphragm had a tendency to discriminate the co-infected subjects. CONCLUSIONS: The co-infected HIV group showed a muscle deficit of diaphragm and rectus abdominis activity, and the liver disease group showed lower indexes in volumes and respiratory flows.


Assuntos
Coinfecção/fisiopatologia , Doença Hepática Terminal/cirurgia , Infecções por HIV/epidemiologia , Hepatite/epidemiologia , Hepatopatias/epidemiologia , Transplante de Fígado , Adulto , Coinfecção/cirurgia , Diafragma/fisiopatologia , Eletromiografia , Doença Hepática Terminal/fisiopatologia , Feminino , Infecções por HIV/fisiopatologia , Hepatite/fisiopatologia , Hepatite/cirurgia , Humanos , Hepatopatias/fisiopatologia , Hepatopatias/cirurgia , Pulmão/fisiopatologia , Masculino , Pessoa de Meia-Idade , Força Muscular , Reto do Abdome/fisiopatologia , Testes de Função Respiratória , Espirometria
14.
Transplant Proc ; 46(9): 3043-6, 2014 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-25420818

RESUMO

INTRODUCTION: End-stage liver disease has metabolic complications associated with malnutrition, which involves a great loss of muscle mass. This complication can lead to changes in the diaphragm, which along with ascites may impair daily activities and result in global motor disability and physical inactivity of patients on the waiting list for liver transplantation. OBJECTIVES: This study sought to delineate the profile of candidates for liver transplantation while on the waiting list at the Clinical Hospital of State University Campinas (UNICAMP), and to assess and verify whether there is a correlation between functional status of the individuals tested using the 6-minute walk test (6MWT), pulmonary function test (PFT), and respiratory muscle strength with end-stage liver disease candidates for liver transplantation. METHODS: This study was carried out in the Liver Transplantation Unit of the State University of Campinas (UNICAMP). We included 46 patients with end-stage liver disease who underwent the following evaluations: medical history, 6MWT, PFT, maximal inspiratory pressure (MIP), and maximal expiratory pressure (MEP), and SF-36. RESULTS: Correlations were found between the respiratory variables 6MWT and PFT. The walked distance was correlated with MIP and MEP. There was no correlation between the 6MWT and the variables body mass index and age. CONCLUSION: Candidates for liver transplantation have decreased muscle strength, normal lung function, and impaired quality of life, mainly due to physical limitations. Functional status may be correlated with the respiratory assessment (muscle strength and pulmonary function test) in liver disease candidates for transplantation.


Assuntos
Doença Hepática Terminal/fisiopatologia , Doença Hepática Terminal/cirurgia , Transplante de Fígado , Qualidade de Vida , Músculos Respiratórios/fisiopatologia , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Força Muscular/fisiologia , Testes de Função Respiratória , Transplantes , Listas de Espera
15.
Transplant Proc ; 46(6): 1768-70, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25131032

RESUMO

BACKGROUND: Surface electromyography is a noninvasive technique for detecting the activity of skeletal muscles and especially the muscles for respiratory compliance; namely, the diaphragm and rectus abdominis. This study compares these muscles in healthy individuals, liver disease patients, and after abdominal surgery. OBJECTIVE: To study muscle activity by surface electromyography of the right diaphragm muscles and right rectus abdominis (root means square, RMS), and the manovacuometry muscle strength (maximal inspiratory pressure, MIP; and maximal expiratory pressure, MEP). RESULTS: We evaluated 246 subjects who were divided into 3 groups: healthy (65), liver disease (171), and post-surgery (10). In liver disease group the BMI was higher significantly for ascites (P = .001), and was increase in RMS rectum (P = .0001), RMS diaphragm (P = .030), and a decreased inspiratory and expiratory indices (P = .0001) pressure in the post-surgery group. A multivariate analysis showed tendency to an increased BMI in liver disease and in the post-surgery groups correlated with an increased RMS rectum and the lower MIP/MEP (P = .11). The receiver operating characteristic curve showed that RMS rectus was capable of discriminating liver disease and post-surgery patients from healthy subjects (area = 0.63; 95% CI 0.549-0.725). CONCLUSION: The muscle activity of normal individuals is lower than in subjects with deficit muscles because less effort is necessary to overcome the same resistance, observed by surface electromyography and muscle strength.


Assuntos
Abdome/cirurgia , Diafragma/fisiologia , Eletromiografia , Hepatopatias/fisiopatologia , Transplante de Fígado , Reto do Abdome/fisiologia , Adolescente , Adulto , Idoso , Estudos de Casos e Controles , Diafragma/fisiopatologia , Feminino , Voluntários Saudáveis , Humanos , Hepatopatias/cirurgia , Masculino , Pessoa de Meia-Idade , Força Muscular , Período Pós-Operatório , Pressão , Estudos Prospectivos , Curva ROC , Reto do Abdome/fisiopatologia , Adulto Jovem
16.
Transplant Proc ; 46(6): 1775-7, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25131034

RESUMO

BACKGROUND: Candidates for liver transplantation may have malnutrition, fatigue, loss of muscle mass and function. The combination of these factors leads to overall physical disability and physical inactivity. OBJECTIVE: The aim of the study was to evaluate the effects of a respiratory physiotherapeutic program on liver transplantation candidates. METHOD: Forty-two patients were evaluated by respiratory muscle strength, surface electromyography of the rectus abdominis and diaphragm, and spirometry. We also applied the SF-36. The patients were divided into two groups: 12 randomly assigned to the control group and 5 in the intervention group. The intervention consisted of an explanatory and illustrative manual to be followed at home with diaphragmatic breathing exercises, diaphragmatic isometric exercise, Threshold IMT, lifting the upper limbs with a bat, and strengthening the abdominals. RESULTS: Significant difference was found between initial forced expiratory flow (FEF)25-75% (P = .042) and final FEF25-75 in the intervention group. The control group had significant difference (P = .036) in the diaphragm RMS between initial time and end time. In conclusion, the control group showed greater electrical activity of the diaphragm after 3 months. CONCLUSION: The intervention group benefited from the exercise, thus improving the FEF25-75%.


Assuntos
Exercícios Respiratórios/métodos , Diafragma/fisiopatologia , Doença Hepática Terminal/fisiopatologia , Transplante de Fígado , Pulmão/fisiopatologia , Força Muscular/fisiologia , Cuidados Pré-Operatórios/métodos , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Eletromiografia , Doença Hepática Terminal/cirurgia , Feminino , Fluxo Expiratório Forçado , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Qualidade de Vida , Reto do Abdome/fisiopatologia , Espirometria , Resultado do Tratamento , Adulto Jovem
17.
Transplant Proc ; 46(6): 1771-4, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25131033

RESUMO

INTRODUCTION: Muscular weakness in combination with malnutrition can induce a global motor impairment and physical inactivity, adversely impairing the daily living activities and quality of life of end-stage liver disease patients who are candidates for liver transplantation. OBJECTIVES: To evaluate functional status, pulmonary capacity, body composition and quality of life in end-stage liver disease patients who are candidates for liver transplantation; to verify if there is a correlation between the functional variables of the individuals tested through the 6-minute walk test (6MWT) and covariables: pulmonary function test (PFP), quality of life and body composition. METHODS: This study was carried out at the Liver Transplantation Unit of the State University of Campinas (UNICAMP). We included 46 patients with end-stage liver disease who underwent the following evaluations: medical history, quality of life questionnaire "Short Form 36" (SF-36), surface electromyography (sEMG) of the diaphragm and rectus abdominis muscles, body composition assessment by electrical vioimpedance (BIA), 6MWT and PFP. RESULTS: Univariate analysis and Pearson's correlation found correlations between distance walked on 6MWT and QOL (P = .006 and P = .02) and TBW (P = .5 and P = .02). Pearson's correlation were found between respiratory variables of 6MWT, QOL, and PFP. CONCLUSION: The functional status may be correlated to body composition, quality of life and pulmonary capacity of patients with liver disease, candidates for transplantation.


Assuntos
Composição Corporal , Doença Hepática Terminal/fisiopatologia , Transplante de Fígado , Pulmão/fisiopatologia , Força Muscular , Qualidade de Vida , Atividades Cotidianas , Adulto , Eletromiografia , Doença Hepática Terminal/cirurgia , Teste de Esforço , Feminino , Humanos , Medidas de Volume Pulmonar , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Inquéritos e Questionários , Caminhada
18.
Arq. bras. med. vet. zootec ; 66(2): 555-562, Jan.-Apr. 2014. tab
Artigo em Português | LILACS | ID: lil-709297

RESUMO

O objetivo deste trabalho foi estimar herdabilidades e correlações genéticas para idade (IPP), peso (PPP) e escore da condição corporal (EPP) ao primeiro parto, tempo de permanência no rebanho (TPR), número (ND10) e quilograma (QD10) de bezerros desmamados em até dez anos de idade, número (NDT) e quilograma (QDT) de bezerros desmamados durante a permanência no rebanho, quilograma de bezerros desmamados por ano de permanência no rebanho (QTPR), peso adulto (PAD) e parâmetros A e k da curva de crescimento de Bertalanffy de fêmeas de um rebanho da raça Canchim. As distribuições a posteriori dos componentes de (co)variância foram obtidas por inferência bayesiana, em análises bicaráter de IPP, PPP e EPP com as outras características. Os modelos estatísticos incluíram os efeitos aleatórios genético aditivo direto e residual e os efeitos fixos de ano e mês de nascimento ou do parto e idade da vaca ao parto, dependendo da característica. As médias a posteriori das herdabilidades foram 0,12 (IPP); 0,51 (PPP); 0,36 (EPP); 0,22 (TPR); 0,24 (ND10); 0,24 (QD10); 0,25 (NDT); 0,23 (QDT); 0,31 (QTPR); 0,56 (PAD); 0,60 (A) e 0,54 (k), indicando que as características possuem variação genética aditiva suficiente para apresentar boa resposta à seleção massal, com exceção de IPP. As correlações genéticas de TPR (-0,35; -0,23 e -0,02), ND10 (-0,33; -0,40 e -0,02), QD10 (-0,47; -0,29 e 0,00), NDT (-0,43; -0,41 e -0,02), QDT (-0,46; -0,28 e 0,00), QTPR (-0,52; -0,35 e 0,00), PAD (0,19; 0,86 e 0,40), A (0,07; 0,09 e -0,18) e k (-0,21; 0,08 e 0,04) com IPP, PPP e EPP, respectivamente, sugerem que a seleção para reduzir a IPP deve melhorar a longevidade e as características de produtividade das fêmeas; porém, o aumento do PPP poderá prejudicá-las...


The objective of this work was to estimate heritabilities and genetic correlations for age at first calving (AFC), weight at first calving (WFC), body condition score at first calving (SFC), culling age (DIH, days in herd), number (NW10) and kilograms (KW10) of calves weaned up to ten years of age, total number (TNW) and total kilograms (TQW) of calves weaned during herd life, kilograms of calves weaned per year in herd (KYH), adult body weight (ABW) and parameters A and k of the Bertalanffy growth curve of females of a Canchim (5/8 Charolais + 3/8 Zebu) beef cattle herd. The variance and covariance components were obtained by two-trait analyses of AFC, WFC and SFC with the other production traits, using the bayesian inference with statistical models that included the additive direct and residual random effects, and the fixed effects of year and month of birth or of calving and calving age, depending on the trait. The posteriori means of the heritability estimates were 0.12 (AFC), 0.51 (WFC), 0.36 (SFC), 0.22 (DIH), 0.24 (NW10), 0.24 (KW10), 0.25 (TNW), 0.23 (TKW), 0.31 (KYH), 0.56 (ABW), 0.60 (A) and 0.54 (k), indicating that these traits have enough additive genetic variation to show response to mass selection. The genetic correlations for DIH (-0.35, -0.23 and -0.02), NW10 (-0.33, -0.40 and -0.02), KW10 (-0.47, -0.29 and 0.00), TNW (-0.43, -0.41 and -0.02), TKW (-0.46, -0.28 and 0.00), KYH (-0.52, -0.35 and 0.00), ABW (0.19, 0.86 and 0.40), A (0.07, 0.09 and -0.18) and k (-0.21, 0.08 and 0.04) with AFC, WFC and SFC, suggest that selection to reduce age at first calving should improve longevity and productivity traits of females, but the increase in body weight at first calving should reduce these traits...


Assuntos
Animais , Feminino , Criança , Bovinos , Bovinos/crescimento & desenvolvimento , Bovinos/genética , Fertilidade/genética , Longevidade/genética , Peso ao Nascer , Peso-Idade
19.
Transplant Proc ; 46(1): 87-93, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24507031

RESUMO

Glomerulitis and peritubular capillaritis have been recognized as important lesions in acute renal rejection (AR). We studied glomerulitis and peritubular capillaritis in AR by 2 methods and investigated associations with C4d, type/grade of AR, and allograft survival time. Glomerulitis was measured according to Banff scores (glomerulitis by Banff Method [gBM]) and by counting the number of intraglomerular inflammatory cells (glomerulitis by Quantitative Method [gQM]). Capillaritis was classified by the Banff scoring system (peritubular capillaritis by Banff Method [ptcBM]) and by counting the number of cells in peritubular capillaries in 10 high-power fields (hpf; peritubular capillaritis by Quantitative Method [ptcQM]). These quantitative analyses were performed in an attempt to improve our understanding of the role played by glomerulitis and capillaritis in AR. The g0 + g1 group (gBM) associated with negative C4d (P = .02). In peritubular capillaritis, a larger number of cells per 10 hpf in peritubular capillaries (ptcQM) were observed in positive C4d cases (P = .03). The group g2 + g3 (gBM) correlated with graft loss (P = .01). Peritubular capillaritis was not significantly related to graft survival time. Our study showed that the Banff scoring system is the best method to study glomerulitis and observed that the evaluation of capillaritis in routine biopsies is difficult and additional studies are required for a better understanding of its meaning in AR biopsy specimens of renal allografts.


Assuntos
Capilares/patologia , Glomerulonefrite/diagnóstico , Glomerulonefrite/etiologia , Rejeição de Enxerto , Nefropatias/diagnóstico , Nefropatias/etiologia , Transplante de Rim/efeitos adversos , Adulto , Biópsia , Células Endoteliais/imunologia , Feminino , Sobrevivência de Enxerto , Antígenos HLA/imunologia , Humanos , Imunossupressores/uso terapêutico , Inflamação , Rim/patologia , Glomérulos Renais/patologia , Masculino , Pessoa de Meia-Idade , Prognóstico , Estudos Retrospectivos , Resultado do Tratamento
20.
Neotrop Entomol ; 43(2): 154-60, 2014 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-27193522

RESUMO

We described the ultrastructure of Ceraeochrysa claveri (Navás) midgut endocrine cells in larva, pupa, and adult, and evaluated the side effects of ingested neem oil, a botanical insecticide obtained from the seeds of the neem tree (Azadirachta indica), on these cells. During the larval period, C. claveri were fed (ad libitum) Diatraea saccharalis (F.) eggs treated with neem oil at concentrations of 0.5%, 1%, or 2%. Transmission electron microscopy showed that two subtypes of endocrine cells, namely granular and vesicular, occurred in the midgut epithelium during the three stages of the life cycle. Both cell types did not reach the midgut lumen and were positioned basally in the epithelium. The endocrine cells did not show extensive infoldings of the basal plasma membrane, and there were numerous secretory granules in the basal region of the cytoplasm. In the granular endocrine cells, the granules were completely filled with a dense matrix. In the vesicular endocrine cells, the main secretory products consisted of haloed vesicles. Ultrastructural examination indicated that only the granular endocrine cells exhibited signs of morphologic changes of cell injury present in all life cycle stages after the larvae were chronically exposed to neem oil by ingestion. The major cellular damage consisted of dilatation and vesiculation of the rough endoplasmic reticulum and the development of smooth endoplasmic reticulum and mitochondrial swelling. Our data suggest that cytotoxic effects on midgut endocrine cells can contribute to a generalized disruption of the physiological processes in this organ due to a general alteration of endocrine function.


Assuntos
Células Endócrinas/citologia , Glicerídeos/farmacologia , Insetos , Terpenos/farmacologia , Animais , Células Endócrinas/efeitos dos fármacos
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