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1.
Sci Rep ; 14(1): 1224, 2024 Jan 12.
Artigo em Inglês | MEDLINE | ID: mdl-38216583

RESUMO

RadioLab is an Italian project, addressed to school-age people, and designed for the dissemination of scientific culture on the theme of environmental radioactivity, with particular regards to the importance of knowledge of radon gas exposure. The project is a nationwide initiative promoted by the National Institute of Nuclear Physics- INFN. First tool used by the project, and of immediate impact to assess the public awareness on radon, is the administration of the survey "do you know the radon gas?". In the survey, together with the knowledge of radon and of its sources, information on personal, cultural and territorial details regarding the interviewees are also taken. Reasonably, the survey invests not only young people, but also their relatives, school workers and, gradually, the public. The survey is administrated during exhibitions or outreach events devoted to schools, but also open to the public. The survey is in dual form: printed and online. The online mode clearly leads RadioLab project even outside the school environment. Based on the results of the survey, several statistical analyses have been performed and many conclusions are drawn about the knowledge of the population on the radon risk. The RadioLab benefit and the requirement to carry on the project goals, spreading awareness of environmental radioactivity from radon, emerge. The dataset involves all twenty Italian regions and consists of 28,612 entries covering the 5-year period 2018-2022.

2.
Appl Radiat Isot ; 193: 110664, 2023 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-36669267

RESUMO

The present study aims to evaluate the possibility of constructing a new high-speed railway (HSR) at Al Sadis Min Uktober city, Cairo (Egypt): geotechnical and environmental radiological hazards are estimated from several collected soil and water samples. A variety of laboratory geotechnical tests such as grain size, free swelling test, liquid and plastic limits, chemical analysis and uniaxial compression strength are applied to sixty-one drill holes. A geotechnical examination of the coarse-grained soil at the foundation level classified it as poorly graded soil. The results of the investigation of fine-grained soil at the foundation level shown that the liquid limit ranges from 22% to 55%, the plastic limit ranges from 12% to 28%, the plasticity index varies from 11% to 33%, free swelling varies from 51% to 71%. Mechanically, the uniaxial compressive strength values on rock samples range from 6.96 MPa to 142.39 MPa. The radioactive study is performed to detect the 226Ra, 232Th, and 40 K activity concentrations of the soil samples: their mean values are 34 ± 10 Bq·kg-1, 14 ± 5 Bq·kg-1 and 552 ± 20 Bq·kg-1, respectively. The values of radiological hazard indexes are not exceeded the permissible limits: e.g. the mean value of absorbed dose rate is 47 ± 6 nGy h-1; the annual gonadal dose equivalent is 0.3 ± 0.04 mSv·y-1; the lifetime cancer risk is 02 ± 0.2·10-3. Thus, the soil in the studied railway area is safe to use in building materials and infrastructure applications: the radiological hazards and the geotechnical studies confirmed the studied area is suitable to construct a new community having a HSR. According to the SWOT-PEST and environmental impact analyses, the construction of the HSR meets the criteria of the Kyoto Protocol, the EU Climate and Energy policy, and other international treaties.

3.
Appl Radiat Isot ; 185: 110221, 2022 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-35427836

RESUMO

The possible damaging effects on human health of inhaled radon and its decay products are of interest to workers and the public. In particular, radon in thermal environments often occurs in high concentrations. Therefore, investigations and remedial actions are important to reduce activity concentration values and associated risk. This work concerns the analysis of two surveys of radon gas activity concentration carried out in 2006/2007 and 2019/2020 at twenty thermal spas on the island of Ischia (Italy). Annual measurements were carried out in workplaces located in the basement and ground floor using passive CR-39 detectors. In the spas involved in both surveys, the effectiveness of the remedial actions, implemented by the owners, was assessed obtaining an average percentage reduction of 74%. Considerations were made about the annual effective dose, and the location of the spas taking into account the geological setting of the volcanic nature of the island.


Assuntos
Poluentes Radioativos do Ar , Poluição do Ar em Ambientes Fechados , Exposição Ocupacional , Monitoramento de Radiação , Radônio , Poluentes Radioativos do Ar/análise , Poluição do Ar em Ambientes Fechados/análise , Humanos , Itália , Exposição Ocupacional/análise , Monitoramento de Radiação/métodos , Radônio/análise
4.
Ann Hematol ; 100(4): 1059-1063, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33528611

RESUMO

Daratumumab (DARA) is a human IgG-K monoclonal antibody (MoAb) targeting CD38 that is approved alone or in combination with bortezomib and dexamethasone or lenalidomide and dexamethasone for relapsed or refractory MM (RRMM) in patients previously exposed or double refractory to proteasome inhibitors (PI) and immunomodulatory drugs (IMiDs). However, there are limited data on its clinical activity and tolerability in real-world patients. Therefore, in the present study, we aim to determine the efficacy and toxicity profile of daratumumab in a real-life setting. In this study, we report the experience of the multiple myeloma GIMEMA Lazio Group in 62 relapsed/refractory MM patients treated with daratumumab as monotherapy who had previously received at least two treatment lines including a PI and an IMiDs or had been double refractory. Patients received DARA 16 mg/kg intravenously weekly for 8 weeks, every 2 weeks for 16 weeks, and every 4 weeks until disease progression or unacceptable toxicity. The overall response rate to daratumumab was 46%. Median progression-free survival (PFS) and overall survival reached 2.7 and 22.4 months, respectively. DARA was generally well tolerated; however, 2 patients interrupted their therapy due to adverse events. Present real-life experience confirms that DARA monotherapy is an effective strategy for heavily pre-treated and refractory patients with multiple myeloma, with a favorable safety profile.


Assuntos
Anticorpos Monoclonais/uso terapêutico , Antineoplásicos Imunológicos/uso terapêutico , Mieloma Múltiplo/tratamento farmacológico , Adulto , Idoso , Idoso de 80 Anos ou mais , Anticorpos Monoclonais/efeitos adversos , Antineoplásicos Imunológicos/efeitos adversos , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Bortezomib/administração & dosagem , Ensaios Clínicos Fase II como Assunto/estatística & dados numéricos , Intervalo Livre de Doença , Resistencia a Medicamentos Antineoplásicos , Feminino , Transplante de Células-Tronco Hematopoéticas , Humanos , Estimativa de Kaplan-Meier , Lenalidomida/administração & dosagem , Masculino , Pessoa de Meia-Idade , Estudos Multicêntricos como Assunto/estatística & dados numéricos , Mieloma Múltiplo/mortalidade , Mieloma Múltiplo/terapia , Proteínas do Mieloma/análise , Oligopeptídeos/administração & dosagem , Intervalo Livre de Progressão , Talidomida/administração & dosagem , Talidomida/análogos & derivados
5.
Oncogene ; 39(1): 79-121, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31462706

RESUMO

Oxidation of H3 at lysine 4 (H3K4ox) by lysyl oxidase-like 2 (LOXL2) generates an H3 modification with an unknown physiological function. We find that LOXL2 and H3K4ox are higher in triple-negative breast cancer (TNBC) cell lines and patient-derived xenografts (PDXs) than those from other breast cancer subtypes. ChIP-seq revealed that H3K4ox is located primarily in heterochromatin, where it is involved in chromatin compaction. Knocking down LOXL2 reduces H3K4ox levels and causes chromatin decompaction, resulting in a sustained activation of the DNA damage response (DDR) and increased susceptibility to anticancer agents. This critical role that LOXL2 and oxidized H3 play in chromatin compaction and DDR suggests that functionally targeting LOXL2 could be a way to sensitize TNBC cells to conventional therapy.


Assuntos
Aminoácido Oxirredutases/genética , Cromatina/genética , Código das Histonas/genética , Neoplasias de Mama Triplo Negativas/genética , Animais , Linhagem Celular Tumoral , Dano ao DNA/genética , Feminino , Regulação Neoplásica da Expressão Gênica , Técnicas de Silenciamento de Genes , Heterocromatina/genética , Xenoenxertos , Histonas/genética , Humanos , Lisina/genética , Camundongos , Oxirredução , Neoplasias de Mama Triplo Negativas/patologia
6.
J Econ Entomol ; 110(2): 491-501, 2017 04 01.
Artigo em Inglês | MEDLINE | ID: mdl-28073975

RESUMO

Glycaspis brimblecombei Moore (Hemiptera: Aphalaridae) is an invasive psyllid introduced into the Mediterranean area, where it affects several species of Eucalyptus. Psyllaephagus bliteus Riek (Hymenoptera: Encyrtidae) is a specialized parasitoid of this psyllid that was accidentally introduced into Italy in 2011. We developed a model of this host-parasitoid system that accounts for the influence of environmental conditions on the G. brimblecombei population dynamics and P. bliteus parasitism rates in the natural ecosystem. The Lotka-Volterra-based model predicts non-constant host growth and parasitoid mortality rates in association with variation in environmental conditions. The model was tested by analyzing sampling data collected in Naples in 2011 (before the parasitoid was present) and defining several environmental patterns, termed Temperature-Rain or T-R patterns, which correspond to the host growth rate. A mean value of the host growth rate was assigned to each T-R pattern, as well as a variation of the parasitoid mortality rate based on temperature thresholds. The proposed model was applied in simulation tests related to T-R patterns carried out with a data series sampled between June 2014 and July 2015 in five Italian sites located in Campania, Lazio, Sicily, and Sardinia regions. The simulation results showed that the proposed model provides an accurate approximation of population trends, although oscillation details may not be apparent. Results predict a 64% reduction in G. brimblecombei population density owing to P. bliteus parasitoid activity. Our results are discussed with respect to features of the host-parasitoid interaction that could be exploited in future biological control programs.


Assuntos
Hemípteros/parasitologia , Himenópteros/fisiologia , Animais , Ecossistema , Eucalyptus , Hemípteros/fisiologia , Interações Hospedeiro-Parasita , Espécies Introduzidas , Itália , Modelos Biológicos , Dinâmica Populacional , Chuva , Temperatura
7.
Phys Rev Lett ; 119(13): 132501, 2017 Sep 29.
Artigo em Inglês | MEDLINE | ID: mdl-29341708

RESUMO

The decay path of the Hoyle state in ^{12}C (E_{x}=7.654 MeV) has been studied with the ^{14}N(d,α_{2})^{12}C(7.654) reaction induced at 10.5 MeV. High resolution invariant mass spectroscopy techniques have allowed us to unambiguously disentangle direct and sequential decays of the state passing through the ground state of ^{8}Be. Thanks to the almost total absence of background and the attained resolution, a fully sequential decay contribution to the width of the state has been observed. The direct decay width is negligible, with an upper limit of 0.043% (95% C.L.). The precision of this result is about a factor 5 higher than previous studies. This has significant implications on nuclear structure, as it provides constraints to 3α cluster model calculations, where higher precision limits are needed.

8.
Rev. bras. plantas med ; 17(4,supl.3): 1169-1176, 2015. tab, graf
Artigo em Português | LILACS | ID: lil-776616

RESUMO

RESUMO As plantas medicinais representam um dos principais recursos terapêuticos utilizado pelo homem para a cura e prevenção de doenças, no entanto, para que o tratamento seja seguro e eficaz é necessário conhecer seus componentes químicos. Dessa forma, o intuito deste trabalho foi determinar os parâmetros farmacognosticos para o estabelecimento do controle de qualidade da droga vegetal composta pelas folhas de Erythroxylum suberosum A. St.-Hil., pertencentes à família Erythroxylaceae ocorrente no Cerrado. Para tanto, foram coletadas folhas adultas nas proximidades da Universidade Federal de Goiás, Goiânia-GO. Foram determinados o teor de umidade por meio de balança com irradiação de raios infravermelho e o teor de cinzas totais. Na prospecção fitoquímica foram pesquisadas as classes de metabólitos secundários e realizou-se o doseamento de fenóis totais, flavonoides e taninos totais. Os resultados dos testes de pureza realizados, teor de umidade e teor de cinzas totais, estão de acordo com os limites estabelecidos pelas especificações farmacopeicas. As análises fitoquímicas evidenciaram a presença de flavonoides, taninos, cumarinas, saponinas e resinas. No doseamento de fenóis totais, taninos e flavonoides presentes nas folhas de E. suberosum A. St.-Hil. obteve-se respectivamente 17,97%, 6,31%, 3,87%. Estes resultados confirmam os dados da literatura quanto à presença destes compostos em Erythroxylaceae, pois de acordo com nas folhas de E. tortuosum obteve-se valores de 10%, 8,4% e 0,064% de Fenóis, Taninos e flavonoides, respectivamente e nas folhas de E. deciduum foram encontrados 12,04% de fenóis totais, 0,87% de taninos e 1,37% de flavonoides. Os resultados encontrados no presente trabalho também se tornam relevantes quando comparadas as quantidades desses metabólitos com espécies clássicas na biossíntese de compostos fenólicos como o teor de taninos de Stryphnodendron adstringens (Mart.) Coville e em Eugenia uniflora L. foi de 29,9% e 2,96%, respectivamente. Teores de flavonóides que variaram entre 0,65% a 0,79% na Calendula officinalis L. e Ginkgo bilobaL. 0,59%, 0,75% e 0,79%. Sendo assim, a quantidade considerável de compostos fenólicos obtida em E. suberosum A. St.-Hil. sugere que a espécie possua um importante potencial terapêutico e quem sabe potencial antioxidante, a ser explorado em estudos posteriores.


ABSTRACT Medicinal plants represent a major therapeutic resources used by man for the cure and prevention of diseases, however, that the treatment be safe and effective it is necessary to know their chemical components. Thus, the aim of this work was to determine the pharmacognostic parameters for the establishment of the plant drug quality control made by the leaves of Erythroxylum suberosum A. St.-Hil., belonging to the family Erythroxylaceae occurring in the Cerrado. To this end, adult leaves were collected near the Federal University of Goiás, Goiânia-GO. It was determined the moisture content through scale radiating infrared rays and the content of total ash. The phytochemical screening of secondary metabolites classes were surveyed and performed the determination of total phenols, flavonoids and total tannins. The results of the purity tests, moisture content and total ash content, are in accordance with the limits established by the pharmacopeic specifications. The phytochemical analysis revealed the presence of flavonoids, tannins, coumarins, saponins and resins. The determination of total phenols, tannins and flavonoids quantities present in the leaves of E. suberosum A. St.-Hil. were obtained respectively as 17.97%, 6.31%, 3.87%. These results confirm the literature data for the presence of these compounds in Erythroxylaceae, since according to the leaves of E. tortuosum yielded values of 10%, 8.4% and 0.064% of phenols, tannins and flavonoids, respectively. On the E. deciduum leaves were found 12.04% of total phenols, tannins 0.87% and 1.37% of flavonoids. The results of this work also become relevant when comparing the amounts of these metabolites with classic species in the biosynthesis of phenolic compounds such as tannins content in barbatimão and pitanga was 29.9% and 2.96%, respectively. Flavonoid contents ranging from 0.65% to 0.79% in calendula and ginkgo 0.59%, 0.75% and 0.79%. Thus, considerable amount of phenolic compounds obtained in E. suberosum. A. St. Hil. It suggests that the species has an important therapeutic potential and who knows antioxidant potential to be explored in further studies.


Assuntos
Plantas Medicinais/classificação , Erythroxylaceae/química , /classificação , Fenóis/farmacologia , Controle de Qualidade
10.
Phys Rev Lett ; 106(25): 252503, 2011 Jun 24.
Artigo em Inglês | MEDLINE | ID: mdl-21770637

RESUMO

We report on the first direct measurement of the proton separation energy for the proton-unbound nucleus (69)Br. Bypassing the (68)Se waiting point in the rp process is directly related to the 2p-capture rate through (69)Br, which depends exponentially on the proton separation energy. We find a proton separation energy for (69)Br of Sp((69)Br )= -785(-40)(+34) keV; this is less bound compared to previous predictions which have relied on uncertain theoretical calculations. The influence of the extracted proton separation energy on the rp process occurring in type I x-ray bursts is examined within the context of a one-zone burst model.

11.
J Econ Entomol ; 104(1): 180-7, 2011 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-21404856

RESUMO

Although recent research has demonstrated that clays provide satisfactory control of some agricultural insect pests, the effect of clays on gall wasps that damage forest trees has not been previously reported. The aim of the current study is to evaluate the effectiveness of the clay kaolin in the laboratory and in the field in reducing the damage caused by the eulophid Ophelimus maskelli (Ashmead) on seedlings of eucalyptus (Eucalyptus L'Hér.) species. In the laboratory, kaolin + wetting agent significantly reduced the percentage of infested leaves and the number of galls per leaf. In the nursery, gall number per leaf was not correlated with leaf area with kaolin + wetting agent but was related to leaf area for all other treatments (wetting agent alone, imidacloprid, and untreated control). In the nursery, gall number per leaf was lower with kaolin + wetting agent and with imidacloprid than with the other two treatments. Overall, kaolin effectively reduced eulophid infestations, and its effect was more persistent than that of imidacloprid. Although application of kaolin might not be feasible on large forested areas, kaolin could represent a valuable control method in nurseries, where the repeated application with more toxic chemicals can result in high concentrations of residual pesticides in the soil.


Assuntos
Controle de Insetos , Caulim , Vespas , Animais , Eucalyptus/parasitologia , Tumores de Planta
12.
Phys Rev Lett ; 102(15): 152701, 2009 Apr 17.
Artigo em Inglês | MEDLINE | ID: mdl-19518626

RESUMO

The A/Z dependence of projectile fragmentation at relativistic energies has been studied with the ALADIN forward spectrometer at SIS. A stable beam of (124)Sn and radioactive beams of (124)La and (107)Sn at 600 MeV per nucleon have been used in order to explore a wide range of isotopic compositions. Chemical freeze-out temperatures are found to be nearly invariant with respect to the A/Z of the produced spectator sources, consistent with predictions for expanded systems. Small Coulomb effects (DeltaT approximately 0.6 MeV) appear for residue production near the onset of multifragmentation.

13.
Phys Rev Lett ; 102(11): 112701, 2009 Mar 20.
Artigo em Inglês | MEDLINE | ID: mdl-19392196

RESUMO

40Ca+;{40,48}Ca,46Ti reactions at 25 MeV/nucleon have been studied using the 4pi CHIMERA detector. An isospin effect on the competition between fusionlike and binarylike reaction mechanisms has been observed. The probability of producing a heavy residue is lower in the case of N approximately Z colliding systems as compared to the case of reactions induced on the neutron rich 48Ca target. Predictions based on constrained molecular dynamics II calculations show that the competition between fusionlike and binary reactions in the selected centrality bins can constrain the parametrization of the symmetry energy and its density dependence in the nuclear equation of state.

14.
Diabetes Metab ; 35(2): 101-7, 2009 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-19251448

RESUMO

AIM: To verify whether, with thorough practical and theoretical training, well-controlled, non-complicated diabetic patients can safely go diving underwater with no additional medical or metabolic risks. METHODS: Twelve diabetic patients participated in the study after undergoing training focused on their diabetic status. Two dives per day were scheduled during two five-day stays on the island of Ventotene (Italy). Capillary blood glucose (BG) was checked at 60, 30 and 10 minutes before diving, and corrective measures adopted if necessary, based on BG absolute levels and dynamics. A device for continuous subcutaneous glucose monitoring (CGM), expressly modified for the purpose, was worn during dives. RESULTS: Data were gathered from 90 dives; mean BG at 60, 30 and 10 minutes before diving was 205.8+/-69.6 mg/dL, 200.0+/-66.4 mg/dL and 200.5+/-61.0mg/dL, respectively. In 56 of the 90 dives, supplementary carbohydrates or insulin were necessary, but only one dive was interrupted on account of hypoglycaemic symptoms. Mean post-dive BG was 158.9+/-80.8 mg/dL. CGM recordings showed that glucose levels gradually decreased during the dives (nadir: -19.9%). CONCLUSION: Experienced, well-controlled, complication-free young diabetic patients can safely go scuba diving, provided that they apply a rigorous protocol based on serial pre-dive BG measurements. The specific variables of underwater diving do not appear to involve significant additional risks of hypoglycaemia.


Assuntos
Automonitorização da Glicemia , Glicemia/análise , Diabetes Mellitus Tipo 1/fisiopatologia , Mergulho , Adulto , Automonitorização da Glicemia/instrumentação , Automonitorização da Glicemia/métodos , Distribuição de Qui-Quadrado , Feminino , Humanos , Hipoglicemia/prevenção & controle , Masculino , Atividade Motora , Segurança
15.
Phys Rev Lett ; 97(5): 052701, 2006 Aug 04.
Artigo em Inglês | MEDLINE | ID: mdl-17026096

RESUMO

Recent measurements of preequilibrium neutron and proton transverse emission from (112,124)Sn+(112,124)Sn reactions at 50 MeV/A have been completed at the National Superconducting Cyclotron Laboratory. Free nucleon transverse emission ratios are compared to those of A=3 mirror nuclei. Comparisons are made to Boltzmann-Uehling-Uhlenbeck (BUU) transport calculations and conclusions concerning the density dependence of the asymmetry term of the nuclear equation of state at subnuclear densities are made. Comparison to BUU model predictions indicate a density dependence of the asymmetry energy that is closer to a form in which the asymmetry energy increases as the square root of the density for the density region studied. A coalescent-invariant analysis is introduced as a means of reducing suggested difficulties with cluster emission in total nucleon emission.

16.
Phys Rev Lett ; 92(6): 062701, 2004 Feb 13.
Artigo em Inglês | MEDLINE | ID: mdl-14995234

RESUMO

Using symmetric 112Sn+112Sn, 124Sn+124Sn collisions as references, we probe isospin diffusion in peripheral asymmetric 112Sn+124Sn, 124Sn+112Sn systems at an incident energy of E/A=50 MeV. Isoscaling analyses imply that the quasiprojectile and quasitarget in these collisions do not achieve isospin equilibrium, permitting an assessment of isospin transport rates. We find that comparisons between isospin sensitive experimental and theoretical observables, using suitably chosen scaled ratios, permit investigation of the density dependence of the asymmetry term of the nuclear equation of state.

17.
Rev. bras. farmacogn ; 13(supl.1): 64-66, 2003. tab
Artigo em Português | LILACS | ID: lil-526250

RESUMO

Apresentação de levantamento etnobotânico sobre o uso de plantas medicinais do cerrado pela população da cidade de Mossâmedes, estado de Goiás, localizada nas proximidades da Reserva Biológica da Serra Dourada/GO. O trabalho informa o nome científico e vulgar de 44 espécies, com alguns comentários sobre a forma de utilização de cada planta.


Ethnobotanical data on plants, which are used by people who lives in the city of Mossâmedes, state of Goiás, situated next to Reserva Biológica da Serra Dourada state, are reported. Common and scientific names and data on plant use are given for 44 species. This work brings also an analysis of relationship between medicinal plants used on folk medicine and natural resources available there.

18.
Phys Rev Lett ; 86(22): 5023-6, 2001 May 28.
Artigo em Inglês | MEDLINE | ID: mdl-11384411

RESUMO

A three parameter scaling relationship between isotopic distributions for elements with Z< or =8 has been observed. This allows a simple description of the dependence of such distributions on the overall isospin of the system. This scaling law (termed isoscaling) applies for a variety of reaction mechanisms that are dominated by phase space, including evaporation, multifragmentation, and deeply inelastic scattering. The origins of this scaling behavior for the various reaction mechanisms are explained. For multifragmentation processes, the systematics is influenced by the density dependence of the asymmetry term of the equation of state.

19.
Mycopathologia ; 149(2): 63-8, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11265163

RESUMO

Oropharyngeal candidiasis caused by various species of Candida is one of the most common infections in HIV seropositive or AIDS patients. Drug resistance among these yeasts is an increasing problem. We studied the frequency of resistance profile to fluconazole, itraconazole, ketoconazole, amphotericin B and terbinafine of 137 isolates of Candida sp. From HIV positive or AIDS patients with oropharyngeal candidiasis at Instituto de Inmunología, U.C.V. and the Hospital "Jose Ignacio Baldó", Caracas Venezuela, using the well diffusion susceptibility test (Magaldi et al.). We found that nearly 10% of C. albicans isolates were primarily fluconazole resistant, 45% of C. albicans isolates from patients with previous treatment were resistant to fluconazole, of which 93% showed cross-resistance to itraconazole, and even about 30% of C. tropicalis (n = 13) were resistant to fluconazole and/or itraconazole. To this respect, several recent reports have been described antifungal cross-resistance among azoles. Therefore, we consider that C. tropicalis should be added to the growing list of yeast in which antifungal drug resistance is common. This report could be useful for therapeutic aspect in AIDS patients with oral candidiasis.


Assuntos
Infecções Oportunistas Relacionadas com a AIDS/microbiologia , Antifúngicos/farmacologia , Candida albicans/efeitos dos fármacos , Candidíase/microbiologia , Soropositividade para HIV/microbiologia , Doenças Faríngeas/microbiologia , Síndrome da Imunodeficiência Adquirida/complicações , Síndrome da Imunodeficiência Adquirida/microbiologia , Anfotericina B/farmacologia , Azóis/farmacologia , Candidíase/complicações , Resistência Microbiana a Medicamentos , Soropositividade para HIV/complicações , Humanos , Testes de Sensibilidade Microbiana/métodos , Naftalenos/farmacologia , Doenças Faríngeas/complicações , Terbinafina
20.
Mycopathologia ; 152(3): 135-42, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11811641

RESUMO

In the last five years, as HAART has become standard therapy in HIV seropositive or AIDS patients, changes have been noted in the numbers and types of opportunistic fungal infections in these cohorts of patients. Particularly, oropharyngeal candidiasis have become rare in HIV infected patients since the introduction of new anti-HIV drugs of the protease inhibitors type. At the Immunology Institute of the Universidad Central de Venezuela the most frequent protease inhibitors (PIs) used for the treatment of these patients have been: Nelfinavir (Viracept, Roche), Indinavir (Crixivan Merck), Ritonavir (Norvir, Abbott), Saquinavir (Fortovase, Roche). Recently, we observed that recurrent candidiasis was less frequent and no Candida could be isolated in our patients. A direct relation to the PIs was suspected. In order to assess the "in vitro" antifungal activity of the afore mentioned protease inhibitors on Candida sp., we used both the well diffusion test and the NCCLS broth microdilution test to assay 100 Candida sp. isolates from HIV seropositive or AIDS patients with syntomatic oropharyngeal Candida infection. In general, the data obtained with the well diffusion test were in agreement with those obtained by the broth microdilution test. All 100 isolates were susceptible to Saquinavir and 32 were susceptible to Indinavir using the NCCLS microdilution test, while 97 were susceptible to Saquinavir and 52 to Indinavir by the well diffusion test. From 17 C. albicans resistant to fluconazole, all were susceptible to Saquinavir by the NCCLS micromethod and 16 by the well diffusion test. Our results showed anticandidal activity "in vitro" of PIs, mainly Saquinavir.


Assuntos
Antifúngicos/farmacologia , Candida albicans/efeitos dos fármacos , Inibidores de Proteases/farmacologia , Infecções Oportunistas Relacionadas com a AIDS/tratamento farmacológico , Infecções Oportunistas Relacionadas com a AIDS/microbiologia , Síndrome da Imunodeficiência Adquirida/tratamento farmacológico , Síndrome da Imunodeficiência Adquirida/microbiologia , Candida albicans/isolamento & purificação , Candidíase/complicações , Candidíase/tratamento farmacológico , Fluconazol/farmacologia , Humanos , Imunodifusão , Testes de Sensibilidade Microbiana
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