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1.
Photochem Photobiol Sci ; 16(7): 1174-1181, 2017 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-28604906

RESUMO

A new selenium containing coumarin (compound 7) was designed and synthesized from the amide linkage between coumarin-519 (6) and 2-(butylselanyl)ethanamine (5). The molecular structure of 7 was accurately characterized, and its photophysical properties in acetonitrile, ethanol and chloroform solutions were studied by absorption, stationary and time-resolved fluorescence spectroscopies. Changes in the solvent polarity affected the Stokes shift, quantum yields and lifetime of the excited states. The spectroscopic behavior of compound 7 was evaluated in the presence of different monovalent, divalent and trivalent metallic cations (Na+, K+, Ca2+, Co2+, Ni2+, Cu2+, Zn2+, Cd2+, Pb2+, Hg2+, Hg+, Ag+, Al3+, Fe3+, Ga3+ and Cr3+) in acetonitrile solution. Among the tested cations, 7 exhibited high selective interaction with Cu2+, which was evidenced by the not expected absorption hypsocromic shift (usually coumarin-519 gives red-shifted complexes) and intense chelation-enhanced fluorescence quenching (CHEQ). We performed spectrophotometric and spectrofluorimetric titrations of 7 upon addition of Cu2+. From these data, the minimal detectable and quantifiable amounts were calculated and found to be 0.2 and 0.4 µmol L-1 by absorption and 0.6 and 1.0 µmol L-1 by emission, respectively. The 7-Cu2+ compound presented the 1 : 1 stoichiometry and the stability constant values of absorption and emission were found to be log ß = 5.78 and log ß = 6.32 respectively. Taking into account the high selectivity of the 7-Cu2+ compound in organic solvent systems, and considering the role of copper in organic transformations, it can be regarded as a promising fluorescent sensor for studies concerning the determination of oxidation-dependent transient entities in organic reactions like those involving cuprates. Additionally, it can be used for the detection and quantification of this metal cation in vitro in aprotic biological systems.


Assuntos
Acetonitrilas/química , Cobre/análise , Cumarínicos/química , Corantes Fluorescentes/química , Selênio/química , Fluorescência , Corantes Fluorescentes/síntese química , Processos Fotoquímicos , Soluções
2.
Artigo em Inglês | MEDLINE | ID: mdl-27821447

RESUMO

Invasive Candida albicans infections are a serious health threat for immunocompromised individuals. Fluconazole is most commonly used to treat these infections, but resistance due to the overexpression of multidrug efflux pumps is of grave concern. This study evaluated the ability of five synthetic organotellurium compounds to reverse the fluconazole resistance of C. albicans clinical isolates. Compounds 1 to 4, at <10 µg/ml, ameliorated the fluconazole resistance of Saccharomyces cerevisiae strains overexpressing the major C. albicans multidrug efflux pumps Cdr1p and Mdr1p, whereas compound 5 only sensitized Mdr1p-overexpressing strains to fluconazole. Compounds 1 to 4 also inhibited efflux of the fluorescent substrate rhodamine 6G and the ATPase activity of Cdr1p, whereas all five of compounds 1 to 5 inhibited Nile red efflux by Mdr1p. Interestingly, all five compounds demonstrated synergy with fluconazole against efflux pump-overexpressing fluconazole-resistant C. albicans clinical isolates, isolate 95-142 overexpressing CDR1 and CDR2, isolate 96-25 overexpressing MDR1 and ERG11, and isolate 12-99 overexpressing CDR1, CDR2, MDR1, and ERG11 Overall, organotellurium compounds 1 and 2 were the most promising fluconazole chemosensitizers of fluconazole-resistant C. albicans isolates. Our data suggest that these novel organotellurium compounds inhibit pump efflux by two very important and distinct families of fungal multidrug efflux pumps: the ATP-binding cassette transporter Cdr1p and the major facilitator superfamily transporter Mdr1p.


Assuntos
Antifúngicos/farmacologia , Candida albicans/efeitos dos fármacos , Fluconazol/farmacologia , Candida albicans/genética , Candida albicans/metabolismo , Farmacorresistência Fúngica/genética , Proteínas Fúngicas/genética , Proteínas Fúngicas/metabolismo , Regulação Fúngica da Expressão Gênica/efeitos dos fármacos , Regulação Fúngica da Expressão Gênica/genética , Testes de Sensibilidade Microbiana , Compostos de Organotecnécio/farmacologia , Saccharomyces cerevisiae/efeitos dos fármacos , Saccharomyces cerevisiae/genética , Saccharomyces cerevisiae/metabolismo , Proteínas de Saccharomyces cerevisiae/genética , Proteínas de Saccharomyces cerevisiae/metabolismo
7.
Acta Otorhinolaryngol Ital ; 36(3): 233-8, 2016 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-27214836

RESUMO

Pendred syndrome (PS) is the second most common type of autosomal recessive syndromic hearing loss (HL). It is characterised by sensorineural HL and goiter with occasional hypothyroidism. These features are generally accompanied by malformations of the inner ear, as enlarged vestibular aqueduct (EVA). In about 50% of probands, mutations in the SLC26A4 gene are the cause of the disease. Here we report the case of a Portuguese female, aged 47, presenting with severe to profound HL and hypothyroidism. Her mother and sister, both deceased, had suffered from HL and goiter. By MRI and CT, an enlarged vestibular aqueduct and endolymphatic sac were observed. Molecular study of the patient included screening for GJB2 coding mutations and GJB6 common deletions followed by screening of all SLC26A4 exons, as well as intronic regions 8 and 14. Mutation c.918+2T>C was found for the first time in homozygosity in the intronic region 7 of the SLC26A4 gene. Whilst sequencing the control samples, a novel mutation c.821C>G was found in heterozygosity in the exon 7 of SLC26A4 gene and was predicted to be damaging. This study thus led to the finding of two novel SLC26A4 genotypes and provides new insight on the phenotypic features associated with PS.


Assuntos
Bócio Nodular/genética , Perda Auditiva Neurossensorial/genética , Proteínas de Membrana Transportadoras/genética , Mutação , Feminino , Variação Genética , Humanos , Pessoa de Meia-Idade , Transportadores de Sulfato
8.
Dalton Trans ; 45(23): 9513-22, 2016 Jun 21.
Artigo em Inglês | MEDLINE | ID: mdl-27193690

RESUMO

Two new luminescent compounds containing fluorescein-amino acid units have been designed and synthesized via an ester linkage between a fluorescein ethyl ester and Boc-Ser(TBDMS)-OH or Boc-Cys(4-MeBzl)-OH, and their photophysical properties have been explored. The optical response of both compounds (2 and 3) towards the metal ions Na(+), K(+), Hg(+), Ag(+), Ca(2+), Co(2+), Ni(2+), Cu(2+), Zn(2+), Cd(2+), Pb(2+), Hg(2+), Al(3+), Fe(3+), Ga(3+)and Cr(3+) was investigated in pure acetonitrile and in acetonitrile/water mixtures. A strong CHEF (Chelation-Enhanced Fluorescence) effect was observed with all the trivalent metals and Hg(2+) ions in both solvents. UV-vis absorption, steady state and time resolved emission spectroscopy methods were employed. The results show the formation of mononuclear complexes with Al(3+), Fe(3+), Ga(3+), Cr(3+), and Hg(2+). Theoretical calculation using Density Functional Theory was performed in order to obtain atomistic insights into the coordination geometry of Al(3+) and Hg(2+) to the fluorescein 3, which is in accordance with the experimental stoichiometry results obtained in the Job's plot method. Among the active cations, the minimum detectable amount is under 1 µM for most of the cases in both absorption and fluorescence spectroscopy methods.


Assuntos
Benzoatos/química , Fluoresceína/química , Corantes Fluorescentes/química , Mercúrio/análise , Acetonitrilas/química , Aminoácidos/química , Benzoatos/síntese química , Quelantes/química , Colorimetria/métodos , Complexos de Coordenação/química , Corantes Fluorescentes/síntese química , Íons/análise , Limite de Detecção , Espectrometria de Fluorescência/métodos , Água/química
9.
Med Oncol ; 32(12): 257, 2015 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-26507652

RESUMO

Hepatocellular carcinoma (HCC) has a worldwide high incidence and mortality. For this reason, it is essential to invest in new therapies for this type of cancer. Our team already proved that human amniotic membrane (hAM) is able to inhibit the metabolic activity of several human cancer cell lines, including HCC cell lines. Taking into account the previously performed work, this experimental study aimed to investigate the pathways by which hAM protein extracts (hAMPEs) act on HCC. Our results showed that hAMPE reduce the metabolic activity, protein content and DNA content in a dose- and time-dependent manner in all HCC cell lines. This therapy presents selective cytotoxicity, since it was not able to inhibit a non-tumorigenic human cell line. In addition, hAMPE induced cell morphology alterations in all HCC cell lines, but death type is cell line dependent, as proved by in vitro and in vivo studies. In conclusion, hAMPE have a promising role in HCC therapy, since it is capable of inducing HCC cytotoxicity and cell death.


Assuntos
Âmnio/química , Apoptose/efeitos dos fármacos , Carcinoma Hepatocelular , Ciclo Celular/efeitos dos fármacos , Extratos Celulares/farmacologia , Neoplasias Hepáticas , Linhagem Celular Tumoral , Feminino , Humanos
10.
Genet Mol Res ; 14(4): 11841-7, 2015 Oct 02.
Artigo em Inglês | MEDLINE | ID: mdl-26436508

RESUMO

In the present study, metagenomic technique and fosmid vectors were used to construct a library of clones for exploring the biotechnological potential of mangrove soils by isolation of functional genes encoding hydrolytic enzymes. The library was built with genomic DNA from the soil samples of mangrove sediments and the functional screening of 1824 clones (~64 Mbp) was performed to detect the hydrolytic activity specific for cellulases, amylases (at acidic, neutral and basic pH), lipases/esterases, proteases, and nitrilases. Significant numbers of clones, positive for the tested enzyme activities were obtained. Our results indicate the importance and biotechnological potential of mangrove soils especially when compared to those obtained using other soil metagenomic libraries.


Assuntos
Bactérias/enzimologia , Proteínas de Bactérias/genética , Biblioteca Gênica , Vetores Genéticos/química , Metagenoma , Microbiologia do Solo , Áreas Alagadas , Aminoidrolases/genética , Amilases/genética , Bactérias/genética , Proteínas de Bactérias/metabolismo , Celulases/genética , Meios de Cultura/química , Esterases/genética , Consórcios Microbianos/genética , Peptídeo Hidrolases/genética , Análise de Sequência de DNA , Solo/química
11.
Br J Biomed Sci ; 72(2): 78-84, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26126325

RESUMO

Lung cancer has a known relationship with smoking and is one of the leading causes of cancer-related death worldwide. Although the number of studies discussing lung cancer is vast, treatment efficacy is still suboptimal due to the wide range of factors that affect patient outcome. This review aims to collect information on lung cancer treatment, specially focused on radiation therapy. It also compiles information regarding the influence of radiotherapy on the immune system and its response to tumour cells. It evaluates how immune cells react after radiation exposure and the influence of their cytokines in the tumour microenvironment. The literature analysis points out that the immune system is a very promising field of investigation regarding prognosis, mostly because the stromal microenvironment in the tumour can provide some information about what can succeed in the future concerning treatment choices and perspectives. T cells (CD4+ and CD8+), interleukin-8, vascular endothelial growth factor and transforming growth factor-ß seem to have a key role in the immune response after radiation exposure. The lack of large scale studies means there is no common consensus in the scientific community about the role of the immune system in lung cancer patients treated with radiotherapy. Clarification of the mechanism behind the immune response after radiation can lead to better treatments and better quality life for patients.


Assuntos
Neoplasias Pulmonares/imunologia , Neoplasias Pulmonares/radioterapia , Humanos , Sistema Imunitário/efeitos da radiação
12.
Free Radic Res ; 49(9): 1081-94, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25968944

RESUMO

The imbalance between reactive oxygen species (ROS) production and their elimination by antioxidants leads to oxidative stress. Depending on their concentration, ROS can trigger apoptosis or stimulate cell proliferation. We hypothesized that oxidative stress and mitochondrial dysfunction may participate not only in apoptosis detected in some myelodysplastic syndrome (MDS) patients, but also in increasing proliferation in other patients. We investigated the involvement of oxidative stress and mitochondrial dysfunction in MDS pathogenesis, as well as assessed their diagnostic and prognostic values. Intracellular peroxides, superoxide, superoxide/peroxides ratio, reduced glutathione (GSH), and mitochondrial membrane potential (Δψ(mit)) levels were analyzed in bone marrow cells from 27 MDS patients and 12 controls, by flow cytometry. We observed that all bone marrow cell types from MDS patients had increased intracellular peroxide levels and decreased GSH content, compared with control cells. Moreover, oxidative stress levels were MDS subtype- and risk group-dependent. Low-risk patients had the highest ROS levels, which can be related with their high apoptosis; and intermediate-2-risk patients had high Δψ(mit) that may be associated with their proliferative potential. GSH levels were negatively correlated with transfusion dependency, and peroxide levels were positively correlated with serum ferritin level. GSH content proved to be an accurate parameter to discriminate patients from controls. Finally, patients with high ROS or low GSH levels, as well as high superoxide/peroxides ratio had lower overall survival. Our results suggest that oxidative stress and mitochondrial dysfunction are involved in MDS development, and that oxidative stress parameters may constitute novel diagnosis and/or prognosis biomarkers for MDS.


Assuntos
Mitocôndrias/patologia , Síndromes Mielodisplásicas/diagnóstico , Síndromes Mielodisplásicas/patologia , Estresse Oxidativo , Adulto , Idoso , Idoso de 80 Anos ou mais , Antioxidantes/química , Apoptose , Biomarcadores/metabolismo , Células da Medula Óssea/citologia , Estudos de Casos e Controles , Separação Celular , Feminino , Ferritinas/sangue , Citometria de Fluxo , Glutationa/metabolismo , Humanos , Masculino , Potencial da Membrana Mitocondrial , Pessoa de Meia-Idade , Projetos Piloto , Prognóstico , Espécies Reativas de Oxigênio/metabolismo
13.
Genet Mol Res ; 13(1): 2048-59, 2014 Mar 24.
Artigo em Inglês | MEDLINE | ID: mdl-24737430

RESUMO

We investigated the biodegradability of oil in mangrove sediment from Camamu Bay and measured its effect on the bacterial community. Microcosms of mangrove sediment were contaminated with 0.1, 0.5, 1, 2, and 5% (w/v) oil, and the microbial activity was compared to that in uncontaminated sediment. The evolution of CO2 and gas chromatography showed the mineralization of oil compounds, which could reach 100%. Bacterial diversity was determined by polymerase chain reaction using a set of primers for the V3 and V6-V8 regions of 16S rDNA. The band profile obtained by denaturing gradient gel electrophoresis of the amplicons that were obtained for the V3 region showed a negative correlation between band number and oil concentration, whereas that of the V6-V8 region showed a positive correlation between band numbers and oil concentration. The latter also gave similar results for microcosms that were contaminated with 2 and 5% oil. These results demonstrate the mangrove sediment's capacity to recover from oil contamination (in vitro) and suggest that native mangrove microorganisms contain enzymes necessary for the catabolism of oil.


Assuntos
Biodegradação Ambiental , Poluentes Ambientais/metabolismo , Sedimentos Geológicos/microbiologia , Microbiota/fisiologia , Petróleo/metabolismo , Rhizophoraceae/microbiologia , Bactérias/classificação , Bactérias/genética , Baías , Brasil , Dióxido de Carbono/análise , Dióxido de Carbono/química , Análise por Conglomerados , Poluentes Ambientais/análise , Sedimentos Geológicos/química , Metagenoma , Petróleo/análise , RNA Ribossômico 16S
14.
Gene ; 538(2): 288-91, 2014 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-24462758

RESUMO

Low-frequency sensorineural hearing loss (LFSNHL) is an unusual type of HL in which frequencies at 2,000 Hz and below are predominantly affected. Most of the families with LFSNHL carry missense mutations in WFS1 gene, coding for wolframin. A Portuguese patient aged 49, reporting HL since her third decade of life, and also referring tinnitus, was shown to display bilateral moderate LFSNHL after audiological evaluation. Molecular analysis led to the identification of a novel mutation, c.511G>A (p.Asp171Asn), found in heterozygosity in the exon 5 of the WFS1 gene, and changing the aspartic acid at position 171 to an asparagine, in the extracellular N-terminus domain of the wolframin protein. This novel mutation wasn't present either in 200 control chromosomes analyzed or in the hearing proband's half-brother, and it had not been reported in 1000 Genomes, Exome Variant Server, HGMD or dbSNP databases. No mutations were found in GJB2 and GJB6 genes. Multi-alignment of 27 wolframin sequences from mammalian species, against the human wolframin sequence in ConSurf, indicated a conservation score corresponding to 7 in a 1-9 color scale where 9 is conserved and 1 is variable. In addition, the mutation p.Asp171Asn was predicted to be damaging and possibly damaging by SIFT and Polyphen-2, respectively. The auditory phenotype of this patient could thus be due to the novel mutation p.Asp171Asn. Further functional characterization might enable to elucidate in which way the change in the residue 171, as other changes introduced by LFSNHL-associated mutations previously described, leads to this type of HL.


Assuntos
Perda Auditiva Neurossensorial/genética , Proteínas de Membrana/genética , Mutação de Sentido Incorreto , Sequência de Aminoácidos , Substituição de Aminoácidos , Audiometria de Tons Puros , Sequência de Bases , Conexina 26 , Conexinas , DNA/genética , Retículo Endoplasmático/metabolismo , Éxons , Feminino , Perda Auditiva Neurossensorial/fisiopatologia , Humanos , Proteínas de Membrana/química , Proteínas de Membrana/fisiologia , Pessoa de Meia-Idade , Dados de Sequência Molecular , Portugal
15.
ISRN Oncol ; 2013: 918207, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-24167746

RESUMO

Prostate cancer (PCa) has a high incidence worldwide. One of the major causes of PCa resistance is intratumoral hypoxia. In solid tumors, hypoxia is strongly associated with malignant progression and resistance to therapy, which is an indicator of poor prognosis. The antiproliferative effect and induced death caused by doxorubicin, epirubicin, cisplatin, and flutamide in a hormone-independent PCa cell line will be evaluated. The hypoxia effect on drug resistance to these drugs, as well as cell proliferation and migration, will be also analyzed. All drugs induced an antiproliferative effect and also cell death in the cell line under study. Hypoxia made the cells more resistant to all drugs. Moreover, our results reveal that long time cell exposure to hypoxia decreases cellular proliferation and migration. Hypoxia can influence cellular resistance, proliferation, and migration. This study shows that hypoxia may be a key factor in the regulation of PCa.

16.
Arch Environ Contam Toxicol ; 64(4): 537-44, 2013 May.
Artigo em Inglês | MEDLINE | ID: mdl-23361451

RESUMO

The purpose of this study was to investigate the availability of the heavy metals cadmium (Cd), lead (Pb), and chromium (Cr) to soil and maize plants fertilized with different sources and doses of zinc (Zn) in a Rhodic Eutrudox soil. For that purpose, concentrations of Cd, Pb, and Cr were evaluated in leaf tissue and grains of maize plants and in 0-20 and 20-40 cm soil layers after fertilization with four doses of Zn from eight different sources of fertilizer. There was no accumulation of Cd, Pb, and Cr in maize grain and Cd and Cr in leaf tissue of the plants; nevertheless, there was accumulation of Pb in leaf tissue, showing its availability throughout different sources of Zn and consequent uptake by plants. Regarding the soil, it was observed that fertilizer from the different sources made Cd, Pb, and Cr available at increasing amounts proportional to increased Zn doses. Under experimental conditions, fertilization with Zn increased concentrations of heavy metals Cd, Pb and Cr in soil, further highlighting the importance of conducting more studies related to the application of mineral fertilizers for micronutrient supply and the availability of heavy metals.


Assuntos
Agricultura , Fertilizantes , Metais Pesados/metabolismo , Poluentes do Solo/metabolismo , Zea mays/metabolismo , Brasil , Monitoramento Ambiental , Metais Pesados/análise , Folhas de Planta/metabolismo , Poluentes do Solo/análise , Zea mays/química
17.
Anim. Reprod. (Online) ; 10(1): 62-70, 2013.
Artigo em Inglês | LILACS, VETINDEX | ID: biblio-1461046

RESUMO

Solutions to induce or suppress the initiation of sperm motility in fish ha ve been used to improve reproductive success during artificial fertilization and preservation techniques . The aim of the present study was to evaluate the effects of three solutions (NaCl, glucose , and BTS™) - each prepared with 10 different osmolalities - on the initiation and suppression of fresh sperm motility in Prochilodus lineat us and Brycon orbignyanus . Sperm was diluted in each of the 30 solution s and immediately observed under a light microscope to determine which solution s trigger ed or suppress ed the initiation of sperm motility. When present, motility rate ( % motile sperm ) w as determined at 0, 30 , and 120 s post - activation and the motility quality score ranging from 0 ( no movement ) to 5 ( rapidly swimming sperm) was determined at 0 and 30 s post - activation . Osmolality , but not solution composition , significantly affected both motility rate and quality score . Solutions at osmolali ties up to 270 mOsm/kg in P. lineatus and up to 180 mOsm/kg in B. orbignyanus induced motility in at least 60% of sperm , with a minimum quality score of 3.0 , and were therefore classified as activating agents. The greatest motility at 0 , 30 , and 120 s post - activation was observed with solutions ranging from 135 to 225 mOsm/kg for P. lineatus and at 135 mOsm/kg for B. orbignyanus . On the other hand, solutions ranging from 360 to 450 mOsm/kg in P. lineatus and 270 to 450 mOsm/kg in B. orbignyanus suppressed motility in at least 95% of sperm and were classified as immobilizing media . The osmolality of the surrounding medium is the key factor in the initiation or suppression of sperm motility in P. lineatus a nd B. orbignyanu.


Assuntos
Animais , Motilidade dos Espermatozoides/genética , Sêmen/citologia , Peixes/classificação
18.
Chemotherapy ; 58(5): 381-6, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-23257706

RESUMO

BACKGROUND: Hepatocellular carcinoma (HCC) is the most common primary neoplasm of the liver. A major proportion of HCCs also present mutation of the gene that encodes p53, which confers chemoresistance. The main goal of this work is to investigate the effect of cisplatin, doxorubicin and 5-fluoruracil (5-FU) in three human HCC cell lines which differ in p53 expression. METHODS: HepG2 (expressing normal p53), HuH7 (expressing mutated p53) and Hep3B2.1-7 (not expressing p53) cell lines were cultivated in the presence of cisplatin, doxorubicin and 5-FU. Cell proliferation was evaluated by the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide assay (MTT assay). The type of cell death and Bax and Bcl2 activation were assessed by flow cytometry. RESULTS: It was found that for all of the cell lines studied, the agent that gave the most satisfactory results was doxorubicin. 5-FU demonstrated no activity in these cell lines. CONCLUSIONS: For all the cell lines studied, doxorubicin was the most satisfactory agent. In HepG2 and HuH7 cell lines, it can activate Bax with statistical significance.


Assuntos
Proteína Supressora de Tumor p53/metabolismo , Antineoplásicos/farmacologia , Antineoplásicos/uso terapêutico , Apoptose/efeitos dos fármacos , Carcinoma Hepatocelular/tratamento farmacológico , Carcinoma Hepatocelular/metabolismo , Carcinoma Hepatocelular/patologia , Linhagem Celular Tumoral , Cisplatino/farmacologia , Cisplatino/uso terapêutico , Doxorrubicina/farmacologia , Doxorrubicina/uso terapêutico , Fluoruracila/farmacologia , Fluoruracila/uso terapêutico , Células Hep G2 , Humanos , Neoplasias Hepáticas/tratamento farmacológico , Neoplasias Hepáticas/metabolismo , Neoplasias Hepáticas/patologia , Proteínas Proto-Oncogênicas c-bcl-2/metabolismo , Proteína Supressora de Tumor p53/genética , Proteína X Associada a bcl-2/metabolismo
19.
AJNR Am J Neuroradiol ; 33(8): 1602-7, 2012 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-22442048

RESUMO

BACKGROUND AND PURPOSE: DON, a serious complication of GO, is frequently difficult to diagnose clinically in its early stages because of confounding signs and symptoms of congestive orbitopathy. We evaluated the ability of square area measurements of orbital apex crowding, calculated with MDCT, to detect DON. MATERIALS AND METHODS: Fifty-six patients with GO were studied prospectively with complete neuro-ophthalmologic examination and MDCT scanning. Square measurements were taken from coronal sections 12 mm, 18 mm, and 24 mm from the interzygomatic line. The ratio between the extraocular muscle area and the orbital bone area was used as a CI. Intracranial fat prolapse through the superior orbital fissure was recorded as present or absent. Severity of optic nerve crowding was also subjectively graded on coronal images. Orbits were divided into 2 groups (with or without clinical evidence of DON) and compared. RESULTS: Ninety-five orbits (36 with and 59 without DON) were studied. The CIs at all 3 levels and the subjective crowding score were significantly greater in orbits with DON (P < .001). No significant difference was observed regarding intracranial fat prolapse (P = .105). The area under the ROC curves was 0.91, 0.93, and 0.87 for CIs at 12, 18, and 24 mm, respectively. The best performance was at 18 mm, where a cutoff value of 57.5% corresponded to 91.7% sensitivity, 89.8% specificity, and an odds ratio of 97.2 for detecting DON. A significant correlation (P < .001) between the CIs and VF defects was observed. CONCLUSIONS: Orbital CIs based on area measurements were found to predict DON more reliably than subjective grading of orbital crowding or intracranial fat prolapse.


Assuntos
Oftalmopatia de Graves/diagnóstico por imagem , Tomografia Computadorizada Multidetectores , Doenças do Nervo Óptico/diagnóstico por imagem , Órbita/diagnóstico por imagem , Adulto , Feminino , Oftalmopatia de Graves/complicações , Humanos , Processamento de Imagem Assistida por Computador , Masculino , Pessoa de Meia-Idade , Doenças do Nervo Óptico/diagnóstico , Doenças do Nervo Óptico/etiologia , Valor Preditivo dos Testes , Sensibilidade e Especificidade , Campos Visuais
20.
Artigo em Português | LILACS | ID: lil-535419

RESUMO

A farmacoterapia pediátrica exige uma variedade de formas farmacêuticas adequadas às diferentes fases do desenvolvimento da criança. O objetivo deste estudo foi identificar os antimicrobianos utilizados em dois hospitais e verificar se realmente havia adequação das formas farmacêuticas aos pacientes pediátricos. Os antimicrobianos foram identificados pelo sistema informatizado das farmácias. Os medicamentos foram analisados, levando-se em consideração a necessidade de transformação da forma farmacêutica, o fracionamento e a porcentagem de desperdício. Verificou-se que 97,2% dos medicamentos analisados foram considerados inadequados para utilização em recém-nascido prematuro; 82,5% foram considerados inadequados para uso em recém-nascido a termo e 68,1% foram considerados inadequados para lactentes. A falta de formulações adequadas para essas faixas etárias acarreta frequentes manipulações, o que pode comprometer o uso adequado dos medicamentos, principalmente dos medicamentos parenterais. Identificou-se, também, a necessidade de transformação dos medicamentos sólidos de uso oral. Essas atividades, sem dúvida, elevam o risco de contaminação e/ou de inexatidão da dose. Os resultados mostram uma falta de formulações farmacêuticas de antimicrobianos adequadas para utilização nas diversas faixas etárias pediátricas, sendo, portanto, necessárias ações das autoridades sanitárias para assegurar a disponibilidade de formulações apropriadas, contribuindo para a promoção do uso racional de medicamentos em pediatria.


Pediatric pharmacotherapy requires a variety of drug dosage forms suited to different stages of child development. The aim of this study was to identify the antimicrobial drugs used in the pediatric units of two hospitals and to examine whether the drug dosage forms used were really suitable for pediatric patients. The antimicrobial drugs were identified through the computerized system of the hospital dispensaries. The medicines were analyzed regarding the need to transform or split the drug dosage form and the amount wasted. A total of 92.7% of the medicines analyzed were inappropriate for use with a preterm neonate, 82.5% were unsuitable for a term neonate and 68.1% were unsuitable for infants. The lack of suitable formulations for these age groups may lead to more frequent compounding of drugs, hampering the correct use of medicines, especially parenteral drugs. A need to transform solid oral drug forms was identified. Such activities certainly increase the risk of drug contamination or inaccuracy of dose. The results showed a lack of pharmaceutical formulations of antimicrobial drugs suitable to be given to various pediatric age groups. Therefore, health authorities should ensure the availability of appropriate drug dosage forms for children, in order to promote the rational use of drugs in pediatrics.


Assuntos
Antibacterianos , Uso de Medicamentos , Assistência Hospitalar , Hospitais de Ensino , Pediatria
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