Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 19 de 19
Filtrar
1.
Front Nutr ; 10: 1189664, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37701376

RESUMO

Mesenchymal stem cell-based cultivated meat is a promising solution to the ecological and ethical problems posed by traditional meat production, since it exhibits a protein content and composition that is more comparable to original meat proteins than any other source of cultivated meat products, including plants, bacteria, and fungi. Nonetheless, the nature and laboratory behavior of mesenchymal stem cells pose two significant challenges for large-scale production: genetic drift and adherent growth in culture. Culture conditions used in the laboratory expose the cells to a selective pressure that causes genetic drift, which may give rise to oncogene activation and the loss of "stemness." This is why genetic and functional analysis of the cells during culture is required to determine the maximum number of passages within the laboratory where no significant mutations or loss of function are detected. Moreover, the adherent growth of mesenchymal stem cells can be an obstacle for their large-scale production since volume to surface ratio is limited for high volume containers. Multi-tray systems, roller bottles, and microcarriers have been proposed as potential solutions to scale-up the production of adherent cells required for cultivated meat. The most promising solutions for the safety problems and large-scale obstacles for cultivated meat production are the determination of a limit number of passages based on a genetic analysis and the use of microcarriers from edible materials to maximize the volume to surface proportion and decrease the downstream operations needed for cultivated meat production.

2.
In. Huart Sottolano, Regina Natalia; Biafore, Federico. Imagen por resonancia magnética desde cero: manual para estudiantes y docentes. Montevideo, Oficina del Libro-FEFMUR, c2023. p.181-183.
Monografia em Espanhol | LILACS, UY-BNMED, BNUY | ID: biblio-1437773
3.
Ecotoxicology ; 31(9): 1462-1476, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-36319920

RESUMO

Information regarding the safety and environmental risks of pesticides intended for urban use remains limited. This study aimed to assess the effects of four common pesticides on the microalga Raphidocelis subcapitata: DIAZINON® 25% C. E., Roundup®, URBACIN® 20C. E., and VAPODEL® 20% C. E., which are commercial formulations of diazinon, glyphosate, dichlorvos, and cypermethrin, respectively. According to 96-h inhibition of population growth bioassays, the four pesticide toxicities exemplified the following order: DIAZINON® (diazinon) > Roundup® (glyphosate) > VAPODEL® (dichlorvos) > URBACIN® (cypermethrin). Increasing pesticide concentrations elicited alterations in the specific growth rates (µmax). The macromolecule contents and photosynthetic pigments increased in groups exposed to the highest concentrations of DIAZINON® 25%, Roundup®, and URBACIN® 20 compared to the control group, despite these treatments inducing lower population growth rates. VAPODEL® 20% induced higher growth rates and lower macromolecule content compared to the control. Since active ingredients were not quantified, certain comparisons may prove limiting, but it is important to assess the effects of the whole mixtures in the form that they enter the environment, especially for urban-intended applications or generic formulations with higher additive contents. Finally, this study demonstrated that commercial pesticide formulations designed for urban applications might pose a threat to freshwater microalgae due to their underestimated toxic potential, but further studies are required.


Assuntos
Clorofíceas , Praguicidas , Praguicidas/toxicidade , Diazinon/toxicidade , Diclorvós/farmacologia , Crescimento Demográfico
4.
J Drugs Dermatol ; 21(10): 1111-1118, 2022 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-36219059

RESUMO

BACKGROUND: Rosacea is an inflammatory dermatosis with at least a ten percent prevalence reported among white adults. Rosacea occurs in nonwhite populations, but prevalence data is limited. METHODS: Five dermatologists from Latin America (the panel) met virtually after completing a survey of their prescription and adjunctive therapy practices when managing Latin American patients with rosacea. Panel members were chosen based on their dermatology expertise in treating a range of skin phototypes. Survey results were reviewed and discussed, along with a review of published guidelines for rosacea treatment. RESULTS: The panel addressed diagnostic challenges in richly pigmented skin individuals. Pathophysiology and treatment of rosacea were reviewed, with a primary focus on how to treat the skin barrier dysfunction in those affected, using prescription and over-the-counter measures. CONCLUSIONS: Appropriate skincare is crucial for effective rosacea management. Cleansers and moisturizers with ingredients such as ceramides, hyaluronic acid, and niacinamide promote a healthy skin barrier, improving rosacea control. J Drugs Dermatol. 2022;21(10):1111-1118.  doi:10.36849/JDD.7010.


Assuntos
Medicamentos sob Prescrição , Rosácea , Adulto , Ceramidas/uso terapêutico , Hispânico ou Latino , Humanos , Ácido Hialurônico/uso terapêutico , Niacinamida/uso terapêutico , Rosácea/diagnóstico , Rosácea/tratamento farmacológico , Rosácea/epidemiologia
5.
Pharmaceutics ; 14(9)2022 Sep 02.
Artigo em Inglês | MEDLINE | ID: mdl-36145602

RESUMO

Herein, we report the synthesis of Au nanoparticles (AuNPs) in chitosan (CTS) solution by chemically reducing HAuCl4. CTS was further functionalized with glycidyl methacrylate (chitosan-g-glycidyl methacrylate/AuNP, CTS-g-GMA/AuNP) to improve the mechanical properties for cellular regeneration requirements of CTS-g-GMA/AuNP. Our nanocomposites promote excellent cellular viability and have a positive effect on cytokine regulation in the inflammatory and anti-inflammatory response of skin cells. After 40 days of nanocomposite exposure to a skin wound, we showed that our films have a greater skin wound healing capacity than a commercial film (TheraForm®), and the presence of the collagen allows better cosmetic ave aspects in skin regeneration in comparison with a nanocomposite with an absence of this protein. Electrical percolation phenomena in such nanocomposites were used as guiding tools for the best nanocomposite performance. Our results suggest that chitosan-based Au nanocomposites show great potential for skin wound repair.

6.
Environ Sci Pollut Res Int ; 29(56): 85172-85184, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-35794329

RESUMO

Glyphosate levels and the transfer of glyphosate across trophic levels have rarely been studied in zooplankton. The food preferences of zebrafish during the first-feeding stage (which is critical for the survival of organisms), were analyzed because of the requirement for live food. Larval survival begins to be affected when glyphosate intake exceeds 0.3666 µg/larvae/day, in the case that only the food is contaminated; if the medium is also contaminated, the effects on survival start from 0.2456 µg/larvae/day. It was shown that glyphosate was more likely to be incorporated through the medium than through the food (zooplankton), which supports the results of previous studies that have ruled out the potential for biomagnification. The bioconcentration factor (BCF) of glyphosate was determined using an ELISA tests specific to measure glyphosate in the fish D. rerio, the rotifers Brachionus calyciflorus and Lecane papuana, and the cladoceran Ceriodaphnia dubia. The experimental design consisted in exposing seven zebrafish adults per replica (four replicates) in three treatments 1, 5, and 10 mg/L of glyphosate for 96 h to obtain bioconcentration factors in the gills, liver, and muscle. These concentrations were selected as potential glyphosate concentrations right after application as double highest reported concentration. Glyphosate levels in zooplankton can represent up to 6.26% of the total weight of rotifers (BFC = 60.35) and in zebrafish adult organs were less than 8 µg/mg of tissue (BCF values < 6). Although glyphosate does not biomagnify, our results suggest that glyphosate affected the dynamics between zooplankton and zebrafish larvae, diminishing survival and feeding rates, given that zooplankton species bioconcentrate glyphosate in large quantities. The BCF values found in this contribution are higher than expected. Glyphosate exposure affected energy metabolism and feeding behavior of zebrafish larvae, which presented high mortality rates at environmentally relevant concentrations.


Assuntos
Rotíferos , Poluentes Químicos da Água , Animais , Peixe-Zebra/fisiologia , Glicina/toxicidade , Rotíferos/metabolismo , Larva/metabolismo , Zooplâncton/metabolismo , Comportamento Alimentar , Poluentes Químicos da Água/toxicidade , Poluentes Químicos da Água/metabolismo
7.
Mol Genet Genomic Med ; 10(6): e1928, 2022 06.
Artigo em Inglês | MEDLINE | ID: mdl-35332707

RESUMO

In Ashkenazi Jews (AJ) three recurring pathogenic sequence variants (PSVs) are detected in ~2.5% of the general population in the BRCA1 (c.68_69del = 185delAG, c.5266dup = 5382insC), and BRCA2 (c.5946del = 6174delT). Population-based screening for these PSVs in AJ women is part of the health basket in Israel. To assess the feasibility and outcome of BRCA genotyping in the Jewish population of Uruguay, AJ in the greater Montevideo area were recruited using ethically approved protocol and without pretest counseling were genotyped for the three predominant AJ PSVs in the BRCA genes. Independently confirmed PSV carriers were counseled, and genetic testing was offered to additional family members. Overall, 327 participants were enrolled: 312 (95%) female, 261 (80%) had all four grandparents AJ, and 14 (4%) women were breast cancer survivors with a mean age ± standard deviation (SD) 50 ± 11.5 years. The BRCA1 c.68_69del PSV was detected in three cancer free participants (0.92%, CI 95% 0.31-2.6), all with a suggestive family history. No carriers of the other two recurrent PSVs were detected. Online oncogenetic counseling was provided for all carriers. In conclusion, the rate of the BRCA1 c.68_69del PSV was similar with the rate in other AJ communities. AJ population BRCA genotyping screens in Uruguay seem feasible and should be promoted.


Assuntos
Genes BRCA1 , Judeus , Proteína BRCA1/genética , Proteína BRCA2/genética , Feminino , Genes BRCA2 , Predisposição Genética para Doença , Humanos , Judeus/genética , Masculino , Recidiva Local de Neoplasia/genética
8.
An. Facultad Med. (Univ. Repúb. Urug., En línea) ; 8(2): e201, dic. 2021. graf, tab
Artigo em Espanhol | LILACS, UY-BNMED, BNUY | ID: biblio-1358026

RESUMO

Introducción: Existen pocas pautas para el tratamiento del cáncer de mama (CM) en pacientes añosas, lo que puede conducir al sub o sobre tratamiento. Objetivo: Conocer las características, manejo y la evolución del CM precoz en mujeres añosas. Material y métodos: Estudio observacional, descriptivo, transversal. Se recolectaron datos relacionados con las características clínico-patológicas y la evolución de pacientes de 70 años o más tratadas por CM en el período comprendido entre el 1/1/ 2011 y el 31/12/ 2018, asistidas en el Hospital de Clínicas. Se utilizaron herramientas de estadística descriptiva y para calcular la sobrevida global (SVG) se utilizó el método de Kaplan-Meier. Resultados: se incluyeron 31 pacientes; la edad mediana al diagnóstico fue 76,8 años; las características clínico-patológicas fueron: carcinoma ductal: 71%; GH 1-2: 74,2%; estadio I: 54,8 %; sin metástasis axilares: 80,6 %; HER2-RE/RP+ 80,6%; HER2+ 16,7%, y triple negativas 3,2%. El 29% de las pacientes fueron diagnosticadas mediante tamizaje poblacional y el 74,2% recibieron tratamiento según pautas vigentes, mientras que el 38,7% fueron subtratadas y el 16,1% sobretratadas. La mediana de SVG fue de 98,7 meses. Conclusiones: Una minoría de las pacientes fue diagnosticada mediante tamizaje poblacional, el tipo histológico más frecuente fue el ductal y la prevalencia de los tumores HER2-RE/RP+ fue mayor que en las pacientes más jóvenes. La mayoría de las pacientes recibió tratamiento estandar.


Introduction: There are few guidelines for the treatment of breast cancer (BC) in older patients, which can lead to under- or over-treatment. Objective: To understand the characteristics, management and evolution of early BC in older women. Material and methods: Observational, descriptive, cross-sectional study. Data were collected on the clinical-pathological characteristics and evolution of patients aged 70 years or older, treated for BC in the period from 1/1/ 2011 to 31/12/ 2018, at the Hospital de Clínicas. Descriptive statistical tools were used and the Kaplan-Meier method was applied to calculate the overall survival (OS) rate. Results: 31 patients were included; median age at diagnosis was 76.8 years old; the clinical-pathological characteristics were: ductal carcinoma: 71%; HG 1-2: 74.2%; stage I: 54.8%; no axillary metastases: 80.6%; HER2-ER/PR+ 80.6%; HER2+ 16.7%, and triple negative 3.2%. Of all the patients, 29% were diagnosed through screening and 74.2% were treated according to current guidelines, while 38.7% were under-treated and 16.1% over-treated. The median OS was 98.7 months. Conclusions: A minority of patients were diagnosed by screening, the most frequent histological type was ductal and the prevalence of HER2-RE/RP+ tumors was higher than in younger patients. Most patients received standard treatment.


Introdução: Existem poucas diretrizes para o tratamento do câncer de mama (CM) em pacientes idosos, o que pode levar ao sub ou excesso de tratamento. Objetivo: Conhecer as características, manejo e evolução do MC precoce em mulheres idosas. Material e métodos: estudo observacional, descritivo e transversal. Foram coletados dados relacionados às características clínico-patológicas e à evolução dos pacientes com 70 anos ou mais atendidos por CM no período de 01/01/2011 a 31/12/2018, atendidos no Hospital de Clínicas. Ferramentas de estatística descritiva foram usadas e o método de Kaplan-Meier foi usado para calcular a sobrevida global (SVG). Resultados: 31 pacientes foram incluídos; a mediana de idade ao diagnóstico foi de 76,8 anos; as características clínico-patológicas foram: carcinoma ductal: 71%; GH 1-2: 74,2%; estágio I: 54,8%; sem metástases axilares: 80,6%; HER2-RE / RP + 80,6%; HER2 + 16,7% e triplo negativo 3,2%. 29% dos pacientes foram diagnosticados por triagem populacional e 74,2% receberam tratamento de acordo com as diretrizes atuais, enquanto 38,7% foram subtratados e 16,1% supertratados. O SVG médio foi de 98,7 meses. Conclusões: A minoria dos pacientes foi diagnosticada por rastreamento populacional, o tipo histológico mais frequente foi ductal e a prevalência de tumores HER2-RE / RP + foi maior do que em pacientes mais jovens. A maioria dos pacientes recebeu tratamento padrão.


Assuntos
Humanos , Feminino , Idoso , Idoso de 80 Anos ou mais , Neoplasias da Mama/cirurgia , Neoplasias da Mama/diagnóstico , Neoplasias da Mama/tratamento farmacológico , Epidemiologia Descritiva , Estudos Transversais , Resultado do Tratamento , Quimioterapia Adjuvante , Trastuzumab/uso terapêutico
9.
Breast Cancer (Auckl) ; 15: 11782234211006667, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33911873

RESUMO

INTRODUCTION: In Uruguay, breast cancer has the highest incidence and mortality of all cancer in women. Knowledge of the distribution of risk factors related to disease development supports the implementation of prevention strategies in routine clinical practice. This study aimed to determine the epidemiological profile for breast cancer and the frequency of mammographic surveillance in the surveyed population. MATERIALS AND METHODS: A survey was conducted among Uruguayan women diagnosed with breast cancer who were assisted in the mastology unit of the oncology service of the Hospital de Clínicas in Montevideo, Uruguay, from September 1, 2018, to March 1, 2020. RESULTS: This study included 398 respondents, with a median (SD) age at diagnosis of 61 (34-86) years. A total of 310 respondents (78.0%) had 1 or more risk factors. Most women aged over 50 years (264 out of a total of 338 [78.1%]) underwent mammographic surveillance at least biennially. CONCLUSIONS: Consistent with international reports, most respondents had a risk factor. Among the group of respondents aged over 50 years, most underwent mammographic and clinical surveillance at least biennially. Although it is only possible to formulate conclusions about the surveyed women because of the study design, the obtained data further our understanding of the epidemiological profile of the Uruguayan population, which can contribute to prevention practices.

10.
Nanotoxicology ; 15(2): 257-275, 2021 03.
Artigo em Inglês | MEDLINE | ID: mdl-33503388

RESUMO

Safety on the use of magnetic nanomaterials (MNMs) has become an active topic of research given all the recent applications of these materials in various fields. It is known that the toxicity of MNMs depends on size, shape, and surface functionalization. In this study, we evaluate the biocompatibility with different aquatic organisms of engineered MNMs-CIT with excellent aqueous dispersion and long-term colloidal stability. Primary producers (the alga Pseudokirchneriella subcapitata), primary consumers (the rotifer Lecane papuana), and predators (the fish, Danio rerio) interacted with these materials in acute and sub-chronic toxicity tests. Our results indicate that P. subcaptita was the most sensitive taxon to MNMs-CIT. Inhibition of their population growth (IC50 = 22.84 mg L-1) elicited cell malformations and increased the content of photosynthetic pigments, likely due to inhibition of cell division (as demonstrated in AFM analysis). For L. papuana, the acute exposure to MNMs shows no significant mortality. However, adverse effects such as decreased rate of population and altered swimming patterns arise after chronic interaction with MNMs. For D. rerio organisms on early life stages, their exposure to MNMs results in delayed hatching of eggs, diminished survival of larvae, altered energy resources allocation (measured as the content of total carbohydrates, lipids, and protein), and increased glucose demand. As to our knowledge, this is the first study that includes three different trophic levels to assess the effect of MNMs in aquatic organisms; furthermore, we demonstrated that these MNMs pose hazards on aquatic food webs at low concentrations (few mgL-1).


Assuntos
Organismos Aquáticos/efeitos dos fármacos , Cloretos/toxicidade , Compostos Férricos/toxicidade , Compostos Ferrosos/toxicidade , Nanoestruturas/toxicidade , Poluentes Químicos da Água/toxicidade , Animais , Biomarcadores/análise , Cloretos/química , Compostos Férricos/química , Compostos Ferrosos/química , Cadeia Alimentar , Larva/efeitos dos fármacos , Fenômenos Magnéticos , Microalgas/efeitos dos fármacos , Nanoestruturas/química , Tamanho da Partícula , Rotíferos/efeitos dos fármacos , Propriedades de Superfície , Poluentes Químicos da Água/química , Peixe-Zebra/crescimento & desenvolvimento
11.
Sci Rep ; 9(1): 13815, 2019 09 25.
Artigo em Inglês | MEDLINE | ID: mdl-31554824

RESUMO

Obesity-induced inflammation, triggered by lipid-mediated activation of the Nlrp3 inflammasome, results in glucose metabolism alterations and type 2 diabetes. This knowledge has been generated using animals deficient for any of the different components of this inflammasome (Caspase-1, Asc or Nlrp3) in the C57BL/6 background. Unlike C57BL/6 mice, which carry allele 2 of the Nlrp1b gene (Nlrp1b2), Balb/c mice that carry allele 1 (Nlrp1b1) are less prone to develop alterations in the glucose metabolism when fed with a high fat diet. However, the molecular bases for these metabolic differences are unknown. Here we show that the Nlrp1b1 allele down regulates the adipose tissue inflammatory response attenuating glucose intolerance and insulin resistance in obese C57BL/mice. Our results indicate that the positive effects of the Nlrp1b1 inflammasome on glucose tolerance and insulin sensitivity involve IL-18-mediated effects on lipolysis, pointing out that differential expression of allelic variants of genes coding for inflammasome components might control susceptibility or resistance to develop diabetes in obese individuals.


Assuntos
Proteínas Reguladoras de Apoptose/genética , Intolerância à Glucose/genética , Resistência à Insulina/genética , Interleucina-18/metabolismo , Obesidade/genética , Células 3T3-L1 , Alelos , Animais , Dieta Hiperlipídica/efeitos adversos , Modelos Animais de Doenças , Intolerância à Glucose/imunologia , Resistência à Insulina/imunologia , Lipólise , Camundongos , Camundongos Endogâmicos BALB C , Camundongos Endogâmicos C57BL , Camundongos Transgênicos , Obesidade/induzido quimicamente , Obesidade/complicações
12.
Rev. Urug. med. Interna ; 3(1): 23-29, abr. 2018. tab, graf
Artigo em Espanhol | LILACS-Express | LILACS | ID: biblio-1092332

RESUMO

RESUMEN: Introducción: En los últimos años ha adquirido gran relevancia evaluar la satisfacción de los usuarios con los servicios sanitarios, lo que se asocia en forma significativa con los resultados obtenidos en salud. La satisfacción de los pacientes juega un importante papel en el mantenimiento de la utilización de los servicios de salud, en la continuidad de la relación médico-paciente y en la adherencia a los tratamientos indicados. Objetivos: Conocer el grado de satisfacción manifestado por las pacientes asistidas en la Unidad Docente Asistencial de Mastología del Hospital de Clínicas e identificar los aspectos a mejorar. Material y métodos: Estudio prospectivo, aprobado por el comité de ética del Hospital de Clínicas, en el que se aplicó una encuesta anónima de satisfacción con 13 preguntas cerradas y una abierta y se recogieron datos sobre la edad y tipo de tratamiento oncológico recibido. Resultados: Se encuestaron 91 pacientes que concurrieron a la consulta en un período de dos meses. Las respuestas muestran un alto grado de satisfacción de las pacientes con la asistencia global recibida, con una puntuación media de 3,26 (IC 95% 3.18-3.34) (rango: 1: pobre; 5: excelente), siendo este resultado independiente del grupo etario y del tipo de tratamiento oncológico recibido. Sin embargo el 38,5 % de las pacientes que trabaja piensa que no pudo discutir el impacto de la enfermedad en su trabajo (media 1,82; IC 95% 1,66-1,97) (rango 0: nada; 3: tanto como quise) y un 27 % del total de las encuestadas piensa que no pudo discutir el impacto que su enfermedad tuvo en sus actividades diarias (media 2,13 IC 95% 2,12 - 2,14) (rango: 0 : nada ; 3: si tanto como quise) ni en sus relaciones personales (27; 30 %, media 2,0 IC 95% 1,93-2,2) (rango: 0: nada ; 3: si tanto como quise). Conclusiones: La puntuación global es muy satisfactoria, con dimensiones que deben mejorarse con un mayor énfasis en la comunicación sobre el impacto de la enfermedad en las actividades diarias, las relaciones personales y el trabajo. Consideramos importante implementar evaluaciones periódicas de la calidad de atención que permitan comparar los resultados y desarrollar un proceso de mejora continua.


ABSTRACT: Introduction: During the last years, assessing the degree of patient satisfaction of health services has become extremely important; and it is more often associated to the results obtained in terms of health. The degree of patient satisfaction plays a significant role in fostering the use of health care services, in developing the physician-patient relationship and in adhering to indicated treatments. Objective: To find out the degree of patient satisfaction at the Breast Teaching and Care Unit at Hospital de Clinicas and identify aspects that need improving. Materials and methods: prospective study, approved by the ethics committee of Hospital de Clinicas, where an anonymous satisfaction survey, with 1 open and 13 closed questions, was conducted. The survey also included data related to the age and oncological treatment received. Results: Over two months, 91 assisting patients were interviewed. Responses show a high degree of satisfaction of patients with the global care received, with a mean score of 3.26 (CI 95 % 3.18-3.34) (range: 1: poor; 5: excellent), regardless of age group and the type of oncological treatment received. However, 38.5 % of working patients believe that they were not able to discuss the impact of their disease at their jobs (mean 1.82; CC 95% 1.66-1.97) (range: 0: not at all; 3: as much as I wanted) and 27 % of patients consider that they were not able to discuss the impact of their disease on their daily activities (mean 2.13; CI 95 % 2.12 - 2.14) (range: 0: not at all; 3: as much as I wanted) or their personal relations (27; 30 %, mean 2.0 CI 95 % 1.93-2.2) (range: 0: not at all; 3: as much as I wanted). Conclusions: The global score is very satisfactory, and there are aspects to be improved, such as a better communication on the impact of the disease on daily activities, personal relations and work. We believe it is important to implement regular assessments of assistance quality that may enable to compare results and develop a continuous improvement process.


RESUMO: Introdução: Nos últimos anos, tornou-se muito importante avaliar a satisfação dos usuários com serviços de saúde, o que está significativamente associado aos resultados obtidos em saúde. A satisfação do paciente desempenha um papel importante na manutenção do uso dos serviços de saúde, na continuidade da relação médico-paciente e na adesão aos tratamentos indicados. Objetivos: Conhecer o grau de satisfação expressado pelos pacientes atendidos na Unidade de Assistência de Ensino de Mastologia do Hospital de Clínicas e identificar os aspectos a serem melhorados. Material e métodos Estudo prospectivo, aprovado pelo comitê de ética do Hospital de Clínicas, no qual foi aplicada uma pesquisa de satisfação anônima com 13 perguntas fechadas e uma aberta e dados coletados sobre a idade eo tipo de tratamento oncológico recebido. Resultados: Foram entrevistados 91 pacientes que participaram da consulta em um período de dois meses. As respostas mostram um alto grau de satisfação do paciente com a assistência geral recebida, com uma pontuação média de 3,26 (IC 95% 3,18-3,34) (intervalo: 1: pobre; 5: excelente), sendo este resultado independente da faixa etária e o tipo de tratamento contra o câncer recebido. No entanto, 38,5% dos pacientes que trabalham pensam que não poderiam discutir o impacto da doença em seus trabalhos (média 1,82, IC 95%: 1,66-1,97) (intervalo 0: nenhum; tanto quanto eu queria) e 27% do total de entrevistados pensam que não poderiam discutir o impacto que sua doença teve em suas atividades diárias (média 2.13 IC 95% 2.12 - 2.14) (intervalo: 0: nada ; 3: sim, tanto quanto eu queria) ou em seus relacionamentos pessoais (27; 30%, média 2,0 IC 95% 1,93-2,2) (classificação: 0: nada; 3: sim, tanto quanto eu queria). Conclusões: A pontuação geral é muito satisfatória, com dimensões que devem ser melhoradas com maior ênfase na comunicação sobre o impacto da doença nas atividades diárias, nas relações pessoais e no trabalho. Consideramos importante implementar avaliações periódicas da qualidade dos cuidados que nos permitem comparar os resultados e desenvolver um processo de melhoria contínua.

13.
Polymers (Basel) ; 10(3)2018 Mar 08.
Artigo em Inglês | MEDLINE | ID: mdl-30966316

RESUMO

A hybrid nanocomposites based on epoxy reinforced with a combination of 1D and 2D carbon nanomaterials for improving impact resistance are reported. Multi-walled carbon nanotubes and oxidized-multi-walled carbon nanotubes are used as 1D nanoreinforcements, and graphene derivative materials such as graphene oxide and reduced graphene oxide are utilized as 2D nanoreinforcements. In this research, the impact resistance of epoxy matrix reinforced with 1D or 2D and the mixture of both nanomaterials is studied. The research is focused on evaluation of the influence of adding different combinations of nanomaterials into epoxy resin and their Izod impact response. Moreover, fracture surface of nanocomposites is observed by scanning electron microscopy. Images show differences between the surfaces of brittle nature on thermoset epoxy polymer and tough nanocomposites. Synergy created with 1D and 2D nanomaterials produces stable dispersions in the processing, reflected in the interface. The interactions in nanocomposites are evidenced by infrared spectra, principally on the peaks related to oxygenated functional groups present in nanomaterials and absent in polymer matrix. Consequently, an increase of 138% in fracture strength of nanocomposites is exhibited, in comparison to the neat epoxy matrix. In addition, hybrid nanocomposites were synthesized in two different methods to evaluate the influence of manufacturing method on final properties of nanocomposites.

14.
Environ Sci Pollut Res Int ; 24(21): 17534-17546, 2017 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-28597380

RESUMO

Chapalichthys pardalis is a viviparous fish, microendemic to the Tocumbo Region in the state of Michoacán, Mexico. Despite the peculiar type of reproduction of goodeid fish and their mother-embryo interaction, the effects on embryos induced by maternal exposure to aquatic xenobiotics are still unknown. The objective of the present work was to determine the maternal-embryonic metabolic and antioxidant response of C. pardalis exposed to 3,4-dichloroaniline (3,4-DCA), a compound considered highly noxious to the environment because of its high toxicity and persistence, which has been used as reference toxicant in toxicological bioassays. We determined the median lethal concentration (LC50, 96 h) and then exposed pregnant females to 3.3, 2.5, and 0.5 mg L-1 of 3,4-DCA (equivalent to LC1, LC0.01, and LC50/10, respectively) during 21 days. We assessed the activity of antioxidant enzymes like superoxide dismutase (SOD), catalase (CAT), glutathione peroxidase (GPx), macromolecules content (proteins, lipids, carbohydrates), glucose, and lactate concentration, as well as the oxidative damage, by measuring thiobarbituric acid reactive substances, and protein oxidation. To interpret results, we used the integrated biomarker response (IBRv2). The average LC50 was of 5.18 mg L-1 (4.8-5.5 mg L-1; p = 0.05). All females exposed to concentrations of 3.3 and 2.5 mg L-1 lost 100% of the embryos during the bioassay, whereas those exposed to 0.5 mg L-1 showed alterations in the antioxidant activity and oxidative damage, being the embryos and the maternal liver the most affected, with IBRv2 values of 10.09 and 9.21, respectively. Damage to macromolecules was greater in embryos and the maternal liver, with IBRv2 of 16.14 and 8.40, respectively. We conclude that exposure to xenobiotics, like 3,4-DCA, in species with a marked maternal-embryonic interaction represents a potential risk for the development and survival of the descendants, thereby, potentially affecting the future of the population.


Assuntos
Compostos de Anilina/uso terapêutico , Antioxidantes , Peixes/fisiologia , Poluentes Químicos da Água/toxicidade , Animais , Catalase , Feminino , México , Estresse Oxidativo , Gravidez , Prenhez , Superóxido Dismutase
15.
Sci Total Environ ; 583: 308-318, 2017 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-28117161

RESUMO

Silver nanoparticles (AgNPs) are the most commercialized nanomaterial worldwide, mainly due to their microbicidal activity. Although, AgNPs have been shown to be toxic to aquatic species, their effect on endemic fish, like Goodeidae, has not been demonstrated. Endemic species are under strong pressures by anthropogenic contamination and destruction of their habitat; therefore, we studied adult Chapalichthys pardalis, an endemic fish of Mexico. We evaluated the toxic effect of AgNPs through oxidative stress, macromolecular and metabolic biomarkers. We determined the LC50 (96h) and performed subchronic tests (21days) using sublethal AgNPs concentrations (equivalent to CL1 and CL10). At the end of the bioassay, we quantified 10 stress biomarkers in the liver, gills, and muscle, including the antioxidant enzymes (superoxide dismutase [SOD], catalase [CAT], and glutathione [GPx]), thiobarbituric acid reactive species (TBARS), protein oxidation (CO), macromolecules (proteins, lipids, and carbohydrates), and metabolites (glucose and lactate). In addition, we determined the integrated biomarkers response (IBR). LC50 was of 10.32mgL-1. Results of subchronic exposure (21days) revealed that AgNPs produce oxidative stress in C. pardalis adults, as evidenced by a diminution in antioxidant enzymes activity and an increase in TBARS and oxidized proteins. AgNPs also diminished levels of macromolecules and generated a high-energy consumption, reflected in the reduction of glucose levels, although lactate levels were not altered. The IBR analysis evidenced that the largest effect was produced in organisms exposed to LC10, being the liver and gills the organs with the greatest damage. Results demonstrated that exposure to AgNPs induces acute and chronic toxic effects on C. pardalis and forewarns about the impact that these nanomaterials can exert on these ecologically relevant aquatic organisms.


Assuntos
Ciprinodontiformes/fisiologia , Nanopartículas Metálicas/toxicidade , Estresse Oxidativo/fisiologia , Prata/toxicidade , Poluentes Químicos da Água/toxicidade , Animais , Antioxidantes/metabolismo , Biomarcadores/metabolismo , Catalase/metabolismo , Superóxido Dismutase/metabolismo , Substâncias Reativas com Ácido Tiobarbitúrico/metabolismo , Testes de Toxicidade
16.
Rev Saude Publica ; 50(0)2016 Jul 04.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-27384969

RESUMO

OBJECTIVE: To describe the constitution and operation of a voluntary interruption of pregnancy team of a university hospital, from the outlook of the mental health team. METHODS: In this case study, the following aspects were analyzed: 1) historical background; 2) implementation of Law 18,897 of October 22, 2012; and 3) functioning of the program at the Hospital de Clínicas of the Facultad de Medicina (Universidad de la República, Uruguay), taking into account three dimensions: structure, process, and results. RESULTS: Between December 2012 and November 2013, a total of 6,676 voluntary interruptions of pregnancy were reported in Uruguay; out of these, 80 were conducted at the Hospital de Clínicas. The patients' demographic data agreed with those reported at the national level: Of the total patients, 81.0% were aged over 19 years; 6.2% decided to continue with the pregnancy; and only 70.0% attended the subsequent control and received advice on contraception. CONCLUSIONS: In its implementation year in Uruguay, we can assess the experience as positive from the point of view of women's health. Our experience as a mental health team at the Hospital de Clínicas, inserted into the multidisciplinary voluntary interruption of pregnancy team, is in the process of assessment and reformulation of practices. OBJETIVO: Describir la conformación y funcionamiento de un equipo de interrupción voluntaria del embarazo de un hospital universitario, desde la mirada del equipo de salud mental. MÉTODOS: En este estudio de caso, se analizan los siguientes aspectos: 1) antecedentes históricos; 2) implementación de la Ley 18.897 de 22 de octubre de 2012; y 3) funcionamiento del programa en el Hospital de Clínicas de la Facultad de Medicina (Universidad de la República, Uruguay), teniendo en cuenta tres dimensiones (estructura, proceso y resultados). RESULTADOS: Entre diciembre de 2012 y noviembre de 2013, se reportaron en Uruguay un total de 6.676 interrupciones voluntarias del embarazo; de ellas, 80 se llevaron a cabo en el Hospital de Clínicas. Los datos sociodemográficos de las pacientes concordaron con los reportados a nivel nacional: 81,0% de las pacientes que consultaron era mayores de 19 años; 6,2% decidieron continuar con el embarazo; solo 70,0% concurrieron al control posterior y recibieron asesoramiento sobre anticoncepción. CONCLUSIONES: Al año de su implementación, en Uruguay, podemos evaluar la experiencia como positiva desde el punto de vista de la salud de las mujeres. Nuestra experiencia como equipo de salud mental en el Hospital de Clínicas, inserto dentro del equipo multidisciplinario de interrupción voluntaria del embarazo, se encuentra en pleno proceso de evaluación y reformulación de prácticas.


Assuntos
Aborto Induzido/psicologia , Aborto Legal , Equipe de Assistência ao Paciente , Aborto Induzido/legislação & jurisprudência , Adolescente , Adulto , Feminino , Hospitais Universitários , Humanos , Pessoa de Meia-Idade , Gravidez , Fatores Socioeconômicos , Uruguai , Adulto Jovem
17.
Artigo em Inglês | MEDLINE | ID: mdl-25922685

RESUMO

Graphite and graphene oxides have been studied amply in the last decade, due to their diverse properties and possible applications. Recently, their functionality as photocatalytic materials in water splitting was reported. Research in these materials is increasing due to their band gap values around 1.8-4 eV, and therefore, these are comparable with other photocatalysts currently used in heterogeneous photocatalytic processes. Thus, this research reports the photocatalytic effectiveness of graphite oxide (GO) and graphene oxide (GEO) in the degradation of 4-chlorophenol (4-CP) in water. Under the conditions defined for this research, 92 and 97% of 4-CP were degraded with GO and GEO respectively, also 97% of total organic carbon was removed. In addition, by-products of 4-CP that produce a yellow solution obtained only using photolysis are eliminated by photocatalyst process with GO and GEO. The degradation of 4-CP was monitored by UV-Vis spectroscopy, High Performance Liquid Chromatography (HPLC) and Chemical Oxygen Demand (COD). Thus, photocatalytic activity to remove 4-CP from water employing GO and GEO without doping is successfully showed, and therefore, a new gate in research for these materials is opened.

18.
Materials (Basel) ; 6(8): 3494-3513, 2013 Aug 14.
Artigo em Inglês | MEDLINE | ID: mdl-28811448

RESUMO

Electrospun one dimensional (1D) and two dimensional (2D) carbon based polymer nanocomposites are studied in order to determine the effect provided by the two differently structured nanofillers on crystallinity and thermo-mechanical properties of the nanofibres. The nanomaterials studied are pristine carbon nanotubes, oxidised carbon nanotubes, reduced graphene oxide and graphene oxide. Functional groups associated with the order structure of the polymers are analysed by infrared and Raman spectroscopies; the morphology is studied by scanning electron microscopy and the crystallinity properties are investigated by differential scanning calorimetry and X-ray diffraction. Differences in crystallisation behaviour between 1D and 2D carbon based nanofibres are shown by their crystallinity degree and their crystal sizes. The nanocomposite crystal sizes perpendicular to the plane (100) decrease with nanofiller content in all cases. The crystallinity trend and crystal sizes are in accordance with storage modulus response. The results also suggest that functionalisation favours interfacial bonding and dispersion of the nanomaterials within the polymer matrix. As a consequence the number of nucleating sites increases which in turn decreases the crystal size in the nanocomposites. These features explain the improved thermo-mechanical properties in the nanocomposites.

19.
Int J Mol Sci ; 12(3): 1908-20, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-21673930

RESUMO

Chitosan is an amino polysaccharide found in nature, which is biodegradable, nontoxic and biocompatible. It has versatile features and can be used in a variety of applications including films, packaging, and also in medical surgery. Recently a possibility to diversify chitosan properties has emerged by combining it with synthetic materials to produce novel natural-synthetic hybrid polymers. We have studied structural and thermophysical properties of chitosan + starch + poly(ethylene terephthalate) (Ch + S + PET) fibers developed via electrospinning. Properties of these hybrids polymers are compared with extant chitosan containing hybrids synthesized by electrospinning. Molecular interactions and orientation in the fibers are analyzed by infrared and Raman spectroscopies respectively, morphology by scanning electron microscopy and thermophysical properties by thermogravimetric analysis and differential scanning calorimetry. Addition of PET to Ch + S systems results in improved thermal stability at elevated temperatures.


Assuntos
Materiais Biocompatíveis/química , Quitosana/química , Polietilenoglicóis/química , Polímeros/química , Amido/química , Materiais Biocompatíveis/síntese química , Varredura Diferencial de Calorimetria , Microscopia Eletrônica de Varredura , Polietilenotereftalatos , Polímeros/síntese química , Espectroscopia de Infravermelho com Transformada de Fourier , Análise Espectral Raman , Temperatura , Termogravimetria
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...