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1.
Br J Nutr ; 125(7): 768-779, 2021 Apr 14.
Artigo em Inglês | MEDLINE | ID: mdl-32807252

RESUMO

Protein supplementation may be beneficial for patients with chronic liver disease (CLD). This study compared the effects of whey protein isolate (WP) and casein (CA) supplementation on nutritional status and immune parameters of CLD patients who were randomly assigned to take 20 g of WP or CA twice per d as a supplement for 15 d. Body composition, muscle functionality and plasmatic immunomarkers were assessed before and after supplementation. Patients were also classified according to the model for end-stage liver disease (MELD) into less (MELD < 15) and more (MELD ≥ 15) severe disease groups. Malnutrition, determined by the Subjective Global Assessment at baseline, was observed in 57·4 % and 54·2 % of patients in the WP and CA groups, respectively (P = 0·649). Protein intake was lower at baseline in the WP group than in the CA group (P = 0·035), with no difference after supplementation (P = 0·410). Both the WP and CA MELD < 15 groups increased protein intake after supplementation according to the intragroup analysis. No differences were observed in body composition, muscle functionality, most plasma cytokines (TNF, IL-6, IL-1ß and interferon-γ), immunomodulatory proteins (sTNFR1, sTNFR2, brain-derived neurotrophic factor and glial cell line-derived neurotrophic factor) or immunomodulatory hormones (adiponectin, insulin and leptin) after supplementation in the WP groups at the two assessed moments. WP supplementation increased the levels of interferon-γ-induced protein-10/CXCL10 (P = 0·022), eotaxin-1/CCL11 (P = 0·031) and monocyte chemoattractant protein-1/CCL2 (P = 0·018) and decreased IL-5 (P = 0·027), including among those in the MELD ≥ 15 group, for whom IL-10 was also increased (P = 0·008). Thus, WP consumption by patients with CLD impacted the immunomodulatory responses when compared with CA with no impact on nutritional status.

2.
Arq. bras. med. vet. zootec. (Online) ; 71(6): 1889-1895, Nov.-Dec. 2019. tab, graf
Artigo em Português | LILACS, VETINDEX | ID: biblio-1055129

RESUMO

A utilização da gema de ovo dificulta a padronização de meios diluidores e apresenta riscos biológicos. Assim, este estudo avaliou diferentes concentrações da lipoproteína de baixa densidade (LDL), em substituição à gema de ovo, para a confecção de diluentes para criopreservação espermática em ovinos. Foram utilizados um diluidor controle (CTR= 20% de gema de ovo) e cinco tratamentos, substituindo-se a gema pelas diferentes proporções de LDL (T1=6%; T2=8%; T3=12%; T4=16%; T5=20%), todos à base de TRIS-glicerol. Para o estudo, utilizaram-se dois ejaculados, de seis reprodutores da raça Santa Inês. Sessenta dias após a criopreservação, as amostras foram descongeladas e avaliadas subjetivamente quanto à motilidade total (MT, %) e progressiva (MP, %), ao vigor (1-5) e à integridade funcional (choque hisposmótico com água destilada, %) e estrutural (corante supravital eosina, %) das membranas espermáticas. As avaliações de vigor e funcionalidade de membrana não diferiram (P>0,05) entre os grupos. Entretanto, os grupos T4 (P<0,01) e T5 (P<0,05) foram superiores ao CTR para os parâmetros MT, MP e integridade estrutural de membrana, o que confirma que as LDLs podem ser alternativas eficientes para substituição da gema de ovo em diluidores para criopreservação de sêmen ovino.(AU)


The use of egg yolk makes it difficult to standardize extenders and presents biological hazards. Thus, this study evaluated different concentrations of low-density lipoprotein (LDL) to replace yolk extenders for production of sperm for cryopreservation in ovine. A control extender was used (CTR= 20% yolk) and five treatments, replacing the yolk by different ratios of LDL (T1= 6%; T2= 8%, T3= 12%; T4= 16%; T5= 20%) all based on TRIS-glycerol. For the study, two ejaculates from six Santa Ines breeding were used. Sixty days after cryopreservation, the samples were thawed and evaluated for total motility (MT, %) and progressive motility (MP, %), vigor (1-5) and the functional integrity (hyposmotic shock with distilled water, %) and structural (supravital dye eosin, %) of the sperm membranes. The evaluations of strength and membrane functionality didn't differ (P> 0.05) between groups. However, T4 (P< 0.01) and T5 (P< 0.05) groups were superior to the CTR for the MT, MP, and membrane structural integrity parameters, which confirms that LDLs can be efficient alternatives for yolk replacement in extenders for cryopreservation of ovine semen.(AU)


Assuntos
Animais , Masculino , Preservação do Sêmen/métodos , Ovinos , Criopreservação/veterinária , Lipoproteínas LDL/administração & dosagem
3.
J Hum Nutr Diet ; 32(6): 693-701, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31334582

RESUMO

BACKGROUND: Weight gain and obesity are important issues in liver transplant (LTx) recipients. Although dietary habits are probably related to excessive weight gain after LTx, some studies have failed to demonstrate these associations. The present study aimed to assess eating behaviour and verify its association with weight gain and excessive weight among LTx recipients. METHODS: The investigation comprised a cross-sectional study. Post-LTx patients, aged >18 years were evaluated about their eating behaviour [Three Factor Eating Questionnaire-R21 (TFEQ-R21)]. The scores of the TFEQ-R21 [uncontrolled eating (UE), cognitive restraint (CR) and emotional eating (EE)] were determined. Excessive weight was classified as body mass index ≥25 kg/m² and obesity ≥30 kg/m². RESULTS: In total, 270 patients (age 58.0 years; range 20.0-77.0 years; 64.1% men) were assessed. Average weight gain was 8.0 kg (range -16.0 to 41.0 kg). Of the patients, 64.1% (n = 173) had excessive weight and 23.3% (n = 63) were obese. Post-LTx weight gain was significantly correlated with UE (r = 0.311, P < 0.001) and EE (r = 0.287, P < 0.001). Patients with excessive weight had significantly higher scores than others: CR (61.0; range 0-122.0 versus 44.0; range 0-116.0) (P = 0.003) and EE (11.0; range 0-100.0 versus 0.0; range 0-100.0) (P = 0.030). Patients with obesity had higher scores than non-obese UE (22.0; range 0-77.0 versus 14.0; range 0-85.0; P = 0.028), CR (55.0; range 11.0-116.0 versus 50.0; range 0-122.0) (P = 0.017) and EE (16.0; range 0-100.0 versus 5.0; range 0-100.0) individuals (P < 0.001). The greatest quartiles of weight gain had higher scores on the eating behaviours of UE and EE, especially those with weight gain ≥14 kg. UE was associated with weight gain. CR was associated with being overweight. EE was associated with obesity. CONCLUSIONS: Uncontrolled eating is associated with weight gain, CR was associated with excessive weight and EE was associated with obesity after LTx.


Assuntos
Comportamento Alimentar/psicologia , Transplante de Fígado/psicologia , Obesidade/psicologia , Autocontrole/psicologia , Aumento de Peso , Adulto , Idoso , Índice de Massa Corporal , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Obesidade/epidemiologia , Sobrepeso/epidemiologia , Sobrepeso/psicologia
4.
J Med Entomol ; 52(1): 3-8, 2015 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-26336274

RESUMO

Malaria is a serious public health problem, the control of which involves actions directed against its vector, mosquitoes of the genus Anopheles Meigan, 1818. The study of insect biology, ecology, and behavior is simplified when these insects are maintained at the laboratory. However, many of the species are eurygamic and require induced mating. Females of Anopheles marajoara Galvão e Damasceno, 1942 were collected at Mazagão county, State of Amapá, Brazil. F1 eggs were obtained through forced oviposition and raised until mosquito emergence. Around 300 mosquitoes were maintained in each cage and were fed with a 10% sugar solution. Induced mating was made to obtain the other generations. Females had their spermathecae examined for the presence of sperm. The efficacy of coupling in each generation was evaluated. The viability of a sample of generations F5, F9, F12, and F14 was followed from larvae to adult. Two free mating attempts were done. The results demonstrate adaptation of An. marajoara to laboratory conditions over 21 generations, with viability rates temporally increasing. There was no evidence of adaptation to free mating.


Assuntos
Animais de Laboratório/fisiologia , Anopheles/fisiologia , Insetos Vetores/fisiologia , Comportamento Sexual Animal , Animais , Brasil , Feminino , Malária , Masculino
5.
Int J Sports Med ; 36(8): 661-5, 2015 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-25607523

RESUMO

Transcutaneous electrical nerve stimulation (TENS) increases peripheral blood flow by attenuation of the muscle metaboreflex, improving oxygen supply to working muscles. We tested the hypothesis that application of TENS at ganglion improves exercise performance. 11 subjects underwent constant-work rate tests (CWR) to the limit of tolerance (Tlim) while receiving TENS or placebo. Oxygen uptake (V.O2), carbon dioxide (V.CO2), minute ventilation (V.E), ventilatory equivalent (V.E/V.CO2), heart rate (HR) and oxygen pulse (V.O2/HR) were analyzed at isotime separated by percentile and Tlim. V.O2 was lower and V.CO2 was higher at 100% of isotime during TENS, while there were no differences in V.E and V.E/V.CO2. HR was lower during exercise with TENS, and V.O2/HR increased at peak exercise (17.96±1.9 vs. 20.38±1 ml/min/bpm, P<0.05). TENS increased mechanical efficiency at isotime and Tlim (4.10±0.50 vs. 3.39±0.52%, P<0.05 and 3.95±0.67 vs. 3.77±0.45%, P<0.05) and exercise tolerance compared to P-TENS (390±41 vs. 321±41 s; P<0.05). Our data shows that the application of TENS can potentially increase exercise tolerance and oxygen supply in healthy subjects.


Assuntos
Tolerância ao Exercício/fisiologia , Consumo de Oxigênio/fisiologia , Estimulação Elétrica Nervosa Transcutânea , Adulto , Estudos Cross-Over , Teste de Esforço , Voluntários Saudáveis , Frequência Cardíaca/fisiologia , Humanos , Masculino , Método Simples-Cego
6.
Braz. j. med. biol. res ; 47(11): 990-994, 11/2014. tab, graf
Artigo em Inglês | LILACS | ID: lil-723905

RESUMO

Estimates of occult hepatitis B virus (HBV) infection prevalence varies among different studies depending on the prevalence of HBV infection in the study population and on the sensitivity of the assay used to detect HBV DNA. We investigated the prevalence of occult HBV infection in cirrhotic patients undergoing liver transplantation in a Brazilian referral center. Frozen liver samples from 68 adults were analyzed using a nested polymerase chain reaction assay for HBV DNA. The specificity of the amplified HBV sequences was confirmed by direct sequencing of the amplicons. The patient population comprised 49 (72.1%) males and 19 (27.9%) females with a median age of 53 years (range=18-67 years). Occult HBV infection was diagnosed in three (4.4%) patients. The etiologies of the underlying chronic liver disease in these cases were alcohol abuse, HBV infection, and cryptogenic cirrhosis. Two of the patients with cryptic HBV infection also presented hepatocellular carcinoma. Markers of previous HBV infection were available in two patients with occult HBV infection and were negative in both. In conclusion, using a sensitive nested polymerase chain reaction assay to detect HBV DNA in frozen liver tissue, we found a low prevalence of occult HBV infection in cirrhotic patients undergoing liver transplant, probably due to the low prevalence of HBV infection in our population.


Assuntos
Adolescente , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem , DNA Viral/isolamento & purificação , Vírus da Hepatite B/isolamento & purificação , Hepatite B Crônica/epidemiologia , Transplante de Fígado , Cirrose Hepática/virologia , Infecções Assintomáticas/epidemiologia , Biomarcadores , Brasil/epidemiologia , Carcinoma Hepatocelular/complicações , Vírus da Hepatite B/genética , Hepatite B Crônica/complicações , Hepatite Crônica/complicações , Hepatite Crônica/epidemiologia , Neoplasias Hepáticas/complicações , Reação em Cadeia da Polimerase , Prevalência , Centros de Atenção Terciária
7.
Braz J Med Biol Res ; 47(11): 990-4, 2014 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-25296362

RESUMO

Estimates of occult hepatitis B virus (HBV) infection prevalence varies among different studies depending on the prevalence of HBV infection in the study population and on the sensitivity of the assay used to detect HBV DNA. We investigated the prevalence of occult HBV infection in cirrhotic patients undergoing liver transplantation in a Brazilian referral center. Frozen liver samples from 68 adults were analyzed using a nested polymerase chain reaction assay for HBV DNA. The specificity of the amplified HBV sequences was confirmed by direct sequencing of the amplicons. The patient population comprised 49 (72.1%) males and 19 (27.9%) females with a median age of 53 years (range=18-67 years). Occult HBV infection was diagnosed in three (4.4%) patients. The etiologies of the underlying chronic liver disease in these cases were alcohol abuse, HBV infection, and cryptogenic cirrhosis. Two of the patients with cryptic HBV infection also presented hepatocellular carcinoma. Markers of previous HBV infection were available in two patients with occult HBV infection and were negative in both. In conclusion, using a sensitive nested polymerase chain reaction assay to detect HBV DNA in frozen liver tissue, we found a low prevalence of occult HBV infection in cirrhotic patients undergoing liver transplant, probably due to the low prevalence of HBV infection in our population.


Assuntos
DNA Viral/isolamento & purificação , Vírus da Hepatite B/isolamento & purificação , Hepatite B Crônica/epidemiologia , Cirrose Hepática/virologia , Transplante de Fígado , Adolescente , Adulto , Idoso , Infecções Assintomáticas/epidemiologia , Biomarcadores , Brasil/epidemiologia , Carcinoma Hepatocelular/complicações , Feminino , Vírus da Hepatite B/genética , Hepatite B Crônica/complicações , Hepatite Crônica/complicações , Hepatite Crônica/epidemiologia , Humanos , Neoplasias Hepáticas/complicações , Masculino , Pessoa de Meia-Idade , Reação em Cadeia da Polimerase , Prevalência , Centros de Atenção Terciária , Adulto Jovem
8.
Klin Onkol ; 27(5): 367-8, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25312715

RESUMO

We report a case of an 83-year-old previously healthy female patient presenting with a swiftly evolving erythematous violaceous, infiltrative, ulcerated onion like mass with hyperkeratotic surface on the left ear lobe. The lesion was excised and resulted as an atypical fibroxanthoma, an extremely rare neoplastic growth, being a superficial variant of pleomorphic malignant fibrous histiocytoma. A brief review of dia-gnosis, treatment and prognosis is discussed.


Assuntos
Pavilhão Auricular/patologia , Neoplasias da Orelha/patologia , Histiocitoma Fibroso Benigno/patologia , Doenças Raras/patologia , Neoplasias Cutâneas/patologia , Idoso de 80 Anos ou mais , Feminino , Humanos
9.
Transplant Proc ; 46(6): 1807-8, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25131042

RESUMO

BACKGROUND: Recently there has been great concern about the quality of life and health of liver transplant patients (LTP). These patients often present with metabolic disorders, which can improve with regular physical exercise. The aim of this study was to investigate the effect of a physical exercise program on the functional capacity of LTP. METHOD: The distance walked in the 6-minute walk test and the resting energy expenditure (REE) were evaluated in 15 subjects who regularly attend the outpatient Bias Fortes Clinic at Universidade Federal de Minas Gerais. The patients were divided into 2 groups, the Exercise Group (EG) (6 men and 3 women; 52 ± 15 years old, BMI 22.4 ± 4.0 kg/m²) performed 24 sessions of continuous 30 min treadmill exercise. Intensity of exercise was increased from 50%-70% of the maximum heart rate over the training period. A group of 3 men and 3 women (39 ± 15 years, BMI 24.5 ± 4.4 kg/m²) served as controls (CG). RESULTS: After undergoing exercise training, patients in the EG showed a 19.4% increase in the distance walked (pre = 453.6 ± 128.0 m and post = 582.5 ± 90.1 m). Also, there was an increase in their REE (pre = 1,060.0 ± 194.2 kcal and post = 1,375.0 ± 258.6 kcal) (P < .05) indicating an increase in their exercise capacity and metabolic improvements. There were no differences in the distance walked (pre = 516.5 ± 62.0 m and post = 517.7 ± 71.9 m) and REE (pre = 1,393.0 ± 213.3 kcal to post = 1,465.0 ± 170.3 kcal) (P > .05) for CG. Our results are in agreement with previous studies. CONCLUSIONS: We conclude that the exercise program promoted significant improvements in functional capacity. These findings have positive implications for the control of metabolic diseases, which are common in patients after liver transplantation.


Assuntos
Doença Hepática Terminal/cirurgia , Terapia por Exercício , Transplante de Fígado/reabilitação , Aptidão Física , Cuidados Pós-Operatórios/métodos , Adulto , Doença Hepática Terminal/fisiopatologia , Metabolismo Energético , Teste de Esforço , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Qualidade de Vida , Resultado do Tratamento , Caminhada/fisiologia
10.
Inorg Chem ; 53(11): 5589-99, 2014 Jun 02.
Artigo em Inglês | MEDLINE | ID: mdl-24840935

RESUMO

In this paper, we investigate a correlation between theoretical calculations and experimental data to explain the electronic structure and optical properties of silver molybdate (ß-Ag2MoO4) microcrystals synthesized by the microwave-assisted hydrothermal method. X-ray diffraction, Rietveld refinement, and micro-Raman spectroscopy confirmed that these microcrystals crystallize in a spinel-type cubic structure. Field-emission scanning electron microscopy images revealed that the processing temperatures influence in the final shape of microcrystals. Optical properties were analyzed by ultraviolet-visible diffuse reflectance spectroscopy; the increase in the optical band gap energy (Egap) (from 3.24 to 3.31 eV) with processing temperature is associated with the reduction of intermediary energy levels. First-principles quantum mechanical calculations based on the density functional theory at the B3LYP level were conducted. The calculated band structure revealed an indirect Egap of approximately 4.00 and 3.34 eV for the ß-Ag2MoO4 without and with the formation of defects, respectively. Theoretical calculations based on density of states and electron density maps were employed to understand the polarization phenomenon induced by structural defects in the ß-Ag2MoO4 crystals. Finally, photoluminescence properties at room temperature of ß-Ag2MoO4 microcrystals were explained by the charge-transfer mechanism involving tetrahedral [MoO4] clusters.

11.
Am J Transplant ; 14(1): 96-101, 2014 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-24369026

RESUMO

Visceral leishmaniasis is an uncommon disease in transplant recipients; however, if left untreated, the mortality can be high. If an organ donor or recipient is known to be an asymptomatic Leishmania spp. carrier,monitoring is advised. This study proposes to assess the prevalence of asymptomatic Leishmania spp.infection in liver transplant donors and recipients from an endemic area. A total of 50 liver recipients and 17 liver donors were evaluated by direct parasite search, indirect fluorescent antibody test (IFAT), anti-Leishmania rK39 rapid test and Leishmania spp.DNA detection by polymerase chain reaction (PCR).Leishmania spp. amastigotes were not observed in liver or spleen tissues. Of the 67 serum samples, IFAT was reactive in 1.5% and indeterminate for 17.9%, and the anti-Leishmania rK39 rapid test was negative for all samples. The PCR test was positive for 7.5%, 8.9%, and 5.9% of blood, liver and spleen samples, respectively(accounting for 23.5% of the donors and 8% of the recipients). Leishmania infantum-specific PCR confirmed all positive samples. In conclusion, a high prevalence of asymptomatic L. infantum was observed in donors and recipients from an endemic area, and PCR was the most sensitive method for screening these individuals.


Assuntos
Leishmaniose Visceral/epidemiologia , Transplante de Fígado/efeitos adversos , Adolescente , Adulto , Idoso , Brasil/epidemiologia , Criança , Pré-Escolar , Estudos Transversais , DNA de Protozoário/análise , Feminino , Imunofluorescência , Humanos , Leishmania/genética , Leishmania infantum/imunologia , Leishmaniose Visceral/diagnóstico , Masculino , Pessoa de Meia-Idade , Reação em Cadeia da Polimerase , Prevalência , Estudos Prospectivos , Doadores de Tecidos
12.
Transplant Proc ; 45(1): 297-300, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23375318

RESUMO

The Model for End-Stage Liver Disease (MELD), which predicts mortality on the waiting list before liver transplantation, has changed organ allocation criteria to prioritize severely ill patients. The aim of this study was to investigate the impact of the new criteria on the incidence of Healthcare Associated Infections (HAI) and patient survival after liver transplantation. This retrospective cohort included liver transplant recipients from 2005 to 2007. Infection notification followed the recommended criteria of the National Healthcare Safety Network (NHSN). Statistical analysis was performed using the Statistical Package for the Social Sciences. Of 142 patients, 67 (47.2%) underwent transplantation before June 2006. There were no differences between the 2 periods considering patient gender, diagnosis, age, length of hospitalization, and mean time to first infection occurrence. However, the length of intensive care unit (ICU) hospitalization (P = .006) and central venous catheter (CVC) use (P = .025) were higher in the first period of the study. Comparison of time until first systemic infection before and after changes in allocation criteria showed no significant difference (log-rank = 0.06; P = .81). There was a trend toward greater lethality during the second period of the study (P = .09). There was no difference in time to death between the 2 periods (log-rank = 0.9; P = .76). However, when comparing time to death of all patients with systemic infection versus those without this event, patients without infection showed a higher mortality rate (log-rank = 15.7; P < .001).


Assuntos
Doença Hepática Terminal/patologia , Doença Hepática Terminal/terapia , Falência Hepática/cirurgia , Transplante de Fígado/métodos , Obtenção de Tecidos e Órgãos/métodos , Listas de Espera , Adolescente , Adulto , Idoso , Algoritmos , Brasil , Estudos de Coortes , Doenças Transmissíveis/complicações , Doenças Transmissíveis/terapia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Modelos Estatísticos , Fatores de Tempo , Resultado do Tratamento , Adulto Jovem
13.
Leukemia ; 26(3): 451-60, 2012 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-21869839

RESUMO

The vitamin E derivative (+)α-tocopheryl succinate (α-TOS) exerts pro-apoptotic effects in a wide range of tumors and is well tolerated by normal tissues. Previous studies point to a mitochondrial involvement in the action mechanism; however, the early steps have not been fully elucidated. In a model of acute promyelocytic leukemia (APL) derived from hCG-PML-RARα transgenic mice, we demonstrated that α-TOS is as effective as arsenic trioxide or all-trans retinoic acid, the current gold standards of therapy. We also demonstrated that α-TOS induces an early dissipation of the mitochondrial membrane potential in APL cells and studies with isolated mitochondria revealed that this action may result from the inhibition of mitochondrial respiratory chain complex I. Moreover, α-TOS promoted accumulation of reactive oxygen species hours before mitochondrial cytochrome c release and caspases activation. Therefore, an in vivo antileukemic action and a novel mitochondrial target were revealed for α-TOS, as well as mitochondrial respiratory complex I was highlighted as potential target for anticancer therapy.


Assuntos
Arsenicais/uso terapêutico , Complexo I de Transporte de Elétrons/antagonistas & inibidores , Leucemia Promielocítica Aguda/tratamento farmacológico , Mitocôndrias/efeitos dos fármacos , Óxidos/uso terapêutico , Tretinoína/uso terapêutico , alfa-Tocoferol/farmacologia , alfa-Tocoferol/uso terapêutico , Animais , Antineoplásicos/farmacologia , Antineoplásicos/uso terapêutico , Antioxidantes/farmacologia , Antioxidantes/uso terapêutico , Apoptose/efeitos dos fármacos , Trióxido de Arsênio , Caspases/metabolismo , Linhagem Celular Tumoral , Citocromos c/metabolismo , Modelos Animais de Doenças , Complexo II de Transporte de Elétrons/antagonistas & inibidores , Humanos , Leucemia Promielocítica Aguda/mortalidade , Potencial da Membrana Mitocondrial/efeitos dos fármacos , Camundongos , Camundongos Transgênicos , Células-Tronco Neoplásicas/efeitos dos fármacos , Células-Tronco Neoplásicas/metabolismo , Proteínas de Fusão Oncogênica/metabolismo , Estabilidade Proteica/efeitos dos fármacos , Ratos , Espécies Reativas de Oxigênio/metabolismo , Transplante Isogênico
14.
Trop Med Int Health ; 16(9): 1134-42, 2011 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-21692958

RESUMO

OBJECTIVE: To evaluate the frequency and clinical features of endemic and other opportunistic infections in liver or kidney transplant recipients in four transplant centres in different geographical areas of Brazil. METHODS: Retrospective analysis of medical and laboratory records of four transplant centres on endemic and other opportunistic infections in liver or kidney transplant recipients. Analyses were performed with spss statistical software. RESULTS: From 2001 to 2006, 1046 kidney and 708 liver transplants were registered in all centres. The average age was 42 years. Among 82 (4.7%) cases with infections, the most frequent was tuberculosis (2.0%), followed by systemic protozoal infections (0.7%), toxoplasmosis (0.4%) and visceral leishmaniasis (0.3%). Systemic fungal infections occurred in 0.6%, of which 0.4% were cryptococcosis and 0.2% were histoplasmosis. Dengue was the only systemic viral infection and was registered in two cases (0.1%), of which one was classified as the classic form and the other as dengue haemorrhagic fever. Nocardiosis was described in one case (0.05%). The infectious agents most frequently associated with diarrhoea were Blastocystis sp., Schistosoma mansoni and Strongyloides stercoralis. CONCLUSIONS: Opportunistic Infections in transplant patients have a wide spectrum and may vary from asymptomatic to severe infections with high mortality. A better understanding of the epidemiology of endemic pathogens and clinical manifestations can contribute to the establishment of an early diagnosis as well as correct treatment aimed at decreasing morbidity and mortality.


Assuntos
Doenças Endêmicas/estatística & dados numéricos , Hospedeiro Imunocomprometido , Transplante de Rim/efeitos adversos , Transplante de Fígado/efeitos adversos , Infecções Oportunistas/epidemiologia , Transplante de Órgãos/efeitos adversos , Adulto , Brasil/epidemiologia , Doenças Endêmicas/prevenção & controle , Feminino , Humanos , Imunossupressores/uso terapêutico , Transplante de Rim/mortalidade , Transplante de Fígado/mortalidade , Masculino , Transplante de Órgãos/mortalidade , Complicações Pós-Operatórias/epidemiologia , Estudos Retrospectivos
15.
Braz J Infect Dis ; 14(1): 54-9, 2010.
Artigo em Inglês | MEDLINE | ID: mdl-20428655

RESUMO

Methicillin-resistant Staphylococcus aureus (MRSA) infections frequently complicate the post-operative course of transplant recipients, and despite nasal carriage and endemic colonization, MRSA outbreaks are not commonly described. This study reports a case of MRSA outbreak and discusses infection control measures and recommendations for this situation.


Assuntos
Infecção Hospitalar/epidemiologia , Surtos de Doenças , Staphylococcus aureus Resistente à Meticilina/isolamento & purificação , Infecções Estafilocócicas/epidemiologia , Transplante , Transplante de Medula Óssea/estatística & dados numéricos , Infecção Hospitalar/microbiologia , Genótipo , Humanos , Transplante de Rim/estatística & dados numéricos , Transplante de Fígado/estatística & dados numéricos , Fenótipo , Estudos Prospectivos , Fatores de Risco , Infecções Estafilocócicas/microbiologia , Transplante/estatística & dados numéricos
16.
J Nematol ; 42(1): 8-16, 2010 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-22736831

RESUMO

Twenty seven essential oils, isolated from plants representing 11 families of Portuguese flora, were screened for their nematicidal activity against the pinewood nematode (PWN), Bursaphelenchus xylophilus. The essential oils were isolated by hydrodistillation and the volatiles by distillation-extraction, and both were analysed by GC and GC-MS. High nematicidal activity was achieved with essential oils from Chamaespartium tridentatum, Origanum vulgare, Satureja montana, Thymbra capitata, and Thymus caespititius. All of these essential oils had an estimated minimum inhibitory concentration ranging between 0.097 and 0.374 mg/ml and a lethal concentration necessary to kill 100% of the population (LC(100)) between 0.858 and 1.984 mg/ml. Good nematicidal activity was also obtained with the essential oil from Cymbopogon citratus. The dominant components of the effective oils were 1-octen-3-ol (9%), n-nonanal, and linalool (both 7%) in C. tridentatum, geranial (43%), neral (29%), and ß-myrcene (25%) in C. citratus, carvacrol (36% and 39%), γ-terpinene (24% and 40%), and p-cymene (14% and 7%) in O. vulgare and S. montana, respectively, and carvacrol (75% and 65%, respectively) in T. capitata and T. caespititius. The other essential oils obtained from Portuguese flora yielded weak or no activity. Five essential oils with nematicidal activity against PWN are reported for the first time.

17.
Acta Crystallogr Sect E Struct Rep Online ; 66(Pt 6): o1436-7, 2010 May 22.
Artigo em Inglês | MEDLINE | ID: mdl-21579511

RESUMO

The title compound, C(9)H(8)Br(2)N(2)O(3), is planar (r.m.s. deviation = 0.030 Å) with the exception of the terminal methyl group which lies out of the plane [1.219 (3) Å]. The conformation about the C=N double bond [1.268 (3) Å] is E. An intra-molecular N-H⋯N hydrogen bond occurs. Linear supra-molecular chains along the b axis mediated by O-H⋯O hydrogen-bonding inter-actions feature in the crystal structure. These chains are also stabilized by weak C-H⋯N contacts.

18.
Transplant Proc ; 41(5): 1990-3, 2009 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-19545776

RESUMO

Arterial steal syndrome after orthotopic liver transplantation (OLT) is characterized by arterial hypoperfusion of the graft, which is caused by a shift in blood flow into the splenic or gastroduodenal arteries. It causes hepatic hypoperfusion with attendant clinical manifestations of elevated liver function enzymes, allograft dysfunction, and cholestasis. Left untreated, the condition has a significant potential risk for postoperative morbidity and graft loss. Herein we have reported the case of a 68-year-old woman who developed splenic artery steal syndrome (SASS) after deceased donor liver transplantation. She was diagnosed by duplex Doppler ultrasonography and celiac trunk angiography, and subsequently treated with splenic artery embolization.


Assuntos
Embolização Terapêutica/métodos , Cirrose Hepática Biliar/cirurgia , Transplante de Fígado/efeitos adversos , Complicações Pós-Operatórias/patologia , Artéria Esplênica/patologia , Artéria Esplênica/cirurgia , Adulto , Idoso , Bilirrubina/sangue , Feminino , Artéria Hepática/patologia , Humanos , Falência Hepática Aguda/cirurgia , Masculino , Resultado do Tratamento
19.
Transpl Infect Dis ; 11(2): 132-6, 2009 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-18983416

RESUMO

Strongyloides stercoralis is an intestinal nematode that causes human infections and whose life cycle has special features, including autoinfection. Strongyloides infection may be asymptomatic for years, owing to a low parasite load. During immunosuppressive therapy, however, if cellular immunity is depressed, autoinfection can occur at a higher rate, resulting in hyperinfection syndrome. In this specific circumstance, it can become a fatal illness. We describe a case of hyperinfection syndrome in a liver transplant recipient and also review the literature.


Assuntos
Imunossupressores/efeitos adversos , Transplante de Fígado/efeitos adversos , Complicações Pós-Operatórias/parasitologia , Strongyloides stercoralis , Estrongiloidíase/etiologia , Superinfecção/etiologia , Adulto , Animais , Anti-Helmínticos/uso terapêutico , Evolução Fatal , Rejeição de Enxerto/prevenção & controle , Humanos , Imunossupressores/uso terapêutico , Masculino , Complicações Pós-Operatórias/diagnóstico , Complicações Pós-Operatórias/tratamento farmacológico , Recidiva , Estrongiloidíase/diagnóstico , Estrongiloidíase/tratamento farmacológico , Superinfecção/diagnóstico , Superinfecção/tratamento farmacológico
20.
Arq. bras. med. vet. zootec ; 60(6): 1517-1522, dez. 2008. graf, tab
Artigo em Português | LILACS | ID: lil-506566

RESUMO

Determinou-se a ocorrência de Staphylococcus aureus, Salmonella spp. e de microrganismos indicadores de contaminação fecal em queijos-coalho comercializados em 15 pontos de venda do Mercado Central de Aracaju, SE, durante quatro meses. Dezesseis amostras (26,7 por cento) foram positivas para Salmonella spp. e 28 (46,7 por cento) positivas para estafilococos coagulase positiva. Quanto à contaminação por coliformes totais, 56 (93,3 por cento) das amostras apresentaram valores entre 8,0 x10² e 1,23 x10(4)NMP/g, e de 2,72 x10² a 1,12 x10³NMP/g para coliformes termotolerantes. Estes valores não atenderam à legislação brasileira para queijo-coalho e as amostras analizadas podem ser classificadas como impróprios ao consumo humano.


The occurrence of Staphylococcus aureus, Salmonella spp., and microorganisms indicators of fecal contamination in "coalho"cheese commercialized in 15 retail store at the Central Market of Aracaju, SE during four months was determined. Sixteen samples (26.7 percent) were positive for Salmonella spp. and 28 (46.7 percent) for coagulase positive staphylococci. In relation to contamination by total coliforms, 56 samples (93.3 percent) presented values from 8.0 x10² to 1.23 x10(4)NMP/g; and for thermal tolerant coliforms, from 2.72 x10² to 1.12 x10³NMP/g. These values are not acceptable for the Brazilian legislation for "coalho" cheese. This indicates that the analyzed products were inappropriate to the human consumption.


Assuntos
Coliformes , Epidemiologia , Higiene dos Alimentos , Qualidade dos Alimentos , Queijo/análise , Queijo/microbiologia , Salmonella/isolamento & purificação , Staphylococcus aureus/isolamento & purificação , Brasil , Legislação sobre Alimentos
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