Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 52
Filtrar
1.
Environ Pollut ; 265(Pt B): 114817, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32570021

RESUMO

This study reports for the first time the ingestion of meso- (5.01-25 mm) and microplastics (1 µm-5 mm) by the sea anemone Bunodosoma cangicum, the most abundant actiniarian species on the Amazon coast. At three sites on the coast of Pará, Brazil, anemones were collected from beachrocks in the intertidal zone (30 at each site), measured (pedal disc diameter, mm) and weighed (wet weight, g). The contents of the gastrovascular cavity were extracted and analyzed under a stereoscope. The recovered plastic particles were characterized by Fourier Transform Infrared (FTIR) spectroscopy. Overall, 139 microplastic and 2 mesoplastic items were identified in 68 individuals (75.6%) among the 90 examined, with a mean of 1.6 (±1.5) items per individual. Plastic fibers comprised about 84% of the ingested plastics, followed by fragments (∼12%) and films (∼4%). Particle diameters ranged from 0.10 to 9.17 mm (1.57 ± 1.23 mm). A weak positive correlation was found between the weight of anemones and the number of plastic particles in the gastrovascular cavity (p = 0.03) and between the number of prey items and the number of plastic particles in the gastrovascular cavity (p < 0.01). The main polymers identified by FTIR analysis were polyethylene terephthalate (PET), polypropylene (PP), polyamide (PA), polyurethane (PU), polyethylene (PE), acrylonitrile butadiene styrene (ABS), polystyrene (PS) and rayon. Sea anemones ingested significantly more plastic debris at the most urbanized and populous sampling sites. This study provides the first evidence of microplastics contamination of marine invertebrates from the Amazon coast. Abundant species such as B. cangicum have the potential to monitor the levels of plastic contamination in the region. Our results support this potential, as the species showed a high frequency of plastic ingestion and allowed detection of plastic contamination even in the best-preserved area where anemones were collected.


Assuntos
Anêmonas-do-Mar , Poluentes Químicos da Água/análise , Animais , Brasil , Monitoramento Ambiental , Microplásticos , Plásticos
2.
Biomed Pharmacother ; 108: 792-798, 2018 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-30253371

RESUMO

The Lippia alba (Mill.) N.E. Brown (Verbenaceae) species popularly known as lemon balm has sedative, analgesic and spasmolytic properties. This study aimed to evaluate the vasorelaxant effect of the L. alba essential oil (EOLa) and its major constituent, citral, rat on aorta. Isometric muscle contraction were induced by potassium (K 60 mM) or phenylephrine (PHE, 0.1 µM) in isolated aortic rings. EOLa and citral promoted a smooth muscle relaxant action, which was potentiated by the presence of the endothelium; PHE-induced contractions (0.1 µM) in aorta with endothelium, had EC50 values of 352.73 ± 19.39 µg/mL and 99.34 ± 7.2 µg/mL for EOLa and citral, respectively. In the presence of a nitric oxide synthase inhibitor, L-NAME, the EC50 values were 654.19 ± 10.46 µg/mL and 601.66 ± 10.922 µg/mL for EOLa and citral, respectively. EOLa and citral dose-dependently relaxed contractions induced by BAY-K 8644, a calcium channel agonist, and by Phorbol 12,13-dibutyrate an activator of protein kinase C. EOLa and citral produced a vasorelaxant effect in isolated aorta which was potentiated by the presence of endothelium. In summary, EOLa and citral, probably using several mechanisms of action, relaxed aortic smooth muscle with maximal pharmacologic efficacy.


Assuntos
Aorta Torácica/efeitos dos fármacos , Lippia/química , Monoterpenos/farmacologia , Óleos Voláteis/farmacologia , Vasodilatação/efeitos dos fármacos , Vasodilatadores/farmacologia , Monoterpenos Acíclicos , Animais , Endotélio Vascular/efeitos dos fármacos , Masculino , Contração Muscular/efeitos dos fármacos , Músculo Liso Vascular/efeitos dos fármacos , Fenilefrina/farmacologia , Ratos , Ratos Wistar
3.
Acta Anaesthesiol Scand ; 62(4): 483-492, 2018 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-29315462

RESUMO

BACKGROUND: Post-operative nausea and vomiting (PONV) is one of the most important causes of patient discomfort after laparoscopic surgeries despite the use of a multimodal pharmacological approach. This study assessed whether the addition of aprepitant to a multimodal regimen would further decrease the incidence of PONV in high-risk patients. METHODS: Apfel-score three or four patients, scheduled for laparoscopic procedures to treat abdominal or pelvic cancer, were randomized to receive oral starch (control group) or 80 mg of oral aprepitant (treatment group) before induction of anaesthesia in a double-blind study. All patients received 4-8 mg of intravenous dexamethasone (at induction) and 4-8 mg of ondansetron (at the end) and a standardized total intravenous anaesthesia (TIVA) technique combined with neuraxial blockade. PONV was defined as any episode of nausea, vomiting or retching in the first 24 h after anaesthesia. RESULTS: Sixty-six patients completed the study. Vomiting occurred in 13/32 (40.6%) patients in the control group and in 1/34 (2.9%) patients in the treatment group (P = 0.0002, 95%CI: 18-54%) in the first 24 h after anaesthesia. Severe nausea occurred in two (6.3%) patients, and severe vomiting occurred in four (12.5%) patients in the control group. One patient presented with severe vomiting in the treatment group in the first 24 post-operative hours. CONCLUSION: Eighty milligrams of aprepitant added to a three-drug multimodal prophylaxis strategy can bring benefits to a high-risk population by reducing PONV episodes and rescue antiemetic requirements. This study was registered in the ClinicalTrials.gov (NCT 02357693) database.


Assuntos
Antieméticos/uso terapêutico , Aprepitanto/uso terapêutico , Náusea e Vômito Pós-Operatórios/prevenção & controle , Adulto , Idoso , Idoso de 80 Anos ou mais , Aprepitanto/administração & dosagem , Método Duplo-Cego , Quimioterapia Combinada , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Náusea e Vômito Pós-Operatórios/epidemiologia
4.
Arq. bras. med. vet. zootec. (Online) ; 70(3): 713-721, maio-jun. 2018. tab, graf
Artigo em Português | LILACS, VETINDEX | ID: biblio-911188

RESUMO

Considerando que, entre todas as fontes de erro analítico, a hemólise é a mais importante na rotina laboratorial, o presente estudo teve como objetivo investigar o efeito da hemólise in vitro sobre os principais biomarcadores plasmáticos de estresse oxidativo mensurados (BPEO) de cães. Para tal, amostras de sangue total de 19 cães clinicamente saudáveis foram hemolisadas em diferentes graus por ação mecânica. Amostras controle contendo baixa concentração de hemoglobina (Hb) no plasma foram comparadas com quatro graus de hemólise (<0,36; 0,36-0,60; 0,61-1,0; 1,1-4g/L Hb). Imediatamente após a hemólise, foram mensuradas as concentrações plasmáticas de ácido úrico (AU), albumina, bilirrubina, gamaglutamiltransferase (GGT), capacidade antioxidante total (TAC) e concentração de oxidante total (TOC). Os erros relativos causados pelos diferentes graus de hemólises foram calculados e confrontados com o erro total aceitável (ETA) e com o limite de erro permitido (LEP) empregados nos programas de controle de qualidade de exames laboratoriais. Foi observado que mesmo pequeno grau de hemólise gera algum erro analítico não aceitável (ETA e/ou LEP) nos BPEO mensurados, exceto na bilirrubina. Foi possível concluir que a hemólise é um fator limitante para avaliação do estresse oxidativo sistêmico mensurado no plasma, podendo causar erros que potencialmente comprometem o diagnóstico clínico.(AU)


Among all the various sources of analytical error, hemolysis is the most important in the laboratory routine. The present study aimed to investigate the effect of hemolysis "in vitro" on the main plasma biomarkers of oxidative stress (BPEO) dogs. For this purpose, whole blood samples from 19 healthy dogs were hemolyzed in different degrees by mechanical action. Control samples containing low concentration of hemoglobin (Hb) levels in plasma were compared with four degrees of hemolysis (<0.36, from 0.36 to 0.60, 0.61 to 1.0, 1.1 to 4g/L Hb). Immediately after causing hemolysis, plasma concentrations of uric acid (UA), albumin, bilirubin, gamma glutamyl transferase (GGT), total antioxidant capacity (TAC), and total oxidant concentration (TOC) were measured. The relative errors caused by several levels of hemolysis were calculated and compared with the total acceptable error (TAE) and allowed error limit (LEP) by employees in quality control programs for laboratory tests. Even small levels of hemolysis generate unacceptable analytical error (TAE and / or LEP) in BPEO measured, except for bilirubin. Hemolysis is a limiting factor for the assessment of systemic oxidative stress measured in plasma and may cause errors that potentially compromise clinical diagnosis.(AU)


Assuntos
Animais , Cães , Biomarcadores/análise , Cães/sangue , Hemólise , Estresse Oxidativo
5.
Braz J Med Biol Res ; 50(12): e6351, 2017 Oct 19.
Artigo em Inglês | MEDLINE | ID: mdl-29069226

RESUMO

Lippia sidoides Cham is a typical herb species of Northeast Brazil with widespread use in folk medicine. The major constituents of the essential oil of L. sidoides (EOLs) are thymol, p-cymene, myrcene, and caryophyllene. Several studies have shown that the EOLs and its constituents have pharmacological effects, including antibacterial, anti-inflammatory, antioxidant and neuroprotective activity. Therefore, this work aimed to investigate the effects of the EOLs and their main constituents on rat sciatic nerve excitability. The sciatic nerves of adult Wistar rats were dissected and mounted in a moist chamber. Nerves were stimulated by square wave pulses, with an amplitude of 40 V, duration of 100 µs to 0.2 Hz. Both EOLs and thymol inhibited compound action potential (CAP) in a concentration-dependent manner. Half maximal inhibitory concentration for CAP peak-to-peak amplitude blockade were 67.85 and 40 µg/mL for EOLs and thymol, respectively. CAP peak-to-peak amplitude was significantly reduced by concentrations ≥60 µg/mL for EOLs and ≥30 µg/mL for thymol. EOLs and thymol in the concentration of 60 µg/mL significantly increased chronaxie and rheobase. The conduction velocities of 1st and 2nd CAP components were also concentration-dependently reduced by EOLs and thymol in the range of 30-100 µg/mL. Differently from EOLs and thymol, p-cymene, myrcene and caryophyllene did not reduce CAP in the higher concentrations of 10 mM. These data demonstrated that EOLs and thymol inhibited neuronal excitability and were promising agents for the development of new drugs for therapeutic use.


Assuntos
Alcenos/farmacologia , Lippia/química , Monoterpenos/farmacologia , Óleos Voláteis/farmacologia , Nervo Isquiático/efeitos dos fármacos , Sesquiterpenos/farmacologia , Timol/farmacologia , Potenciais de Ação/efeitos dos fármacos , Potenciais de Ação/fisiologia , Monoterpenos Acíclicos , Animais , Cimenos , Feminino , Masculino , Bloqueio Nervoso/métodos , Condução Nervosa/efeitos dos fármacos , Óleos Voláteis/química , Sesquiterpenos Policíclicos , Ratos Wistar , Reprodutibilidade dos Testes , Nervo Isquiático/fisiologia , Fatores de Tempo
8.
Braz. j. biol ; 76(2): 511-519, Apr.-June 2016. tab, graf
Artigo em Inglês | LILACS | ID: lil-781405

RESUMO

Abstract Local knowledge of biodiversity has been applied in support of research focused on utilizing and management of natural resources and promotion of conservation. Among these resources, Pequi (Caryocar brasiliense Cambess.) is important as a source of income and food for communities living in the Cerrado biome. In Pontinha, a “quilombola” community, which is located in the central region of State of Minas Gerais, Brazil, an ethnoecological study about Pequi was conducted to support initiatives for generating income for this community. Data were collected through semi-structured interviews, participant observation, and crossing. The most relevant uses of Pequi were family food (97%), soap production (67%), oil production (37%), medical treatments (17%), and trade (3%). Bees were the floral visitors with the highest Salience Index (S=0.639). Among frugivores that feed on unfallen fruits, birds showed a higher Salience (S=0.359) and among frugivores who use fallen fruits insects were the most important (S=0.574). Borers (folivorous caterpillars) that attack trunks and roots were the most common pests cited. According to the respondents, young individuals of Pequi are the most affected by fire due to their smaller size and thinner bark. Recognition of the cultural and ecological importance of Pequi has mobilized the community, which has shown interest in incorporating this species as an alternative source of income.


Resumo O conhecimento local acerca da biodiversidade vem sendo utilizado em pesquisas voltadas ao uso e manejo de recursos naturais aliados à conservação. Entre estes recursos, destaca-se o Pequi (Caryocar brasiliense Cambess.) devido à sua importância econômica e alimentar para comunidades que vivem no Cerrado. No quilombo de Pontinha, localizado na região central do estado de Minas Gerais, um estudo etnoecológico sobre o Pequi foi desenvolvido, a fim de subsidiar iniciativas de geração de trabalho e renda para esta comunidade. Informações foram obtidas por meio de entrevistas semiestruturadas, observação participante e travessia. Alimentação familiar (97%), produção de sabão (67%), produção de óleo (37%), tratamento medicinal (17%) e comércio (3%) foram os principais usos do Pequi citados pelos comunitários. Abelhas foram os visitantes florais com maior Índice de Saliência (S=0,639). Dentre os frugívoros que se alimentam de frutos não caídos, as aves apresentaram maior Saliência (S=0,359) e os insetos foram os mais importantes frugívoros entre os que utilizam frutos caídos (S=0,574). Brocas, lagartas folívoras e que atacam troncos e raízes foram as pragas mais citadas. Os indivíduos jovens de Pequi são, segundo os entrevistados, os mais afetados pelo fogo devido ao menor porte e por ter a casca menos espessa. O reconhecimento da importância cultural e ecológica do Pequi tem mobilizado a comunidade, que demonstra interesse em fazer dessa espécie uma alternativa de renda.


Assuntos
Humanos , Animais , Abelhas/fisiologia , Aves/fisiologia , Ericales , Frutas , Brasil/etnologia , Etnobotânica , Biodiversidade , Grupos Populacionais , Meio Ambiente , Fenômenos Ecológicos e Ambientais , Herbivoria , Preferências Alimentares
9.
Braz J Biol ; 76(2): 511-9, 2016 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-27058602

RESUMO

Local knowledge of biodiversity has been applied in support of research focused on utilizing and management of natural resources and promotion of conservation. Among these resources, Pequi (Caryocar brasiliense Cambess.) is important as a source of income and food for communities living in the Cerrado biome. In Pontinha, a "quilombola" community, which is located in the central region of State of Minas Gerais, Brazil, an ethnoecological study about Pequi was conducted to support initiatives for generating income for this community. Data were collected through semi-structured interviews, participant observation, and crossing. The most relevant uses of Pequi were family food (97%), soap production (67%), oil production (37%), medical treatments (17%), and trade (3%). Bees were the floral visitors with the highest Salience Index (S=0.639). Among frugivores that feed on unfallen fruits, birds showed a higher Salience (S=0.359) and among frugivores who use fallen fruits insects were the most important (S=0.574). Borers (folivorous caterpillars) that attack trunks and roots were the most common pests cited. According to the respondents, young individuals of Pequi are the most affected by fire due to their smaller size and thinner bark. Recognition of the cultural and ecological importance of Pequi has mobilized the community, which has shown interest in incorporating this species as an alternative source of income.


Assuntos
Abelhas/fisiologia , Aves/fisiologia , Ericales , Frutas , Animais , Biodiversidade , Brasil/etnologia , Fenômenos Ecológicos e Ambientais , Meio Ambiente , Etnobotânica , Preferências Alimentares , Herbivoria , Humanos , Grupos Populacionais
11.
Nanotechnology ; 26(29): 295303, 2015 Jul 24.
Artigo em Inglês | MEDLINE | ID: mdl-26135250

RESUMO

Magnetricity, the magnetic equivalent of electricity, was recently verified experimentally for the first time. Indeed, like the stream of electric charges that produces electric current, emergent magnetic monopoles have been observed to roam freely in geometrically frustrated magnets known as spin ice. However, such phenomena demand extreme physical conditions, say, a single spin ice crystal has to be cooled to very low temperature, around 0.36 K. Candidates to overcome this difficulty are their artificial analogues, the so-called artificial spin ices. Here, we demonstrate that a specific unidirectional arrangement of nanoislands yields a peculiar system where magnetic monopoles emerge and are constrained to move along aligned dipoles, providing an ordered flow of magnetic charges at room temperature.

12.
AJNR Am J Neuroradiol ; 36(1): 40-5, 2015 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-25190204

RESUMO

BACKGROUND AND PURPOSE: Large admission DWI infarct volume (>70 mL) is an established marker for poor clinical outcome in acute stroke. Outcome is more variable in patients with small infarcts (<70 mL). Percentage insula ribbon infarct correlates with infarct growth. We hypothesized that percentage insula ribbon infarct can help identify patients with stroke likely to have poor clinical outcome, despite small admission DWI lesion volumes. MATERIALS AND METHODS: We analyzed the admission NCCT, CTP, and DWI scans of 55 patients with proximal anterior circulation occlusions on CTA. Percentage insula ribbon infarct (>50%, ≤50%) on DWI, NCCT, CT-CBF, and CT-MTT were recorded. DWI infarct volume, percentage DWI motor strip infarct, NCCT-ASPECTS, and CTA collateral score were also recorded. Statistical analyses were performed to determine accuracy in predicting poor outcome (mRS >2 at 90 days). RESULTS: Admission DWI of >70 mL and DWI-percentage insula ribbon infarct of >50% were among significant univariate imaging markers of poor outcome (P < .001). In the multivariate analysis, DWI-percentage insula ribbon infarct of >50% (P = .045) and NIHSS score (P < .001) were the only independent predictors of poor outcome. In the subgroup with admission DWI infarct of <70 mL (n = 40), 90-day mRS was significantly worse in those with DWI-percentage insula ribbon infarct of >50% (n = 9, median mRS = 5, interquartile range = 2-5) compared with those with DWI-percentage insula ribbon infarct of ≤50% (n = 31, median mRS = 2, interquartile range = 0.25-4, P = .036). In patients with admission DWI infarct of >70 mL, DWI-percentage insula ribbon infarct did not have added predictive value for poor outcome (P = .931). CONCLUSIONS: DWI-percentage insula ribbon infarct of >50% independently predicts poor clinical outcome and can help identify patients with stroke likely to have poor outcome despite small admission DWI lesion volumes.


Assuntos
Córtex Cerebral/patologia , Imagem de Difusão por Ressonância Magnética , Acidente Vascular Cerebral/patologia , Idoso , Infarto Cerebral/patologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Análise Multivariada , Valor Preditivo dos Testes , Resultado do Tratamento
13.
Med. intensiva (Madr., Ed. impr.) ; 38(2): 111-121, mar. 2014. ilus, tab
Artigo em Espanhol | IBECS | ID: ibc-124660

RESUMO

La ventilación no invasiva (VNI) junto con el tratamiento convencional mejora la evolución de los pacientes con insuficiencia respiratoria aguda por descompensación hipercápnica de la enfermedad pulmonar obstructiva crónica (EPOC) o por edema agudo de pulmón cardiogénico (EAPC). Esta revisión resume los principales efectos de la VNI en dichas enfermedades. En la EPOC la VNI mejora el intercambio de gases y la clínica, reduce la necesidad de intubación endotraqueal, la mortalidad hospitalaria y la estancia hospitalaria en comparación con la oxigenoterapia convencional. Además, puede evitar la reintubación y disminuir el tiempo de ventilación mecánica invasiva. En el EAPC el tratamiento con VNI acelera la remisión de los síntomas y la normalización gasométrica, reduce la necesidad de intubación endotraqueal y se asocia a una tendencia a menor mortalidad sin aumentar la incidencia de infarto de miocardio. La modalidad ventilatoria utilizada en el EAPC no afecta el pronóstico de los pacientes


Noninvasive ventilation (NIV) with conventional therapy improves the outcome of patients with acute respiratory failure due to hypercapnic decompensation of chronic obstructive pulmonary disease (COPD) or acute cardiogenic pulmonary edema (ACPE). This review summarizes the main effects of NIV in these pathologies. In COPD, NIV improves gas exchange and symptoms, reducing the need for endotracheal intubation, hospital mortality and hospital stay compared with conventional oxygen therapy. NIV may also avoid reintubation and may decrease the length of invasive mechanical ventilation. In ACPE, NIV accelerates the remission of symptoms and the normalization of blood gas parameters, reduces the need for endotracheal intubation, and is associated with a trend towards lesser mortality, without increasing the incidence of myocardial infarction. The ventilation modality used in ACPE does not affect the patient prognosis


Assuntos
Humanos , Ventilação não Invasiva/métodos , Edema Pulmonar/terapia , Doença Pulmonar Obstrutiva Crônica/terapia , Pressão Positiva Contínua nas Vias Aéreas , Choque Cardiogênico/fisiopatologia , Manuseio das Vias Aéreas/métodos , Cuidados Críticos/métodos , Intubação Intratraqueal/métodos , Resultado do Tratamento , Insuficiência Respiratória/terapia
14.
Med Intensiva ; 38(2): 111-21, 2014 Mar.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-23158869

RESUMO

Noninvasive ventilation (NIV) with conventional therapy improves the outcome of patients with acute respiratory failure due to hypercapnic decompensation of chronic obstructive pulmonary disease (COPD) or acute cardiogenic pulmonary edema (ACPE). This review summarizes the main effects of NIV in these pathologies. In COPD, NIV improves gas exchange and symptoms, reducing the need for endotracheal intubation, hospital mortality and hospital stay compared with conventional oxygen therapy. NIV may also avoid reintubation and may decrease the length of invasive mechanical ventilation. In ACPE, NIV accelerates the remission of symptoms and the normalization of blood gas parameters, reduces the need for endotracheal intubation, and is associated with a trend towards lesser mortality, without increasing the incidence of myocardial infarction. The ventilation modality used in ACPE does not affect the patient prognosis.


Assuntos
Ventilação não Invasiva , Doença Pulmonar Obstrutiva Crônica/terapia , Edema Pulmonar/terapia , Doença Aguda , Árvores de Decisões , Cardiopatias/complicações , Humanos , Edema Pulmonar/etiologia
15.
Chemosphere ; 90(2): 150-7, 2013 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-22795073

RESUMO

The inorganic contamination of sediment and harvested molluscs was investigated in the mangrove environment of Southern West Senegal. Trace metals were analysed in surface sediments, two bivalves (Arca senilis and Crassostera gasar) and three gastropods (Conus spp., Hexaplex duplex and Pugilina morio) collected from four stations: Dionewar, Niodor and Falia localised in the Saloum Delta, and Fadiouth from the Petite Côte. A geochemical normalisation approach by using aluminium allowed for discrimination of sediment contamination among sites. Indeed, Fadiouth appeared highly contaminated with Cd, Hg and Ni compared to the Saloum Delta. For all mangrove sites, trace metals exhibited significant higher concentrations (on a dry weight basis) in shellfish compared to sediments, excepted for Ni and Pb. The distribution pattern followed a similar global trend in molluscs regardless of the spatio-temporal variability, with the predominance of Zn (80% of total metals) followed by Cu and Cd. However, strong differences of metal bioavailability and bioaccumulation in biota were demonstrated, revealing the requirement of employing a suite of organism bioindicators to monitor metal contamination in mangrove ecosystems. From an ecotoxicological point of view, trace metal levels in sediments from the Petite Côte and the Sine-Saloum Estuary were below the effects range-low (ERL) threshold limit of the sediment quality guidelines for adverse biological effects (SQGs). On the opposite, some concerns about Cd contamination of edible shellfish from Southern West Senegal were highlighted, from both the safety point of view of local populations' health, and the chemical quality point of view of exported resources.


Assuntos
Ecossistema , Metais/análise , Poluentes Químicos da Água/análise , Áreas Alagadas , Animais , Bivalves/metabolismo , Monitoramento Ambiental , Gastrópodes/metabolismo , Sedimentos Geológicos/química , Metais/metabolismo , Senegal , Poluentes Químicos da Água/metabolismo
16.
Trop Med Int Health ; 17(9): 1100-7, 2012 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-22809300

RESUMO

OBJECTIVES: To evaluate the benefits of using procalcitonin (PCT) and C-reactive protein (CRP) as pre-screening tools to predict blood culture positivity among Mozambican children with clinical severe pneumonia (CSP). METHODS: 586 children <5 years with CSP and no concurrent malaria fulfilled criteria to be included in the study groups. We determined PCT and CRP for all children with positive bacterial culture (BC+ group, n = 84) and of a random selection of children with negative bacterial culture (BC- group, n = 246). RESULTS: PCT and CRP levels were higher in the BC+ group than the BC- one (PCT: median 7.73 versus 0.48 ng/ml, P < 0.001; CRP: 177.65 mg/l vs. 26.5 mg/l, P < 0.001). In multivariate analysis, PCT was the only independent predictor of the group. To be used as pre-screening tool, PCT presented higher specificities for predetermined sensitivities (≥85%) than CRP. Pursuing a sensitivity of 95%, PCT could reduce the need for bacterial culture by 49% and overall diagnosis costs by 7-35% [assuming variable costs for PCT measurement (ranging from 10 to 30 USD) and a fixed cost of 72.5 USD per blood culture]. CONCLUSIONS: Among hospitalised children with CSP and absence of concurrent malaria, PCT pre-screening could help reduce the number of blood cultures and diagnosis costs by specifically targeting patients more likely to yield positive results.


Assuntos
Bacteriemia/diagnóstico , Proteína C-Reativa/análise , Calcitonina/sangue , Hospitalização/estatística & dados numéricos , Pneumonia Bacteriana/sangue , Precursores de Proteínas/sangue , Biomarcadores , Proteína C-Reativa/metabolismo , Peptídeo Relacionado com Gene de Calcitonina , Pré-Escolar , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Moçambique/epidemiologia , Pneumonia Bacteriana/diagnóstico , Índice de Gravidade de Doença
17.
Rev Port Pneumol ; 18(2): 96-8, 2012.
Artigo em Inglês, Português | MEDLINE | ID: mdl-21963110

RESUMO

Acinetobacter is involved in a variety of infectious diseases primarily associated with healthcare. Recently there has been increasing evidence of the important role these pathogens play in community acquired infections. We report on the case of a previously healthy child, aged 28 months, admitted for fever, cough and pain on the left side of the chest, which on radiographic examination corresponded to a lower lobe necrotizing pneumonia. After detailed diagnostic work-up, community acquired Acinetobacter lwoffii pneumonia was diagnosed. The child had frequently shared respiratory equipment with elderly relatives with chronic obstructive pulmonary disease. As there were no other apparent risk factors, it could be assumed that the sharing of the equipment was the source of infection. The authors wish to draw attention to this possibility, that a necrotising community-acquired pneumonia due to Acinetobacter lwoffii can occur in a previously healthy child and to the dangers of inappropriate use and poor sterilisation of nebulisers. This case is a warning of the dangers that these bacteria may pose in the future in a community setting.


Assuntos
Infecções por Acinetobacter , Pneumonia Bacteriana , Infecções por Acinetobacter/diagnóstico , Infecções por Acinetobacter/tratamento farmacológico , Pré-Escolar , Infecções Comunitárias Adquiridas/diagnóstico , Infecções Comunitárias Adquiridas/tratamento farmacológico , Feminino , Humanos , Pneumonia Bacteriana/diagnóstico , Pneumonia Bacteriana/tratamento farmacológico
18.
Nutr Hosp ; 27(6): 2089-92, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-23588461

RESUMO

INTRODUCTION: Ascitis and undernutrition are frequent complications of cirrhosis, however ascitis volume and anthropometric assessment are not routinely documented or considered in prognostic evaluation. In a homogeneous cohort followed during two years these variables were scrutinized, aiming to ascertain relevance for longterm outcome. METHODS: Population (N = 25, all males with alcoholic cirrhosis) was recruited among patients hospitalized for uncomplicated ascitis. Exclusion criteria were refractory or tense ascitis, cancer, spontaneous bacterial peritonitis, bleeding varices and critical illness. Measurements included ultrasonographically estimated ascitis volume, dry body mass index/BMI , upper arm anthropometrics, hematologic counts and liver function tests. RESULTS: Population (age 48.3 ± 11.3 years, BMI 21.1 ± 3.5 kg/m², serum albumin 2.5 ± 0.8 g/dL) was mostly in the Child-Pugh C category (77.8%) but clinically stable. During the follow-up period of 22.6 ± 3.8 months, additional hospitalizations numbered 1.7 ± 1.0 and more than one quarter succumbed. Admission ascitis volume corresponded to 7.1 ± 3.6 L and dry BMI to 18.3 ± 3.5 kg/m². Child Pugh index was relevant for both mortality and rehospitalization. Nevertheless, similar matches for mortality were documented with ascitis volume and dry BMI, and arm circumference below the 5th percentile was highly significantly associated with rehospitalization. CONCLUSIONS: A greater association than hitherto acknowledged, between ascitis volume and anthropometric measurements from one side, and long-term rehospitalization and mortality from the other, was demonstrated in male stable alcoholic cirrhotics. Further studies with alcoholic and other modalities of cirrhosis including women are recommended.


Assuntos
Ascite/patologia , Cirrose Hepática Alcoólica/patologia , Adulto , Antropometria , Líquido Ascítico/citologia , Análise Química do Sangue , Estudos de Coortes , Feminino , Hospitalização , Humanos , Cirrose Hepática Alcoólica/mortalidade , Cirrose Hepática Alcoólica/terapia , Masculino , Pessoa de Meia-Idade , Recidiva , Resultado do Tratamento
19.
Rev. bras. plantas med ; 14(spe): 246-249, 2012. tab
Artigo em Português | LILACS | ID: lil-648555

RESUMO

Este trabalho teve por objetivo verificar o efeito de diferentes adubos orgânicos em associação ou não com adubo verde na produção de folhas de Ocimum selloi Benth., planta nativa do Brasil. O experimento foi conduzido na área experimental da Embrapa Meio Ambiente (CNPMA), localizado no município de Jaguariúna, em duas áreas distintas, sendo uma delas submetidas anteriormente ao plantio e incorporação de adubo verde (Crotalaria juncea). Os tratamentos utilizados foram T1 - testemunha (solo sem adubação), T2 - cama de aviário (5 kg m-2), T3 - hidrolisado de peixe (produto comercial Fishfértil - 5 mL m-2) e T4 - composto orgânico (4 kg m-2). A colheita foi realizada 180 dias após o plantio, em janeiro de 2011, sendo colhidas as plantas úteis (quatro plantas por parcela). Avaliou-se o rendimento de fitomassa fresca e seca. O delineamento experimental adotado foi o esquema fatorial 2x4, com quatro repetições (blocos). As médias obtidas foram submetidas à análise de variância seguida de teste de médias (Tukey). Com base nos resultados obtidos, pode-se concluir que a cama de aviário apresentou resultados mais satisfatórios quanto à produção de folhas de Ocimum selloi quando comparados aos demais tratamentos orgânicos, não se observando incremento nos resultados pela associação com o adubo verde Crotalaria juncea.


The aim of this work was to avail the effect of different manures in association or nor with green manure on yield of leaves of Ocimum selloi Benth. The assay was accomplished on experimental area of Embrapa Environmental (Jaguariúna district), at two different spaces (with or without green manure Crotalaria juncea). The treatments used were T1 - witness (no manure), T2 - chicken manure (5 kg m-2), T3 - commercial product Fishfértil - 5 mL m-2) and T4 - composting (4 kg m-2). The cut was realized on 180 days after the planting (january - 2011), and were collected four plants/ plot. The yield of dried and fresh Ocimum selloi phytomass was availed. The experimental design was factorial scheme (2x4), with four repetitions. The treatment with chicken manure showed best results on Ocimum selloi leaves yield than the others treatments, but did not was influence by using Crotalaria juncea.


Assuntos
Folhas de Planta/efeitos dos fármacos , Ocimum/classificação , Esterco/análise , Características do Solo/métodos , Micronutrientes/análise , Crotalaria/classificação
20.
Chemosphere ; 84(3): 318-27, 2011 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-21550627

RESUMO

The surface sediments, two bivalves (Arca senilis and Crassostera gasar) and three gastropods (Conus spp., Hexaplex duplex and Pugilina morio) from two Senegalese stations, Falia (Sine-Saloum Estuary) and Fadiouth (Petite Côte), were analyzed for their pollutant organic persistent contamination (polychlorinated biphenyls PCBs; organochlorinated pesticides OCPs; polybrominated diphenyl ethers PBDEs). Results revealed significant levels of PCBs, DDTs and lindane in mangrove sediments ranging from 0.3 to 19.1, 0.3 to 15.9, and 0.1 to 1.9 ng g(-1) d.w., respectively. Among the other POPs analysed, only hexachlorobenzene, heptachlor and trans-nonachlor for OCPs, as well as BDE47 and BDE99 congeners for PBDEs were detected at very low concentrations, generally not of concern. POP levels and patterns were in good accordance with literature data available for other tropical developing countries. A seasonal quantitative difference was highlighted with higher levels of PCBs and DDTs in sediments after the wet season, likely due to the strong wash-out of residues from inland to the marine ecosystems during the rainy season. The observed pattern of DDT and its metabolites pointed out probable recent applications of DDT for public health emergencies in Senegal. Exploited molluscs were exposed to the same POP compounds as those measured in sediments. They presented OCP levels within the same range as in sediments, while significant higher concentrations of PCBs were observed in shellfish soft tissues revealing a higher bioaccumulation potential mainly due to the lipophilicity of these compounds. Finally, the influence of the reproduction cycle on POP levels through lipid content variations was highlighted, minimizing potential differences in POP bioaccumulation between shellfish species. From an ecotoxicological and public health point of view, results from this study revealed that POPs in sediments from the Petite Côte and the Sine-Saloum Estuary would not cause toxic effects and impairments in molluscs from these regions, and that no potential risk exists for human, especially local populations, through mangrove shellfish consumption.


Assuntos
Bivalves/metabolismo , Gastrópodes/metabolismo , Compostos Orgânicos/metabolismo , Poluentes Químicos da Água/metabolismo , Animais , Ecossistema , Monitoramento Ambiental , Pesqueiros/estatística & dados numéricos , Éteres Difenil Halogenados/análise , Éteres Difenil Halogenados/metabolismo , Heptacloro/análise , Heptacloro/metabolismo , Hexaclorobenzeno/análise , Hexaclorobenzeno/metabolismo , Hexaclorocicloexano/análise , Hexaclorocicloexano/metabolismo , Hidrocarbonetos Clorados/análise , Hidrocarbonetos Clorados/metabolismo , Compostos Orgânicos/análise , Praguicidas/análise , Praguicidas/metabolismo , Bifenilos Policlorados/análise , Bifenilos Policlorados/metabolismo , Rhizophoraceae , Estações do Ano , Senegal , Poluentes Químicos da Água/análise
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...