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1.
Artigo em Inglês | MEDLINE | ID: mdl-36833845

RESUMO

Women of childbearing age have variations in substrate oxidation rates that can lead to overweight, type II diabetes, and other conditions that may be associated with metabolic inflexibility and the variations in estrogen concentrations observed during the monthly ovarian cycle. PURPOSE: This study aimed to verify and compare the influence of eight treadmill high-intensity interval training (HIT) sessions on carbohydrate and lipid oxidation rates (CHOox and LIPox, respectively) and intensities of ventilatory anaerobic thresholds (VATs) of women in different phases of the monthly ovarian cycle. METHODS: Eleven irregularly active women performed incremental treadmill exercise testing followed by submaximal work-rate running for 45 min to determine VATs, VO2peak, peak velocity (Vpeak), and substrate oxidation rates, before and after a training period, in different phases of their monthly ovarian cycle (follicular phase group, FL, n = 6; luteal phase group, LT, n = 5). The training period consisted of eight HIT sessions, composed each one of eight sets of 60 s running at 100%Vpeak interspersed by 75 s recovery every 48 h. RESULTS: Our results showed no significant differences in VATs intensities between groups. The comparison between groups showed significant differences in relative energy derived from CHO pre- and post-training of -61.42% and -59.26%, respectively, and LIP pre- and post-training of 27.46% and 34.41%, respectively. The relative energy derived from CHO after the training period was 18.89% and 25.50% higher for FL and LT, respectively; consequently, the relative energy derived from LIPox after the training period was 8,45% and 3.46% lower for FL and LT, respectively. Over the training period, Vpeak was ~13.5 km/h, which produced the relative intensities of ~89%VO2peak e ~93%HRpeak for both groups. CONCLUSION: The monthly ovarian cycle phases promote significant changes in substrate oxidation rates leading to a decrease in CHOox. High-intensity interval training can minimize the differences observed and constitute an alternative intervention.


Assuntos
Diabetes Mellitus Tipo 2 , Treinamento Intervalado de Alta Intensidade , Feminino , Humanos , Bezafibrato , Metabolismo Energético , Ciclo Menstrual , Consumo de Oxigênio , Projetos Piloto
2.
Mov Ecol ; 9(1): 35, 2021 Jul 07.
Artigo em Inglês | MEDLINE | ID: mdl-34233767

RESUMO

BACKGROUND: There is growing evidence that individuals within populations can vary in both habitat use and movement behavior, but it is still not clear how these two relate to each other. The aim of this study was to test if and how individual bats in a Stunira lilium population differ in their movement activity and preferences for landscape features in a correlated manner. METHODS: We collected data on movements of 27 individuals using radio telemetry. We fitted a heterogeneous-space diffusion model to the movement data in order to evaluate signals of movement variation among individuals. RESULTS: S. lilium individuals generally preferred open habitat with Solanum fruits, regularly switched between forest and open areas, and showed high site fidelity. Movement variation among individuals could be summarized in four movement syndromes: (1) average individuals, (2) forest specialists, (3) explorers which prefer Piper, and (4) open area specialists which prefer Solanum and Cecropia. CONCLUSIONS: Individual preferences for landscape features plus food resource and movement activity were correlated, resulting in different movement syndromes. Individual variation in preferences for landscape elements and food resources highlight the importance of incorporating explicitly the interaction between landscape structure and individual heterogeneity in descriptions of animal movement.

3.
Nutrients ; 14(1)2021 Dec 23.
Artigo em Inglês | MEDLINE | ID: mdl-35010928

RESUMO

Sarcopenia is one of the main issues associated with the process of aging. Characterized by muscle mass loss, it is triggered by several conditions, including sedentary habits and negative net protein balance. According to World Health Organization, it is expected a 38% increase in older individuals by 2025. Therefore, it is noteworthy to establish recommendations to prevent sarcopenia and several events and comorbidities associated with this health issue condition. In this review, we discuss the role of these factors, prevention strategies, and recommendations, with a focus on protein intake and exercise.


Assuntos
Envelhecimento , Proteínas Alimentares/administração & dosagem , Exercício Físico , Sarcopenia/prevenção & controle , Idoso , Idoso de 80 Anos ou mais , Dieta/métodos , Feminino , Microbioma Gastrointestinal , Humanos , Estilo de Vida , Masculino , Força Muscular , Músculo Esquelético/metabolismo , Estado Nutricional , Recomendações Nutricionais , Comportamento Sedentário
4.
Front Physiol ; 11: 582258, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33178046

RESUMO

The skeletal muscle was always seen from biomechanical and biochemical views. It is well-established that an active muscle brings many benefits for different body organs and tissues, including the immune system. Since the 1970s, many studies have shown the importance of regular exercise and physical activity in increasing the body's ability to fight opportunist infections, as well as a strategy to fight established diseases. This interaction was mainly attributed to the glutamine, a non-essential amino acid produced by the active skeletal muscle and primarily consumed by rapidly dividing cells, including lymphocytes and monocytes/macrophages, as their main source of energy. Therefore, these cells' function would be significantly improved by the presence of a bigger glutamine pool, facilitating phagocytosis, antigen-presentation, proliferative capacity, cytokine synthesis and release, among other functions. Despite its importance, glutamine is not the only molecule to connect these two tissues. The presence of cytokines is crucial for a proper immune system function. Many of them have well-established pro-inflammatory properties, while others are known for their anti-inflammatory role. Interleukin-6 (IL-6), however, has been in the center of many scientific discussions since it can act as pro- and anti-inflammatory cytokine depending on the tissue that releases it. Skeletal muscle is an essential source of IL-6 with anti-inflammatory properties, regulating the function of the immune cells after tissue injury and the healing process. Therefore, this review aims to discuss further the role of these four components (glutamine, and interleukin-6, and its interface with monocytes/macrophages, and lymphocytes) on the communication between the skeletal muscle and the immune system.

5.
J Anim Ecol ; 89(11): 2584-2595, 2020 11.
Artigo em Inglês | MEDLINE | ID: mdl-32895967

RESUMO

Natural populations are not homogenous systems but sets of individuals that occupy subsets of the species' niche. This phenomenon is known as individual specialization. Recently, several studies found evidence of individual specialization in animal diets. Diet is a critical dimension of a species' niche that affects several other dimensions, including space use, which has been poorly studied under the light of individual specialization. In this study, which harnesses the framework of the movement ecology paradigm and uses yellow-shouldered bats Sturnira lilium as a model, we ask how food preferences lead individual bats of the same population to forage mainly in different locations and habitats. Ten individual bats were radiotracked in a heterogeneous Brazilian savanna. First, we modelled intraspecific variation in space use as a network of individual bats and the landscape elements visited by them. Second, we developed two novel metrics, the spatial individual specialization index (SpatIS) and the spatial individual complementary specialization index (SpatICS). Additionally, we tested food-plant availability as a driver of interindividual differences in space use. There was large interindividual variation in space use not explained by sex or weight. Our results point to individual specialization in space use in the studied population of S. lilium, most probably linked to food-plant distribution. Individual specialization affects not only which plant species frugivores consume, but also the way they move in space, ultimately with consequences for seed dispersal and landscape connectivity.


As populações naturais não são sistemas homogêneos, mas grupos de indivíduos que ocupam subconjuntos do nicho da espécie. Esse fenômeno é conhecido como especialização individual. Recentemente, vários estudos encontraram evidências de especialização individual na dieta de diferentes espécies de animais. A dieta é uma dimensão crítica do nicho de uma espécie que afeta várias outras dimensões, incluindo o uso do espaço, que foi pouco estudado à luz da especialização individual. No presente estudo, utilizando o paradigma da ecologia do movimento e morcegos Sturnira lilium como modelo, nós buscamos compreender como as preferências alimentares levam os indivíduos de uma mesma população a forragear em diferentes locais e habitats. Dez indivíduos foram rastreados por radiotelemetria em uma área heterogênea de Cerrado. Primeiro, modelamos a variação intraespecífica no uso do espaço como uma rede formada pelos indivíduos e pelos elementos da paisagem visitados por eles. Segundo, desenvolvemos duas novas métricas, o índice de especialização individual espacial (SpatIS) e o índice de especialização individual complementar espacial (SpatICS). Além disso, testamos a disponibilidade de plantas-alimento como um fator determinante das diferenças entre os indivíduos no uso do espaço. Houve grande variação interindividual no uso do espaço não explicada por sexo ou peso. Nossos resultados apontam para a especialização individual no uso do espaço na população estudada de S. lilium, provavelmente ligada à distribuição de plantas-alimento. Concluímos que a especialização individual afeta não apenas quais espécies de plantas os animais frugívoros consomem, mas também a maneira como eles se movem no espaço, o que em última análise tem consequências para a dispersão de sementes e a conectividade da paisagem.


Assuntos
Quirópteros , Dispersão de Sementes , Animais , Brasil , Ecologia , Ecossistema
6.
Ecology ; 101(11): e03128, 2020 11.
Artigo em Inglês | MEDLINE | ID: mdl-32862433

RESUMO

Mammalian carnivores are considered a key group in maintaining ecological health and can indicate potential ecological integrity in landscapes where they occur. Carnivores also hold high conservation value and their habitat requirements can guide management and conservation plans. The order Carnivora has 84 species from 8 families in the Neotropical region: Canidae; Felidae; Mephitidae; Mustelidae; Otariidae; Phocidae; Procyonidae; and Ursidae. Herein, we include published and unpublished data on native terrestrial Neotropical carnivores (Canidae; Felidae; Mephitidae; Mustelidae; Procyonidae; and Ursidae). NEOTROPICAL CARNIVORES is a publicly available data set that includes 99,605 data entries from 35,511 unique georeferenced coordinates. Detection/non-detection and quantitative data were obtained from 1818 to 2018 by researchers, governmental agencies, non-governmental organizations, and private consultants. Data were collected using several methods including camera trapping, museum collections, roadkill, line transect, and opportunistic records. Literature (peer-reviewed and grey literature) from Portuguese, Spanish and English were incorporated in this compilation. Most of the data set consists of detection data entries (n = 79,343; 79.7%) but also includes non-detection data (n = 20,262; 20.3%). Of those, 43.3% also include count data (n = 43,151). The information available in NEOTROPICAL CARNIVORES will contribute to macroecological, ecological, and conservation questions in multiple spatio-temporal perspectives. As carnivores play key roles in trophic interactions, a better understanding of their distribution and habitat requirements are essential to establish conservation management plans and safeguard the future ecological health of Neotropical ecosystems. Our data paper, combined with other large-scale data sets, has great potential to clarify species distribution and related ecological processes within the Neotropics. There are no copyright restrictions and no restriction for using data from this data paper, as long as the data paper is cited as the source of the information used. We also request that users inform us of how they intend to use the data.


Assuntos
Canidae , Carnívoros , Mustelidae , Ursidae , Animais , Ecossistema , Humanos
7.
Nagy‐Reis, Mariana B.; Oshima, Júlia Emi de Faria; Kanda, Claudia Zukeran; Palmeira, Francesca Belem Lopes; Melo, Fabiano Rodrigues de; Morato, Ronaldo Gonçalves; Bonjorne, Lilian; Magioli, Marcelo; Leuchtenberger, Caroline; Rohe, Fabio; Lemos, Frederico Gemesio; Martello, Felipe; Alves‐Eigenheer, Milene; Silva, Rafaela Aparecida da; Santos, Juliana Silveira dos; Priante, Camila Fátima; Bernardo, Rodrigo; Rogeri, Patricia; Assis, Julia Camara; Gaspar, Lucas Pacciullio; Tonetti, Vinicius Rodrigues; Trinca, Cristiano Trapé; Ribeiro, Adauto de Souza; Bocchiglieri, Adriana; Hass, Adriani; Canteri, Adriano; Chiarello, Adriano Garcia; Paglia, Adriano Pereira; Pereira, Adriele Aparecida; Souza, Agnis Cristiane de; Gatica, Ailin; Medeiro, Akyllam Zoppi; Eriksson, Alan; Costa, Alan Nilo; González‐Gallina, Alberto; Yanosky, Alberto A; Cruz, Alejandro Jesus de la; Bertassoni, Alessandra; Bager, Alex; Bovo, Alex Augusto Abreu; Mol, Alexandra Cravino; Bezerra, Alexandra Maria Ramos; Percequillo, Alexandre; Vogliotti, Alexandre; Lopes, Alexandre Martins Costa; Keuroghlian, Alexine; Hartley, Alfonso Christopher Zúñiga; Devlin, Allison L.; Paula, Almir de; García‐Olaechea, Alvaro; Sánchez, Amadeo; Aquino, Ana Carla Medeiros Morato; Srbek‐Araujo, Ana Carolina; Ochoa, Ana Cecilia; Tomazzoni, Ana Cristina; Lacerda, Ana Cristyna Reis; Bacellar, Ana Elisa de Faria; Campelo, Ana Kellen Nogueira; Victoria, Ana María Herrera; Paschoal, Ana Maria de Oliveira; Potrich, Ana Paula; Gomes, Ana Paula Nascimento; Olímpio, Ana Priscila Medeiros; Costa, Ana Raissa Cunha; Jácomo, Anah Tereza de Almeida; Calaça, Analice Maria; Jesus, Anamélia Souza; Barban, Ananda de Barros; Feijó, Anderson; Pagoto, Anderson; Rolim, Anderson Claudino; Hermann, Andiara Paula; Souza, Andiara Silos Moraes de Castro e; Alonso, André Chein; Monteiro, André; Mendonça, André Faria; Luza, André Luís; Moura, André Luis Botelho; Silva, André Luiz Ferreira da; Lanna, Andre Monnerat; Antunes, Andre Pinassi; Nunes, André Valle; Dechner, Andrea; Carvalho, Andrea Siqueira; Novaro, Andres Jose; Scabin, Andressa Barbara; Gatti, Andressa; Nobre, Andrezza Bellotto; Montanarin, Anelise; Deffaci, Ângela Camila; Albuquerque, Anna Carolina Figueiredo de; Mangione, Antonio Marcelo; Pinto, Antonio Millas Silva; Pontes, Antonio Rossano Mendes; Bertoldi, Ariane Teixeira; Calouro, Armando Muniz; Fernandes, Arthur; Ferreira, Arystene Nicodemo; Ferreguetti, Atilla Colombo; Rosa, Augusto Lisboa Martins; Banhos, Aureo; Francisco, Beatriz da Silva de Souza; Cezila, Beatriz Azevedo; Beisiegel, Beatriz de Mello; Thoisy, Benoit de; Ingberman, Bianca; Neves, Bianca dos Santos; Pereira‐Silva, Brenda; Camargo, Bruna Bertagni de; Andrade, Bruna da Silva; Santos, Bruna Silva; Leles, Bruno; Campos, Bruno Augusto Torres Parahyba; Kubiak, Bruno Busnello; França, Bruno Rodrigo de Albuquerque; Saranholi, Bruno Henrique; Mendes, Calebe Pereira; Devids, Camila Cantagallo; Pianca, Camila; Rodrigues, Camila; Islas, Camila Alvez; Lima, Camilla Angélica de; Lima, Camilo Ribeiro de; Gestich, Carla Cristina; Tedesco, Carla Denise; Angelo, Carlos De; Fonseca, Carlos; Hass, Carlos; Peres, Carlos A.; Kasper, Carlos Benhur; Durigan, Carlos Cesar; Fragoso, Carlos Eduardo; Verona, Carlos Eduardo; Rocha, Carlos Frederico Duarte; Salvador, Carlos Henrique; Vieira, Carlos Leonardo; Ruiz, Carmen Elena Barragán; Cheida, Carolina Carvalho; Sartor, Caroline Charão; Espinosa, Caroline da Costa; Fieker, Carolline Zatta; Braga, Caryne; Sánchez‐Lalinde, Catalina; Machado, Cauanne Iglesias Campos; Cronemberger, Cecilia; Luna, Cecília Licarião; Vechio, Christine Del; Bernardo, Christine Steiner S.; Hurtado, Cindy Meliza; Lopes, Cíntia M.; Rosa, Clarissa Alves da; Cinta, Claudia Cristina; Costa, Claudia Guimaraes; Zárate‐Castañeda, Claudia Paola; Novaes, Claudio Leite; Jenkins, Clinton N.; Seixas, Cristiana Simão; Martin, Cristiane; Zaniratto, Cristiane Patrícia; López‐Fuerte, Cristina Fabiola; Cunha, Cristina Jaques da; Brito De‐Carvalho, Crizanto; Chávez, Cuauhtémoc; Santos, Cyntia Cavalcante; Polli, Daiana Jeronimo; Buscariol, Daiane; Carreira, Daiane Cristina; Galiano, Daniel; Thornton, Daniel; Ferraz, Daniel da Silva; Lamattina, Daniela; Moreno, Daniele Janina; Moreira, Danielle Oliveira; Farias, Danilo Augusto; Barros‐Battesti, Darci Moraes; Tavares, Davi Castro; Braga, David Costa; Gaspar, Denise Alemar; Friedeberg, Diana; Astúa, Diego; Silva, Diego Afonso; Viana, Diego Carvalho; Lizcano, Diego J.; Varela, Diego M.; Jacinavicius, Fernando de Castro; Andrade, Gabrielle Ribeiro de; Almeida, Maria Cristina Ferreira do Rosário; Onofrio, Valeria Castilho.
Ecology, v. 101, n. 11, e03128, nov. 2020
Artigo em Inglês | Sec. Est. Saúde SP, SESSP-IBPROD, Sec. Est. Saúde SP | ID: bud-3174

RESUMO

Mammalian carnivores are considered a key group in maintaining ecological health and can indicate potential ecological integrity in landscapes where they occur. Carnivores also hold high conservation value and their habitat requirements can guide management and conservation plans. The order Carnivora has 84 species from 8 families in the Neotropical region: Canidae; Felidae; Mephitidae; Mustelidae; Otariidae; Phocidae; Procyonidae; and Ursidae. Herein, we include published and unpublished data on native terrestrial Neotropical carnivores (Canidae; Felidae; Mephitidae; Mustelidae; Procyonidae; and Ursidae). NEOTROPICAL CARNIVORES is a publicly available data set that includes 99,605 data entries from 35,511 unique georeferenced coordinates. Detection/non‐detection and quantitative data were obtained from 1818 to 2018 by researchers, governmental agencies, non‐governmental organizations, and private consultants. Data were collected using several methods including camera trapping, museum collections, roadkill, line transect, and opportunistic records. Literature (peerreviewed and grey literature) from Portuguese, Spanish and English were incorporated in this compilation. Most of the data set consists of detection data entries (n = 79,343; 79.7%) but also includes non‐detection data (n = 20,262; 20.3%). Of those, 43.3% also include count data (n = 43,151). The information available in NEOTROPICAL CARNIVORES will contribute to macroecological, ecological, and conservation questions in multiple spatio‐temporal perspectives. As carnivores play key roles in trophic interactions, a better understanding of their distribution and habitat requirements are essential to establish conservation management plans and safeguard the future ecological health of Neotropical ecosystems. Our data paper, combined with other largescale data sets, has great potential to clarify species distribution and related ecological processes within the Neotropics. There are no copyright restrictions and no restriction for using data from this data paper, as long as the data paper is cited as the source of the information used. We also request that users inform us of how they intend to use the data.

8.
Artigo em Inglês | MEDLINE | ID: mdl-31400499

RESUMO

Hematological measures are increasingly being used to analyse the impact of several stressors on the physiological condition of animals. Landscape degradation and habitat loss impacts terrestrial and volant mammals occurrence, however rarely the effects of these factors on physiological conditions and stress levels were analyzed. Here, we measured several hematological parameters to analyse the impacts of habitat amount on the physiological condition (body condition and health status) and stress level of four species of Neotropical fruit-eating bats. We measured hematocrit, hemoglobin concentration and calculated the hemoglobin-hematocrit residuals (HHR) and mean cell hemoglobin concentration (MCHC), as well as the neutrophil to lymphocyte ratio (N/L ratio) of four common frugivores bat species (Artibeus lituratus, Artibeus planirostris, Sturnira lilium and Carollia perspicilatta). The bats were captured in 20 landscapes within the Atlantic Forest biodiversity hotspot, in a gradient from 10 to 85% of habitat amount. We tested the influence of habitat amount, species, sex and reproductive condition on the physiological variables. We fit GLM to each of the response variables and performed a model selection to identify the most plausible to explain the patterns. N/L ratio was negatively influenced by habitat amount, while the other variables were not related to habitat amount. Overall, we found that habitat loss apparently did not jeopardize the physiological condition of fruit-eating bats and that stress level apparently is not high enough to have any deleterious effect. We suggest that the increase in glucocorticoids, indirectly assessed by the N/L ratio, is a predictive, beneficial response, that allow these bats to cope efficiently with the stressors associated with habitat loss.


Assuntos
Biodiversidade , Quirópteros/fisiologia , Conservação dos Recursos Naturais , Animais , Quirópteros/sangue , Ecossistema , Frutas/química , Genitália/fisiologia , Linfócitos/fisiologia , Neutrófilos/fisiologia
9.
Ecology ; 99(2): 498, 2018 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-29399824

RESUMO

Measures of traits are the basis of functional biological diversity. Numerous works consider mean species-level measures of traits while ignoring individual variance within species. However, there is a large amount of variation within species and it is increasingly apparent that it is important to consider trait variation not only between species, but also within species. Mammals are an interesting group for investigating trait-based approaches because they play diverse and important ecological functions (e.g., pollination, seed dispersal, predation, grazing) that are correlated with functional traits. Here we compile a data set comprising morphological and life history information of 279 mammal species from 39,850 individuals of 388 populations ranging from -5.83 to -29.75 decimal degrees of latitude and -34.82 to -56.73 decimal degrees of longitude in the Atlantic forest of South America. We present trait information from 16,840 individuals of 181 species of non-volant mammals (Rodentia, Didelphimorphia, Carnivora, Primates, Cingulata, Artiodactyla, Pilosa, Lagomorpha, Perissodactyla) and from 23,010 individuals of 98 species of volant mammals (Chiroptera). The traits reported include body mass, age, sex, reproductive stage, as well as the geographic coordinates of sampling for all taxa. Moreover, we gathered information on forearm length for bats and body length and tail length for rodents and marsupials. No copyright restrictions are associated with the use of this data set. Please cite this data paper when the data are used in publications. We also request that researchers and teachers inform us of how they are using the data.

10.
Ecology ; 98(12): 3227, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-28875505

RESUMO

Bats are the second most diverse mammal order and they provide vital ecosystem functions (e.g., pollination, seed dispersal, and nutrient flux in caves) and services (e.g., crop pest suppression). Bats are also important vectors of infectious diseases, harboring more than 100 different virus types. In the present study, we compiled information on bat communities from the Atlantic Forests of South America, a species-rich biome that is highly threatened by habitat loss and fragmentation. The ATLANTIC BATS data set comprises 135 quantitative studies carried out in 205 sites, which cover most vegetation types of the tropical and subtropical Atlantic Forest: dense ombrophilous forest, mixed ombrophilous forest, semideciduous forest, deciduous forest, savanna, steppe, and open ombrophilous forest. The data set includes information on more than 90,000 captures of 98 bat species of eight families. Species richness averaged 12.1 per site, with a median value of 10 species (ranging from 1 to 53 species). Six species occurred in more than 50% of the communities: Artibeus lituratus, Carollia perspicillata, Sturnira lilium, Artibeus fimbriatus, Glossophaga soricina, and Platyrrhinus lineatus. The number of captures divided by sampling effort, a proxy for abundance, varied from 0.000001 to 0.77 individuals·h-1 ·m-2 (0.04 ± 0.007 individuals·h-1 ·m-2 ). Our data set reveals a hyper-dominance of eight species that together that comprise 80% of all captures: Platyrrhinus lineatus (2.3%), Molossus molossus (2.8%), Artibeus obscurus (3.4%), Artibeus planirostris (5.2%), Artibeus fimbriatus (7%), Sturnira lilium (14.5%), Carollia perspicillata (15.6%), and Artibeus lituratus (29.2%).


Assuntos
Quirópteros/fisiologia , Florestas , Animais , Brasil , Ecossistema , América do Sul
11.
BMC Emerg Med ; 13: 15, 2013 Jul 26.
Artigo em Inglês | MEDLINE | ID: mdl-23890214

RESUMO

BACKGROUND: Appendicitis is one of the most common surgical emergencies and is also a time-sensitive condition. Delays in treatment increase the risk of appendiceal perforation (AP), and thus AP rates have been used as a proxy to measure access to surgical care. It is very well known that in Brazil there are big differences between the public and private healthcare systems. Those differences can reflect in the treatment of what are considered simple cases, like appendicitis. As far as we know, it has no known links to behavioral or social risk factors, and has only one treatment option--appendectomy. The purpose of this study was to compare treatment received by Brazilian people, both by those who depend on the public and private healthcare system, and how it affects their outcome. METHODS: Data was collected from the records of all patients submitted to appendectomy, in a public and in a private Sao Paulo city's hospitals, during January to April of 2010. RESULTS: Patients admitted by the public hospital present symptoms for a longer period of time than those treated by the private one. It took a significantly higher amount of time for the patients from the public hospital undergo surgery, and their length of stay is also significantly higher. CONCLUSIONS: Appendicitis in a public scenario is associated with increased time from onset of symptoms to operative intervention and the main reason is the delayed presentation. Clinical polices for abdominal pain should be instituted by the public healthcare system, based on population education, healthcare professionals training and establishment of strategies that can speed the diagnosis process up.


Assuntos
Apendicite/cirurgia , Acessibilidade aos Serviços de Saúde/estatística & dados numéricos , Hospitais Privados , Hospitais Públicos , Adolescente , Adulto , Apendicectomia/estatística & dados numéricos , Apendicite/diagnóstico por imagem , Brasil , Criança , Feminino , Humanos , Masculino , Auditoria Médica , Radiografia , Estudos Retrospectivos , Classe Social , Ultrassonografia , Adulto Jovem
12.
J Cell Mol Med ; 14(10): 2470-82, 2010 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-19650830

RESUMO

Amyotrophic lateral sclerosis (ALS) is a devastating disease, characterized by extremely rapid loss of motor neurons. Our studies over the last decade have established CD4(+) T cells as important players in central nervous system maintenance and repair. Those results, together with recent findings that CD4(+) T cells play a protective role in mouse models of ALS, led us to the current hypothesis that in ALS, a rapid T-cell malfunction may develop in parallel to the motor neuron dysfunction. Here, we tested this hypothesis by assessing thymic function, which serves as a measure of peripheral T-cell availability, in an animal model of ALS (mSOD1 [superoxide dismutase] mice; G93A) and in human patients. We found a significant reduction in thymic progenitor-cell content, and abnormal thymic histology in 3-4-month-old mSOD1 mice. In ALS patients, we found a decline in thymic output, manifested in the reduction in blood levels of T-cell receptor rearrangement excision circles, a non-invasive measure of thymic function, and demonstrated a restricted T-cell repertoire. The morbidity of the peripheral immune cells was also manifested in the increase of pro-apoptotic BAX/BCXL2 expression ratio in peripheral blood mononuclear cells (PBMCs) of these patients. In addition, gene expression screening in the same PBMCs, revealed in the ALS patients a reduction in key genes known to be associated with T-cell activity, including: CD80, CD86, IFNG and IL18. In light of the reported beneficial role of T cells in animal models of ALS, the present observation of thymic dysfunction, both in human patients and in an animal model, might be a co-pathological factor in ALS, regardless of the disease aetiology. These findings may lead to the development of novel therapeutic approaches directed at overcoming the thymic defect and T-cell deficiency.


Assuntos
Esclerose Lateral Amiotrófica/imunologia , Esclerose Lateral Amiotrófica/patologia , Perfilação da Expressão Gênica , Timo/fisiopatologia , Adulto , Animais , Linfócitos T CD4-Positivos/imunologia , Modelos Animais de Doenças , Feminino , Rearranjo Gênico do Linfócito T , Humanos , Masculino , Camundongos , Camundongos Transgênicos , Pessoa de Meia-Idade , Timo/imunologia
13.
J Neurochem ; 111(6): 1409-24, 2009 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-19780903

RESUMO

Immunization with an altered myelin-derived peptide (MOG45D) improves recovery from acute CNS insults, partially via recruitment of monocyte-derived macrophages that locally display a regulatory activity. Here, we investigated the local alterations in the cellular and molecular immunological milieu associated with attenuation of Alzheimer's disease-like pathology following immunotherapy. We found that immunization of amyloid precursor protein/presenilin 1 double-transgenic mice with MOG45D peptide, loaded on dendritic cells, led to a substantial reduction of parenchymal and perivascular amyloid beta (Abeta)-plaque burden and soluble Abeta((1-42)) peptide levels as well as reduced astrogliosis and levels of a key glial scar protein (chondroitin sulphate proteoglycan). These changes were associated with a shift in the local innate immune response, manifested by increased Iba1+/CD45(high) macrophages that engulfed Abeta, reduced pro-inflammatory (tumor necrosis factor-alpha) and increased anti-inflammatory (interleukin-10) cytokines, as well as a significant increase in growth factors (IGF-1 and TGFbeta) in the brain. Furthermore, the levels of matrix metalloproteinase-9, an enzyme shown to degrade Abeta and is associated with glial scar formation, were significantly elevated in the brain following immunization. Altogether, these results indicate that boosting systemic immune cells leads to a local immunomodulation manifested by elevated levels of anti-inflammatory cytokines and metalloproteinases that contribute to ameliorating Alzheimer's disease pathology.


Assuntos
Doença de Alzheimer , Regulação da Expressão Gênica/imunologia , Interleucina-10/metabolismo , Metaloproteinase 9 da Matriz/metabolismo , Doença de Alzheimer/imunologia , Doença de Alzheimer/metabolismo , Doença de Alzheimer/patologia , Peptídeos beta-Amiloides/metabolismo , Precursor de Proteína beta-Amiloide/genética , Animais , Encéfalo/imunologia , Proteoglicanas de Sulfatos de Condroitina/metabolismo , Células Dendríticas/efeitos dos fármacos , Células Dendríticas/imunologia , Modelos Animais de Doenças , Ensaio de Imunoadsorção Enzimática/métodos , Feminino , Citometria de Fluxo , Regulação da Expressão Gênica/efeitos dos fármacos , Glicoproteínas/uso terapêutico , Humanos , Fator de Crescimento Insulin-Like I/metabolismo , Masculino , Camundongos , Camundongos Transgênicos , Mutação/genética , Glicoproteína Mielina-Oligodendrócito , Fragmentos de Peptídeos/metabolismo , Fragmentos de Peptídeos/uso terapêutico , Presenilina-1/genética , Fator de Crescimento Transformador beta/metabolismo
17.
Nutrition ; 18(5): 376-9, 2002 May.
Artigo em Inglês | MEDLINE | ID: mdl-11985939

RESUMO

OBJECTIVE: Intense long-duration exercise has been associated with immunosuppression, which affects natural killer cells, lymphokine-activated killer cells, and lymphocytes. The mechanisms involved, however, are not fully determined and seem to be multifactorial, including endocrine changes and alteration of plasma glutamine concentration. Therefore, we evaluated the effect of branched-chain amino acid supplementation on the immune response of triathletes and long-distance runners. METHODS: Peripheral blood was collected prior to and immediately after an Olympic Triathlon or a 30k run. Lymphocyte proliferation, cytokine production by cultured cells, and plasma glutamine were measured. RESULTS: After the exercise bout, athletes from the placebo group presented a decreased plasma glutamine concentration that was abolished by branched-chain amino acid supplementation and an increased proliferative response in their peripheral blood mononuclear cells. Those cells also produced, after exercise, less tumor necrosis factor, interleukins-1 and -4, and interferon and 48% more interleukin-2. Supplementation stimulated the production of interleukin-2 and interferon after exercise and a more pronounced decrease in the production of interleukin-4, indicating a diversion toward a Th1 type immune response. CONCLUSIONS: Our results indicate that branched-chain amino acid (BCAA) supplementation recovers the ability of peripheral blood mononuclear cells proliferate in response to mitogens after a long distance intense exercise, as well as plasma glutamine concentration. The amino acids also modify the pattern of cytokine production leading to a diversion of the immune response toward a Th1 type of immune response.


Assuntos
Aminoácidos de Cadeia Ramificada/administração & dosagem , Suplementos Nutricionais , Sistema Imunitário/efeitos dos fármacos , Resistência Física/fisiologia , Adulto , Aminoácidos de Cadeia Ramificada/sangue , Ciclismo/fisiologia , Citocinas/sangue , Glutamina/sangue , Humanos , Sistema Imunitário/fisiologia , Imunidade Celular/efeitos dos fármacos , Imunidade Celular/fisiologia , Ativação Linfocitária/efeitos dos fármacos , Masculino , Resistência Física/efeitos dos fármacos , Corrida/fisiologia , Natação/fisiologia
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