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1.
Sensors (Basel) ; 24(5)2024 Mar 04.
Artigo em Inglês | MEDLINE | ID: mdl-38475199

RESUMO

While no longer a public health emergency of international concern, COVID-19 remains an established and ongoing global health threat. As the global population continues to face significant negative impacts of the pandemic, there has been an increased usage of point-of-care ultrasound (POCUS) imaging as a low-cost, portable, and effective modality of choice in the COVID-19 clinical workflow. A major barrier to the widespread adoption of POCUS in the COVID-19 clinical workflow is the scarcity of expert clinicians who can interpret POCUS examinations, leading to considerable interest in artificial intelligence-driven clinical decision support systems to tackle this challenge. A major challenge to building deep neural networks for COVID-19 screening using POCUS is the heterogeneity in the types of probes used to capture ultrasound images (e.g., convex vs. linear probes), which can lead to very different visual appearances. In this study, we propose an analytic framework for COVID-19 assessment able to consume ultrasound images captured by linear and convex probes. We analyze the impact of leveraging extended linear-convex ultrasound augmentation learning on producing enhanced deep neural networks for COVID-19 assessment, where we conduct data augmentation on convex probe data alongside linear probe data that have been transformed to better resemble convex probe data. The proposed explainable framework, called COVID-Net L2C-ULTRA, employs an efficient deep columnar anti-aliased convolutional neural network designed via a machine-driven design exploration strategy. Our experimental results confirm that the proposed extended linear-convex ultrasound augmentation learning significantly increases performance, with a gain of 3.9% in test accuracy and 3.2% in AUC, 10.9% in recall, and 4.4% in precision. The proposed method also demonstrates a much more effective utilization of linear probe images through a 5.1% performance improvement in recall when such images are added to the training dataset, while all other methods show a decrease in recall when trained on the combined linear-convex dataset. We further verify the validity of the model by assessing what the network considers to be the critical regions of an image with our contribution clinician.


Assuntos
COVID-19 , Sistemas de Apoio a Decisões Clínicas , Humanos , Inteligência Artificial , Aprendizagem , Ultrassonografia
2.
Sensors (Basel) ; 23(5)2023 Feb 27.
Artigo em Inglês | MEDLINE | ID: mdl-36904833

RESUMO

As the Coronavirus Disease 2019 (COVID-19) continues to impact many aspects of life and the global healthcare systems, the adoption of rapid and effective screening methods to prevent the further spread of the virus and lessen the burden on healthcare providers is a necessity. As a cheap and widely accessible medical image modality, point-of-care ultrasound (POCUS) imaging allows radiologists to identify symptoms and assess severity through visual inspection of the chest ultrasound images. Combined with the recent advancements in computer science, applications of deep learning techniques in medical image analysis have shown promising results, demonstrating that artificial intelligence-based solutions can accelerate the diagnosis of COVID-19 and lower the burden on healthcare professionals. However, the lack of large, well annotated datasets poses a challenge in developing effective deep neural networks, especially in the case of rare diseases and new pandemics. To address this issue, we present COVID-Net USPro, an explainable few-shot deep prototypical network that is designed to detect COVID-19 cases from very few ultrasound images. Through intensive quantitative and qualitative assessments, the network not only demonstrates high performance in identifying COVID-19 positive cases, using an explainability component, but it is also shown that the network makes decisions based on the actual representative patterns of the disease. Specifically, COVID-Net USPro achieves 99.55% overall accuracy, 99.93% recall, and 99.83% precision for COVID-19-positive cases when trained with only five shots. In addition to the quantitative performance assessment, our contributing clinician with extensive experience in POCUS interpretation verified the analytic pipeline and results, ensuring that the network's decisions are based on clinically relevant image patterns integral to COVID-19 diagnosis. We believe that network explainability and clinical validation are integral components for the successful adoption of deep learning in the medical field. As part of the COVID-Net initiative, and to promote reproducibility and foster further innovation, the network is open-sourced and available to the public.


Assuntos
COVID-19 , Aprendizado Profundo , Inteligência Artificial , Teste para COVID-19 , Sistemas Automatizados de Assistência Junto ao Leito , Reprodutibilidade dos Testes , SARS-CoV-2
3.
Sensors (Basel) ; 23(19)2023 Sep 27.
Artigo em Inglês | MEDLINE | ID: mdl-37836952

RESUMO

Computer vision and deep learning have the potential to improve medical artificial intelligence (AI) by assisting in diagnosis, prediction, and prognosis. However, the application of deep learning to medical image analysis is challenging due to limited data availability and imbalanced data. While model performance is undoubtedly essential for medical image analysis, model trust is equally important. To address these challenges, we propose TRUDLMIA, a trustworthy deep learning framework for medical image analysis, which leverages image features learned through self-supervised learning and utilizes a novel surrogate loss function to build trustworthy models with optimal performance. The framework is validated on three benchmark data sets for detecting pneumonia, COVID-19, and melanoma, and the created models prove to be highly competitive, even outperforming those designed specifically for the tasks. Furthermore, we conduct ablation studies, cross-validation, and result visualization and demonstrate the contribution of proposed modules to both model performance (up to 21%) and model trust (up to 5%). We expect that the proposed framework will support researchers and clinicians in advancing the use of deep learning for dealing with public health crises, improving patient outcomes, increasing diagnostic accuracy, and enhancing the overall quality of healthcare delivery.


Assuntos
COVID-19 , Aprendizado Profundo , Melanoma , Humanos , Inteligência Artificial , COVID-19/diagnóstico , Benchmarking
4.
Nanotechnology ; 31(31): 315102, 2020 Jul 31.
Artigo em Inglês | MEDLINE | ID: mdl-32315999

RESUMO

Nowadays, extensive research is being carried out to find innovative solutions for the development of stable, reproductible, and highly efficient fluorescent contrast agents with the ability of targeting specific cells, which can be further implemented for fluorescent-guided surgery in a real clinical setting. The present study is focused on the development of fluorescent dye-loaded protein nanoparticles (NPs) to overcome the drawbacks of the standard administration of free organic fluorophores, such as cytotoxicity, aqueousinstability, and rapid photo-degradation. Precisely, human serum albumin (HSA) NPs loaded with two different FDA approved dyes, namely indocyanine green (ICG) and fluorescein isothiocyanate (FITC), with a fluorescence response in the near-infrared and visible spectral domains, respectively, have been successfully designed. Even though the diameter of fluorescent HSA NPs is around 30 nm as proven by dynamic light scattering and transmission electron microscopy investigations, they present good loading efficiencies of almost 50% for ICG, and over 30% for FITC and a high particle yield of over 75%. Molecular docking simulations of ICG and FITC within the structure of HSA confirmed that the dyes were loaded inside the NPs, and docked in Site I (subdomain IIA) of the HSA molecule. After the confirmation of their high fluorescence photostability, the NPs were covalently conjugated with folic acid (HSA-FA NPs) in order to bind specifically to the folate receptor alpha (FRα) protein overexpressed on NIH:OVCAR3 ovarian cancer cells. Finally, fluorescence microscopy imaging investigations validate the improved internalization of folate targeted HSA&FITC NPs compared to cells treated with untargeted ones. Furthermore, TEM examinations of the distribution of HSA NPs into the NIH:OVCAR3 cells revealed anincreased number of NP-containing vesicles for the cells treated with HSA-FA NPs, compared to the cells exposed to untargeted HAS NPs, upholding the enhanced cellular uptake through FRα-mediated potocytosis.


Assuntos
Receptor alfa de Estrogênio/metabolismo , Corantes Fluorescentes/química , Ácido Fólico/farmacologia , Neoplasias Ovarianas/metabolismo , Albumina Sérica Humana/química , Linhagem Celular Tumoral , Sobrevivência Celular , Feminino , Fluoresceína-5-Isotiocianato/química , Ácido Fólico/química , Humanos , Verde de Indocianina/química , Simulação de Acoplamento Molecular , Nanopartículas , Regulação para Cima
5.
Microsc Microanal ; 25(5): 1234-1245, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31526405

RESUMO

In this study, we characterized secretory granules in somatotroph (STCs) and corticotroph (CTCs) cells from the anterior pituitary of rats, in conjunction with different experimental treatments with bee venom (BV). In the rats injected for 30 days with daily BV doses equivalent to one sting, we found significant changes in secretory granules' diameter: reduced by 48.15% in STCs and increased by 5.09% in CTCs, and especially a shift to gray into their intensity profile: increased by 237.04% in STCs and by 212.38% in CTCs. In the rats injected with a single high BV dose, the granules' diameter was reduced in both STCs (by 7.14%) and CTCs (by 4.67%-significant) and their gray intensity profile increased by 200% in STCs and by 51.71% in CTCs (both are significant). The changes in the gray profile reflected a reduced content of granules in the cells, consistent with an increase of the plasma levels of GH and ACTH in all cases. We concluded that the reduced hormone cargo of granules in STCs and CTCs resulted from an accelerated cell secretion. The results obtained for the two types of cells correlated, indicating a similar reaction of these secretory cells to the prolonged and acute presence of BV in the organism.


Assuntos
Venenos de Abelha/administração & dosagem , Secreções Corporais/efeitos dos fármacos , Corticotrofos/efeitos dos fármacos , Hormônios/metabolismo , Somatotrofos/efeitos dos fármacos , Animais , Ratos , Vesículas Secretórias/metabolismo
6.
J BUON ; 23(3): 800-813, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30003755

RESUMO

PURPOSE: Glioblastoma is a rapidly evolving lethal disease mainly due to its highly chemo- and radioresistant glioblastoma stem cells (GSCs). Herein, we tested if chitosan-capped gold nanoparticles (Chit-GNPs) may overcome the limitations of drug concentrations by increased cell internalization in GSCs and if such GNPs could enhance the response to irradiation. METHODS: Chitosan was used for Chit-GNP synthesis as a reducing and stabilizing agent. Chit-GNPs were characterized by spectroscopy, dark field, transmission electron microscopy and zeta potential measurements. Patient-derived GSCs and human osteoblasts were treated with increasing concentrations of nanoparticles and irradiated. The uptake and cytotoxicity of Chit-GNPs were compared to that of uncoated GNPs. RESULTS: The positively-charged, 26 nm-sized, spherical Chit-GNPs, showed a huge intracellular accumulation into the cytosol, lysosomes and near the nucleus, whereas no uncoated GNPs were internalized within GSCs. Surprisingly, Chit-GNPs were highly cytotoxic for GSCs irrespective of cell irradiation, that failed to add an additional benefit when combined with Chit-GNPs/GNPs. Moreover, Chit-GNPs were selectively cytotoxic for GSCs and did not affect the normal cells, despite an increased nanoparticle internalization. CONCLUSIONS: The important Chit-GNP internalization and their selective cytotoxicity for GSCs make this compound a potential novel anticancer agent and a promising backbone for drug delivery in glioblastoma.


Assuntos
Quitosana/administração & dosagem , Glioblastoma/tratamento farmacológico , Ouro/administração & dosagem , Nanopartículas Metálicas/administração & dosagem , Células-Tronco/efeitos dos fármacos , Linhagem Celular Tumoral , Sistemas de Liberação de Medicamentos/métodos , Humanos
7.
Molecules ; 21(10)2016 Oct 13.
Artigo em Inglês | MEDLINE | ID: mdl-27754394

RESUMO

Efficient use of magnetic hyperthermia in clinical cancer treatment requires biocompatible magnetic nanoparticles (MNPs), with improved heating capabilities. Small (~34 nm) and large (~270 nm) Fe3O4-MNPs were synthesized by means of a polyol method in polyethylene-glycol (PEG) and ethylene-glycol (EG), respectively. They were systematically investigated by means of X-ray diffraction, transmission electron microscopy and vibration sample magnetometry. Hyperthermia measurements showed that Specific Absorption Rate (SAR) dependence on the external alternating magnetic field amplitude (up to 65 kA/m, 355 kHz) presented a sigmoidal shape, with remarkable SAR saturation values of ~1400 W/gMNP for the small monocrystalline MNPs and only 400 W/gMNP for the large polycrystalline MNPs, in water. SAR values were slightly reduced in cell culture media, but decreased one order of magnitude in highly viscous PEG1000. Toxicity assays performed on four cell lines revealed almost no toxicity for the small MNPs and a very small level of toxicity for the large MNPs, up to a concentration of 0.2 mg/mL. Cellular uptake experiments revealed that both MNPs penetrated the cells through endocytosis, in a time dependent manner and escaped the endosomes with a faster kinetics for large MNPs. Biodegradation of large MNPs inside cells involved an all-or-nothing mechanism.


Assuntos
Compostos Férricos/farmacocinética , Hipertermia Induzida/métodos , Nanopartículas de Magnetita/química , Tamanho da Partícula , Adsorção , Animais , Linhagem Celular , Sobrevivência Celular/efeitos dos fármacos , Etilenoglicol/química , Compostos Férricos/química , Humanos , Campos Magnéticos , Camundongos , Microscopia Eletrônica de Transmissão , Polietilenoglicóis/química , Difração de Raios X
8.
Anal Chem ; 87(5): 2755-63, 2015 Mar 03.
Artigo em Inglês | MEDLINE | ID: mdl-25630982

RESUMO

The development of a chiral electrochemical sensor using an electrogenerated molecularly imprinted polymer (MIP)-based ultrathin film using R(+)-atenolol (ATNL) as a template was reported. The proposed sensor exhibited distinctive enantiospecific oxidation peaks toward the R-antipodes of four ß-blocker representatives and additional oxidation peaks common to both enantiomers of each studied ß-blocker, allowing thus the simultaneous analysis of all of their enantiomers in a single analysis. The specific preconditioning of the polymer by alternative exposure to aqueous and nonaqueous medium was proven to be essential for the chiral recognition ability of the obtained sensor. The rebinding property of the MIP film was studied by using a well-known redox probe, a change in the morphology and diffusive permeability of the thin polymeric layer in the presence of its template being observed. The applicability of the optimized analytical procedure was demonstrated by the analysis of ATNL's enantiomers in the range of 1.88 × 10(-7)-1.88 × 10(-5) mol/L. The developed polymeric interface is the first reported transductor of a chiral electrochemical sensor able to exhibit simultaneous enantiospecificity toward several ß-blocker representatives extensively used in the pharmaceutical and biomedical fields, offering good prospects in the simple, cost-effective, and fast assessment of their enantiomeric ratio and total concentration.


Assuntos
Antagonistas Adrenérgicos beta/análise , Atenolol/análise , Materiais Biomiméticos/química , Técnicas Biossensoriais/métodos , Técnicas Eletroquímicas/métodos , Impressão Molecular/métodos , Polímeros/química , Antagonistas Adrenérgicos beta/química , Atenolol/química , Eletrodos , Microscopia Eletrônica de Varredura , Espectroscopia de Infravermelho com Transformada de Fourier , Estereoisomerismo
9.
Microsc Microanal ; 21(5): 1249-63, 2015 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-26315895

RESUMO

The aim of the present study was to isolate human mesenchymal stem cells (MSCs) from palatal connective and periodontal granulation tissues and to comparatively evaluate their properties. MSCs were isolated using the explant culture method. Adherence to plastic, specific antigen makeup, multipotent differentiation potential, functionality, and ultrastructural characteristics were investigated. The frequency of colony-forming unit fibroblasts for palatal-derived mesenchymal stem cells (pMSCs) was significantly higher than that of granulation tissue-derived mesenchymal stem cells (gtMSCs). A significantly higher population doubling time and lower migration potential were recorded for gtMSCs than for pMSCs. Both cell lines were positive for CD105, CD73, CD90, CD44, and CD49f, and negative for CD34, CD45, and HLA-DR, but the level of expression was different. MSCs from both sources were relatively uniform in their ultrastructure. Generally, both cell lines possessed a large, irregular-shaped euchromatic nucleus, and cytoplasm rich in mitochondria, lysosomes, and endoplasmic reticulum. The periphery of the plasma membrane displayed many small filopodia. MSCs from both cell lines were successfully differentiated into osteogenic, adiopogenic, and chondrogenic lineages. Both healthy and diseased tissues may be considered as valuable sources of MSCs for regenerative medicine owing to the high acceptance and fewer complications during harvesting.


Assuntos
Tecido Conjuntivo , Células-Tronco Mesenquimais/fisiologia , Mucosa Bucal/citologia , Adulto , Antígenos CD/análise , Diferenciação Celular , Membrana Celular/ultraestrutura , Movimento Celular , Proliferação de Células , Células Cultivadas , Ensaio de Unidades Formadoras de Colônias , Perfilação da Expressão Gênica , Antígenos HLA-DR/análise , Voluntários Saudáveis , Humanos , Células-Tronco Mesenquimais/química , Células-Tronco Mesenquimais/ultraestrutura , Microscopia , Organelas/ultraestrutura , Doenças Periodontais , Adulto Jovem
10.
Microsc Microanal ; 21(5): 1236-48, 2015 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-26343528

RESUMO

Two polyoxometalates (POMs), synthesized through a self-assembling method, were used in the treatment of streptozotocin (STZ)-induced diabetic rats. One of these nanocompounds [tris(vanadyl)-substituted tungsto-antimonate(III)-anions­POM1] was previously described in the literature, whereas the second [tris-butyltin-21-tungsto-9-antimonate(III)-anions­POM2], was prepared by us based on our original formula. In rats with STZ-induced diabetes treated with POMs (up to a cumulative dose of 4 mg/kg bodyweight at the end of the treatments), statistically significant reduced levels of blood glucose were measured after 3 weeks, as compared with the diabetic control groups (DCGs). Ultrastructural analysis of pancreatic ß-cells (including the mean diameter of secretory vesicles and of their insulin granules) in the treated diabetic rats proved the POMs contribute to limitation of cellular degeneration triggered by STZ, as well as to the presence of increased amounts of insulin-containing vesicles as compared with the DCG. The two POMs also showed hepatoprotective properties when ultrastructural aspects of hepatocytes in the experimental groups of rats were studied. Based on our in vivo studies, we concluded that the two POMs tested achieved hypoglycemiant effects by preventing STZ-triggered apoptosis of pancreatic ß-cells and stimulation of insulin synthesis.


Assuntos
Glicemia/análise , Diabetes Mellitus Experimental/tratamento farmacológico , Hipoglicemiantes/administração & dosagem , Células Secretoras de Insulina/ultraestrutura , Organelas/ultraestrutura , Pâncreas/patologia , Compostos de Tungstênio/administração & dosagem , Animais , Hepatócitos/ultraestrutura , Masculino , Ratos Wistar , Resultado do Tratamento
11.
Microsc Microanal ; 21(4): 837-48, 2015 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-26040442

RESUMO

The aim of the present research was to trace CD34+ stromal fibroblastic cells (CD34+ SFCs) in the palatal connective tissue harvested for muco-gingival surgical procedures and in granulation tissues from periodontal pockets using immunohistochemical and transmission electron microscopy. Immunohistochemical analysis targeted the presence of three antigens: CD31, α-smooth muscle actin (α-SMA), and CD34. In the palate, CD31 staining revealed a colored inner ring of the vessels representing the endothelium, α-SMA+ was located in the medial layer of the vasculature, and CD34 was intensely expressed by endothelial cells and artery adventitial cells (considered to be CD34+ SFCs). Granulation tissue showed the same pattern for CD31+ and α-SMA, but a different staining pattern for CD34. Ultrastructural examination of the palatal tissue highlighted perivascular cells with fibroblast-like characteristics and pericytes in close spatial relationship to endothelial cells. The ultrastructural evaluation of granulation tissue sections confirmed the presence of neovasculature and the inflammatory nature of this tissue. The present study traced the presence of CD34+ SFCs and of pericytes in the palatal connective tissue thus highlighting once more its intrinsic regenerative capabilities. The clinical and systemic factors triggering mobilization and influencing the fate of local CD34+SCFs and other progenitors are issues to be further investigated.


Assuntos
Antígenos CD34/análise , Fibroblastos/fisiologia , Gengiva/fisiologia , Tecido de Granulação/crescimento & desenvolvimento , Mucosa Bucal/fisiologia , Palato/fisiologia , Regeneração , Fibroblastos/química , Gengiva/citologia , Humanos , Imuno-Histoquímica , Microscopia Eletrônica de Transmissão , Mucosa Bucal/citologia , Palato/citologia , Pericitos/química , Pericitos/fisiologia
12.
Nanotechnology ; 25(6): 065102, 2014 Feb 14.
Artigo em Inglês | MEDLINE | ID: mdl-24434767

RESUMO

Multidimensional scaffolds are considered to be ideal candidates for regenerative medicine and tissue engineering based on their potential to provide an excellent microenvironment and direct the fate of the cultured cells. More recently, the use of stem cells in medicine has opened a new technological opportunity for controlled tissue formation. However, the mechanism through which the substrate directs the differentiation of stem cells is still rather unclear. Data concerning its specific surface chemistry, topology, and its signaling ability need to be further understood and analyzed. In our study, atomic force microscopy was used to study the stiffness, roughness, and topology of the collagen (Coll) and metallized collagen (MC) substrates, proposed as an excellent substrate for regenerative medicine. The importance of signaling molecules was studied by constructing a new hybrid signaling substrate that contains both collagen and laminin extracellular matrix (ECM) proteins. The cellular response-such as attachment capability, proliferation and cardiac and neuronal phenotype expression on the metallized and non-metallized hybrid substrates (collagen + laminin)-was studied using MTT viability assay and immunohistochemistry studies. Our findings indicate that such hybrid materials could play an important role in the regeneration of complex tissues.


Assuntos
Biomimética , Técnicas de Cultura de Células , Diferenciação Celular/efeitos dos fármacos , Medicina Regenerativa/métodos , Engenharia Tecidual/métodos , Materiais Biocompatíveis/química , Sobrevivência Celular , Colágeno/química , Matriz Extracelular/metabolismo , Humanos , Imuno-Histoquímica , Laminina/química , Nanopartículas Metálicas/química , Microscopia de Força Atômica , Miócitos Cardíacos/citologia , Neurônios/efeitos dos fármacos , Fenótipo , Espectroscopia Fotoeletrônica , Regeneração , Transdução de Sinais , Células-Tronco/citologia , Propriedades de Superfície , Alicerces Teciduais
13.
Biomolecules ; 14(6)2024 Jun 04.
Artigo em Inglês | MEDLINE | ID: mdl-38927059

RESUMO

Hepatocellular carcinoma is the most common primary malignancy of the liver, with hepatocellular differentiation. It is ranked sixth among the most common cancers worldwide and is the third leading cause of cancer-related deaths. The most important etiological factors discussed here are viral infection (HBV, HCV), exposure to aflatoxin B1, metabolic syndrome, and obesity (as an independent factor). Directly or indirectly, they induce chromosomal aberrations, mutations, and epigenetic changes in specific genes involved in intracellular signaling pathways, responsible for synthesis of growth factors, cell proliferation, differentiation, survival, the metastasis process (including the epithelial-mesenchymal transition and the expression of adhesion molecules), and angiogenesis. All these disrupted molecular mechanisms contribute to hepatocarcinogenesis. Furthermore, equally important is the interaction between tumor cells and the components of the tumor microenvironment: inflammatory cells and macrophages-predominantly with a pro-tumoral role-hepatic stellate cells, tumor-associated fibroblasts, cancer stem cells, extracellular vesicles, and the extracellular matrix. In this paper, we reviewed the molecular biology of hepatocellular carcinoma and the intricate mechanisms involved in hepatocarcinogenesis, and we highlighted how certain signaling pathways can be pharmacologically influenced at various levels with specific molecules. Additionally, we mentioned several examples of recent clinical trials and briefly described the current treatment protocol according to the NCCN guidelines.


Assuntos
Carcinogênese , Carcinoma Hepatocelular , Neoplasias Hepáticas , Humanos , Carcinoma Hepatocelular/genética , Carcinoma Hepatocelular/metabolismo , Carcinoma Hepatocelular/patologia , Neoplasias Hepáticas/genética , Neoplasias Hepáticas/metabolismo , Neoplasias Hepáticas/patologia , Carcinogênese/genética , Carcinogênese/patologia , Microambiente Tumoral/genética , Transdução de Sinais , Animais
14.
Heliyon ; 10(9): e30282, 2024 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-38707289

RESUMO

This study delves into the profound impact of mega-events on a destination's perception, focusing notably on Qatar's hosting experience during the FIFA World Cup 2022. Employing a qualitative longitudinal research approach, data is drawn from a variety of sources including Scopus articles, international studies, tourism records, newspapers, and interviews with diverse stakeholders such as visitors, tourism experts, executives, and government officials. Through an inductive content analysis of this extensive dataset, the authors identify key influencing factors. They meticulously examine a decade-long evolution using assessments from independent travel and tourism rating organizations alongside various metrics. The findings reveal a significant uptick in Qatar's allure and inbound tourism. Factors contributing to this surge are systematically categorized, with transportation and events infrastructure, hospitality and accommodation facilities, and media exposure emerging as consistent themes across host nations. Additionally, contextual factors like security/safety, culture/heritage, and diversity are highlighted for their pivotal role in shaping a destination's image. This research underscores how mega-events act as catalysts for reshaping Qatar's destination identity and attracting inbound tourism, as evidenced by a range of indicators contingent upon maintaining both universal and contextual factors. It emphasizes the importance of a strategic vision that nurtures these factors over time, aligning with the destination's life cycle to forge a lasting legacy. Furthermore, the study illuminates how mega-events can bolster soft power for small countries lacking significant natural or historical attractions, providing valuable insights for policymakers and marketers to devise effective strategies.

15.
Diagnostics (Basel) ; 14(4)2024 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-38396469

RESUMO

COVID-19-associated rhino-orbital mucormycosis has become a new clinical entity. This study's aim was to evaluate the histopathological and ultramicroscopic morphological aspects of this fungal infection. This was an observational retrospective study on eight patients from three tertiary centers in Romania. The tissue samples collected during functional endoscopic sinus surgery were studied through histopathological examination, scanning electron microscopy, and transmission electron microscopy. In the histopathological examination, the morphological aspects characteristic of mucormycosis in all cases were identified: wide aseptate hyphae with right-angle ramifications, which invade blood vessels. One case presented perineural invasion into the perineural lymphatics. And in another case, mucormycosis-aspergillosis fungal coinfection was identified. Through scanning electron microscopy, long hyphae on the surface of the mucosa surrounded by cells belonging to the local immune system were identified in all samples, and bacterial biofilms were identified in half of the samples. Through transmission electron microscopy, aseptate hyphae and bacterial elements were identified in the majority of the samples. Rhino-orbital-cerebral mucormycosis associated with COVID-19 produces nasal sinus dysbiosis, which favors the appearance of bacterial biofilms. The way in which the infection develops depends on the interaction of the fungi with cells of the immune system.

16.
BMC Complement Altern Med ; 13: 71, 2013 Apr 02.
Artigo em Inglês | MEDLINE | ID: mdl-23548080

RESUMO

BACKGROUND: Infertility is a common complication in diabetic men and experimental animals, mainly due to loss of germ cells by apoptotic cell death. The aim of this study was to evaluate the effects of aqueous and ethanol extracts of Dracaena arborea in streptozotocin-induced ultra-structural spermatogenic alterations in Wistar rats. METHODS: Diabetic animals were orally treated with Millipore water (10 ml/kg), sildenafil citrate (1.44 mg/kg) or Dracaena arborea aqueous (500 mg/kg) and ethanol (100 mg/kg) extracts for three weeks. A group of non diabetic rats received Millipore water (10 ml/kg) and served as healthy control group. Blood glucose was monitored at the beginning and the end of the study. One day after the last treatment, animals were sacrificed and the testes immediately removed were morphologically observed and prepared for electron microscopy analysis of spermatogenesis. RESULTS: Our results showed that Dracaena arborea was devoid of any anti-hyperglycemic activity. In the untreated diabetic rats, hyperglycemia severely damaged the testes morphology as well as the spermatogenic process as evidenced by the: thickness of basement membrane of the seminiferous tubule; mitochondria alteration; abnormal spermatocyte cells displaying polymorphous nuclei, cytoplasmic vacuolization and necrosis; and disorganization and degeneration of sperm germ cells. Administration of sildenafil citrate and Dracaena arborea extracts to the diabetic rats improved testes morphology and reversed, although not completely, the impairment of spermatogenesis; this alleviating effect was more pronounced in animals treated with the aqueous extract (500 mg/kg) of Dracaena arborea. CONCLUSION: Dracaena arborea improves testes morphology and restores spermatogenesis in type 1 diabetic rats, without having major anti-hyperglycemic properties. These effects could be attributed to saponins, flavonoids, phenols and sterols revealed in this plant, which could be a useful component in the treatment of diabetes-induced testicular dysfunction.


Assuntos
Diabetes Mellitus Experimental/complicações , Dracaena/química , Infertilidade Masculina/tratamento farmacológico , Extratos Vegetais/administração & dosagem , Espermatozoides/efeitos dos fármacos , Animais , Glicemia/metabolismo , Diabetes Mellitus Experimental/metabolismo , Diabetes Mellitus Experimental/fisiopatologia , Humanos , Infertilidade Masculina/etiologia , Infertilidade Masculina/metabolismo , Infertilidade Masculina/fisiopatologia , Masculino , Ratos , Ratos Wistar , Espermatogênese/efeitos dos fármacos , Espermatozoides/ultraestrutura , Testículo/anatomia & histologia , Testículo/efeitos dos fármacos
17.
Microsc Microanal ; 19(2): 393-405, 2013 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-23375112

RESUMO

Ultrastructural answer of bone marrow erythroid series and of red blood cells (RBCs) in Wistar rats to bee venom (BV) was analyzed by transmission and scanning electron microscopy, and corroborated with hematological data. A 5-day and a 30-day treatment with daily doses of 700 µg BV/kg and an acute-lethal treatment with a single dose of 62 mg BV/kg were performed. The 5-day treatment resulted in a reduced cellularity of the bone marrow, with necrosed proerythroblasts, polymorphous erythroblasts, and reticulocytes with cytoplasmic extensions, and a lower number of larger RBCs, with poikilocytosis (acanthocytosis) and anisocytosis, and reduced concentrations of hemoglobin. After the 30-day treatment, the bone marrow architecture was restored, but polymorphous erythroblasts and reticulocytes with thin extensions could still be observed, while the RBCs in higher number were smaller, many with abnormal shapes, especially acanthocytes. The acute treatment produced a partial depopulation of the bone marrow and ultrastructural changes of erythroblasts including abnormal mitochondrial cristae. The RBCs in lower number were bigger and crenated, with reduced concentrations of hemoglobin. Overall, BV was able to promote stress erythropoiesis in a time- and dose-related manner, mitochondrial cristae modification being a critical factor involved in the toxicity of the BV high doses.


Assuntos
Venenos de Abelha/farmacologia , Células da Medula Óssea/efeitos dos fármacos , Eritrócitos/efeitos dos fármacos , Eritropoese/efeitos dos fármacos , Animais , Venenos de Abelha/administração & dosagem , Medula Óssea/fisiologia , Medula Óssea/ultraestrutura , Células da Medula Óssea/ultraestrutura , Eritroblastos/ultraestrutura , Contagem de Eritrócitos , Eritrócitos/ultraestrutura , Microscopia Eletrônica de Transmissão e Varredura , Ratos , Ratos Wistar
18.
Microsc Microanal ; 19(2): 370-80, 2013 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-23425444

RESUMO

The aim of this study was to analyze whether the mesenchymal stromal cells (MSCs) isolated from palatal tissue grafts harvested in order to cover gingival recessions have the basic characteristics of stem cells. The palatal tissue cells were processed using a special culture medium that stimulated the development of only undifferentiated cellular lines. Cells at passage 4 were evaluated by flow cytometry to examine the expression of specific surface markers and were tested for multilineage differentiation capacity. These cells collected at passage 4 were also investigated for the capacity to cluster into embryoid body aggregates. Palatal MSCs displayed positive staining for the mesenchymal markers CD29, CD73, CD105, CD 49e, and CD44, but did not express hematopoietic markers CD34/45. The palatal MSCs successfully differentiated into osteogenic, adipogenic, and chondrogenic lineages. When seeded in special conditions, palatal MSCs propagated into unattached spheres resembling embryoid body aggregates consisting both of differentiated and undifferentiated cells as revealed at the ultrastructural evaluation. It is concluded that the isolated palatal MSCs fulfilled the basic criteria defining the stem cells. This new source of stem cells characterized here for the first time opens new perspectives on possible applications in basic research and in regenerative medicine.


Assuntos
Diferenciação Celular , Epitélio/transplante , Células-Tronco Mesenquimais/citologia , Células-Tronco Mesenquimais/metabolismo , Palato/citologia , Adipócitos/citologia , Adulto , Proliferação de Células , Células Cultivadas , Condrócitos/citologia , Feminino , Citometria de Fluxo , Humanos , Osteoblastos/citologia
19.
Toxicon ; 229: 107136, 2023 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-37116588

RESUMO

Bee stings represent a public health subject, but the mechanisms involved in bee venom toxicity are not yet fully understood. To evaluate the reactions of adrenocortical cells, through which organisms respond to stress, two honeybee venom components: melittin (Mlt) and phospholipase A2 (PLA2) were tested as potential chemical stressors. Modifications were investigated with transmission electron microscopy and microanalysis. A single dose of Mlt (31 mg/kg) or PLA2 (9.3 mg/kg) was injected in rats of groups ML and PL; daily doses of Mlt (350 µg/kg) or PLA2 (105 µg/kg) were injected 30 days in rats of groups M30 and P30. Adrenocortical cells in ML group showed ultrastructural degenerative alterations of nuclei, endoplasmic reticulum, and mitochondria that exhibited lipid inclusions and mitochondrial cristae (MC) re-organized into mono- or multimembrane large vesicles, and whorls of membranes. Many MC were degenerated. In the M30 group, similar ultrastructural changes, but of lower amplitude were noted; lipid cytosolic droplets were heterogenous. MC diameters in Mlt groups (melittin treated groups) were significantly higher than in control (C) group. In PL group, mitochondria contained large lipid inclusions, vesicular MC of different sizes and multiple membranes, and debris, or whorl structures. In P30 group MC were tubular with increased diameters. In both PLA2 groups (PLA2 treated groups) MC were significantly larger than in C group. We concluded that Mlt and PLA2 were powerful stressors, toxic at the tested doses, cellular reactions concerning in all groups mainly mitochondria, but also other cellular compartments. Apart from degenerative regression of MC, the rearrangement of tubular MC occurred into one or multiple large multimembrane vesicular MC. Reactions to the high doses were more pronounced, with the highest amplitude in ML group, and the lowest in P30 group.


Assuntos
Venenos de Abelha , Mordeduras e Picadas de Insetos , Abelhas , Ratos , Animais , Venenos de Abelha/toxicidade , Venenos de Abelha/química , Meliteno/toxicidade , Fosfolipases A2 , Mitocôndrias , Lipídeos
20.
Biol Trace Elem Res ; 201(2): 766-775, 2023 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-35262856

RESUMO

BACKGROUND: Aluminum and indium are widely used in industrial manufacturing, in pharmaceutical products, in medical treatments, and in food packaging, so they could reach organisms by different way. In order to clarify whether these elements are dangerous, we already demonstrated the ultrastructural modifications observed in the testicles, the epididymides, and the seminal vesicles of rat. Their pro-oxidative effect was also confirmed concomitantly to a decrease in anti-oxidant defenses in the blood, the testicles, and the liver. Thus, it seemed very logic to evaluate damages in the reproductive organs, especially on the exocrine and endocrine functions of the testicles. METHODS: Aluminum and indium were intraperitoneally administered to male Wistar rats. Sperm solution was obtained from cauda epididymides. Motility, viability, density, and malformation of spermatozoa solution were assessed. Serum total unconjugated testosterone concentrations were measured using RIA technique. RESULTS: Our results showed a decrease in weight of the testicles, epididymides, and seminal vesicles of indium-treated rats and an increase in the weight of their kidneys. A decrease in motility, viability, and density of epididymides stored sperm as well as generation of many spermatozoa malformations was also observed especially in indium-treated rats. Testosterone levels were increased in indium but were enhanced in aluminum group. This confirmed our previous studies showing that aluminum and indium are toxic for the testicular tissues. This could be explained by the generation of reactive oxygen species (ROS) affecting strongly the exocrine and the endocrine functions of the testicles. CONCLUSION: Aluminum and indium are disturbing elements for the exocrine and endocrine functions of rat testicles.


Assuntos
Alumínio , Índio , Masculino , Ratos , Animais , Ratos Wistar , Índio/farmacologia , Alumínio/toxicidade , Tamanho do Órgão , Sêmen , Espermatozoides , Testículo , Testosterona , Motilidade dos Espermatozoides , Contagem de Espermatozoides
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