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1.
Food Qual Prefer ; 99: 104559, 2022 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-35169381

RESUMO

The COVID-19 pandemic resulted in severe, unprecedented changes affecting the world population. Restrictions in mobility, social distancing measures, and the persistent social alarm, during the first period of pandemic, resulted in dramatic lifestyle changes and affected physical and psychological wellbeing on a global scale. An international research team was constituted to develop a study involving different countries about eating motivations, dietary habits and behaviors related with food intake, acquisition, and preparation. This study presents results of an online survey, carried out during the first lockdown, in 2020, assessing food-related behavior and how people perceived them to change, comparatively to the period preceding the COVID-19 outbreak. A total of 3332 responses, collected from 16 countries, were considered for analysis [72.8% in Europe, 12.8% in Africa, 2.2% in North America (USA) and 12.2% in South America]. Results suggest that the main motivations perceived to drive food intake were familiarity and liking. Two clusters were identified, based on food intake frequency, which were classified as "healthier" and "unhealthier". The former was constituted by individuals with higher scholarity level, to whom intake was more motivated by health, natural concerns, and weight control, and less by liking, pleasure or affect regulation. The second cluster was constituted by individuals with a higher proportion of male and intake more influenced by affect-related motivations. During this period, a generalized lower concern with the convenience attributes of foods was noted (namely, choice of processed products and fast-food meals), alongside an increase in time and efforts dedicated to home cooking. Understanding the main changes and their underlying motivations in a time of unprecedented crisis is of major importance, as it provides the scientific support that allows one to anticipate the implications for the future of the global food and nutrition system and, consequently, to take the appropriate action.

2.
J Nat Prod ; 84(4): 1373-1384, 2021 04 23.
Artigo em Inglês | MEDLINE | ID: mdl-33822611

RESUMO

Brown algae and soft corals represent the main marine sources of dolabellane diterpenes. The antiviral activity of dolabellanes has been studied for those isolated from algae, whereas dolabellanes isolated from soft corals have been barely studied. In this work, a collection of dolabellane diterpenes consisting of five natural and 21 semisynthetic derivatives was constructed, and their antiviral activities against Zika (ZIKV) and Chikungunya (CHIKV) viruses were tested. Dolabellatrienone (1) and (1R,7R,8R,11S)-7,8-epoxy-13-keto-dolabella-3,12(18)-diene (2), isolated from Eunicea genus soft corals, were employed to obtain 21 dolabellane and dolastane diterpenes by reactions such as allylic oxidations, reductions, acid-catalyzed epoxide ring opening, and acetylations. All of the compounds were identified by a combination of one- and two-dimensional NMR, mass spectrometry, and X-ray diffraction experiments. The cytotoxicites against Vero cells and the antiviral activities against ZIKV and CHIKV was tested to calculate the half-maximal effective concentration (EC50) and selectivity indexes (SIs). In general, the addition of oxygen-containing functional groups improved the bioactivity of dolabellane and dolastane diterpenes against ZIKV and CHIKV replication. Compound 9 showed an EC50 = 0.92 ± 0.08 µM and SI = 820 against ZIKV.


Assuntos
Antozoários/química , Antivirais/farmacologia , Vírus Chikungunya/efeitos dos fármacos , Diterpenos/farmacologia , Zika virus/efeitos dos fármacos , Animais , Antivirais/síntese química , Região do Caribe , Chlorocebus aethiops , Colômbia , Diterpenos/síntese química , Estrutura Molecular , Oxigênio/química , Células Vero
3.
Arch Psychiatr Nurs ; 31(4): 376-385, 2017 08.
Artigo em Inglês | MEDLINE | ID: mdl-28693874

RESUMO

The goal of this research project was to develop a new questionnaire to assess resilience in Bipolar Disorder (BD), the Resilience Questionnaire for Bipolar Disorder (RBD). To examine its psychometric properties, a sample of 125 patients diagnosed with BD and a comparison sample of 107 people completed the new RBD and established measures of generic resilience and health-related outcomes. Exploratory factor analysis for the RBD yielded a 23-item 5-factor solution, and confirmatory factor analysis indicated adequate fit indices. Internal consistency, stability, concurrent validation and known-groups' validity were also supported. The RBD obtained higher responsiveness (6-month follow-up) than the generic resilience scale (BD sample). The RBD is a robust measure to monitor resilience in BD.


Assuntos
Transtorno Bipolar/psicologia , Resiliência Psicológica , Inquéritos e Questionários/normas , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Psicometria/estatística & dados numéricos , Reprodutibilidade dos Testes
4.
Arch Virol ; 159(7): 1827-33, 2014 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-24493066

RESUMO

Bovine herpesvirus type 5 (BoHV-5) is an etiologic agent of meningoencephalitis in cattle. The aim of this study was to evaluate the antiviral potential of a series of synthetic Mannich bases derived from lawsone and to investigate at which stage of the BoHV-5 replicative cycle the compounds might be acting. The most potent and selective inhibitor exhibited CC50 and EC50 values of 1867 µM ± 8.3 and 3.8 µM ± 1.2, respectively (ACV: 989 µM ± 2 and 166 µM ± 2, respectively).


Assuntos
Antivirais/farmacologia , Herpesvirus Bovino 5/efeitos dos fármacos , Naftoquinonas/farmacologia , Replicação Viral/efeitos dos fármacos , Aciclovir/farmacologia , Animais , Antivirais/química , Linhagem Celular , Cães , Relação Dose-Resposta a Droga , Herpesvirus Bovino 5/fisiologia , Estrutura Molecular , Naftoquinonas/química , Ensaio de Placa Viral
5.
J AOAC Int ; 96(4): 745-50, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-24000746

RESUMO

A sensitive, selective, and rapid ultra-performance LC (UPLC)/MSIMS method was validated for the confirmation and quantification of clonazepam in human plasma. The analyte was extracted from human plasma with diethyl ether, reaching an average recovery of 64.02 and 66.48% for clonazepam and the internal standard, respectively. The separation was performed on a Waters ACQUITY UPLC BEH C18 column (50 x 2.1 mm id, 1.7 microm particle size) with gradient elution at a flow rate of 0.25 mL/min using a 0.5% formic acid solution (mobile phase A) and acetonitrile-methanol-formic acid (75+25 + 0.5, v/v/v; mobile phase B). Detection was performed on a triple-quadruple tandem mass spectrometer in the multiple reaction monitoring mode via electrospray ionization. Linear calibration curves were obtained in the concentration range of 0.3-50.0 ng/mL, with an LOQ of 0.3 ng/mL. The intraday and interday precision (CV) values were below 10%, and accuracy (relative error) ranged from -2.6 to 6.6% at all QC levels. The suggested method was successfully applied for the determination of clonazepam in human plasma in a bioequivalence study.


Assuntos
Cromatografia Líquida/métodos , Clonazepam/sangue , Psicotrópicos/sangue , Espectrometria de Massas por Ionização por Electrospray/métodos , Espectrometria de Massas em Tandem/métodos , Calibragem , Humanos
6.
Nat Prod Res ; : 1-6, 2023 Dec 06.
Artigo em Inglês | MEDLINE | ID: mdl-38054811

RESUMO

Herpes simplex virus type 2 (HSV-2) is the most common agent of sexually transmitted infections around the world. Currently, no vaccine is available, and acyclovir is the reference compound in treatment HSV-2 infections. However, the emergence of resistant strains has reduced the efficacy in treatment. Several studies have shown marine seaweed biological activities, but there are no studies yet about the activity anti-HSV-2 of two its secundary metabolites, atomaric acid (1) and marine dolastane (2), isolated from Stypopodium zonale and Canistrocarpus cervicornis respectively. Therefore, we evaluated the anti-HSV-2 activity of compounds 1 and 2. Both compounds showed anti-HSV-2 activity with low cytotoxicity and compound 1 inactivated 90% of the viral particles at 50 µM. Both compounds inhibited the penetration and results in silico indicated the compound 1 as possible therapy alternative anti -HSV-2.

7.
Front Psychiatry ; 14: 1279342, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-38250270

RESUMO

Introduction: Few controlled trials have assessed the benefits of Mindfulness Based Cognitive Therapy (MBCT) on cognitive functions and brain-derived neurotrophic factor (BDNF) in bipolar disorder (BD). This study aims to evaluate the impact of MBCT adjunctive treatment on these variables. Main hypothesis was that MBCT would improve cognitive functioning and BDNF more than Psychoeducation and TAU. Methods: Randomized, multicenter, prospective and single-blinded trial. Included BD outpatients randomly assigned to three treatment arms: MBCT plus treatment as usual (TAU), Psychoeducation plus Tau and TAU. Cognitive functions were assessed with Continuous Performance Test-III, Stroop Test, Trail Making Test, Digit Span and Letter-Number Sequencing from Wechsler Adult Intelligence Scale III, Face Emotion Identification Task and Face Emotion Discrimination Task. BDNF serum level was measured with ELISA. Patients were assessed at baseline, 8 weeks and 6 months. Results: Eighty-four patients were recruited (TAU = 10, Psychoeducation = 34, MBCT = 40). No significant differences between treatment groups were found. MBCT does not achieve better results than Psychoeducation or TAU. Discussion: Being Psychoeducation and TAU efficient interventions, as well as the scarce duration of a more complex intervention, such as MBCT, are suggested as explanatory variables of these results. Trial registration: ClinicalTrials.gov: NCT02133170. Registered 04/30/2014.

8.
ACS Biomater Sci Eng ; 8(5): 1816-1828, 2022 05 09.
Artigo em Inglês | MEDLINE | ID: mdl-35452579

RESUMO

A novel multifunctional material was developed by hard TiN particle reinforcement addition to a ß-type Ti40Nb alloy, followed by surface functionalization, yielding the formation of a nanotubular layer. Corrosion and tribocorrosion behaviors were investigated in a phosphate-buffered saline solution at body temperature. The results revealed that the Ti40Nb-TiN composites presented similar ipass and E(i=0) values together with relatively similar Rox and Cox. However, its tribocorrosion resistance drastically improved (wear volume is almost 15 times lower than an unreinforced alloy) as a consequence of the load-carrying effect given by the reinforcement phases. The corrosion and tribocorrosion behaviors were further improved through surface functionalization as observed by significantly lower ipass and higher Rox values and almost undetectable wear volume loss from tribocorrosion tests due to the formation of a well-adhered anatase-rutile TiO2-based nanotubular layer.


Assuntos
Titânio , Ligas , Corrosão
9.
Einstein (Sao Paulo) ; 20: eRC0072, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36169552

RESUMO

To relate omphalocele and biliary atresia and investigate possible embryological correlations that justify the simultaneous occurrence. A female preterm newborn diagnosed as omphalocele; cesarean delivery, weight 2,500g, 46 XX karyotype. Initially, the newborn remained fasting and on parenteral nutrition, and enteral diet was introduced later, with good acceptance. On the 12th day of life, the newborn presented direct hyperbilirubinemia, increased levels of liver enzymes and fecal acholia, with a presumptive diagnosis of biliary atresia. However, the ultrasound was inconclusive, due to anatomical changes resulting from omphalocele. A surgical approach was chosen on the 37th day of life aiming to confirm diagnosis of biliary atresia and to repair omphalocele. During the surgical procedure, structural alterations compatible with biliary atresia were observed, later confirmed by pathological examination; a hepatoportoenterostomy was performed and the omphalocele was corrected. She evolved well in the postoperative period, with a decrease in direct bilirubin and liver enzymes, as well as resolution of fecal acholia, and was discharged in good clinical condition. This is a bizarre and extremely rare association, but the prognosis may be good when an early diagnosis is made and surgery performed, besides support and clinical management to prevent complications in the perioperative period. Although the pathogenesis of the diseases has not been fully defined yet, there is, to date, no direct relation between them. The association between omphalocele and biliary atresia is extremely uncommon, with only two published cases.


Assuntos
Atresia Biliar , Colestase , Hérnia Umbilical , Atresia Biliar/complicações , Atresia Biliar/diagnóstico , Atresia Biliar/cirurgia , Bilirrubina , Colestase/complicações , Feminino , Hérnia Umbilical/complicações , Hérnia Umbilical/diagnóstico por imagem , Hérnia Umbilical/cirurgia , Humanos , Lactente , Recém-Nascido , Nutrição Parenteral , Gravidez
10.
Heart Surg Forum ; 13(2): E105-7, 2010 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-20444673

RESUMO

We describe 2 children who had long-standing type 1 atrial flutter and atrial septal defect. The simultaneous surgical treatment of these 2 conditions consisted of transmural incision from the inferior edge of the septal defect to the tricuspid ring, transmural incision from the medial-superior edge of the septal defect to the tricuspid ring, and closure of the septal defect with a bovine pericardial patch. There was no arrhythmia recurrence during a 7-year follow-up period.


Assuntos
Flutter Atrial/cirurgia , Procedimentos Cirúrgicos Cardíacos/métodos , Átrios do Coração/cirurgia , Comunicação Interatrial/cirurgia , Flutter Atrial/complicações , Flutter Atrial/diagnóstico , Pré-Escolar , Ecocardiografia Doppler em Cores , Eletrocardiografia , Feminino , Seguimentos , Átrios do Coração/diagnóstico por imagem , Átrios do Coração/fisiopatologia , Frequência Cardíaca/fisiologia , Comunicação Interatrial/complicações , Comunicação Interatrial/diagnóstico , Humanos , Lactente , Masculino , Técnicas de Sutura , Fatores de Tempo
11.
Antivir Ther ; 25(1): 13-20, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31538962

RESUMO

BACKGROUND: Bovine herpesvirus type 5 is an important agent of meningoencephalitis in cattle and has been identified in outbreaks of bovine neurological disease in several Brazilian states. In recent years, oxoquinoline derivatives have become an important focus in antiviral drug research. METHODS: The cytotoxicity and anti BoHV-5RJ42/01 activity of a set of synthetic 4-oxoquinoline derivatives 4a-k were assayed on Madin-Darby Bovine Kidney cell and antiviral activity by plaque reduction assay. RESULTS: The most promising substance (4h) exhibited CC50 and EC50 values of 1,239 µM ±5.5 and 6.0 µM ±1.5, respectively, with an SI =206. Two other compounds 4j (CC50 = 35 µM ±2 and EC50 = 24 µM ±7.0) and 4k (CC50= 55 µM ±2 and EC50 = 24 µM ±5.1) presented similar inhibitory profile and selectivity indexes of 1.4 and 2.9, respectively. The results of the time-of-addition studies revealed expressive reduction of virus production (≥80%) in different stages of virus replication cycle except for compound 4h that slightly inhibited virus yield in the first 2 h post infection, but it showed expressive virus inhibition after this time. CONCLUSIONS: All three compounds slightly interact with the virus on the virucidal assay and they are not able to block virus attachment and penetration. Antiviral effect of oxoquinoline 4h was more prominent than acyclovir which leads us to suggest compound 4h as a promising molecule for further anti-BoHV-5 drug design.


Assuntos
4-Quinolonas/farmacologia , Antivirais/farmacologia , Herpesvirus Bovino 5/efeitos dos fármacos , Animais , Cães , Células Madin Darby de Rim Canino/efeitos dos fármacos , Ensaio de Placa Viral , Inativação de Vírus/efeitos dos fármacos , Replicação Viral/efeitos dos fármacos
12.
Schizophr Bull ; 46(4): 846-856, 2020 07 08.
Artigo em Inglês | MEDLINE | ID: mdl-31915835

RESUMO

Recent diffusion imaging studies using free-water (FW) elimination have shown increased FW in gray matter (GM) and white matter (WM) in first-episode psychosis (FEP) and lower corrected fractional anisotropy (FAt) in WM in chronic schizophrenia. However, little is known about the longitudinal stability and clinical significance of these findings. To determine tissue-specific FW and FAt abnormalities in FEP, as part of a multicenter Spanish study, 132 FEP and 108 healthy controls (HC) were clinically characterized and underwent structural and diffusion-weighted MRI scanning. FEP subjects were classified as schizophrenia spectrum disorder (SSD) or non-SSD. Of these subjects, 45 FEP and 41 HC were longitudinally assessed and rescanned after 2 years. FA and FW tissue-specific measurements were cross-sectional and longitudinally compared between groups using voxel-wise analyses in the skeletonized WM and vertex-wise analyses in the GM surface. SSD and non-SSD subjects showed (a) higher baseline FW in temporal regions and in whole GM average (P.adj(SSD vs HC) = .003, P.adj(Non-SSD vs HC) = .040) and (b) lower baseline FAt in several WM tracts. SSD, but not non-SSD, showed (a) higher FW in several WM tracts and in whole WM (P.adj(SSD vs HC)= .049) and (b) a significant FW decrease over time in temporal cortical regions and in whole GM average (P.adj = .011). Increased extracellular FW in the brain is a reliable finding in FEP, and in SSD appears to decrease over the early course of the illness. FAt abnormalities are stable during the first years of psychosis.


Assuntos
Água Corporal/diagnóstico por imagem , Substância Cinzenta/patologia , Transtornos Psicóticos/patologia , Esquizofrenia/patologia , Substância Branca/patologia , Adolescente , Adulto , Criança , Estudos Transversais , Feminino , Substância Cinzenta/diagnóstico por imagem , Humanos , Estudos Longitudinais , Imageamento por Ressonância Magnética , Masculino , Transtornos Psicóticos/diagnóstico por imagem , Esquizofrenia/diagnóstico por imagem , Substância Branca/diagnóstico por imagem , Adulto Jovem
13.
Braz J Microbiol ; 49(4): 777-784, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29548718

RESUMO

The aim of this study was to perform the molecular characterization of conserved and variable regions of feline calicivirus capsid genome in order to investigate the molecular diversity of variants in Brazilian cat population. Twenty-six conjunctival samples from cats living in five public short-term animal shelters and three multicat life-long households were analyzed. Fifteen cats had conjunctivitis, three had oral ulceration, eight had respiratory signs (cough, sneeze and nasal discharge) and nine were asymptomatic. Feline calicivirus were isolated in CRFK cells and characterized by reverse transcription PCR target to both conserved and variable regions of open reading frame 2. The amplicons obtained were sequenced. A phylogenetic analysis along with most of the prototypes available in GenBank database and an amino acid analysis were performed. Phylogenetic analysis based on both conserved and variable region revealed two clusters with an aLTR value of 1.00 and 0.98 respectively and the variants from this study belong to feline calicivirus genogroup I. No association between geographical distribution and/or clinical signs and clustering in phylogenetic tree was observed. The variants circulating in public short-term animal shelter demonstrated a high variability because of the relatively rapid turnover of carrier cats constantly introduced of multiple viruses into this location over time.


Assuntos
Infecções por Caliciviridae/veterinária , Calicivirus Felino/genética , Calicivirus Felino/isolamento & purificação , Doenças do Gato/virologia , Animais de Estimação/virologia , Animais , Brasil , Infecções por Caliciviridae/virologia , Calicivirus Felino/classificação , Proteínas do Capsídeo/genética , Gatos , Genoma Viral , Fases de Leitura Aberta , Filogenia
14.
Einstein (Säo Paulo) ; 20: eRC0072, 2022. graf
Artigo em Inglês | LILACS-Express | LILACS | ID: biblio-1404662

RESUMO

ABSTRACT To relate omphalocele and biliary atresia and investigate possible embryological correlations that justify the simultaneous occurrence. A female preterm newborn diagnosed as omphalocele; cesarean delivery, weight 2,500g, 46 XX karyotype. Initially, the newborn remained fasting and on parenteral nutrition, and enteral diet was introduced later, with good acceptance. On the 12th day of life, the newborn presented direct hyperbilirubinemia, increased levels of liver enzymes and fecal acholia, with a presumptive diagnosis of biliary atresia. However, the ultrasound was inconclusive, due to anatomical changes resulting from omphalocele. A surgical approach was chosen on the 37th day of life aiming to confirm diagnosis of biliary atresia and to repair omphalocele. During the surgical procedure, structural alterations compatible with biliary atresia were observed, later confirmed by pathological examination; a hepatoportoenterostomy was performed and the omphalocele was corrected. She evolved well in the postoperative period, with a decrease in direct bilirubin and liver enzymes, as well as resolution of fecal acholia, and was discharged in good clinical condition. This is a bizarre and extremely rare association, but the prognosis may be good when an early diagnosis is made and surgery performed, besides support and clinical management to prevent complications in the perioperative period. Although the pathogenesis of the diseases has not been fully defined yet, there is, to date, no direct relation between them. The association between omphalocele and biliary atresia is extremely uncommon, with only two published cases.

15.
Demetra (Rio J.) ; 16(1): 59748, 2021. ^etab, ^eilus
Artigo em Inglês, Português | LILACS | ID: biblio-1435209

RESUMO

Introdução: A prevalência da obesidade tem aumentado na população brasileira, com destaque no público infantil, associada principalmente a fatores comportamentais que levam a más escolhas alimentares. Objetivo: Avaliar a qualidade de menus infantis em restaurantes de shopping centers da Baixada Santista-SP e sua consonância com as recomendações do Guia Alimentar para a População Brasileira considerando a NOVA classificação dos alimentos. Método: O artigo é oriundo de um projeto de pesquisa desenvolvido por uma equipe multidisciplinar e interinstitutos, composta por pesquisadores do curso de Nutrição. Utilizou-se um questionário como instrumento de coleta de dados, aplicado em todos os shopping centers de quatro cidades da Baixada Santista ­ Santos, São Vicente, Praia Grande e Guarujá ­, com questões para caracterização e avaliação da qualidade dos menus infantis. O instrumento foi aplicado individual e simultaneamente por duas pesquisadoras, comparando seus respectivos aspectos nutricionais aos conceitos de alimentação saudável estabelecidos no Guia Alimentar para a População Brasileira; posteriormente, os dados coletados foram transcritos para uma plataforma digital. Foram visitados 60 restaurantes distribuídos em quatro cidades, dos quais apenas 13% tinham a oferta de menu infantil. Resultados: De acordo com a caracterização dos restaurantes, identificou-se que 50% deles são de grandes redes, em sua maioria fast food. Algumas preparações classificadas como ultraprocessadas, como batatas fritas, hambúrgueres e empanados, são ofertadas em 87,5%, 62,5% e 87,5% dos restaurantes, respectivamente. Preparações que exigem técnicas de preparo mais específicas, como macarrões, foram encontradas em 37,5% dos restaurantes. A utilização de queijo como coberturas e recheios foi identificada em 100% dos restaurantes. Bebidas classificadas como ultraprocessadas foram ofertadas em 12,5% dos restaurantes. Conclusão: Foi possível identificar que não são exibidos os valores nutricionais e de alérgenos nas preparações. Observou-se que a qualidade dos menus infantis oferecidos nos restaurantes é limitada em relação à variedade dos alimentos e com grande oferta de alimentos ultraprocessados, estando em desacordo com as recomendações do Guia Alimentar para a População Brasileira.


Introduction: The prevalence of obesity has increased in the Brazilian population, especially in children, mainly associated with behavioral factors that lead to poor food choices. Objective: To evaluate the quality of children's menus in restaurants in shopping malls in Baixada Santista-SP and their consonance with the recommendations of the Food Guide for the Brazilian Population considering the NEW food classification. Method: The article comes from a research project developed by a multidisciplinary and inter-institute team, composed of researchers from the Nutrition course. A questionnaire was used as a data collection instrument, applied in all shopping malls in four cities in Baixada Santista region ­ Santos, São Vicente, Praia Grande and Guarujá cities­ with questions to characterize and assess the quality of children's menus. The instrument was applied individually and simultaneously by two researchers, comparing their respective nutritional aspects to the concepts of healthy eating established in the Food Guide for the Brazilian Population; later, the collected data were transcribed to a digital platform. Sixty restaurants distributed in four cities were visited, of which only 13% had a children's menu. Results: According to the characterization of restaurants, it was identified that 50% of them are from large chains, mostly fast food. Some preparations classified as ultra-processed, such as french fries, hamburgers and deep-fried, are offered in 87.5%, 62.5% and 87.5% of the restaurants, respectively. Preparations that require more specific techniques, such as pasta, were found in 37.5% of restaurants. The use of cheese as toppings and fillings was identified in 100% of the restaurants. Drinks classified as ultra-processed were offered in 12.5% of the restaurants. Conclusion: It was possible to identify that nutritional and allergen values are not displayed in the preparations. It was observed that the quality of children's menus offered in restaurants is limited in relation to the variety of foods and with a large offer of ultra-processed foods, in disagreement with the recommendations of the Food Guide for the Brazilian Population.


Assuntos
Humanos , Criança , Restaurantes/estatística & dados numéricos , Alimentação Coletiva , Nutrição da Criança , Avaliação Qualitativa das Preparações do Cardápio , Brasil , Guias Alimentares , Obesidade Infantil
16.
Front Aging Neurosci ; 7: 231, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26696883

RESUMO

BACKGROUND: Late onset bipolar disorder (LOBD) is often difficult to distinguish from degenerative dementias, such as Alzheimer disease (AD), due to comorbidities and common cognitive symptoms. Moreover, LOBD prevalence in the elder population is not negligible and it is increasing. Both pathologies share pathophysiological neuroinflammation features. Improvements in differential diagnosis of LOBD and AD will help to select the best personalized treatment. OBJECTIVE: The aim of this study is to assess the relative significance of clinical observations, neuropsychological tests, and specific blood plasma biomarkers (inflammatory and neurotrophic), separately and combined, in the differential diagnosis of LOBD versus AD. It was carried out evaluating the accuracy achieved by classification-based computer-aided diagnosis (CAD) systems based on these variables. MATERIALS: A sample of healthy controls (HC) (n = 26), AD patients (n = 37), and LOBD patients (n = 32) was recruited at the Alava University Hospital. Clinical observations, neuropsychological tests, and plasma biomarkers were measured at recruitment time. METHODS: We applied multivariate machine learning classification methods to discriminate subjects from HC, AD, and LOBD populations in the study. We analyzed, for each classification contrast, feature sets combining clinical observations, neuropsychological measures, and biological markers, including inflammation biomarkers. Furthermore, we analyzed reduced feature sets containing variables with significative differences determined by a Welch's t-test. Furthermore, a battery of classifier architectures were applied, encompassing linear and non-linear Support Vector Machines (SVM), Random Forests (RF), Classification and regression trees (CART), and their performance was evaluated in a leave-one-out (LOO) cross-validation scheme. Post hoc analysis of Gini index in CART classifiers provided a measure of each variable importance. RESULTS: Welch's t-test found one biomarker (Malondialdehyde) with significative differences (p < 0.001) in LOBD vs. AD contrast. Classification results with the best features are as follows: discrimination of HC vs. AD patients reaches accuracy 97.21% and AUC 98.17%. Discrimination of LOBD vs. AD patients reaches accuracy 90.26% and AUC 89.57%. Discrimination of HC vs LOBD patients achieves accuracy 95.76% and AUC 88.46%. CONCLUSION: It is feasible to build CAD systems for differential diagnosis of LOBD and AD on the basis of a reduced set of clinical variables. Clinical observations provide the greatest discrimination. Neuropsychological tests are improved by the addition of biomarkers, and both contribute significantly to improve the overall predictive performance.

17.
Cad Saude Publica ; 18(4): 1053-66, 2002.
Artigo em Espanhol | MEDLINE | ID: mdl-12118310

RESUMO

From 1997 to 1999, the Chilean Ministry of Health conducted studies on the health care networks in each of the country's 13 regions in order to help plan regional health sector development and define investment projects. Health insurance coverage displayed major geographic, age, and gender variations. Out-patient and in-patient medical care in the public sector showed substantial geographic variations. According to patient discharge records from national referral hospitals, only some 20% of total health care capability is used to treat 60% of the Chilean population living in regions outside the Greater Metropolitan area. Analysis of primary care funding shows that municipalities allocating the highest per capita funds are not the ones with the greatest health care needs. New reform proposals must address the issue of complementarity between the public and private health sectors and strengthen the Ministry of Health's leadership role in order for the health system to improve its overall response to the population's health care needs.


Assuntos
Administração em Saúde Pública/normas , Regionalização da Saúde/normas , Justiça Social , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Assistência Ambulatorial/estatística & dados numéricos , Criança , Pré-Escolar , Chile , Feminino , Humanos , Lactente , Recém-Nascido , Seguro Saúde , Investimentos em Saúde , Masculino , Pessoa de Meia-Idade , Programas Nacionais de Saúde
18.
Hig. aliment ; 32(282/283): 80-84, jul.-ago. 2018. ilus
Artigo em Português | LILACS | ID: biblio-916631

RESUMO

A qualidade higienicossanitária de verduras consumidas cruas constitui fator importante para a prevenção das doenças de origem alimentar. O objetivo dessa pesquisa foi analisar a qualidade higienicossanitária de hortaliças cruas servidas em um restaurante da Baixada Santista. Para isso, foram realizadas 30 coletas de amostras, num período de 4 meses e analisada a qualidade microbiológica e a presença de parasitas. Para avaliação de Boas Práticas em serviço de alimentação, foi aplicado um checklist e realizado o treinamento de colaboradores. Nas análises microbiológicas constatou-se que 53,3% das amostras foram consideradas impróprias para consumo para o parâmetro de coliformes a 35ºC e termotolerantes e também foi constatada ausência total de Salmonella segundo a RDC nº 12 de 02/01/2001. Quanto às análises parasitológicas, 10% das amostras apresentaram resultados positivos. A partir da aplicação do checklist, os dados coletados demonstraram falta de qualidade sanitária no preparo das saladas, inadequação quanto à higiene pessoal e ambiental, e inadequação das edificações e instalações em 51,83% do checklist aplicado. O treinamento em Boas Práticas de Manipulação deve ser executado periodicamente com todos os colaboradores. Conclui-se que a falta de qualidade higienicossanitária no preparo das saladas e a inadequação das boas práticas observadas, podem comprometer a qualidade da refeição e a saúde do consumidor.


The hygienic-sanitary quality of ready-to-eat foods is important to the prevention of food-borne diseases. The objective of this research was to evaluate the hygienic-sanitary quality of raw vegetables served at Baixada Santista. For this, 30 samples of raw salads were sampled, in a period of four months and were submitted to microbiological and parasitologycal analysis. For the evaluation of Good Practices in food service, a checklist was applied and training of handlers. In the microbiological analysis, 53,3% of the samples were considered improper for consumption for the coliform parameter at 35ºC and thermotolerant and was also found absence of Salmonella according to RDC nº12 of 01/02/2001. Regarding the parasitological analysis, ten percent of samples had parasites. From the application of the checklist, the data show lack of sanitary quality without preparation of salads, inadequate personal and environmental hygiene, and inadequate buildings and facilities in 51,83% of the checklists applied. Training in Good Handling Practices should be performed periodically with all handlers. It is concluded that the lack of hygienic-sanitary quality without preparation of the salads and an inadequacy of the observed good practices can compromise a quality of the meal and a health of the consumer.


Assuntos
Parasitos , Salmonella , Vigilância Sanitária , Higiene , Serviços de Alimentação , Restaurantes , Verduras , Desenvolvimento de Pessoal , Boas Práticas de Distribuição
19.
Braz. j. microbiol ; 49(4): 777-784, Oct.-Dec. 2018. tab, graf
Artigo em Inglês | LILACS | ID: biblio-974285

RESUMO

ABSTRACT The aim of this study was to perform the molecular characterization of conserved and variable regions of feline calicivirus capsid genome in order to investigate the molecular diversity of variants in Brazilian cat population. Twenty-six conjunctival samples from cats living in five public short-term animal shelters and three multicat life-long households were analyzed. Fifteen cats had conjunctivitis, three had oral ulceration, eight had respiratory signs (cough, sneeze and nasal discharge) and nine were asymptomatic. Feline calicivirus were isolated in CRFK cells and characterized by reverse transcription PCR target to both conserved and variable regions of open reading frame 2. The amplicons obtained were sequenced. A phylogenetic analysis along with most of the prototypes available in GenBank database and an amino acid analysis were performed. Phylogenetic analysis based on both conserved and variable region revealed two clusters with an aLTR value of 1.00 and 0.98 respectively and the variants from this study belong to feline calicivirus genogroup I. No association between geographical distribution and/or clinical signs and clustering in phylogenetic tree was observed. The variants circulating in public short-term animal shelter demonstrated a high variability because of the relatively rapid turnover of carrier cats constantly introduced of multiple viruses into this location over time.


Assuntos
Animais , Gatos , Doenças do Gato/virologia , Calicivirus Felino/isolamento & purificação , Calicivirus Felino/genética , Infecções por Caliciviridae/veterinária , Animais de Estimação/virologia , Filogenia , Brasil , Fases de Leitura Aberta , Genoma Viral , Calicivirus Felino/classificação , Infecções por Caliciviridae/virologia , Proteínas do Capsídeo/genética
20.
Drug Test Anal ; 4(3-4): 215-21, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-22467253

RESUMO

A sensitive and fast ultra performance liquid chromatography-electrospray ionization-tandem mass spectrometry (UPLC-ESI-MS/MS) method for measurements of N-butylscopolamine in plasma was developed and validated. A single protein precipitation was proposed for the clean up of the plasma and N-methylhomatropine was added as internal standard (IS). The analyses were carried out using a C(18) column and mobile phase of acetonitrile: 5 mM ammonium acetate + 0.1% formic acid (90:10, v/v). The triple quadrupole mass spectrometer equipped with an electrospray source in positive mode, was set up in selective reaction monitoring, to detect precursor → product ion 360.0 → 194.0 m/z and 290.3 → 138.0 m/z transitions, for N-butylscopolamine and IS, respectively. The method was linear in 0.03 (lower limit of quantitation; LLOQ) - 10.00 ng/ml range for N-butylscopolamine. Satisfactory selectivity, linearity, precision, accuracy, and robustness were obtained for the UPLC-ESI-MS/MS method. The proposed method was successfully applied to a pharmacokinetic study of healthy human volunteers; the results showed that the two scopolamine butylbromide formulations tested are not bioequivalent in rate and extent of absorption.


Assuntos
Brometo de Butilescopolamônio/sangue , Antagonistas Muscarínicos/sangue , Espectrometria de Massas por Ionização por Electrospray/métodos , Adulto , Cromatografia Líquida de Alta Pressão/métodos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Sensibilidade e Especificidade , Espectrometria de Massas em Tandem/métodos , Adulto Jovem
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