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1.
BMC Public Health ; 23(1): 1495, 2023 08 06.
Artigo em Inglês | MEDLINE | ID: mdl-37544992

RESUMO

BACKGROUND: Latinos in the United States (U.S.) represent a heterogeneous minority population disproportionally impacted by obesity. Colombians in the U.S. are routinely combined with other South Americans in most obesity studies. Moreover, most studies among Latino immigrants in the U.S. solely focus on factors in the destination context, which largely ignores the prevalence of obesity and contextual factors in their country of origin, and warrant transnational investigations. METHODS: Using 2013-17 data from the New York City Community Health Survey (NYC CHS, U.S.) and the National Survey of the Nutritional Situation (ENSIN, Colombia), Colombians that immigrated to the U.S. and are living in NYC (n = 503) were compared to nonimmigrant Colombians living in their home country (n = 98,829). Prevalence ratios (PR) for obesity (BMI ≥ 30 kg/m2) by place of residence were estimated using multivariable logistic regression adjusting for socio-demographic characteristics and daily consumption of sugar-sweetened beverages. RESULTS: The prevalence of obesity was 49% greater for immigrant Colombians living in NYC when compared to nonimmigrant Colombians living in in their home country (PR = 1.49; 95% CI 1.08, 2.07). Colombian immigrant men in NYC were 72% more likely to have obesity compared to nonimmigrant men living in their home country (PR = 1.72; 95% CI 1.03, 2.87). No significant differences were found in the adjusted models among women. CONCLUSIONS: Colombian immigrants in NYC exhibit a higher prevalence of obesity compared to their nonimmigrant counterparts back home and sex strengthens this relationship. More obesity research is needed to understand the immigration experience of Colombians in the U.S. and the underlying mechanisms for sex difference. Public health action focused on women in Colombia and both Colombian men and women immigrants in the U.S. is warranted to avert the long-term consequences of obesity.


Assuntos
Emigrantes e Imigrantes , Obesidade , Feminino , Humanos , Masculino , Colômbia/epidemiologia , Colômbia/etnologia , Estudos Transversais , Emigrantes e Imigrantes/estatística & dados numéricos , Obesidade/epidemiologia , Obesidade/etnologia , Estados Unidos/epidemiologia , Cidade de Nova Iorque/epidemiologia , Fatores Sexuais
2.
Lett Appl Microbiol ; 76(6)2023 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-37291703

RESUMO

This in vitro study aimed to evaluate the growth-inhibitory effects against periodontal disease-causing bacteria and cytotoxic effects against mouse fibroblast cells of the Stryphnodendron adstringens (barbatimão) hydroalcoholic extract. The contents of phenols and tannins in the extract were determined. The growth-inhibitory activity of the barbatimão was evaluated by determining the minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC). The viability of fibroblast cells was analyzed using the 3-[4,5-dimethylthiazol-2-yl]-2,5-diphenyl-tetrazolium bromide assay at 24 and 48 h post-treatment. The MIC values of the extract against Prevotella intermedia, Porphyromonas gingivalis, and Fusobacterium nucleatum were 0.05, 0.125, and 2 mg mL-1, respectively, while the MBC values were 4, 2, and 2 mg mL-1, respectively. The viability rate of barbatimão (0.25 mg mL-1)-treated L929 cells was higher than that of chlorhexidine (0.12%)-treated L929 cells at 48 h post-treatment. The contents of total phenolics and total tannins in the extract were 837.39 ± 0.10 and 785.82 ± 0.14 mg of tannic acid equivalent per gram of the extract, respectively. These findings indicate that the barbatimão hydroalcoholic extract, which exerted potent growth-inhibitory effects against the test microbial species and low cytotoxic effects on fibroblasts, has potential applications in the development of novel mouthwash products.


Assuntos
Fabaceae , Extratos Vegetais , Camundongos , Animais , Extratos Vegetais/farmacologia , Antibacterianos/farmacologia , Taninos/farmacologia , Porphyromonas gingivalis , Testes de Sensibilidade Microbiana , Fibroblastos
3.
J Sports Sci ; 40(5): 542-549, 2022 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-34812129

RESUMO

The psychological consequences of the lockdown in the sport context have been well studied. However, few studies investigated athletes' perceived stress during the rebooting in sport training and competitions; moreover, no investigations examined the relationship between perceived stress and interoceptive awareness. To mind this gap and support the enactment of appropriate behaviours for practising sports in a unique situation, we compared athletes' perceived stress data collected during the rebooting in sport activities with normative data and with those collected during the first Italian lockdown. Furthermore, we examined the impact of interoceptive awareness towards positive and negative stress by means of regression analyses. The IPSS-10 and the MAIA questionnaire were administered to 220 athletes. Findings suggest that athletes were experiencing a detrimental situation despite the resumption of sport activities but when comparing rebooting phase with the lockdown, female athletes began to feel greater financial security thereby reducing their perceived stress. Athletes who scored high especially for body trusting - the experience of one's body as safe and trustworthy - could regulate their perceived stress levels by increasing positive and reducing negative stress. Athletes could engage in mindful activities related to the body to reduce their perceived stress levels and better deal with an unprecedented situation.


Assuntos
Esportes , Atletas/psicologia , Emoções , Feminino , Humanos , Esportes/psicologia , Estresse Psicológico , Inquéritos e Questionários
4.
J Am Coll Nutr ; 40(5): 472-477, 2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-33606598

RESUMO

AIM: Analyze the effects of green banana biomass (Musa spp.) on the biochemical parameters in Wistar male rats under standard and hyperlipidic diet. METHODS: Ethical approval for this study was obtained from Ethics Committee on the Use of Animals CEUA - PUC-GO and consisted in the division of 32 rats in 4 differentiated groups according to their diet (standard - CT; standard with green banana biomass - CTBM; hyperlipidic - HL and hyperlipidic with green banana biomass - HLBM). Through 8 weeks animals were weighted and their glycemia were measured. After this period, they were euthanized and biological material was collected to evaluate the biochemical parameters, which analysis used the ANOVA test. RESULTS: The weekly evaluation confirmed that the efficacy of the hyperlipidic model since the final weight was bigger in the HL group in comparison with the CT group, from the sixth to the eighth week. It was also possible to observe that the CTBM group had a smaller weight compared to the CT group. Besides, the measurement of glycemia, high-density lipoprotein, triglycerides, alanine aminotransferase, aspartate aminotransferase, serum total bilirubin, direct bilirubin, alkaline phosphatase, urea, serum creatine, uric acid, calcium, phosphor, magnesium and the hematological parameters from the 8 animal of each group were compared by the ANOVA test without any significative difference (p < 0.05) in the comparisons. CONCLUSIONS: This study it did not demonstrate significative changes of the green banana biomass on the observed laboratory parameters during the 8 weeks in comparison to the standard group, indicating an absence of interference of the probiotics in the laboratory parameters on the hyperlipidic model during the analyzed period. Therefore, it is necessary an evaluation of its efficacy in obesity treatment in longer studies with molecular parameters.


Assuntos
Musa , Animais , Biomassa , Dieta , Laboratórios , Camundongos , Modelos Animais , Ratos , Ratos Wistar
5.
BMC Public Health ; 21(1): 385, 2021 02 19.
Artigo em Inglês | MEDLINE | ID: mdl-33607960

RESUMO

BACKGROUND: Immigrants are disproportionally impacted by HIV infection in Europe and in Spain. Immigrants are also identified as a vulnerable population during economic crises. Various socioeconomic barriers hinder HIV-positive immigrants from accessing healthcare services in the host country. As a result of the 2008 financial crisis, Spain has implemented multiple austerity measures, one of which was the enactments of Royal Decree Law (RDL) 16/2012 and Royal Decree (RD) 1192/2012 which abolished universal healthcare coverage. In this context, this study examined: 1) Participants' mixed experiences in accessing health care after the enactment of 2012 RDL and RD, and 2) Distress felt by the participants and their experiences as HIV-positive immigrants living in Spain. METHODS: Participants were recruited through a nongovernmental organization (NGO) during routine visits at the center. A total of 12 participants were interviewed to reach data saturation. Participants were HIV-positive immigrants living in Spain for 1 or more years, allowing for substantial experience with navigating the healthcare system. Thematic analysis was performed to identify common themes in participants' experiences living as HIV-positive individuals in Spain and in accessing healthcare. RESULTS: Four primary themes were identified. The primary systemic barrier to accessing health care encountered by participants was the inability to fulfill the requirement of having proof of registration in an Autonomous Community for the required time period, thus not being able to apply for a public health insurance card and utilize free care services. Participants identified a positive impact of third party (NGO, social worker, friend/family member) guidance on their experience of applying for a public health insurance card. Participants expressed experiencing emotional or physical (eg, side effects of medication) distress in adapting to life as HIV-positive individuals. Participants also identified experiencing discrimination while living as HIV-positive immigrants in Spain. CONCLUSIONS: HIV-positive immigrants are underserved in Spain. They encounter systemic barriers while accessing healthcare services, and experience fear and/or discrimination. The study underscores the role of NGOs in helping HIV-positive immigrants navigate the healthcare system. More research is needed on comprehensive approaches to address healthcare needs of HIV-positive immigrants in Spain.


Assuntos
Emigrantes e Imigrantes , Infecções por HIV , Europa (Continente) , Acessibilidade aos Serviços de Saúde , Humanos , Pesquisa Qualitativa , Espanha
6.
Eur J Public Health ; 31(6): 1123-1128, 2021 12 01.
Artigo em Inglês | MEDLINE | ID: mdl-34405861

RESUMO

BACKGROUND: In 2012, the central government of Spain enacted Royal Decree-Law (RDL) 16/2012 and Royal Decree (RD) 1192/2012, which abolished universal healthcare coverage, thus limiting access to care for undocumented immigrants. Free health care was also no longer granted to anyone who has never been employed. In this context, this study investigated the prevalence of late HIV diagnoses (LHDs) among immigrants living in Spain vs. native-born Spaniards. METHODS: Data (n = 5943) from the 2010 to 2015 Cohort of the Spanish AIDs Research Network were used, including HIV-positive and antiretroviral therapy (ART)-naïve patients throughout Spain. Multivariate logistic models were fitted to compare the prevalence of LHD among the groups, adjusting for covariates. RESULTS: The prevalence of LHD in the total sample was 39.5%. Compared with native-born Spaniards (n = 4445), immigrants (n = 1488) were more likely to have LHD (37.4% vs. 45.7%, respectively; P < 0.001). Multivariate analysis showed that the prevalence ratio of LHD among immigrants vs. native-born Spaniards was 1.15 [95% confidence interval (CI), 1.02-1.28], after adjusting for covariates. This disparity widened from 2010 to 2011 (APR = 1.14, 95% CI, 1.02-1.29) to 2012-15 (APR = 1.28, 95% CI, 1.17-1.39), although the change was not statistically significant. CONCLUSIONS: Immigrants in Spain had a higher risk of LHD compared with native-born counterparts. LHD is an important healthcare marker due to the positive benefits of early HIV diagnosis, including prevention, improvements in health outcomes and decreases in overall cost of treatment. More research is needed on the causes of the disparity and potential social and policy interventions to reduce the prevalence of LHD among immigrants.


Assuntos
Emigrantes e Imigrantes , Infecções por HIV , Imigrantes Indocumentados , Infecções por HIV/diagnóstico , Infecções por HIV/epidemiologia , Humanos , Povos Indígenas , Espanha/epidemiologia
7.
Molecules ; 26(16)2021 Aug 18.
Artigo em Inglês | MEDLINE | ID: mdl-34443597

RESUMO

Supramolecular chemistry has become a central theme in chemical and biological sciences over the last decades. Supramolecular structures are being increasingly used in biomedical applications, particularly in devices requiring specific stimuli-responsiveness. Fullerenes, and supramolecular assemblies thereof, have gained great visibility in biomedical sciences and engineering. Sensitive and selective methods are required for the study of their inclusion in complexes in various application fields. With this in mind, two new fluorescent bis-calix[4]arene-carbazole conjugates (4 and 5) have been designed. Herein, their synthesis and ability to behave as specific hosts for fullerenes C60 and C70 is described. The optical properties of the novel compounds and their complexes with C60 and C70 were thoroughly studied by UV-Vis and steady-state and time-resolved fluorescence spectroscopies. The association constants (Ka) for the complexation of C60 and C70 by 4 and 5 were determined by fluorescence techniques. A higher stability was found for the C70@4 supramolecule (Ka = 5.6 × 104 M-1; ΔG = -6.48 kcal/mol). Evidence for the formation of true inclusion complexes between the host 4 and C60/C70 was obtained from NMR spectroscopy performed at low temperatures. The experimental findings were fully corroborated by density functional theory (DFT) models performed on the host-guest assemblies (C60@4 and C70@4).

8.
J Clin Ultrasound ; 46(3): 227-230, 2018 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-28590029

RESUMO

We report a case of a secundipara with heterotopic cesarean scar pregnancy (HCSP) treated with potassium chloride injection into the ectopic embryo followed by sac aspiration. The remaining "mass" increased in size threefold and was surrounded by a rich vascular network. An arteriovenous malformation was suspected; however, appropriate treatment was precluded because of the viability of the ectopic gestation. Sonographic examination revealed a morbidly adherent placenta, and attempt to resect the mass laparoscopically was complicated by bleeding that required hysterectomy. This case illustrates a complication of the intervention performed to preserve the intrauterine gestation in case of HCSP. © 2017 Wiley Periodicals, Inc. J Clin Ultrasound 46:227-230, 2018.


Assuntos
Cicatriz/diagnóstico por imagem , Doenças Placentárias/diagnóstico por imagem , Gravidez Ectópica/terapia , Ultrassonografia/métodos , Adulto , Cesárea , Diagnóstico Diferencial , Feminino , Humanos , Histerectomia , Placenta/diagnóstico por imagem , Doenças Placentárias/cirurgia , Cloreto de Potássio/administração & dosagem , Gravidez , Resultado do Tratamento
9.
Int J Food Sci Nutr ; 68(8): 919-930, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-28502202

RESUMO

The influence of cooking methods on chlorophyl, carotenoids, polyamines, polyphenols contents and antioxidant capacity were analyzed in organic and conventional green beans. The initial raw material had a higher content of chlorophyl and total phenolics in conventional green beans, whereas organic cultive favored flavonoid content and antioxidant capacity. Polyamines and carotenoids were similar for the two crop systems. After the cooking process, carotenoids (ß-carotene, lutein and zeaxanthin) increased. Microwave heating favored the enhancement of some polar compounds, whereas pressure cooking favored carotenoids. When we used the estimation of the radical scavenging activity by electron spin resonance (ESR) spectroscopy, a reduction of the DPPH radical signal in the presence of green bean extracts was observed, regardless of the mode of cultivation. The highest reduction of the ESR signal ocurred for microwave cooking in organic and conventional green beans, indicating a higher availability of antioxidants with this type of heat treatment.


Assuntos
Carotenoides/química , Clorofila/química , Culinária/métodos , Phaseolus/química , Poliaminas/química , Polifenóis/química , Antioxidantes/química , Espectroscopia de Ressonância de Spin Eletrônica , Flavonoides/química , Temperatura Alta , Água
10.
Lancet ; 385(9985): 2400-9, 2015 Jun 13.
Artigo em Inglês | MEDLINE | ID: mdl-25703111

RESUMO

Despite isolated areas of improvement, no country to date has reversed its obesity epidemic. Governments, together with a broad range of stakeholders, need to act urgently to decrease the prevalence of obesity. In this Series paper, we review several regulatory and non-regulatory actions taken around the world to address obesity and discuss some of the reasons for the scarce and fitful progress. Additionally, we preview the papers in this Lancet Series, which each identify high-priority actions on key obesity issues and challenge some of the entrenched dichotomies that dominate the thinking about obesity and its solutions. Although obesity is acknowledged as a complex issue, many debates about its causes and solutions are centred around overly simple dichotomies that present seemingly competing perspectives. Examples of such dichotomies explored in this Series include personal versus collective responsibilities for actions, supply versus demand-type explanations for consumption of unhealthy food, government regulation versus industry self-regulation, top-down versus bottom-up drivers for change, treatment versus prevention priorities, and a focus on undernutrition versus overnutrition. We also explore the dichotomy of individual versus environmental drivers of obesity and conclude that people bear some personal responsibility for their health, but environmental factors can readily support or undermine the ability of people to act in their own self-interest. We propose a reframing of obesity that emphasises the reciprocal nature of the interaction between the environment and the individual. Today's food environments exploit people's biological, psychological, social, and economic vulnerabilities, making it easier for them to eat unhealthy foods. This reinforces preferences and demands for foods of poor nutritional quality, furthering the unhealthy food environments. Regulatory actions from governments and increased efforts from industry and civil society will be necessary to break these vicious cycles.


Assuntos
Saúde Global , Política de Saúde , Prioridades em Saúde , Obesidade/prevenção & controle , Indústria Alimentícia , Rotulagem de Alimentos/legislação & jurisprudência , Preferências Alimentares , Serviços de Alimentação/legislação & jurisprudência , Promoção da Saúde , Humanos , Formulação de Políticas , Instituições Acadêmicas
11.
Lancet ; 385(9985): 2422-31, 2015 Jun 13.
Artigo em Inglês | MEDLINE | ID: mdl-25703113

RESUMO

Public mobilisation is needed to enact obesity-prevention policies and to mitigate reaction against their implementation. However, approaches in public health focus mainly on dialogue between public health professionals and political leaders. Strategies to increase popular demand for obesity-prevention policies include refinement and streamlining of public information, identification of effective obesity frames for each population, strengthening of media advocacy, building of citizen protest and engagement, and development of a receptive political environment with change agents embedded across organisations and sectors. Long-term support and investment in collaboration between diverse stakeholders to create shared value is also important. Each actor in an expanded coalition for obesity prevention can make specific contributions to engaging, mobilising, and coalescing the public. The shift from a top-down to a combined and integrated bottom-up and top-down approach would need an overhaul of current strategies and reprioritisation of resources.


Assuntos
Promoção da Saúde/organização & administração , Obesidade/prevenção & controle , Redes Comunitárias , Participação da Comunidade , Informação de Saúde ao Consumidor , Política de Saúde , Humanos , Manobras Políticas , Meios de Comunicação de Massa , Saúde Pública , Opinião Pública
12.
Avian Pathol ; 45(3): 381-8, 2016 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-26743457

RESUMO

Necrotic enteritis toxin B (NetB) is a pore-forming toxin produced by Clostridium perfringens and has been shown to play a key role in avian necrotic enteritis, a disease causing significant costs to the poultry production industry worldwide. The aim of this work was to determine whether immunization with a non-toxic variant of NetB (NetB W262A) and the C-terminal fragment of C. perfringens alpha-toxin (CPA247-370) would provide protection against experimental necrotic enteritis. Immunized birds with either antigen or a combination of antigens developed serum antibody levels against NetB and CPA. When CPA247-370 and NetB W262A were used in combination as immunogens, an increased protection was observed after oral challenge by individual dosing, but not after in-feed-challenge.


Assuntos
Anticorpos Antibacterianos/sangue , Toxinas Bacterianas/imunologia , Proteínas de Ligação ao Cálcio/imunologia , Infecções por Clostridium/veterinária , Clostridium perfringens/imunologia , Enterite/veterinária , Enterotoxinas/imunologia , Doenças das Aves Domésticas/prevenção & controle , Fosfolipases Tipo C/imunologia , Animais , Antígenos de Bactérias/genética , Antígenos de Bactérias/imunologia , Toxinas Bacterianas/genética , Bélgica , Proteínas de Ligação ao Cálcio/genética , Galinhas , Infecções por Clostridium/imunologia , Infecções por Clostridium/microbiologia , Infecções por Clostridium/prevenção & controle , Enterite/imunologia , Enterite/microbiologia , Enterite/prevenção & controle , Enterotoxinas/genética , Feminino , Imunização/veterinária , Masculino , Necrose/veterinária , Doenças das Aves Domésticas/imunologia , Doenças das Aves Domésticas/microbiologia , Fosfolipases Tipo C/genética
13.
Clin Exp Pharmacol Physiol ; 43(2): 221-9, 2016 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-26662887

RESUMO

NO is a potent bronchodilator and NO-donor compounds have demonstrated clinical significance for obstructive airway diseases. This study evaluated the relaxation mechanisms of two NO donors, a ruthenium compound (TERPY), and sodium nitroprusside (SNP), in rat tracheas with ovalbumin-induced asthma (OVA group) and in another control group. The effect of TERPY and SNP was evaluated in tracheal rings in an isolated organ chamber. The contribution of K(+) channels, sGC/cGMP pathway, phosphodiesterases, and extra and intracellular Ca(2+) sources were analyzed. The TERPY and SNP-induced tracheal smooth muscle relaxation in both groups. However, the maximum effect induced by TERPY was higher than that of SNP in both control (110.2 ± 3.2% vs 68.3 ± 3.1%, P < 0.001) and OVA groups (106.1 ± 1.5% vs 49.9 ± 2.7%, P < 0.001). In the control group, TERPY relaxation was induced by the activation of K(+) channels and reduction of the calcium influx, while in the OVA group, these same effects were also brought about by TERPY, but with participation of the sGC/cGMP pathway. In both groups, SNP-induced relaxation occurred through the activation of K(+) channels, sGC/cGMP pathway and reduction of calcium influx. However, the activation of sGC pathway and reticular Ca(2+) -ATPase seemed to be reduced in the OVA group. Furthermore, TERPY is capable of reversing the contraction of carbachol in asthmatic bronchioles. Finally, TERPY and SNP relaxation mechanisms were modified by asthma. SNP presented less relaxation than TERPY, which induced full relaxation with greater participation of K(+) and Ca(2+) fluxes through the membrane, thereby making TERPY a promising drug for reversing the narrowing of airways.


Assuntos
Asma/fisiopatologia , Relaxamento Muscular/efeitos dos fármacos , Músculo Liso/efeitos dos fármacos , Músculo Liso/fisiopatologia , Doadores de Óxido Nítrico/química , Compostos Organometálicos/farmacologia , Rutênio/química , Animais , Asma/metabolismo , Asma/patologia , Cálcio/metabolismo , Modelos Animais de Doenças , Espaço Extracelular/efeitos dos fármacos , Espaço Extracelular/metabolismo , Guanilato Ciclase/metabolismo , Masculino , Nitroprussiato/farmacologia , Inibidores de Fosfodiesterase/farmacologia , Canais de Potássio/metabolismo , Ratos , Ratos Wistar , Receptores Citoplasmáticos e Nucleares/metabolismo , ATPases Transportadoras de Cálcio do Retículo Sarcoplasmático/antagonistas & inibidores , Guanilil Ciclase Solúvel , Traqueia/efeitos dos fármacos
14.
Int Orthop ; 40(7): 1361-5, 2016 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-26899603

RESUMO

BACKGROUND: Inherited epidermolysis bullosa is a rare disease characterised by mechanical fragility of the skin when under insignificant stress. The main consequences of epidermolysis bullosa, mainly the dystrophic type, despite pseudosyndactyly, are joint contractures and deformities in hands and feet. In this study, we describe our experience treating patients suffering from epidermolysis bullosa, as far as feet deformities are concerned. METHODS: This is a retrospective analysis of a consecutive series of patients presenting feet deformities related to epidermolysis bullosa. Extension contractures of the toes, equinus and cavus deformities were treated with soft tissues surgery. RESULTS: Thirteen surgical procedures were done in six patients with feet deformities caused by epidermolysis bullosa. Of the feet operated 85.7 % extension contracture of the toes was asymptomatic at follow-up. However, 42.9 % developed hammertoe deformities. There were no recurrence or complications for other deformities. Subjectively, all patients declared themselves very satisfied with the results. CONCLUSION: Foot deformities must be treated as early as possible, due to progressive disability for walking and pain symptoms. We considered that, despite long term complications, treatment was adequate and we recommend it. Level of Evidence Level IV.


Assuntos
Contratura/cirurgia , Epidermólise Bolhosa/complicações , Deformidades do Pé/cirurgia , Adolescente , Criança , Pré-Escolar , Feminino , Deformidades do Pé/etiologia , Humanos , Masculino , Recidiva , Estudos Retrospectivos
15.
Fetal Pediatr Pathol ; 35(6): 385-391, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27494244

RESUMO

Accurate detection and quantitation of fetomaternal hemorrhage (FMH) is critical to the obstetric management of rhesus D alloimmunization in Rh-negative pregnant women. The flow cytometry is based on the detection of fetal red blood cells using a monoclonal anti-HbF antibody, and is the method most indicated for this estimation. The objective of this study was to quantify fetal red blood cell levels of pregnant women using flow cytometry. We analyzed 101 peripheral blood samples from Rh-negative and Rh-positive women, whose mean age was 24 years (20-32 years), after vaginal delivery or cesarean section. Our study showed that 53% of pregnant women had fetal red blood cells levels <2.0 mL, 31% between 2.0-3.9 mL, 16% between 4.0-15.0 mL, and 1% >15.0 mL. Accurate quantitation of fetal red blood cells is necessary to determine the appropriate dose of anti-D (RHD) immunoglobulin to be administered to pregnant or postpartum women.


Assuntos
Sangue Fetal/citologia , Transfusão Feto-Materna/diagnóstico , Citometria de Fluxo , Adulto , Incompatibilidade de Grupos Sanguíneos/fisiopatologia , Feminino , Hemoglobina Fetal/metabolismo , Transfusão Feto-Materna/terapia , Citometria de Fluxo/métodos , Humanos , Recém-Nascido , Período Pós-Parto/fisiologia , Gravidez , Sistema do Grupo Sanguíneo Rh-Hr/fisiologia , Imunoglobulina rho(D)/uso terapêutico , Adulto Jovem
16.
Ther Drug Monit ; 37(3): 362-8, 2015 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-25525759

RESUMO

BACKGROUND: Nanorap is a new nanotechnological formulation for topical anesthesia composed of lidocaine (2.5%) and prilocaine (2.5%). This study evaluated the pharmacokinetics of Nanorap. For the determination of lidocaine and prilocaine in human plasma, a new method using high-performance liquid chromatography coupled with tandem mass spectrometry was developed. Nanorap pharmacodynamic (PD) and its physical proprieties were also evaluated. METHODS: Nanorap was administered by topical application of 2 g to healthy volunteers, and blood samples were collected for the pharmacokinetics analysis. The drugs were extracted from plasma by liquid-liquid extraction with ether/hexane (80/20, vol/vol). The chromatography separation was performed on a Genesis C18 analytical column 4 µm (100 × 2.1 mm i.d.) with a mobile phase of methanol/acetonitrile/water (40/30/30, for lidocaine, and 50/30/20, for prilocaine, vol/vol/vol) + 2 mM of ammonium acetate and ropivacaine as internal standard. The drugs were quantified using a mass spectrometer with an electrospray source in the electrospray ionization positive mode configured for multiple reaction monitoring. The PD of Nanorap was evaluated with the use of a visual analog scale. Nanorap was characterized by cryofracture. RESULTS: The chromatography run-time was 5.5 minutes for lidocaine and 3.3 minutes for prilocaine, and the lower limit of quantification was 0.05 ng/mL for both drugs. Mean Cmax was 6.62 and 1.72 ng/mL for lidocaine and prilocaine, respectively. Median Tmax was 6.5 hours for both drugs. Nanocapsules had a mean size of 88 nm and mean drug association of 92.5% and 89% for lidocaine and prilocaine, respectively. The PD study showed that Nanorap has a sufficient analgesic effect (>30% reduction in pain) after 10 minutes of application. CONCLUSIONS: A new simple, selective, and sensitive method for determination of lidocaine and prilocaine in human plasma was developed. Nanorap generated safe plasma levels of the drugs and satisfactory analgesic effect.


Assuntos
Anestésicos Locais/administração & dosagem , Anestésicos Locais/farmacocinética , Lidocaína/administração & dosagem , Lidocaína/farmacocinética , Nanocápsulas/administração & dosagem , Nanocápsulas/química , Prilocaína/administração & dosagem , Prilocaína/farmacocinética , Administração Tópica , Adolescente , Adulto , Anestésicos Locais/sangue , Anestésicos Locais/farmacologia , Química Farmacêutica , Método Duplo-Cego , Quimioterapia Combinada , Feminino , Voluntários Saudáveis , Humanos , Lidocaína/sangue , Lidocaína/farmacologia , Combinação Lidocaína e Prilocaína , Masculino , Pessoa de Meia-Idade , Medição da Dor/efeitos dos fármacos , Prilocaína/sangue , Prilocaína/farmacologia , Adulto Jovem
17.
Acta Neurochir (Wien) ; 157(11): 1991-7; discussion 1998, 2015 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-26347044

RESUMO

BACKGROUND: Despite routine use of intraoperative neuromonitoring in acoustic neuroma removal, its application in predicting long-term facial function is limited. METHODS: Prospective recording of facial nerve function and subsequent review of intraoperative neurophysiologic data. Stimulation of the facial nerve was performed proximal and distal to the tumor locus after tumor removal with measurement of amplitude and latency responses in the orbicularis oculi and oris muscles. Prospective review of current facial nerve function was performed using the House-Brackmann (HB) scoring system. Good facial function was determined as HB I/II and HB III-VI was considered poor facial function. Minimum follow-up time was 15 months, and averaged 40 months. RESULTS: Twenty-four grade IV acoustic neuromas (54 % larger than 4 cm) were completely removed from October 2008 to November 2013. Nine patients (37.5 %) had HB I/II and 15 (62.5 %) had HB III-VI. The poor prognosis group had a higher latency than the good prognosis group (p = 0.045). Lower proximal amplitude was detected in the poor prognosis group (p = 0.046). Lower proximal-to-distal amplitude ratio was also detected in the poor prognosis group (p = 0.052). Amplitude ratio cut-offs of 0.44 and 0.25 were able to predict poor prognosis with sensitivity of 0.73 and 0.4 and specificity of 0.78 and 1, respectively (p = 0.046). CONCLUSIONS: Lower proximal amplitude and proximal-distal amplitude ratio were previously reported as predictors of poor facial function in different sizes of vestibular schwannomas. We observed that the same applies specifically for large-sized, completely removed, grade IV tumors. Additionally, we describe a difference in proximal latency time between the good and poor prognosis groups, which was not previously reported.


Assuntos
Neoplasias Encefálicas/cirurgia , Eletromiografia/normas , Traumatismos do Nervo Facial/diagnóstico , Nervo Facial/fisiologia , Monitorização Neurofisiológica Intraoperatória/normas , Neuroma Acústico/cirurgia , Procedimentos Neurocirúrgicos/efeitos adversos , Adulto , Idoso , Eletromiografia/métodos , Nervo Facial/fisiopatologia , Traumatismos do Nervo Facial/etiologia , Feminino , Seguimentos , Humanos , Monitorização Neurofisiológica Intraoperatória/métodos , Masculino , Pessoa de Meia-Idade , Gradação de Tumores , Procedimentos Neurocirúrgicos/métodos , Valor Preditivo dos Testes , Estudos Prospectivos , Resultado do Tratamento
19.
J Biol Chem ; 288(5): 3512-22, 2013 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-23239883

RESUMO

NetB is a pore-forming toxin produced by Clostridium perfringens and has been reported to play a major role in the pathogenesis of avian necrotic enteritis, a disease that has emerged due to the removal of antibiotics in animal feedstuffs. Here we present the crystal structure of the pore form of NetB solved to 3.9 Å. The heptameric assembly shares structural homology to the staphylococcal α-hemolysin. However, the rim domain, a region that is thought to interact with the target cell membrane, shows sequence and structural divergence leading to the alteration of a phosphocholine binding pocket found in the staphylococcal toxins. Consistent with the structure we show that NetB does not bind phosphocholine efficiently but instead interacts directly with cholesterol leading to enhanced oligomerization and pore formation. Finally we have identified conserved and non-conserved amino acid positions within the rim loops that significantly affect binding and toxicity of NetB. These findings present new insights into the mode of action of these pore-forming toxins, enabling the design of more effective control measures against necrotic enteritis and providing potential new tools to the field of bionanotechnology.


Assuntos
Toxinas Bacterianas/química , Toxinas Bacterianas/metabolismo , Clostridium perfringens/metabolismo , Animais , Toxinas Bacterianas/toxicidade , Linhagem Celular Tumoral , Forma Celular/efeitos dos fármacos , Galinhas , Colesterol/metabolismo , Cristalografia por Raios X , Modelos Moleculares , Proteínas Mutantes/metabolismo , Mutação/genética , Fosfolipídeos/metabolismo , Ligação Proteica , Multimerização Proteica/efeitos dos fármacos , Estrutura Terciária de Proteína , Solubilidade , Eletricidade Estática
20.
Pediatr Obes ; 19(3): e13099, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38286620

RESUMO

BACKGROUND: Evidence from Latin America suggests that children embedded in South-to-North migrant networks (i.e. relatives who live abroad, typically in the United States) are at increased risk of excess weight. It is unclear if the same findings apply to children embedded in Latin American intraregional migration or South-to-South migration networks. OBJECTIVE: To compare excess weight among Colombian children embedded in South-to-South migration networks (n = 334) to children with non-migrant parents (n = 4272) using Colombia's 2015 National Survey of the Nutritional Situation. METHODS: Prevalence ratios (PRs) for excess weight (BMI z-score ≥1) by parent migration history were estimated using weighted multivariable logistic regression adjusting for demographics, child behaviours, community and household indicators, including household food insecurity. RESULTS: Most migrant parents returned to Colombia from Venezuela (84%) and reported higher household food insecurity rates than non-migrant parents (59% versus 32%). Models excluding household food insecurity showed that excess weight among children with migrant parents was 51% lower (PR = 0.49; 95% CI 0.25, 0.98) than among children with non-migrant parents. After adjustment for household food insecurity, no statistically significant differences were found. CONCLUSION: Colombian children with return migrant parents from Venezuela experienced less excess weight than children with non-migrant parents, but higher rates of food insecurity in migrant households might partially explain this difference. This study calls attention to two serious public health concerns for Colombian children-those who have excess weight and those who lack sufficient food, particularly among migrant returnees (a situation that may have worsened since the COVID-19 pandemic).


Assuntos
Alimentos , Pandemias , Criança , Humanos , Estados Unidos , Colômbia/epidemiologia , Estudos Transversais , Aumento de Peso , Abastecimento de Alimentos
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