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1.
Molecules ; 29(7)2024 Apr 07.
Artigo em Inglês | MEDLINE | ID: mdl-38611939

RESUMO

Biosynthesized silver nanoparticles (AgNPs) are widely used in varied applications, which are morphology dependent. Consequently, a morphology-controlled synthesis is mandatory. Although there are several studies focused on the plant extract-based biosynthesis of metallic nanoparticles, the use of extracts obtained from agro-wastes is scant. Furthermore, information regarding morphology modification through the use of additional agents is even more scarce. Thus, in this study, AgNPs were synthesized using a malt extract (ME) obtained from an artisanal beer brewing process residue. Additionally, sodium chloride (NaCl), gum arabic (GA), and talc (T) were used in an attempt to modify the morphology of AgNPs. XRD, DLS, SEM, and TEM results demonstrate that stable AgNPs of different sizes and shapes were synthesized. FTIR, HPLC analysis, and the quantification of total proteins, free amino acids, reducing sugars, and total polyphenols before and after AgNPs synthesis showed that ME biomolecules allowed them to act as a source of reducing and stabilizing agents. Therefore, this study provides evidence that ME can be successfully used to biosynthesize AgNPs. Additionally, the antibacterial activity of AgNPs against Gram-negative and Gram-positive bacteria was evaluated. Results indicate that AgNPs show a higher antibacterial activity against Gram-positive bacteria.


Assuntos
Acacia , Nanopartículas Metálicas , Cerveja , Prata , Antibacterianos/farmacologia , Cloreto de Sódio
2.
J Autoimmun ; 139: 103072, 2023 09.
Artigo em Inglês | MEDLINE | ID: mdl-37336012

RESUMO

The study of the immune response in thyroid autoimmunity has been mostly focused on the autoantibodies and lymphocytes, but there are indications that intrinsic features of thyroid tissue cells may play a role in disrupting tolerance that needs further investigation. The overexpression of HLA and adhesion molecules by thyroid follicular cells (TFC) and our recent demonstration that PD-L1 is also moderately expressed by TFCs in autoimmune thyroid indicates that TFCs they may activate but also inhibit the autoimmune response. Intriguingly, we have recently found that in vitro cultured TFCs are able to suppress the proliferation of autologous lymphocyte T in a contact-dependent manner which is independent of the PD-1/PD-L1 signaling pathway. To get a more comprehensive picture of TFC activating and inhibitory molecules/pathways driving the autoimmune response in the thyroid glands, preparations of TFCs and stromal cells from five Graves' disease (GD) and four control thyroid glands were compared by scRNA-seq. The results confirmed the previously described interferon type I and type II signatures in GD TFCs and showed unequivocally that they express the full array of genes that intervene in the processing and presentation of endogenous and exogeneous antigens. GD TFCs lack however expression of costimulatory molecules CD80 and CD86 required for priming T cells. A moderate overexpression of CD40 by TFCs was confirmed. GD Fibroblasts showed widespread upregulation of cytokine genes. The results from this first single transcriptomic profiling of TFC and thyroid stromal cells provides a more granular view of the events occurring in GD. The new data point at an important contribution of stromal cells and prompt a major re-interpretation of the role of MHC over-expression by TFC, from deleterious to protective. Most importantly this re-interpretation could also apply to other tissues, like pancreatic beta cells, where MHC over-expression has been detected in diabetic pancreas.


Assuntos
Autoimunidade , Doença de Graves , Humanos , Antígeno B7-H1/genética , Transcriptoma , Doença de Graves/genética , Moléculas de Adesão Celular/genética
3.
J Autoimmun ; 136: 103013, 2023 04.
Artigo em Inglês | MEDLINE | ID: mdl-36857863

RESUMO

Immune Checkpoint Receptors include a number of inhibitory receptors that limit tissue damage during immune responses; blocking PD-1/PD-L1 checkpoint receptor axis led to a paradigm shift in cancer immunotherapy but also to autoimmune adverse effects, prominently thyroid autoimmunity. Although PD-L1 is known to be expressed on thyroid follicular cells (TFCs) of autoimmune glands the role on PD-1/PD-L1 in the interaction between T cells and thyroid cells in the tissue has not been investigated. Here we report that autologous primary TFCs, but not transformed TFCs, inhibit CD4 and CD8 T cell proliferation but no cytokine production. This effect is not, however, mediated by PD-1/PD-L1 nor locally produced cytokines. Beta galactosidase analysis excluded culture-induced senescence as an explanation. High resolution flow cytometry demonstrated that autologous TFC/T cells co-culture induced the expansion of several clusters of double negative (DN) T cells characterized by high expression of activation markers and negative immune checkpoints. Single cell transcriptomic profiling demonstrated that dissociated TFC express numerous candidate molecules for mediating this suppressive activity, including CD40, E-Cadherin and TIGIT ligands. These ligands directly or through the generation of a suppressor population of DN T cells, and not the PD-1/PD-L1 axis, are most likely the responsible of TFC immunosuppressive activity. These results contribute to reveal the complex network of inhibitory mechanism that operate at the tissue level to restrain autoimmunity but also point to pathways, other that PD-1/PD-L1, that can contribute to tumor evasion.


Assuntos
Antígeno B7-H1 , Glândula Tireoide , Antígeno B7-H1/metabolismo , Receptor de Morte Celular Programada 1/metabolismo , Linfócitos T CD8-Positivos , Proliferação de Células
4.
J Med Virol ; 95(1): e28368, 2023 01.
Artigo em Inglês | MEDLINE | ID: mdl-36458548

RESUMO

Increasing age is associated with severity and higher mortality of COVID-19. Telomere shortening is associated with higher risk of infections and may be used to identify those patients who are more likely to die. We evaluated the association between relative telomere length (RTL) and COVID-19 mortality. RTL was measured in patients hospitalized because of COVID-19. We used Kaplan-Meier method to analyze survival probabilities, and Cox regression to investigate the association between RTL and mortality (30 and 90 days). Six hundred and eight patients were included in the analysis (mean age =72.5 years, 41.1% women, and 53.8% Caucasic). During the study period, 75 people died from COVID-19 and 533 survived. Lower RTL was associated with a higher risk of death in women either at 30 (adjusted hazard ratio [HR] (aHR) = 3.33; 95% confidence interval [CI] = 1.05-10.00; p = 0.040) and at 90 days (aHR = 3.57; 95%CI = 1.23-11.11; p = 0.019). Lower RTL was associated with a higher risk of dying of COVID-19 in women. This finding suggests that RTL has an essential role in the prognosis of this subset of the population.


Assuntos
COVID-19 , Caracteres Sexuais , Humanos , Masculino , Feminino , Idoso , Prognóstico , Encurtamento do Telômero , Telômero
5.
Malar J ; 22(1): 11, 2023 Jan 07.
Artigo em Inglês | MEDLINE | ID: mdl-36611189

RESUMO

BACKGROUND: Malaria-endemic areas are not spared from the impact of coronavirus disease 2019 (COVID-19), leading to co-infection scenarios where overlapping symptoms impose serious diagnostic challenges. Current knowledge on Plasmodium spp. and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) co-infection in pregnant women remains limited, especially in Latin America, where Plasmodium vivax infection is highly prevalent. METHODS: This is a case series of five pregnant women with P. vivax and SARS-CoV-2 co-infection hospitalized in two main malaria referral centers of the Capital District and Bolivar state, Venezuela between March 13, 2020 and December 31, 2021. RESULTS: Clinical and laboratory data from five pregnant women with a mean age of 22 years were analyzed; three of them were in the third trimester of pregnancy. Comorbidities included obesity in two cases, hypertension in one, and asthma in one. Three out of five patients had severe to critical COVID-19 disease. Dry cough, fever, chills, and headache were the most frequent symptoms reported. Laboratory analyses showed elevated aspartate/alanine aminotransferase and creatinine levels, thrombocytopenia, and severe anemia as the most relevant abnormalities. The mean period between symptom onset and a positive molecular test for SARS-CoV-2 infection or positive microscopy for Plasmodium spp. was 4.8 ± 2.5 days and 2.8 ± 1.6 days, respectively. The mean hospital stay was 5.4 ± 7 days. Three women recovered and were discharged from the hospital. Two women died, one from cerebral malaria and one from respiratory failure. Three adverse fetal outcomes were registered, two miscarriages and one stillbirth. CONCLUSION: This study documented a predominance of severe/critical COVID-19 disease and a high proportion of adverse maternal-fetal outcomes among pregnant women with malaria and COVID-19 co-infection. More comprehensive prospective cohort studies are warranted to explore the risk factors, management challenges, and clinical outcomes of pregnant women with this co-infection.


Assuntos
Aborto Espontâneo , COVID-19 , Coinfecção , Malária Vivax , Malária , Complicações Infecciosas na Gravidez , Feminino , Humanos , Gravidez , Adulto Jovem , Coinfecção/diagnóstico , Coinfecção/epidemiologia , COVID-19/diagnóstico , COVID-19/epidemiologia , Malária Vivax/diagnóstico , Malária Vivax/epidemiologia , Plasmodium vivax , Complicações Infecciosas na Gravidez/diagnóstico , Complicações Infecciosas na Gravidez/epidemiologia , Gestantes , Estudos Prospectivos , SARS-CoV-2 , Venezuela/epidemiologia
6.
Multivariate Behav Res ; 58(4): 659-674, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36223100

RESUMO

Statistical mediation analysis is used in the social sciences and public health to uncover potential mechanisms, known as mediators, by which a treatment led to a change in an outcome. Recently, the estimation of the treatment-by-mediator interaction (i.e., the XM interaction) has been shown to play a pivotal role in understanding the equivalence between the traditional mediation effects in linear models and the causal mediation effects in the potential outcomes framework. However, there is limited guidance on how to estimate the XM interaction when the mediator is latent. In this article, we discuss eight methods to accommodate latent XM interactions in statistical mediation analysis, which fall in two categories: using structural models (e.g., latent moderated structural equations, Bayesian mediation, unconstrained product indicator method, multiple-group models) or scoring the mediator prior to estimating the XM interaction (e.g., summed scores and factor scores, with and without attenuation correction). Simulation results suggest that finite-sample bias is low, type 1 error rates and coverage of percentile bootstrap confidence intervals and Bayesian credible intervals are close to the nominal values, and statistical power is similar across approaches. The methods are demonstrated with an applied example, syntax is provided for their implementation, and general considerations are discussed.

7.
Rev Esp Enferm Dig ; 115(2): 59-63, 2023 02.
Artigo em Inglês | MEDLINE | ID: mdl-36454105

RESUMO

MicroRNAs detected in liquid biopsies have demonstrated to have potential as biomarkers of benign and malignant bowel conditions. Numerous studies have reported on the combination of different microRNAs to improve the diagnostic capabilities in the detection of bowel conditions. This editorial will be reviewing the best scientific evidence available to this date on studies showing microRNA models with sensitivity and specificity values. Also, the current challenges on how to implement microRNAs in the routine clinical practice are exposed.


Assuntos
Enteropatias , MicroRNAs , Humanos , MicroRNAs/genética , Biomarcadores Tumorais/genética , Biomarcadores , Biópsia Líquida , Sensibilidade e Especificidade
8.
Environ Dev Sustain ; : 1-21, 2023 Jun 05.
Artigo em Inglês | MEDLINE | ID: mdl-37362989

RESUMO

The Canary Islands are one of the main destinations for mass tourism in the European context, characterized by the absence of seasonality in tourist activity. Moreover, the level of activity increases during the winters, coinciding with a greater probability of extreme rainfall events, whose danger seems to be increasing as a result of climate change. Owing to its pronounced orography, the southern coast of the island of Gran Canaria houses several tourist settlements built along ravines and steeply sloping terrain. This scenario presents considerable risk because of spatial probability of landslide occurrence. The case of San Agustín, especially, serves to test the model of tourist urbanization along the hillside, demonstrating its high fragility in the face of extreme rainfall events. Especially owing to its importance in providing assistance in emergency situations, its vulnerability has been analyzed with regard to accessibility, which is entirely dependent on road mobility. The growth model of San Agustín serves as an example of mass tourism in small islands, allowing urban planners and designers to assess corrective measures based on managing its existing road infrastructure and open spaces right from the planning stage.

9.
J Am Chem Soc ; 144(22): 9525-9542, 2022 Jun 08.
Artigo em Inglês | MEDLINE | ID: mdl-35584537

RESUMO

Transition metal dichalcogenides (TMDs) intercalated with spin-bearing transition metal centers are a diverse class of magnetic materials where the spin density and ordering behavior can be varied by the choice of host lattice, intercalant identity, level of intercalation, and intercalant disorder. Each of these degrees of freedom alters the interplay between several key magnetic interactions to produce disparate collective electronic and magnetic phases. The array of magnetic and electronic behavior typified by these systems renders them distinctive platforms for realizing tunable magnetism in solid-state materials and promising candidates for spin-based electronic devices. This Perspective provides an overview of the rich magnetism displayed by transition metal-intercalated TMDs by considering Fe- and Cr-intercalated NbS2 and TaS2. These four exemplars of this large family of materials exhibit a wide range of magnetic properties, including sharp switching of magnetic states, current-driven magnetic switching, and chiral spin textures. An understanding of the fundamental origins of the resultant magnetic/electronic phases in these materials is discussed in the context of composition, bonding, electronic structure, and magnetic anisotropy in each case study.

10.
Malar J ; 21(1): 297, 2022 Oct 21.
Artigo em Inglês | MEDLINE | ID: mdl-36271383

RESUMO

BACKGROUND: Panama is one of eight countries in Mesoamerica that aims to eliminate malaria by 2022. Malaria is concentrated in indigenous and remote regions like Guna Yala, a politically autonomous region where access to health services is limited and cases are predominately detected through intermittent active surveillance. To improve routine access to care, a joint effort was made by Guna Yala authorities and the Ministry of Health to pilot a network of community health workers (CHWs) equipped with rapid diagnostic tests and treatment. The impact of this pilot is described. METHODS: Access to care was measured using the proportion of villages targeted by the effort with active CHWs. Epidemiological impact was evaluated through standard surveillance and case management measures. Tests for differences in proportions or rates were used to compare measures prior to (October 2014-September 2016) and during the pilot (October 2016-September 2018). RESULTS: An active CHW was placed in 39 (95%) of 41 target communities. During the pilot, CHWs detected 61% of all reported cases from the region. Test positivity in the population tested by CHWs (22%) was higher than in those tested through active surveillance, both before (3.8%) and during the pilot (2.9%). From the pre-pilot to the pilot period, annual blood examination rates decreased (9.8 per 100 vs. 8.0 per 100), test positivity increased (4.2% to 8.5%, Χ2 = 126.3, p < 0.001) and reported incidence increased (4.1 cases per 1000 to 6.9 cases per 1000 [Incidence Rate Ratio = 1.83, 95% CI 1.52, 2.21]). The percent of cases tested on the day of symptom onset increased from 8 to 27% and those treated on the day of their test increased from 26 to 84%. CONCLUSIONS: The CHW network allowed for replacement of routine active surveillance with strong passive case detection leading to more targeted and timely testing and treatment. The higher test positivity among those tested by CHWs compared to active surveillance suggests that they detected cases in a high-risk population that had not previously benefited from access to diagnosis and treatment. Surveillance data acquired through this CHW network can be used to better target active case detection to populations at highest risk.


Assuntos
Agentes Comunitários de Saúde , Malária , Humanos , Administração de Caso , Malária/diagnóstico , Malária/epidemiologia , Malária/prevenção & controle , Incidência , Panamá/epidemiologia
11.
J Oral Pathol Med ; 51(5): 429-435, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-35416334

RESUMO

BACKGROUND: Differences in cell-free DNA (cfDNA) fragments have been described as a valuable tool to distinguish cancer patients from healthy individuals. We aim to investigate the concentration and integrity of cfDNA fragments in saliva from oral squamous cell carcinoma (OSCC) patients and healthy individuals in order to explore their value as diagnostic biomarkers. METHODS: Saliva samples were collected from a total of 34 subjects (19 OSCC patients and 15 healthy controls). The total concentration of salivary cfDNA (scfDNA) was determined using a fluorometry method and quantitative real-time polymerase chain reaction (qPCR). To evaluate the scfDNA quantity and integrity, qPCR targeting Arthobacter luteus (ALU) sequences at three amplicons of different lengths (60, 115, and 247 bp, respectively) was carried out. ScfDNA integrity indexes (ALU115/ALU60 and ALU247/ALU60) were calculated as the ratio between the absolute concentration of the longer amplicons 115 bp and 247 bp and the total scfDNA amount (amplicon 60 bp). RESULTS: The total scfDNA concentration (ALU60) was higher in OSCC than in healthy donors, but this trend was not statistically significant. The medians of scfDNA integrity indexes, ALU115/ALU60 and ALU247/ALU60, were significantly higher in OSCC, showing area under the curve values of 0.8211 and 0.7018, respectively. CONCLUSION: Our preliminary results suggest that scfDNA integrity indexes (ALU115/ALU60 and ALU247/ALU60) have potential as noninvasive diagnostic biomarkers for OSCC.


Assuntos
Carcinoma de Células Escamosas , Ácidos Nucleicos Livres , Neoplasias Bucais , Biomarcadores Tumorais/genética , Carcinoma de Células Escamosas/diagnóstico , Carcinoma de Células Escamosas/genética , Humanos , Neoplasias Bucais/diagnóstico , Neoplasias Bucais/genética , Saliva
12.
Oral Dis ; 2022 Nov 18.
Artigo em Inglês | MEDLINE | ID: mdl-36398465

RESUMO

OBJECTIVES: To provide a comprehensive characterization of DNA methylome of oral tongue squamous cell carcinoma (OTSCC) and identify novel tumor-specific DNA methylation markers for early detection using saliva. MATERIAL AND METHODS: Genome-wide DNA methylation analysis including six OTSCC matched adjacent non-tumoral tissue and saliva was performed using Infinium MethylationEPIC array. Differentially methylated levels of selected genes in our OTSCC cohort were further validated using OTSCC methylation data from The Cancer Genome Atlas database (TCGA). The methylation levels of a set of tumor-specific hypermethylated genes associated with a downregulated expression were evaluated in saliva. Receiver operating characteristic (ROC) curves were performed to assess the diagnostic value of DNA methylation markers. RESULTS: A total of 25,890 CpGs (20,505 hypomethylated and 5385 hypermethylated) were differentially methylated (DMCpGs) between OTSCC and adjacent non-tumoral tissue. Hypermethylation of 11 tumor-specific genes was validated in OTSCC TCGA cohort. Of these 11 genes, A2BP1, ANK1, ALDH1A2, GFRA1, TTYH1, and PDE4B were also hypermethylated in saliva. These six salivary methylated genes showed high diagnostic accuracy (≥0.800) for discriminating patients from controls. CONCLUSIONS: This is the first largest genome-wide DNA methylation study on OTSCC that identifies a group of novel tumor-specific DNA methylation markers with diagnostic potential in saliva.

13.
Echocardiography ; 39(1): 46-53, 2022 01.
Artigo em Inglês | MEDLINE | ID: mdl-34904277

RESUMO

BACKGROUND: The left ventricle (LV) journey in their transition from hypertrophy to heart failure is marked by many subcellular events partially understood yet. The moment in which the structural abnormalities reach the umbral to induce myocardial dysfunction remains elusive. AIMS: To evaluate the anatomic-functional relationship between LV wall thickness and longitudinal systolic dysfunction. MATERIAL AND METHODS: We prospectively performed clinical assessment and transthoracic echocardiogram on healthy individuals and hypertensive patients with left ventricle ejection fraction (LVEF) ≥50% and absence of heart failure symptoms. RESULTS: A total of 226 patients and 101 healthy individuals were recruited. The distribution for sex was similar between groups. The mean age was 67±13 years old in the patients, and 44% had concentric LV hypertrophy. LVEF was identical in both groups (63±6%); in contrast, global longitudinal strain (GLS) (-18.8±2.5% vs -20.4±2%) and mitral annulus plane systolic excursion (MAPSE) (13.8±2.8 vs 15.5±2 mm) were lower. ROC curve optimally classified decreased GLS with LV septum thickness ≥13 mm and decreased MAPSE with thickness ≥14 mm. Multivariable logistic regression found that LV septum thickness is the only variable associated with longitudinal systolic dysfunction (OR = 1.1, CI95%  =  1.05 - 1.15, P = 0.001, R squared = .38). DISCUSSION: A progressive increase in LV wall thickness due to myocyte hypertrophy and interstitial expansion is associated with LV systolic longitudinal dysfunction. CONCLUSIONS: Patients with moderate or severe ventricular hypertrophy (septum ≥13 mm) had longitudinal systolic dysfunction, GLS decreases with minor structural change than MAPSE, and LVEF is insensitive in detecting longitudinal myocardial dysfunction in patients with hypertension.


Assuntos
Cardiomiopatias , Hipertensão , Disfunção Ventricular Esquerda , Idoso , Idoso de 80 Anos ou mais , Cardiomiopatias/complicações , Cardiomiopatias/diagnóstico por imagem , Humanos , Hipertensão/complicações , Hipertensão/diagnóstico por imagem , Pessoa de Meia-Idade , Volume Sistólico , Disfunção Ventricular Esquerda/complicações , Disfunção Ventricular Esquerda/diagnóstico por imagem , Função Ventricular Esquerda
14.
BMC Infect Dis ; 21(1): 1134, 2021 Nov 04.
Artigo em Inglês | MEDLINE | ID: mdl-34736397

RESUMO

BACKGROUND: Amoebiasis is a parasitic disease caused by Entamoeba histolytica, which affects people living in low- and middle-income countries and has intestinal and extraintestinal manifestations. To date, knowledge on coronavirus disease 2019 (COVID-19) coinfection with enteric parasites is limited, and E. histolytica coinfection has not been previously described. Here we present the case of a patient with COVID-19 who, during hospitalisation, presented a clinical picture consistent with an amoebic liver abscess (ALA). CASE PRESENTATION: A 54-year-old man, admitted as a suspected case of COVID-19, presented to our hospital with dyspnoea, malaise, fever and hypoxaemia. A nasopharyngeal swab was positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) by reverse-transcription polymerase chain reaction. After 7 days, he developed diarrhoea, choluria and dysentery. An abdominal ultrasound showed a lesion compatible with a liver abscess; stool examination revealed E. histolytica trophozoites, and additional serology for E. histolytica was positive. After 12 days of treatment with metronidazole, ceftazidime and nitazoxanide, the patient reported acute abdominal pain, and an ultrasound examination revealed free liquid in the abdominal cavity. An emergency exploratory laparotomy was performed, finding 3000 mL of a thick fluid described as "anchovy paste". Computed tomography scan revealed a second abscess. He ended up receiving 21 days of antibiotic treatment and was discharged with satisfactory improvement. CONCLUSION: Here we present, to the best of our knowledge, the first report of ALA and COVID-19 co-presenting. Based on their pathophysiological similarities, coinfection with SARS-CoV-2 and E. histolytica could change the patient's clinical course; however, larger studies are needed to fully understand the interaction between these pathogens.


Assuntos
COVID-19 , Entamoeba histolytica , Abscesso Hepático Amebiano , Humanos , Abscesso Hepático Amebiano/diagnóstico , Abscesso Hepático Amebiano/tratamento farmacológico , Masculino , Metronidazol/uso terapêutico , Pessoa de Meia-Idade , SARS-CoV-2
15.
Surg Endosc ; 35(7): 3354-3360, 2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-32613305

RESUMO

BACKGROUND: Nowadays, laparoscopic sleeve gastrectomy (LSG) is one of the most widely performed bariatric procedures. Different techniques have been described to reduce the rate of complications associated with the staple line, but no consensus has been reached. The aim of this study was to determine the incidence of surgical complications after LSG with three different approaches to the staple line. PATIENTS AND METHODS: A retrospective matched analysis was performed, comparing three groups of 100 patients each: partial oversewing of the staple line (PO group), complete oversewing of the staple line (CO group), and reinforcement with buttress material (BM group). Operative time, early surgical complications (superficial surgical site infection, leakage and hemorrhage), length of stay, weight evolution, and revisional surgery rates were analyzed. RESULTS: All three groups were comparable at baseline. All surgeries were performed laparoscopically. Operative time was significantly longer in the CO group (PO: 84.2 ± 22; CO: 104.7 ± 17; BM: 82.3 ± 22; PO vs CO, p = 0.021; BM vs CO, p = 0.011). There were no differences in length of stay, early surgical complications, and weight outcomes at 36 months between the groups. The need for a revisional surgery was significantly higher in the CO group compared to the PO group (PO: 3%; CO: 14%; BM: 9%; PO vs CO, p = 0.005). CONCLUSION: The CO group required a longer operative time. There were no differences in early surgical complications between the groups. The CO group had a higher need for revisional surgery than the PO group.


Assuntos
Laparoscopia , Obesidade Mórbida , Gastrectomia/efeitos adversos , Humanos , Obesidade Mórbida/cirurgia , Estudos Retrospectivos , Grampeamento Cirúrgico , Resultado do Tratamento
16.
Langenbecks Arch Surg ; 406(2): 393-400, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-33244718

RESUMO

PURPOSE: The COVID-19 outbreak has forced a 2-month lockdown (LD) in Spain. We aimed to assess how that had affected our cohort of bariatric patients waiting for surgery. METHODS: A review of electronic records and a structured phone interview with each patient were conducted. Changes in severity of obesity were analyzed using the Obesity Surgery Score (OSS) and changes in health-related quality of life (HRQoL) using the validated EQ-5D questionnaire. Other miscellaneous questions about behavior modifications and surgical risk perception were also analyzed. RESULTS: All 51 patients fully answered the questionnaires. Mean age was 47 years and mean time on waiting list 91 days. Mean BMI increased during LD (42.7 vs 43.2; p < 0.001). Both OSS (2.84 vs 3; p = 0.011) and EQ-5D (69 vs 64; p < 0.001) mildly worsened during LD, mainly due to psychosocial issues. Twenty-seven patients (53%) thought that perioperative risks were higher under the current circumstances but they were as willing to undergo surgery as those who believed that the risks had not increased (74% vs 87%, p = 0.2). CONCLUSIONS: COVID-19 LD had a significant but mild effect on our cohort of bariatric surgery waiting list patients. Although perioperative risk perception had increased, patients were still willing to undergo their planned surgeries.


Assuntos
Cirurgia Bariátrica , COVID-19/prevenção & controle , Controle de Doenças Transmissíveis , Obesidade/psicologia , Obesidade/cirurgia , Listas de Espera , Adulto , COVID-19/diagnóstico , COVID-19/epidemiologia , Estudos de Coortes , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Obesidade/complicações , Qualidade de Vida , Medição de Risco , Autoimagem , Espanha , Inquéritos e Questionários
17.
Proc Natl Acad Sci U S A ; 115(26): 6858-6863, 2018 06 26.
Artigo em Inglês | MEDLINE | ID: mdl-29884650

RESUMO

Resting- or baseline-state low-frequency (0.01-0.2 Hz) brain activity is observed in fMRI, EEG, and local field potential recordings. These fluctuations were found to be correlated across brain regions and are thought to reflect neuronal activity fluctuations between functionally connected areas of the brain. However, the origin of these infra-slow resting-state fluctuations remains unknown. Here, using a detailed computational model of the brain network, we show that spontaneous infra-slow (<0.05 Hz) activity could originate due to the ion concentration dynamics. The computational model implemented dynamics for intra- and extracellular K+ and Na+ and intracellular Cl- ions, Na+/K+ exchange pump, and KCC2 cotransporter. In the network model simulating resting awake-like brain state, we observed infra-slow fluctuations in the extracellular K+ concentration, Na+/K+ pump activation, firing rate of neurons, and local field potentials. Holding K+ concentration constant prevented generation of the infra-slow fluctuations. The amplitude and peak frequency of this activity were modulated by the Na+/K+ pump, AMPA/GABA synaptic currents, and glial properties. Further, in a large-scale network with long-range connections based on CoCoMac connectivity data, the infra-slow fluctuations became synchronized among remote clusters similar to the resting-state activity observed in vivo. Overall, our study proposes that ion concentration dynamics mediated by neuronal and glial activity may contribute to the generation of very slow spontaneous fluctuations of brain activity that are reported as the resting-state fluctuations in fMRI and EEG recordings.


Assuntos
Encéfalo/fisiologia , Simulação por Computador , Modelos Neurológicos , Rede Nervosa/fisiologia , Transmissão Sináptica/fisiologia , Humanos , ATPase Trocadora de Sódio-Potássio/metabolismo , Simportadores/metabolismo , Ácido alfa-Amino-3-hidroxi-5-metil-4-isoxazol Propiônico/metabolismo , Ácido gama-Aminobutírico/metabolismo
18.
J Mater Sci Mater Med ; 32(9): 121, 2021 Sep 09.
Artigo em Inglês | MEDLINE | ID: mdl-34499229

RESUMO

Cardiovascular diseases are the leading cause of death in the world, cell therapies have been shown to recover cardiac function in animal models. Biomaterials used as scaffolds can solve some of the problems that cell therapies currently have, plasma polymerized pyrrole (PPPy) is a biomaterial that has been shown to promote cell adhesion and survival. The present research aimed to study PPPy nanoparticles (PPPyN) interaction with adult rat ventricular cardiomyocytes (ARVC), to explore whether PPPyN could be employed as a nanoscaffold and develop cardiac microtissues. PPPyN with a mean diameter of 330 nm were obtained, the infrared spectrum showed that some pyrrole rings are fragmented and that some fragments of the ring can be dehydrogenated during plasma synthesis, it also showed the presence of amino groups in the structure of PPPyN. PPPyN had a significant impact on the ARVC´s shape, delaying dedifferentiation, necrosis, and apoptosis processes, moreover, the cardiomyocytes formed cell aggregates up to 1.12 mm2 with some aligned cardiomyocytes and generated fibers on its surface similar to cardiac extracellular matrix. PPPyN served as a scaffold for adult ARVC. Our results indicate that PPPyN-scaffold is a biomaterial that could have potential application in cardiac cell therapy (CCT).


Assuntos
Miócitos Cardíacos/efeitos dos fármacos , Nanopartículas/química , Pirróis/farmacologia , Animais , Desdiferenciação Celular/efeitos dos fármacos , Células Cultivadas , Regulação para Baixo/efeitos dos fármacos , Matriz Extracelular/química , Matriz Extracelular/efeitos dos fármacos , Ventrículos do Coração/citologia , Ventrículos do Coração/efeitos dos fármacos , Masculino , Teste de Materiais , Miócitos Cardíacos/fisiologia , Gases em Plasma/farmacologia , Polimerização/efeitos dos fármacos , Pirróis/química , Ratos , Ratos Wistar
19.
Multivariate Behav Res ; 56(6): 903-919, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-32749158

RESUMO

Brief measures are important in psychology research because they reduce participant burden. Researchers can select items from longer measures either to build a short-form or to administer items conditional on a participant's previous responses. Researchers who carry out these item selection strategies either focus on estimating a precise score on the measure (typically carried out in a psychometric approach) or on predicting the score on the measure (possibly taking a machine learning approach). However, it is unclear how scores from the psychometric and machine learning approaches compare to each other. In this paper, the following four statistical approaches to select items are reviewed and illustrated: item response theory to build static short-forms, computerized adaptive testing, the genetic algorithm, and regression trees. Theoretical strengths and weaknesses between these four statistical approaches are discussed, and the overlap between the areas of psychometrics and machine learning is considered.


Assuntos
Teste Adaptativo Computadorizado , Aprendizado de Máquina , Humanos , Psicometria , Inquéritos e Questionários
20.
Multivariate Behav Res ; 56(1): 3-19, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-31958017

RESUMO

In psychology, there have been vast creative efforts in proposing new constructs and developing measures to assess them. Less effort has been spent in investigating construct overlap to prevent bifurcated literatures, wasted research efforts, and jingle-jangle fallacies. For example, researchers could gather validity evidence to evaluate if two measures with the same label actually assess different constructs (jingle fallacy), or if two measures with different labels actually assess the same construct (jangle fallacy). In this paper, we discuss the concept of extrinsic convergent validity, a source of validity evidence demonstrated when two measures of the same construct, or two measures of seemingly different constructs, have comparable correlations with external criteria. We introduce a formal approach to obtain extrinsic convergent validity evidence using tests of dependent correlations and evaluate the tests using Monte Carlo simulations. Also, we illustrate the methods by examining the overlap between the self-control and grit constructs, and the overlap among seven seemingly different measures of the connectedness to nature construct. Finally, we discuss how extrinsic convergent validity evidence supplements other sources of evidence that support validity arguments of construct overlap.


Assuntos
Reprodutibilidade dos Testes , Psicometria
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