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1.
Eur Cell Mater ; 37: 233-249, 2019 03 29.
Artigo em Inglês | MEDLINE | ID: mdl-30924522

RESUMO

Mesenchymal stem cells (MSCs) can differentiate toward epithelial cells and may be used as an alternative source for generation of heterotypical artificial human skin substitutes, thus, enhancing their development and translation potential to the clinic. The present study aimed at comparing four types of heterotypical human bioengineered skin generated using MSCs as an alternative epithelial cell source. Adipose-tissue-derived stem cells (ADSCs), dental pulp stem cells (DPSCs), Wharton's jelly stem cells (WJSCs) and bone marrow stem cells (BMSCs) were used for epidermal regeneration on top of dermal skin substitutes. Heterotypic human skin substitutes were evaluated before and after implantation in immune-deficient athymic mice for 30 d. Histological and genetic studies were performed to evaluate extracellular matrix synthesis, epidermal differentiation and human leukocyte antigen (HLA) molecule expression. The four cell types differentiated into keratinocytes, as shown by the expression of cytokeratin 10 and filaggrin 30 d post-grafting; also, they induced dermal fibroblasts responsible for the synthesis of extracellular fibrillar and non-fibrillar components, in a similar way among each other. WJSCs and BMSCs showed higher expression of cytokeratin 10 and filaggrin, suggesting these cells were more prone to epidermal regeneration. The absence of HLA molecules, even when the epithelial layer was differentiated, supports the future clinical use of these substitutes - especially ADSCs, DPSCs and WJSCs - with low rejection risk. MSCs allowed the generation of bioengineered human skin substitutes with potential clinical usefulness. According to their epidermal differentiation potential and lack of HLA antigens, WJSCs should preferentially be used.


Assuntos
Células-Tronco Mesenquimais/citologia , Pele Artificial , Engenharia Tecidual/métodos , Animais , Biomarcadores/metabolismo , Derme/citologia , Células Epiteliais/metabolismo , Matriz Extracelular/metabolismo , Proteínas Filagrinas , Regulação da Expressão Gênica , Antígenos HLA/metabolismo , Humanos , Camundongos Nus
2.
Learn Behav ; 47(2): 156-165, 2019 06.
Artigo em Inglês | MEDLINE | ID: mdl-30349970

RESUMO

In three experiments, rats of different ages were trained in a circular pool to find a hidden platform whose location was defined in terms of a single landmark, a cylinder outside the pool. Following training, two main components of the landmark, its shape and pattern, were tested individually. Experiment 1 was performed by adolescent and adult rats (Exp. 1a, males; Exp. 1b, females). Adult rats always learned faster than the adolescent animals. On test trials, interesting tendencies were found-mainly, one favoring males on the shape test trial, and another favoring females on the pattern test trial. Experiment 2 was conducted only with adolescent rats, and these males and females did not differ when learning the task. However, on test trials the males learned more about the landmark shape component than about the landmark pattern component, while the females learned equally about the two components of the landmark. Finally, Experiment 3 was conducted only with adult rats, and again the males and females did not differ when learning the task. However, on test trials the males learned equally about the two components of the landmark (shape and pattern), but the females learned more about the landmark pattern component than about the landmark shape component. This set of experiments supports the claim that male and female rats can learn rather different things about a landmark that signals the location of the platform, with age being a critical variable.


Assuntos
Envelhecimento/fisiologia , Caracteres Sexuais , Navegação Espacial/fisiologia , Animais , Feminino , Masculino , Ratos , Percepção Visual
3.
Learn Behav ; 44(3): 227-38, 2016 09.
Artigo em Inglês | MEDLINE | ID: mdl-26511132

RESUMO

The effects of early environmental enrichment (EE) and voluntary wheel running on the preference for using a landmark or pool geometry when solving a simple spatial task in adult male and female rats were assessed. After weaning, rats were housed in same-sex pairs in enriched or standard cages (EE and control groups) for two and a half months. Then the rats were trained in a triangular-shaped pool to find a hidden platform whose location was defined in terms of these two sources of information, a landmark outside the pool and a particular corner of the pool. As expected, enriched rats reached the platform faster than control animals, and males and females did not differ. Enriched rats also performed better on subsequent test trials without the platform with the cues individually presented (either pool geometry or landmark). However, on a preference test without the platform, a clear sex difference was found: Females spent more time in an area of the pool that corresponded to the landmark, whereas males spent more time in the distinctive corner of the pool. The present EE protocol did not alter females' preference for the landmark cue. The results agree with the claim that environmental enrichment is a consequence of a reduced anxiety response (measured by thigmotaxis) during cognitive testing. A possible implication of ancestral selection pressures is discussed.


Assuntos
Aprendizagem em Labirinto , Atividade Motora , Caracteres Sexuais , Animais , Feminino , Masculino , Condicionamento Físico Animal , Ratos , Ratos Long-Evans
4.
J Periodontal Res ; 50(5): 658-65, 2015 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-25470318

RESUMO

BACKGROUND AND OBJECTIVE: Oral mucosa shortage may limit or condition some clinical approaches in maxillofacial, periodontal and implant treatment. The availability of a human oral mucosa model generated by tissue engineering could help clinicians to address the lack of oral mucosa. In this work, we carried out a sequential maturation and differentiation study of the epithelial cell layer of an artificial human oral mucosa substitute based on fibrin-agarose biomaterials with fibroblasts and keratinocytes. MATERIAL AND METHODS: Histological, immunohistochemical and gene expression analyses were carried out in artificial human oral mucosa models developed and cultured for 1, 2 and 3 wk. RESULTS: Artificial oral mucosa models showed expression of tight junction proteins and cytokeratins from the first week of in vitro development. Mature samples of 3 wk of development subjected to air-liquid conditions showed signs of epithelial differentiation and expressed specific RNAs and proteins corresponding to adherent and gap junctions and basement lamina. Moreover, these mature samples overexpressed some desmosomal and tight junction transcripts, with gap junction components being downregulated. CONCLUSION: These results suggest that bioengineered human oral mucosa substitutes form a well-developed epithelial layer that was very similar to human native tissues. In consequence, the epithelial layer could be fully functional in these oral mucosa substitutes, thus implying that these tissues may have clinical usefulness.


Assuntos
Queratinócitos , Diferenciação Celular , Fibrina , Fibroblastos , Humanos , Mucosa Bucal , Sefarose , Engenharia Tecidual
5.
Antimicrob Agents Chemother ; 58(2): 1005-18, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24277034

RESUMO

Several studies with animal models have demonstrated that bioequivalence of generic products of antibiotics like vancomycin, as currently defined, do not guarantee therapeutic equivalence. However, the amounts and characteristics of impurities and degradation products in these formulations do not violate the requirements of the U.S. Pharmacopeia (USP). Here, we provide experimental data with three generic products of meropenem that help in understanding how these apparently insignificant chemical differences affect the in vivo efficacy. Meropenem generics were compared with the innovator in vitro by microbiological assay, susceptibility testing, and liquid chromatography/mass spectrometry (LC/MS) analysis and in vivo with the neutropenic guinea pig soleus infection model (Pseudomonas aeruginosa) and the neutropenic mouse thigh (P. aeruginosa), brain (P. aeruginosa), and lung (Klebisella pneumoniae) infection models, adding the dihydropeptidase I (DHP-I) inhibitor cilastatin in different proportions to the carbapenem. We found that the concentration and potency of the active pharmaceutical ingredient, in vitro susceptibility testing, and mouse pharmacokinetics were identical for all products; however, two generics differed significantly from the innovator in the guinea pig and mouse models, while the third generic was therapeutically equivalent under all conditions. Trisodium adducts in a bioequivalent generic made it more susceptible to DHP-I hydrolysis and less stable at room temperature, explaining its therapeutic nonequivalence. We conclude that the therapeutic nonequivalence of generic products of meropenem is due to greater susceptibility to DHP-I hydrolysis. These failing generics are compliant with USP requirements and would remain undetectable under current regulations.


Assuntos
Antibacterianos/farmacocinética , Dipeptidases/metabolismo , Medicamentos Genéricos/farmacocinética , Infecções por Klebsiella/tratamento farmacológico , Infecções por Pseudomonas/tratamento farmacológico , Tienamicinas/farmacocinética , Animais , Antibacterianos/metabolismo , Biotransformação , Encéfalo/efeitos dos fármacos , Encéfalo/microbiologia , Cilastatina/farmacologia , Dipeptidases/antagonistas & inibidores , Estabilidade de Medicamentos , Medicamentos Genéricos/metabolismo , Proteínas Ligadas por GPI/antagonistas & inibidores , Proteínas Ligadas por GPI/metabolismo , Cobaias , Infecções por Klebsiella/microbiologia , Klebsiella pneumoniae/efeitos dos fármacos , Klebsiella pneumoniae/fisiologia , Pulmão/efeitos dos fármacos , Pulmão/microbiologia , Meropeném , Camundongos , Testes de Sensibilidade Microbiana , Músculo Esquelético/efeitos dos fármacos , Músculo Esquelético/microbiologia , Inibidores de Proteases/farmacologia , Infecções por Pseudomonas/microbiologia , Pseudomonas aeruginosa/efeitos dos fármacos , Pseudomonas aeruginosa/fisiologia , Equivalência Terapêutica , Tienamicinas/metabolismo , Coxa da Perna/microbiologia , Resultado do Tratamento
6.
Int J Tuberc Lung Dis ; 28(3): 142-147, 2024 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-38454178

RESUMO

BACKGROUNDThere is substantial heterogeneity in disease presentation for individuals with TB disease, which may correlate with disease outcomes. We estimated disease outcomes by disease severity at presentation among individuals with TB during the pre-chemotherapy era.METHODSWe extracted data on people with TB enrolled between 1917 and 1948 in the USA, stratified by three disease severity categories at presentation using the U.S. National Tuberculosis Association diagnostic criteria. These criteria were based largely on radiographic findings ("minimal", "moderately advanced", and "far advanced"). We used Bayesian parametric survival analysis to model the survival distribution overall, and by disease severity and Bayesian logistic regression to estimate the severity-level specific natural recovery odds within 3 years.RESULTSPeople with minimal TB at presentation had a 2% (95% CrI 0-11%) probability of TB death within 5 years vs. 40% (95% CrI 15-68) for those with far advanced disease. Individuals with minimal disease had 13.62 times the odds (95% CrI 9.87-19.10) of natural recovery within 3 years vs. those with far advanced disease.CONCLUSIONMortality and natural recovery vary by disease severity at presentation. This supports continued work to evaluate individualized (e.g., shortened or longer) regimens based on disease severity at presentation, identified using radiography..


Assuntos
Tuberculose , Humanos , Teorema de Bayes , Tuberculose/diagnóstico , Tuberculose/tratamento farmacológico
7.
Int J Tuberc Lung Dis ; 27(9): 694-702, 2023 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-37608480

RESUMO

BACKGROUND: An estimated 40% of people who developed TB in 2021 were not diagnosed or treated. Pre-chemotherapy era data are a rich resource on survival of people with untreated TB. We aimed to identify heterogeneities in these data to inform their more precise use.METHODS: We extracted survival data from pre-chemotherapy era papers reporting TB-specific mortality and/or natural recovery data. We used Bayesian parametric survival analysis to model the survival distribution, stratifying by geography (North America vs. Europe), time (pre-1930 vs. post-1930), and setting (sanitoria vs. non-sanitoria).RESULTS: We found 12 studies with TB-specific mortality data. Ten-year survival was 69% in North America (95% CI 54-81) and 36% in Europe (95% CI 10-71). Only 38% (95% CI 18-63) of non-sanitorium individuals survived to 10 years compared to 69% (95% CI 41-87) of sanitoria/hospitalized patients. There were no significant differences between people diagnosed pre-1930 and post-1930 (5-year survival pre-1930: 65%, 95% CI 44-88 vs. post-1930: 72%, 95% CI 41-94).CONCLUSIONS: Mortality and natural recovery risks vary substantially by location and setting. These heterogeneities need to be considered when using pre-chemotherapy data to make inferences about expected survival of people with undiagnosed TB.


Assuntos
Tuberculose , Humanos , Teorema de Bayes , Tuberculose/tratamento farmacológico , Tuberculose/epidemiologia , Geografia , Europa (Continente) , América do Norte
8.
Artigo em Inglês | MEDLINE | ID: mdl-37833138

RESUMO

INTRODUCTION AND AIMS: Capsule endoscopy is part of the diagnostic approach to patients with suspected small bowel bleeding and data on its clinical impact are still limited in developing countries. The primary aim of the present study was to determine its impact on subsequent diagnostic and therapeutic decisions. MATERIAL AND METHODS: A retrospective study was conducted that included all the patients that underwent capsule endoscopy with the PillCam™ SB 3 Capsule system due to suspected small bowel bleeding treated at the Hospital Universitario Fundación Valle del Lili between January 2011 and December 2020. RESULTS: A total of 158 patients met the inclusion criteria. Mean patient age was 63 years (interquartile range [IQR], 52-74), 53.6% of the patients were women, and high blood pressure was the most frequent comorbidity (43.7%). The main indication was overt bleeding (58.2%). Of all the capsule endoscopies carried out, 63.9% showed lesions that were potentially responsible for bleeding. Medical or surgical treatment was indicated in 63.3% of the case total. Rebleeding at 6 months occurred in 15 patients and there were 2 deaths due to gastrointestinal bleeding at 6 months. CONCLUSIONS: Capsule endoscopy has a high impact on patients with suspected small bowel bleeding, with respect to clinical decision-making, as well as rebleeding, hospitalization, and mortality outcomes. The positivity rate of lesions potentially responsible for bleeding was similar to that reported in developed countries.

9.
Environ Sci Pollut Res Int ; 29(35): 53873-53883, 2022 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-35292897

RESUMO

The present study reports on the synthesis of Cu-bismuth oxide (CuBi2O4)-based nanorods by using a simple co-precipitation method for the photocatalytic degradation of caffeic acid (CA). The incorporation of Cu metal ions during the synthesis of CuBi2O4 nanorods might be advantageous to avoid the aggregation and control the leach out of metal ions. The calculated bandgap values of ~ 1.04, 1.02, and 0.94 eV were observed for CuBi2O4 with different amounts of Cu 1.0, 0.50, and 0.25 g, respectively. Varying the quantity of Cu metal ions easily tuned the bandgap value within the CuBi2O4-based nanorods. However, a further decrease in the bandgap value increased the recombination rate, and the less photocatalyst performance was observed. The CA degradation could be explained based on the species distribution. The CA pKa was mainly located between pKa1 and pKa2 of 4.43 and 8.6, respectively. The Cu within the CuBi2O4-based nanorods changed the electronic properties and the antibacterial ability. Therefore, the synthesized CuBi2O4-based nanorod cluster might be a promising material for the photocatalytic degradation of CA.


Assuntos
Cobre , Nanotubos , Ácidos Cafeicos , Catálise
10.
Int J Tuberc Lung Dis ; 26(2): 150-157, 2022 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-35086627

RESUMO

BACKGROUND: Data suggest that treatment with newer TB drugs (linezolid [LZD], bedaquiline [BDQ] and delamanid [DLM]), used in Khayelitsha, South Africa, since 2012, reduces mortality due to rifampicin-resistant TB (RR-TB).METHODS: This was a retrospective cohort study to assess 6-month mortality among RR-TB patients diagnosed between 2008 and 2019.RESULTS: By 6 months, 236/2,008 (12%) patients died; 12% (78/651) among those diagnosed in 2008-2011, and respectively 8% (49/619) and 15% (109/738) with and without LZD/BDQ/DLM in 2012-2019. Multivariable analysis showed a small, non-significant mortality reduction with LZD/BDQ/DLM use compared to the 2008-2011 period (aOR 0.79, 95% CI 0.5-1.2). Inpatient treatment initiation (aOR 3.2, 95% CI 2.4-4.4), fluoroquinolone (FQ) resistance (aOR 2.7, 95% CI 1.8-4.2) and female sex (aOR 1.5, 95% CI 1.1-2.0) were also associated with mortality. When restricted to 2012-2019, use of LZD/BDQ/DLM was associated with lower mortality (aOR 0.58, 95% CI 0.39-0.87).CONCLUSIONS: While LZD/BDQ/DLM reduced 6-month mortality between 2012 and 2019, there was no significant effect overall. These findings may be due to initially restricted LZD/BDQ/DLM use for those with high-level resistance or treatment failure. Additional contributors include increased treatment initiation among individuals who would have otherwise died before treatment due to universal drug susceptibility testing from 2012, an effect that also likely contributed to higher mortality among females (survival through to care-seeking).


Assuntos
Mycobacterium tuberculosis , Tuberculose Resistente a Múltiplos Medicamentos , Antituberculosos/farmacologia , Antituberculosos/uso terapêutico , Diarilquinolinas/uso terapêutico , Feminino , Humanos , Testes de Sensibilidade Microbiana , Estudos Retrospectivos , Rifampina/farmacologia , Rifampina/uso terapêutico , Tuberculose Resistente a Múltiplos Medicamentos/tratamento farmacológico
11.
Transplant Proc ; 54(10): 2794-2796, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-36319498

RESUMO

Recent reports have emerged regarding the utilization of checkpoint inhibitors for downstaging hepatocellular carcinoma before liver transplantation. Early post-transplant acute cellular rejection has rarely led to graft loss. We report the first case of 2 forms of nivolumab-associated liver injury on biopsy of the allograft organ in a single patient who received nivolumab for cancer downstaging before liver transplantation: 1. mild acute cellular rejection according to Risk Analysis Index scoring and 2. zone 3 inflammation and apoptosis consistent with a more classic drug-induced liver injury pattern. This case not only adds further evidence about the risk for rejection post-transplant, but sheds light on other injuries checkpoint inhibitors can cause to the allograft.


Assuntos
Doença Hepática Crônica Induzida por Substâncias e Drogas , Neoplasias Hepáticas , Humanos , Nivolumabe/efeitos adversos , Rejeição de Enxerto/etiologia , Neoplasias Hepáticas/cirurgia , Neoplasias Hepáticas/patologia , Aloenxertos/patologia
12.
Int J Biomater ; 2022: 7693793, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35528847

RESUMO

The growing use of biomaterials with different therapeutic purposes increases the need for their physiological understanding as well as to seek its integration with the human body. Chronic inflammatory local pathologies, generally associated with infectious or autoimmunity processes, have been a current therapeutic target due to the difficulty in their treatment. The recent development of biomaterials with immunomodulatory capacity would then become one of the possible strategies for their management in local pathologies, by intervening in situ, without generating alterations in the systemic immune response. The treatment of periodontal disease as an inflammatory entity has involved the use of different approaches and biomaterials. There is no conclusive, high evidence about the use of these biomaterials in the regeneration of periodontitis sequelae, so the profession keeps looking for other different strategies. The use of biomaterials with immunomodulatory properties could be one, with a promising future. This review of the literature summarizes the scientific evidence about biomaterials used in the treatment of periodontal disease.

13.
J Photochem Photobiol B ; 219: 112204, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-33957469

RESUMO

The present work describes the synthesis of polyvinylpyrrolidone (PVP) assisted Fe-BiOI based Fe/Bi-povidone­iodine (Fe/Bi-P-I) micro-flowers based composite and its photocatalytic and antibacterial applications. The Fe/Bi-P-I micro-flowers-based composite material was synthesized using a simple co-precipitation method. The prepared Fe/Bi-P-I micro-flowers-based composite materials were characterized using various characterization techniques and tested against photocatalytic degradation of rhodamine B (RhB) dye and antibacterial analysis. The PVP or povidone­iodine provides more exposure of reactive sites and oxygen vacancies, which leads to a high separation rate of photoinduced charge carriers, and migration, thereby 100% of photodegradation efficiency at 1 mg/L initial concentration of RhB dye towards the synthesized P-Fe-BiOI based micro-flowers composite. Interestingly, Povidone-Iodine in Fe/Bi-P-I micro-flowers-based composite might be advantageous for antimicrobial activity against both gram-negative (E. coli), and gram-positive (S. aureus) bacterial strains. Therefore, the prepared Fe/Bi-P-I micro-flowers-based composite improved both photocatalytic degradation of organic pollutants as well as high antimicrobial activity. The method of synthesizing the Bi/Fe-P-I micro flower composite in the present study is novel, facile, and economically viable.


Assuntos
Antibacterianos/química , Bismuto/química , Ferro/química , Luz , Fotólise/efeitos da radiação , Povidona-Iodo/química , Antibacterianos/farmacologia , Catálise , Escherichia coli/efeitos dos fármacos , Concentração de Íons de Hidrogênio , Rodaminas/química , Staphylococcus aureus/efeitos dos fármacos
14.
ACS Omega ; 6(2): 1575-1583, 2021 Jan 19.
Artigo em Inglês | MEDLINE | ID: mdl-33490817

RESUMO

The present study describes the strategic doping of Fe metal ions into a BiOI microstructure using ex situ and in situ processes to synthesize a Fe-BiOI microstructure and their effect on photocatalytic degradation of tetracycline (TC). The data suggested that in situ Fe-BiOI (Fe-BiOI-In) has superior performance compared to ex situ Fe-BiOI (Fe-BiOI-Ex) due to the uniform dispersion of Fe within the Fe-BiOI material. Calculated bandgaps ∼1.8, ∼1.5, and 2.4 eV were observed for BiOI (without Fe), Fe-BiOI-In, and Fe-BiOI-Ex, respectively. Interestingly, Fe incorporation within BiOI might decrease the bandgap in Fe-BiOI-In due to the uniform distribution of metal ions, whereas increasing the bandgap in Fe-BiOI-Ex attributed to nonuniform distribution or agglomeration of metal ions. The uniform dispersion of Fe within Fe-BiOI modulates electronic properties as well as increases the exposure of Fe ions with TC, thereby higher degradation efficiency of TC. The in situ Fe-BiOI material shows 67 and 100% degradation of TC at 10 and 1 mg/L, respectively. The TC degradation was also found to be pH-dependent; when increasing the pH value up to 10, 94% degradation was achieved at 10 mg/L within 60 min of solar irradiation. The analysis was also performed over BiOI, which proves that Fe has a profound effect on TC degradation as Fe(II) tends to trigger oxidation-reduction by utilizing the chelate formation tendency of TC. Therefore, the prepared Fe-BiOI-In has the potential ability to degrade pharmaceutical compounds, especially, TC from wastewater.

15.
Chemosphere ; 280: 130803, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-33975241

RESUMO

Tetracycline (TC) is one of the most commonly used broad-spectrum antibiotics to treat the bacterial infection. TC antibiotics enter into the environment because of partial metabolism in the humans and animals, thereby increasing the environmental toxicity. Therefore, it is highly needed to treat TC antibiotics from the water system. In this aspect, the present work focus on the synthesis of Fe and Zn (bimetal) incorporated with different concentrations into the bismuth-oxy-iodide (Fe/Zn-BiOI) based photocatalyst materials. The synthesized Fe/Zn-BiOI was tested against photocatalytic degradation of TC antibiotics and bacteria. The band gap value of the synthesized Fe/Zn-BiOI was calculated ~2.19 eV. The incorporation of the Fe and Zn metals within the BiOI aided advantages that increased the reactive sites, oxygen defects, photon adsorption, production of hydroxyl radicals, and decrease the recombination rate, thereby high photo-degradation ability. The maximum degradation of ~83% was observed using Fe/Zn-BiOI-1-1 at 10 mg/L of TC antibiotics concentration. Moreover, ~98% of degradation was observed at pH~10 of the TC antibiotics. The photo-activity against bacteria of the Fe/Zn-BiOI was also determined. The data suggested that the synthesized Fe/Zn-BiOI based photocatalyst materials effectively inhibited the bacterial strains. Therefore, Fe/Zn-BiOI based photocatalyst materials might be promising materials that effectively degrade TC antibiotics as well as bacteria.


Assuntos
Luz , Tetraciclina , Animais , Antibacterianos , Bactérias , Catálise , Humanos , Fotólise , Zinco
16.
Phys Rev E ; 104(6-1): 064116, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-35030927

RESUMO

Using the Wehrl entropy, we study the delocalization in phase space of energy eigenstates in the vicinity of avoided crossings in the Lipkin-Meshkov-Glick model. These avoided crossings, appearing at intermediate energies in a certain parameter region of the model, originate classically from pairs of trajectories lying in different phase-space regions which, contrary to the low-energy regime, are not connected by the discrete parity symmetry of the model. As coupling parameters are varied, a sudden increase of the Wehrl entropy is observed for eigenstates participating in avoided crossings that are close to the critical energy of the excited-state quantum phase transition. This allows us to detect when an avoided crossing is accompanied by a superposition of the pair of classical trajectories in the Husimi function of eigenstates. This superposition yields an enhancement of dynamical tunneling, which is observed by considering initial Bloch states that evolve partially into the partner region of the paired classical trajectories, thus breaking the quantum-classical correspondence in the evolution of observables.

17.
BJS Open ; 5(5)2021 09 06.
Artigo em Inglês | MEDLINE | ID: mdl-34518869

RESUMO

BACKGROUND: In patients with active Crohn's disease (CD), treatment of intra-abdominal abscess usually comprises antibiotics and radiologically guided percutaneous drainage (PD) preceding surgery. The aim of this study was to investigate the risk of postoperative complications and identify the optimal time interval for surgical intervention after PD. METHODS: A multicentre, international, retrospective cohort study was carried out. Details of patients with diagnosis of CD who underwent ultrasonography- or CT-guided PD were retrieved from hospital records using international classification of disease (ICD-10) diagnosis code for CD combined with procedure code for PD. Clinical variables were retrieved and the following outcomes were measured: 30-day postoperative overall complications, intra-abdominal septic complications, unplanned intraoperative adverse events, surgical-site infections, sepsis and pathological postoperative ileus, in addition to abscess recurrence. Patients were categorized into three groups according to the length of the interval from PD to surgery (1-14 days, 15-30 days and more than 30 days) for comparison of outcomes. RESULTS: The cohort comprised 335 CD patients with PD followed by surgery. Median age was 33 (i.q.r. 24-44) years, 152 (45.4 per cent) were females, and median disease duration was 9 (i.q.r. 3.6-15) years. Overall, the 30-day postoperative complications rate was 32.2 per cent and the mortality rate was 1.5 per cent. After adjustment for co-variables, older age (odds ratio 1.03 (95 per cent c.i. 1.01 to 1.06), P < 0.012), residual abscess after PD (odds ratio 0.374 (95 per cent c.i. 0.19 to 0.74), P < 0.014), smoking (odds ratio 1.89 (95 per cent c.i. 1.01 to 3.53), P = 0.049) and low serum albumin concentration (odds ratio 0.921 (95 per cent c.i. 0.89 to 0.96), P < 0.001) were associated with higher rates of postoperative complications. A short waiting interval, less than 2 weeks after PD, was associated with a high incidence of abscess recurrence (odds ratio 0.59 (95 per cent c.i. 0.36 to 0.96), P = 0.042). CONCLUSION: Smoking, low serum albumin concentration and older age were significantly associated with postoperative complications. An interval of at least 2 weeks after successful PD correlated with reduced risk of abscess recurrence.


Assuntos
Abscesso Abdominal , Doença de Crohn , Abscesso Abdominal/diagnóstico por imagem , Abscesso Abdominal/etiologia , Abscesso Abdominal/cirurgia , Adulto , Idoso , Doença de Crohn/complicações , Doença de Crohn/cirurgia , Drenagem , Feminino , Humanos , Estudos Retrospectivos , Listas de Espera
18.
Ann Oncol ; 21(7): 1442-1447, 2010 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-19940004

RESUMO

BACKGROUND: On the basis of clinical activity of capecitabine and gemcitabine for metastatic breast cancer, we carried out a multicenter phase II clinical trial on the combination of these two agents in advanced anthracycline-pretreated breast cancer patients. Main objectives were to assess its efficacy and safety profile. PATIENTS AND METHODS: Seventy-six anthracycline-pretreated breast cancer patients were evaluated and were stratified according to previous treatment of advanced disease (group-1: not previously treated and group-2: previously treated). Study treatment consisted of gemcitabine 1000 mg/m(2), i.v., as 30 min-infusion, days 1 and 8 every 21 days, plus oral capecitabine 830 mg/m(2) b.i.d., days 1-14 every 21 days. RESULTS: Overall response rate was 61% for group-1, 48.5% for group-2 and 55.2% for the whole population. Clinical benefit rate was 73% for group-1, 80% for patients in group-2 and 76% for all patients. Median time to progression was 13.0 months for group-1, 8.2 months for group-2 and 11.1 months for the whole population. Most frequent grade 3-4 observed toxic effects per patient were neutropenia (60%), asymptomatic liver toxicity (13.5%), asthenia (14%) and hand-foot syndrome (16%). Only one patient presented febrile neutropenia. No treatment-related deaths occurred. CONCLUSION: Combination of gemcitabine and capecitabine is an active and safe regimen in anthracycline-pretreated breast cancer patients.


Assuntos
Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Neoplasias da Mama/tratamento farmacológico , Neoplasias da Mama/patologia , Resistencia a Medicamentos Antineoplásicos , Terapia de Salvação , Adulto , Idoso , Antraciclinas/administração & dosagem , Capecitabina , Desoxicitidina/administração & dosagem , Desoxicitidina/análogos & derivados , Progressão da Doença , Feminino , Fluoruracila/administração & dosagem , Fluoruracila/análogos & derivados , Humanos , Pessoa de Meia-Idade , Metástase Neoplásica , Taxa de Sobrevida , Fatores de Tempo , Resultado do Tratamento , Gencitabina
19.
Braz J Microbiol ; 40(3): 480-9, 2009 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-24031391

RESUMO

The objective of the present study was to improve the detection of B. abortus by PCR in organs of aborted fetuses from infected cows, an important mechanism to find infected herds on the eradication phase of the program. So, different DNA extraction protocols were compared, focusing the PCR detection of B. abortus in clinical samples collected from aborted fetuses or calves born from cows challenged with the 2308 B. abortus strain. Therefore, two gold standard groups were built based on classical bacteriology, formed from: 32 lungs (17 positives), 26 spleens (11 positives), 23 livers (8 positives) and 22 bronchial lymph nodes (7 positives). All samples were submitted to three DNA extraction protocols, followed by the same amplification process with the primers B4 and B5. From the accumulated results for organ, the proportion of positives for the lungs was higher than the livers (p=0.04) or bronchial lymph nodes (p=0.004) and equal to the spleens (p=0.18). From the accumulated results for DNA extraction protocol, the proportion of positives for the Boom protocol was bigger than the PK (p< 0.0001) and GT (p=0.0004). There was no difference between the PK and GT protocols (p=0.5). Some positive samples from the classical bacteriology were negative to the PCR and vice-versa. Therefore, the best strategy for B. abortus detection in the organs of aborted fetuses or calves born from infected cows is the use, in parallel, of isolation by classical bacteriology and the PCR, with the DNA extraction performed by the Boom protocol.

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