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PURPOSE: To evaluate glycemic variability (GV) using continuous glucose monitoring (CGM) in individuals with and without type 2 diabetes mellitus (T2DM) undergoing Roux-en-Y gastric bypass (RYGB). METHODS: This prospective cohort study compared the CGM data of fourteen patients with T2DM (n = 7) and without T2DM (n = 7) undergoing RYGB. After 6 months, these patients were compared to a non-operative control group (n = 7) matched by BMI, sex, and age to the T2DM group. RESULTS: Fourteen patients underwent RYGB, with a mean BMI of 46.9 ± 5.3 kg/m2 and an average age of 47.9 ± 8.9 years; 85% were female. After 6 months post-surgery, the total weight loss (TWL) was 27.1 ± 6.3%, with no significant differences between the groups. Patients without diabetes had lower mean interstitial glucose levels (81 vs. 94 and 98 mg/dl, p < 0.01) and lower glucose management indicator (GMI) (5.2 vs. 5.6 and 5.65%, p = 0.01) compared to the control and T2DM groups, respectively. The coefficient of variation (CV) significantly increased only in patients with diabetes (17% vs. 26.7%, p < 0.01). Both groups with (0% vs. 2%, p = 0.03) and without (3% vs. 22%, p = 0.03) T2DM experienced an increased time below range with low glucose (54-69 mg/dL). However, patients without T2DM had significantly less time in rage (70-180 mg/dL) (97% vs. 78%, p = 0.04). CONCLUSION: Significant differences in CGM metrics among RYGB patients suggest an increase in glycemic variability after surgery, with a longer duration of hypoglycemia, especially in patients without T2DM.

Asunto(s)

Glucemia , Monitoreo Continuo de Glucosa , Diabetes Mellitus Tipo 2 , Derivación Gástrica , Obesidad Mórbida , Pérdida de Peso , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Glucemia/metabolismo , Glucemia/análisis , Automonitorización de la Glucosa Sanguínea , Monitoreo Continuo de Glucosa/estadística & datos numéricos , Diabetes Mellitus Tipo 2/sangre , Diabetes Mellitus Tipo 2/cirugía , Control Glucémico , Obesidad Mórbida/cirugía , Obesidad Mórbida/sangre , Estudios Prospectivos , Pérdida de Peso/fisiología

RESUMEN

Enteroaggregative E. coli (EAEC) is one of the most frequent pathogens isolated from diarrheal patients as well as from healthy individuals in Brazil and has recently also been implicated as an extraintestinal pathogenic E. coli (ExPEC) associated with bloodstream and urinary tract infections. In this study, 37 EAEC isolates, obtained from fecal samples of non-diarrheic children, were molecularly and phenotypically characterized to access the pathogenic features of these isolates. The EAEC isolates were assigned into the phylogroups A (54.1%), D (29.7%), B1 (13.5%) and B2 (2.7%); and harbored genes responsible for encoding the major pilin subunit of the aggregative adherence fimbriae (AAFs) or aggregate-forming pili (AFP) adhesins as follows: aggA (24.3%), agg3A (5.4%), agg4A (27.0%), agg5A (32.4%) and afpA (10.8%). The most frequent O:H serotypes were O15:H2 (8.1%), O38:H25 (5.4%) and O86:H2 (5.4%). Twenty-one isolates (56.8%) produce the aggregative adherence (AA) pattern on HeLa cells, and biofilm formation was more efficient among EAEC isolates harboring the aggA and agg5A genes. PFGE analysis showed that 31 (83.8%) of the isolates were classified into 10 distinct clusters, which reinforces the high diversity found among the isolates studied. Of note, 40.5% (15/37) of the EAEC isolates have a genetic profile compatible with E. coli isolates with intrinsic potential to cause extraintestinal infections in healthy individuals, and therefore, classified as EAEC/ExPEC hybrids. In conclusion, we showed the presence of EAEC/ExPEC hybrids in the intestinal microbiota of non-diarrheic children, possibly representing the source of some endogenous extraintestinal infections.

RESUMEN

Alpinia zerumbet, a species of the Zingiberaceae family, is a common plant in tropical and subtropical areas used in traditional medicine to treat various diseases and also included as food in the traditional Okinawan diet (Japan). The leaves and rhizomes of this plant are used as spice and flavoring in foods such as rice, meats, and pasta. Studies of the chemical and nutritional characteristics of fresh leaves and of leaves submitted to thermal treatments such as boiling and steaming are lacking. In the current study, the leaves of A. zerumbet were subjected to boiling or steaming for 10, 20, and 30 min as part of the thermal treatments. The study also provides noteworthy results regarding the proximate composition, physical-chemical data, minerals, phenolic compounds, antioxidant activity, volatile compounds, and LC-MS chromatographic profiles of the extracts produced with fresh leaves and with thermal treatments. The carbohydrate content of A. zerumbet leaves improved during the thermal treatments, showing an increase after steaming (18.86 to 19.79%) and boiling for 30 min (25.85%). After boiling treatment for 20 min, a significant amount of protein was found (6.79%) and all heat treatments resulted in low content of lipid (<1.0%). The boiling treatment for 10 min (BT10) resulted in the highest concentrations of total phenolic components (TPC), 339.5 mg/g, and flavonoids (TF), 54.6 mg/g, among the three thermal treatments (BT10, BT20 and BT30). The results of the steaming treatments (ST 10, 20, and 30 min) differed, with ST20 leading to higher TPC (150.4 mg/g) and TF (65.0 mg/g). The quantity of total phenolics and flavonoids, as well as the antioxidant activity, were significantly affected by the cooking method and the length of time of sample exposure to heat. The samples boiled for 30 and 10 min had higher concentrations of antioxidant activity as measured by the phosphomolybdenum and DPPH methods (151.5 mg/g of extract and 101.5 µg/mL, respectively). Thirty-eight volatile organic compounds (VOCs) were identified by chromatographic analysis of fresh and thermally treated leaves of A. zerumbet. Terpenoids were the predominant class of volatile compounds in the fresh leaves and in all thermal treatments. p-Cymene, 1,8-cineole, 4-terpineol, linalool, α-copaene and ß-bisabolene have the greatest impact on overall aroma perception, with odor activity values (OAV) greater than five. Among the phenolic compounds identified by LC-HRMS in the extracts of fresh and thermally treated leaves were proanthocyanidins, (+) catechin, (-) epicatechin, quercetin-3-O-glucoronide, isorhamnetin-3-O-glucoronide, kaempferol-3-O-rutinoside, pinocembrin, alpinetin, pinostrobin, and other compounds. The present results support the traditional use of this plant as a potential food with properties that certainly contribute to health improvement.

Asunto(s)

Alpinia , Antioxidantes , Antioxidantes/análisis , Alpinia/química , Alimentos Funcionales/análisis , Fenoles/análisis , Flavonoides/análisis

RESUMEN

In this study, we aimed to develop and psychometrically examine a self-efficacy scale for high-performance volleyball athletes. A literature review and interviews with 16 experts led to construction of item content. A preliminary version of the scale was then administered to 24 high-performing adult athletes, followed by administration of the scale to 300 Brazilian high-performing volleyball athletes (M age = 24.88, SD = 5.51 years; 55% male; 45% female). The definitive model contained 19 items, grouped into three factors (Self-Efficacy in the Game, Defensive Self-Efficacy in Volleyball, and Offensive Self-Efficacy in Volleyball). A Global Self-Efficacy score was evaluated through several statistical procedures that provided evidence of an adequate fit of the model to the data, and we showed internal reliability of the item content and invariance of the instrument for both sexes. These results support the instrument's test content, internal structure, and relation to other variables, indicating that the Volleyball Self-Efficacy Scale (VSES) can now be used to assess the self-efficacy of high performing Brazilian volleyball athletes.

RESUMEN

The equation of state based on the mean spherical approximation (MSA) can describe electrolyte solutions as a primitive model, where the ions are charged hard-sphere particles and the solvent is a continuum medium. In recent years, many propositions of the classical density functional theory (cDFT) for electrolyte solutions have been presented. One of these is the functionalized MSA (fMSA) which has proven to be a great functional approach of MSA to calculate the electric double layer structures. This work demonstrates how the fMSA theory can describe real electrolyte solutions (e.g., NaCl, KI, and LiBr) where hydration and solvent concentration effects are present. Experimental data of the mean activity coefficients of different simple salts were successfully reproduced. When the hydrated diameter and the electrolyte solution electric permittivity are used, the fMSA predicts a charge inversion on the electrostatic potential near a charged surface at high salt concentrations.

RESUMEN

Mastigimas anjosi is an important pest of Cedrela fissilis in the southeastern and southern regions of Brazil. The objective of the present study was to investigate the effect of the temperature, relative humidity, rainfall and natural enemies on the flight activity of adults and the movement of M. anjosi nymphs, with two sampling methods, yellow sticky traps and direct collections on the leaves of C. fissilis trees. The sex ratio of this pest was also assessed. The number of M. anjosi individuals was negatively correlated with the minimum and maximum temperatures, with a population peak in late May and early June 2017. The numbers of individuals of this psyllid was positively correlated with the relative humidity and rainfall. Larvae and adults of Cycloneda sanguinea, Hippodamia convergens adults and Atopozelus opsimus nymphs and adults preyed upon M. anjosi adults and nymphs on C. fissilis leaves in the field. Mastigimas anjosi sex ratio was 0.46. Information about sampling methods of M. anjosi and its natural enemies is presented and can contribute to the integrated management of this pest in the field.

RESUMEN

The present work aims to evaluate the effect of different excitation frequency (200, 500 and 800 Hz) of cold plasma technique as a pretreatment for drying tucumã. SEM images showed changes on the pretreated tucumã's surface, favoring the drying rate and diffusivity of water as well as reducing the drying time. Marginal variation of color and reduced drying time were observed in the samples treated using 200 and 800 Hz. The pretreatment improved the concentration of phenolic (45.3 mg GAE g-1) and antioxidant compounds (799.8 µM ET) (p-value < 0.05). Carotenoids were more sensitive to the drying time, presenting significant degradation at 500 Hz. For this reason, the propose pretreatment based on the application of cold plasma technique for drying foods can preserve/improve their nutritional quality.

Asunto(s)

Frutas , Gases em Plasma , Antioxidantes , Desecación , Frutas/química , Fenoles/análisis

RESUMEN

A scoping review, based on the RE-AIM framework, was conducted to analyze evidence of reach, effectiveness, adoption, implementation, and maintenance of the Strengthening Families Program (10-14), a preventive family-based substance abuse program for adolescents. Sixty-five articles were included. The results disclosed that effectiveness, implementation, and maintenance at the individual-level were the most evaluated aspects, while reach, maintenance at the setting-level, and adoption were the least investigated aspects. Positive effects on drug abuse prevention and protective parenting factors were found in the U.S. studies. Likewise, Latin American studies have shown the improvement of parenting practices. However, European studies have produced mixed results, with predominantly null effects on substance abuse. The implementation quality was high. There is no available evidence of adoption and maintenance at the setting-level by the organizations that implemented it. New studies must examine the reach, adoption, and sustainability of the program to lay foundations for its future use as an instrument of public policies.

RESUMEN

Serotonin (5-HT) receptors are found throughout central and peripheral nervous systems, mainly in brain regions involved in the neurobiology of anxiety and depression. 5-HT receptors are currently promising targets for discovering new drugs for treating disorders ranging from migraine to neuropsychiatric upsets, such as anxiety and depression. It is well described in the current literature that the brain expresses seven types of 5-HT receptors comprising eighteen distinct subtypes. In this article, we comprehensively reviewed 5-HT1-7 receptors. Of the eighteen 5-HT receptors known today, thirteen are G protein-coupled receptors (GPCRs) and represent targets for approximately 40% of drugs used in humans. Signaling pathways related to these receptors play a crucial role in neurodevelopment and can be modulated to develop effective therapies to treat anxiety and depression. This review presents the experimental evidence of the modulation of the "serotonergic receptosome" in the treatment of anxiety and depression, as well as demonstrating state-of-the-art research related to phytochemicals and these disorders. In addition, detailed aspects of the pharmacological mechanism of action of all currently known 5-HT receptor families were reviewed. From this review, it will be possible to direct the rational design of drugs towards new therapies that involve signaling via 5-HT receptors.

RESUMEN

BACKGROUND: There are limited data on surgical complications for patients that have delayed surgery after severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. We aimed to analyze the surgical outcomes of patients submitted to surgery after recovery from SARS-CoV-2 infection. METHODS: Asymptomatic patients that had surgery delayed after preoperative reverse-transcription polymerase chain reaction (RT-PCR) for SARS-CoV-2 were matched in a 1:2 ratio for age, type of surgery and American Society of Anesthesiologists to patients with negative RT-PCR for SARS-CoV-2. RESULTS: About 1253 patients underwent surgical procedures and were subjected to screening for SARS-CoV-2. Forty-nine cases with a delayed surgery were included in the coronavirus disease (COVID) recovery (COVID-rec) group and were matched to 98 patients included in the COVID negative (COVID-neg) group. Overall, 22 (15%) patients had 30-days postoperative complications, but there was no statistically difference between groups -16.3% for COVID-rec and 14.3% for COVID-neg, respectively (odds ratio [OR] 1.17:95% confidence interval [CI] 0.45-3.0; p = .74). Moreover, we did not find difference regarding grades more than or equal to 3 complication rates - 8.2% for COVID-rec and 6.1% for COVID-neg (OR 1.36:95%CI 0.36-5.0; p = .64). There were no pulmonary complications or SARS-CoV-2 related infection and no deaths within the 30-days after surgery. CONCLUSIONS: Our study suggests that patients with delayed elective surgeries due to asymptomatic preoperative positive SARS-CoV-2 test are not at higher risk of postoperative complications.

Asunto(s)

Prueba de Ácido Nucleico para COVID-19 , COVID-19/diagnóstico , Procedimientos Quirúrgicos Electivos , Complicaciones Posoperatorias/epidemiología , Reacción en Cadena de la Polimerasa de Transcriptasa Inversa , Tiempo de Tratamiento , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Infecciones Asintomáticas , Estudios de Casos y Controles , Femenino , Humanos , Masculino , Persona de Mediana Edad , Adulto Joven

RESUMEN

BACKGROUND: The prognostic value of myocardial perfusion imaging (MPI) in patients with known coronary artery disease (CAD) and high exercise capacity is still unknown. We sought to determine the MPI additional prognostic value over electrocardiography (ECG) stress testing alone in patients with known CAD who achieved ≥ 10 metabolic equivalents (METs). METHODS AND RESULTS: We evaluated 926 patients with known CAD referred for MPI with exercise stress. Patients were followed for a mean of 32.4 ± 9.7 months for the occurrence of all-cause death or nonfatal myocardial infarction (MI). Those achieving ≥ 10 METs were younger, predominantly male, and had lower prevalence of cardiovascular risk factors. Patients reaching ≥ 10 METs had a lower annualized rate of hard events compared to their counterparts achieving < 10 METs (1.13%/year vs 3.95%/year, P < .001). Patients who achieved ≥ 10 METs with abnormal scans had a higher rate of hard events compared to those with normal scans (3.37%/year vs 0.57%/year, P = .023). Cardiac workload < 10 METs and an abnormal MPI scan were independent predictors of hard events. CONCLUSIONS: MPI is able to stratify patients with known CAD achieving ≥ 10 METs for the occurrence of all-cause death and nonfatal MI, with incremental prognostic value over ECG stress test alone.

Asunto(s)

Enfermedad de la Arteria Coronaria/diagnóstico por imagen , Tolerancia al Ejercicio/fisiología , Valor Predictivo de las Pruebas , Tomografía Computarizada por Tomografía Computarizada de Emisión de Fotón Único/normas , Anciano , Brasil/epidemiología , Enfermedad de la Arteria Coronaria/diagnóstico , Enfermedad de la Arteria Coronaria/epidemiología , Electrocardiografía/métodos , Electrocardiografía/estadística & datos numéricos , Femenino , Humanos , Masculino , Persona de Mediana Edad , Imagen de Perfusión Miocárdica/métodos , Imagen de Perfusión Miocárdica/normas , Imagen de Perfusión Miocárdica/estadística & datos numéricos , Pronóstico , Factores de Riesgo , Tomografía Computarizada por Tomografía Computarizada de Emisión de Fotón Único/instrumentación , Tomografía Computarizada por Tomografía Computarizada de Emisión de Fotón Único/métodos

RESUMEN

BACKGROUND: Previous studies have suggested using gamma cameras with cadmium-zinc-telluride (CZT) detectors to quantify myocardial blood flow (MBF) and flow reserve (MFR). In this study, we aimed to evaluate the feasibility and accuracy of MFR quantification using a CZT camera compared to coronary angiography. METHODS: Forty-one participants referred for coronary angiography underwent a rest/stress one-day myocardial perfusion imaging protocol using a CZT gamma camera. Rest and stress dynamic phases were followed by acquisition of traditional perfusion images and time-activity curves were generated. Angiographic and perfusion results were compared to MFR. RESULTS: Patients with abnormal perfusion presented reduced MFR (2.01 [1.48-2.77] vs. 2.94 [2.38-3.64], P = 0.002), and reduced stress MBF. Patients with high-risk CAD had lower global MFR compared to patients without obstructive disease (1.99 [1.22-2.84] vs. 2.89 [2.22-3.58], P = 0.026). Obstructed vessels showed lower regional MFR when compared to non-obstructed (1.81 [1.19-2.67] vs. 2.75 [2.13-3.42], P < 0.001). A regional MFR of 2.2 provided a sensitivity of 63.2% and specificity of 74.1% to identify an obstructive lesion in the corresponding artery. CONCLUSION: In patients undergoing invasive coronary angiography for the evaluation of CAD, quantifying MBF and MFR in a CZT gamma camera is feasible and reflects underlying disease. In these patients, reduced regional MFR suggests the presence of obstructive lesion(s).

Asunto(s)

Angiografía Coronaria/métodos , Enfermedad de la Arteria Coronaria/diagnóstico por imagen , Reserva del Flujo Fraccional Miocárdico , Anciano , Algoritmos , Angiografía , Animales , Cadmio , Femenino , Cámaras gamma , Humanos , Procesamiento de Imagen Asistido por Computador , Masculino , Persona de Mediana Edad , Imagen de Perfusión Miocárdica/métodos , Perfusión , Estudios Prospectivos , Curva ROC , Reproducibilidad de los Resultados , Riesgo , Sensibilidad y Especificidad , Telurio , Zinc

RESUMEN

Several monoecious species of palms have developed complex strategies to promote cross-pollination, including the production of large quantities of floral resources and the emission of scents that are attractive to pollinators. Syagrus coronata constitutes an interesting model with which to understand the evolution of plant reproductive strategies in a monoecious species adapted to seasonally dry forests. We monitored blooming phenology over 1 year, during which we also collected and identified floral visitors and putative pollinators. We identified potential floral visitor attractants by characterizing the scent composition of inflorescences as well as of peduncular bracts, during both male and female phases, and the potential for floral thermogenesis. Syagrus coronata produces floral resources throughout the year. Its inflorescences are predominantly visited by a diverse assortment of small-sized beetles, whose richness and abundance vary throughout the different phases of anthesis. We did not find evidence of floral thermogenesis. A total of 23 volatile compounds were identified in the scent emitted by the inflorescences, which did not differ between male and female phases; whereas the scent of the peduncular bracts was composed of only 4-methyl guaiacol, which was absent in inflorescences. The composition of floral scent chemistry indicates that this palm has evolved strategies to be predominantly pollinated by small-sized weevils. Our study provides rare evidence of a non-floral scent emitting structure involved in pollinator attraction, only the second such case specifically in palms. The peculiarities of the reproductive strategy of S. coronata might play an important role in the maintenance of pollination services and pollen dispersion.

Asunto(s)

Arecaceae/fisiología , Flores/fisiología , Odorantes , Animales , Insectos , Polinización

RESUMEN

Abstract: The northern most portion of Atlantic Forest is currently considered as the most vulnerable and threatened in this ecoregion, while also harboring the ecoregion's least studied biota. Herein we present results of a herpetofaunistic survey in Refúgio de Vida Silvestre (Wildlife Refuge) Matas de Água Azul (RVSMAA), in the mountain range Serra do Mascarenhas, northeastern state of Pernambuco, Brazil, one of the largest forest remnants in the northern Atlantic Forest. The sampling was carried out in four expeditions using methods of visual searching and pitfall traps. A total of 43 species of amphibians and 40 species of reptiles were registered, including anurans, caecilians, lizards, snakes and chelonians. The richness recorded represented 56% of amphibians and 20% of reptiles registered in the Atlantic Forest north of the São Francisco River. The RVSMAA holds a high diversity of amphibians and reptiles, representing one of the highest levels of richness in the northern Atlantic Forest. The record of seven species included in some of the threatened species lists reinforces the importance of the area for the conservation of the Atlantic Forest herpetofauna and adds relevant information to our knowledge of northern Atlantic Forest biodiversity and aids in its assessment of conservation.

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Resumo: Atualmente, a porção norte da Mata Atlântica é considerada a mais vulnerável, ameaçada e com menos estudos sobre a biota em toda sua extensão. Apresentamos aqui os resultados do inventário herpetofaunístico realizado no Refúgio de Vida Silvestre Matas de Água Azul (RVSMAA), localizada na cadeia de montanhas da Serra do Mascarenhas, estado de Pernambuco, Brasil, um dos maiores remanescentes florestais da porção norte da Mata Atlântica. A amostragem da área foi realizada em quatro expedições onde foram utilizados os métodos de busca visual e estações de armadilhas de interceptação e queda. Um total de 43 espécies de anfíbios e 40 de répteis foram registradas, incluindo anuros, cecílias, lagartos, serpentes e quelônios. A riqueza registrada representa 56% dos anfíbios e 20% dos répteis registrados para a Mata Atlântica ao norte do Rio São Francisco. O RVSMAA possui elevada diversidade de anfíbios e répteis, representando uma das maiores riquezas do norte da Mata Atlântica. O registro de sete espécies incluídas em alguma das listas de espécies ameaçadas para a região reforça a importância da área para a conservação da herpetofauna do Nordeste e acrescenta informações relevantes ao conhecimento e conservação da biodiversidade da Mata Atlântica ao norte do Rio São Francisco.

RESUMEN

On March 11, 2020, the World Health Organization (WHO) officially declared the outbreak caused by the new coronavirus (SARS-CoV-2) a pandemic. The rapid spread of the disease surprised the scientific and medical community. Based on the latest reports, news, and scientific articles published, there is no doubt that the coronavirus has overloaded health systems globally. Practical actions against the recent emergence and rapid expansion of the SARS-CoV-2 require the development and use of tools for discovering new molecular anti-SARS-CoV-2 targets. Thus, this review presents bioinformatics and molecular modeling strategies that aim to assist in the discovery of potential anti-SARS-CoV-2 agents. Besides, we reviewed the relationship between SARS-CoV-2 and innate immunity, since understanding the structures involved in this infection can contribute to the development of new therapeutic targets. Bioinformatics is a technology that assists researchers in coping with diseases by investigating genetic sequencing and seeking structural models of potential molecular targets present in SARS-CoV2. The details provided in this review provide future points of consideration in the field of virology and medical sciences that will contribute to clarifying potential therapeutic targets for anti-SARS-CoV-2 and for understanding the molecular mechanisms responsible for the pathogenesis and virulence of SARS-CoV-2.

Asunto(s)

Antivirales/uso terapéutico , Betacoronavirus/efectos de los fármacos , Betacoronavirus/inmunología , Biología Computacional , Infecciones por Coronavirus/tratamiento farmacológico , Infecciones por Coronavirus/inmunología , Descubrimiento de Drogas , Neumonía Viral/tratamiento farmacológico , Neumonía Viral/inmunología , Animales , Betacoronavirus/patogenicidad , COVID-19 , Infecciones por Coronavirus/diagnóstico , Infecciones por Coronavirus/transmisión , Humanos , Inmunidad Innata , Pandemias , Neumonía Viral/diagnóstico , Neumonía Viral/transmisión , SARS-CoV-2

RESUMEN

Leigh syndrome is an early onset progressive disorder caused by defects in mitochondrial oxidative phosphorylation. Pathogenic variants in nuclear and mitochondrial genes are associated with the syndrome. Homozygous pathogenic variants in the C12orf65 gene impair the mitochondrial oxidative phosphorylation system. We describe a new case of Leigh syndrome caused by a novel pathogenic variant of the C12orf65 gene resulting in the lack of the Gly-Gly-Gln (GGQ) domain in the predicted protein, and review clinical and molecular data from previously reported patients. Our study supports that the phenotype caused by C12orf65 gene variants is heterogeneous and varies from spastic paraparesis to Leigh syndrome. Loss-of-function variants are more likely to cause the disease, and variants affecting the GGQ domain tend to be associated with more severe phenotypes, reinforcing a possible genotype-phenotype correlation.

RESUMEN

Objective: Depression is highly prevalent in hemodialysis patients, but few studies have evaluated older hemodialysis patients. The aim of this study was to evaluate the prevalence of depression, its associated factors and its impact on quality of life in an older population on hemodialysis. Methods: This was a cross-sectional study including 173 hemodialysis patients aged 60 years or older in Recife, Brazil. Depression was evaluated using the Mini-International Neuropsychiatric Interview when depressive symptoms (according to the 5-item Geriatric Depression Scale) were present. Quality of life was assessed with the Control, Autonomy, Self-realization and Pleasure Questionnaire (CASP-16). Data were also collected on sociodemographic, laboratory (albumin, parathormone, hemoglobin, and phosphorus) and dialysis (dialysis vintage, vascular access and hemodialysis adequacy) characteristics. Results: Depression was present in 22.5% of the sample. Depressed patients presented low CASP-16 quality of life scores (31.6 vs. 24.2, p < 0.001), twice the odds of albumin levels < 3.8 g/dL (OR 2.36; 95%CI 1.10-5.07; p = 0.027) and higher parathormone levels (OR 1.06; 95%CI 1.00-1.13; p = 0.05). Conclusion: Older hemodialysis patients have a high prevalence of depression. Depressed patients presented poor quality of life, lower serum albumin and higher parathormone levels. Teams dealing with older hemodialysis patients should include depression and quality of life assessments in care protocols.

Asunto(s)

Humanos , Femenino , Anciano , Calidad de Vida/psicología , Diálisis Renal/psicología , Depresión/psicología , Fallo Renal Crónico/psicología , Fallo Renal Crónico/terapia , Factores Socioeconómicos , Brasil , Estudios Transversales , Encuestas y Cuestionarios

RESUMEN

Asthma is a chronic inflammatory disease that represents high hospitalizations and deaths in world. Copaiba oil (CO) is popularly used for relieving asthma symptoms and has already been shown to be effective in many inflammation models. This study aimed to investigate the immunomodulatory relationship of CO in ovalbumin (OVA)-induced allergic asthma. The composition of CO sample analyzed by GC and GC-MS and the toxicity test was performed in mice at doses of 50 or 100 mg/kg (by gavage). After, the experimental model of allergic asthma was induced with OVA and mice were orally treated with CO in two pre-established doses. The inflammatory infiltrate was evaluated in bronchoalveolar lavage fluid (BALF), while cytokines (IL-4, IL-5, IL-17, IFN-γ, TNF-α), IgE antibody and nitric oxide (NO) production was evaluated in BALF and lung homogenate (LH) of mice, together with the histology and histomorphometry of the lung tissue. CO significantly attenuated the number of inflammatory cells in BALF, suppressing NO production and reducing the response mediated by TH2 and TH17 (T helper) cells in both BALF and LH. Histopathological and histomorphometric analysis confirmed that CO significantly reduced the numbers of inflammatory infiltrate in the lung tissue, including in the parenchyma area. Our results indicate that CO has an effective in vivo antiasthmatic effect.

Asunto(s)

Antiinflamatorios/administración & dosificación , Asma/tratamiento farmacológico , Fabaceae/química , Aceites Volátiles/administración & dosificación , Aceites de Plantas/administración & dosificación , Administración Oral , Animales , Antiinflamatorios/toxicidad , Asma/sangre , Asma/inmunología , Asma/patología , Líquido del Lavado Bronquioalveolar/citología , Líquido del Lavado Bronquioalveolar/inmunología , Modelos Animales de Enfermedad , Relación Dosis-Respuesta a Droga , Femenino , Humanos , Pulmón/efectos de los fármacos , Pulmón/inmunología , Pulmón/patología , Ratones , Óxido Nítrico/metabolismo , Aceites Volátiles/toxicidad , Ovalbúmina/inmunología , Aceites de Plantas/toxicidad , Células Th17/efectos de los fármacos , Células Th17/inmunología , Células Th2/efectos de los fármacos , Células Th2/inmunología , Pruebas de Toxicidad Aguda

RESUMEN

OBJECTIVE: Depression is highly prevalent in hemodialysis patients, but few studies have evaluated older hemodialysis patients. The aim of this study was to evaluate the prevalence of depression, its associated factors and its impact on quality of life in an older population on hemodialysis. METHODS: This was a cross-sectional study including 173 hemodialysis patients aged 60 years or older in Recife, Brazil. Depression was evaluated using the Mini-International Neuropsychiatric Interview when depressive symptoms (according to the 5-item Geriatric Depression Scale) were present. Quality of life was assessed with the Control, Autonomy, Self-realization and Pleasure Questionnaire (CASP-16). Data were also collected on sociodemographic, laboratory (albumin, parathormone, hemoglobin, and phosphorus) and dialysis (dialysis vintage, vascular access and hemodialysis adequacy) characteristics. RESULTS: Depression was present in 22.5% of the sample. Depressed patients presented low CASP-16 quality of life scores (31.6 vs. 24.2, p < 0.001), twice the odds of albumin levels < 3.8 g/dL (OR 2.36; 95%CI 1.10-5.07; p = 0.027) and higher parathormone levels (OR 1.06; 95%CI 1.00-1.13; p = 0.05). CONCLUSION: Older hemodialysis patients have a high prevalence of depression. Depressed patients presented poor quality of life, lower serum albumin and higher parathormone levels. Teams dealing with older hemodialysis patients should include depression and quality of life assessments in care protocols.

Asunto(s)

Depresión/psicología , Fallo Renal Crónico/psicología , Fallo Renal Crónico/terapia , Calidad de Vida/psicología , Diálisis Renal/psicología , Anciano , Brasil , Estudios Transversales , Femenino , Humanos , Factores Socioeconómicos , Encuestas y Cuestionarios

RESUMEN

A terapia por campo eletromagnético é bastante utilizada pela fisioterapia no tratamento adjuvante dos sintomas álgicos associados às desordens articulares degenerativas e musculoesqueléticas. Esse estudo teve como objetivo avaliar a ação das ondas curtas pulsada de 100Hz e intensidade de campo elétrico de 25V/m, na latência do limiar de dor e na intensidade da dor em adultos saudáveis. Vinte e quatro voluntários foram recrutados e alocados em dois grupos experimentais, o grupo intervenção (GI), com 12 voluntários de média de idade 22±2,65 anos e o índice de massa corporal (IMC) de 23,72 ±3,07 e o grupo placebo (GP), também com 12 voluntários com 22,08±2,71 anos e IMC de 23,66 ±3,36. Os grupos foram submetidos a 3 ciclos com estimulação álgica através da hipotermia. No ciclo de intervenção o grupo GI contou com a aplicação da OCP (Ondas Curtas Pulsadas) na face anterior e posterior do antebraço ipsilateral submetido à hipotermia por 20 minutos, enquanto que no GP o aparelho foi ligado, mas sem emissão. Na análise intragrupo, a latência do limiar de dor obteve um aumento significativo nos momentos durante e após a intervenção em relação ao momento de pré-intervenção no GI, enquanto que no GP o momento durante a pós-intervenção foi significativamente maior que no pré- intervenção. Quando comparados, o GI apresentou uma latência significativamente maior durante o momento de intervenção e a pós-intervenção em relação aos mesmos momentos no GP. A intensidade dolorosa não apresentou resultados significativos em nenhum dos grupos. Observou-se que as ondas curtas no modo pulsada promove o aumento na latência do limiar doloroso durante a sua aplicação em processos agudos....(AU)

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The electromagnetic field therapy is frequently used by physical therapy in the adjuvant treatment of pain symptoms associated with degenerative joint and musculoskeletal disorders. This study aimed to evaluate the effects of pulsed short-wave with 100Hz and intensity of the electric field 25V/m in latency threshold of pain and pain intensity in healthy adults. Twenty-four volunteers were recruited and divided into two experimental groups, the intervention group (GI), with average age of 12 volunteers 22 ± 2.65 years and body mass index (BMI) of 23.72 ± 3.07 and the placebo group (GP), also with 12 volunteers, with 22.08 ± 2.71 years and 23.66 ± 3.36 BMI. The groups were submitted to cycles with cold induced pain, in the intervention cycle the group GI included the application of OCP in the front and back of the ipsilateral forearm subjected to cold induced pain for 20 minutes while in the GP unit remained off. In the intra-group analysis, the latency pain threshold achieved a significant increase in the time during and after the intervention relative to the time of pre-intervention in GI, while in the GP time postintervention was significantly higher than the pre-intervention. When compared, the GI has a significantly higher latency during the intervention and post-intervention compared to the same time in the GP. Pain intensity did not show significant results. It was observed that the pulsed short wave promotes an increase in pain threshold during its application in acute processes....(AU)

Asunto(s)

Humanos , Masculino , Femenino , Dolor Agudo , Analgesia , Hipotermia , Especialidad de Fisioterapia , Placebos , Terapéutica