RESUMO
Detailed information about concrete behavior in real structures is an important issue in controlling its performance during its service life, and the use of embedded sensors to obtain desired information such as temperature, onset of the cracking process and evolution of strains, has gained the attention of the building concrete industry. Data obtained using this technology can provide valuable information for decision making about the need for corrective interventions that can ensure the integrity and safety of concrete structures for long period of time. This paper presents a review of the current state-of-the-art of embedded fiber optic sensors used to assess concrete information of a wide range of aspects, comprising: existing alternative technologies, characteristics and advantages, practical applications and future developments. Complementarily, the work presents preliminary results of the use of fiber optic sensors to automatically and continuously perform expansion readings of AAR in concrete elements that facilitate both the storage-with elimination of the usual interruptions for manual readings-and the availability of continuous results of expansion data that are not possible to obtain with usual AAR tests code reading recommendations.
RESUMO
Chagas disease is a major health concern in Latin America. Ventricular arrhythmia (VA) is a hallmark of Chagas cardiomyopathy (CCM), associated with worse prognosis. The present study aimed to verify the association between myocardial mechanical dispersion (MD) and ventricular arrhythmogenicity in CCM. In a cross-sectional study, 77 patients (55.8 ± 10.4 years) with CCM were evaluated. Global longitudinal strain (GLS) and MD were assessed by echocardiography, derived from the speckle tracking technique. Myocardial MD was measured from the onset of the Q/R wave on electrocardiogram to the peak longitudinal strain in 16 segments of the left ventricle. Frequency and complexity of ventricular extrasystoles (VES) were assessed by dynamic electrocardiography. The density and complexity of VES and the presence of non-sustained ventricular tachycardias (NSVTs) increase as MD increases. In logistic regression, MD was the only variable associated with the presence of paired VES and ventricular bigeminy. In addition, both MD and GLS were associated with the presence of NSVT (both, p < 0.01), and MD was independently associated with NSVT (OR 1.04, 95% CI 1.004-1.201, p = 0.031). In CCM, MD is associated with a higher density and complexity of VES, including NSVT.
Assuntos
Cardiomiopatia Chagásica , Arritmias Cardíacas/diagnóstico , Arritmias Cardíacas/etiologia , Cardiomiopatia Chagásica/diagnóstico por imagem , Estudos Transversais , Humanos , Miocárdio , Valor Preditivo dos Testes , Função Ventricular EsquerdaRESUMO
AIMS: To investigate the inhibitory activity and the distribution of biosynthetic genes encoding bovicin-like bacteriocins among ruminal Streptococcus isolated from beef and dairy cattle. METHODS AND RESULTS: Most isolates were classified as Streptococcus equinus and Streptococcus lutetiensis based on 16S rRNA sequencing. The antimicrobial activity of 150 ruminal streptococci isolated from beef and dairy cattle were tested by deferred inhibition assays and their genetic diversity was characterized by BOX-PCR. The frequency of biosynthetic genes associated with the biosynthesis of bovicin-like bacteriocins (bovicin HC5 and bovicin 255) was investigated by PCR screening. Approximately 33% of the ruminal streptococci isolated from Nellore heifers showed inhibitory activity in vitro with the majority harbouring genes for bacteriocin biosynthesis. In contrast, streptococci from Holstein cows showed limited inhibitory activity and a lower frequency of bacteriocin biosynthetic genes. CONCLUSIONS: Streptococcus from the rumen of beef and dairy cattle exhibit remarkable differences in inhibitory activity and distribution of genes associated with the biosynthesis of prototypical bovicins (bovicin HC5 and bovicin 255). SIGNIFICANCE AND IMPACT OF THE STUDY: Our findings demonstrate that bovicin HC5 is distributed among ruminal streptococci from different breeds of cattle. The high degree of conservation of the bovicin HC5 structural gene among strains of ruminal streptococci suggests that random genetic drift is not a dominant force in the evolution of this bacteriocin.
Assuntos
Bacteriocinas , Animais , Bacteriocinas/genética , Bovinos , Feminino , Reação em Cadeia da Polimerase , RNA Ribossômico 16S/genética , Streptococcus/genética , Streptococcus bovisRESUMO
In chronic myeloid leukemia (CML) two main types of messenger RNA (e14a2 and e13a2) can be produced by BCR-ABL1 gene rearrangement. Due to conflicting results, the clinical value of these transcripts remains controversial. The aim of this study was to identify associations of e14a2 and e13a2 transcripts with laboratory variables and also the response to treatment. This study included 203 adult patients with CML treated with Imatinib as first-line drug in a reference hematology center in Northeast Brazil. Clinical and laboratory data were obtained after informed consent. Samples were collected for RNA extraction and analyzed by reverse transcription-polymerase chain reaction (PCR), according to the international protocol BIOMED-1. The LeukemiaNet 2013 criteria were used to establish the molecular response. The frequency distribution of the BCR-ABL1 transcripts was e14a2 (64%), e13a2 (34%), and double positives (2%). The results showed a statistically significant association of the e14a2 transcript type with thrombocytosis (P = 0.0005) and the e13a2 with higher leukocyte count (P = 0.0491). In a subgroup of 44 patients, the molecular response to treatment with Imatinib was assessed by quantitative PCR at 3 months (BCR-ABL1 ≤ 10%), 6 months (BCR-ABL1 ≤ 1%), or 12 months (BCR-ABL1 ≤ 0.1%). Although patients with the transcript e14a2 showed higher frequency of good responses than patients with the transcript e13a2, this difference was not statistically significant. In agreement with published data, our results showed association of the BCR-ABL1 transcript e14a2 with thrombocytosis and the BCR-ABL1 transcript e13a2 with higher leukocytosis in patients with chronic myeloid leukemia.
Assuntos
Biomarcadores Tumorais/genética , Proteínas de Fusão bcr-abl/genética , Leucemia Mieloide de Fase Crônica/genética , RNA Mensageiro/genética , Antineoplásicos/uso terapêutico , Biomarcadores Tumorais/metabolismo , Feminino , Proteínas de Fusão bcr-abl/metabolismo , Humanos , Mesilato de Imatinib/uso terapêutico , Leucemia Mieloide de Fase Crônica/sangue , Leucemia Mieloide de Fase Crônica/tratamento farmacológico , Contagem de Leucócitos , Masculino , Pessoa de Meia-Idade , Contagem de Plaquetas , RNA Mensageiro/metabolismoRESUMO
In tropical regions, protein supplementation is a common practice in dairy and beef farming. However, the effect of highly degradable protein in ruminal fermentation and microbial community composition has not yet been investigated in a systematic manner. In this work, we aimed to investigate the impact of casein supplementation on volatile fatty acids (VFA) production, specific activity of deamination (SAD), ammonia concentration and bacterial and archaeal community composition. The experimental design was a 4×4 Latin square balanced for residual effects, with four animals (average initial weight of 280±10 kg) and four experimental periods, each with duration of 29 days. The diet comprised Tifton 85 (Cynodon sp.) hay with an average CP content of 9.8%, on a dry matter basis. Animals received basal forage (control) or infusions of pure casein (230 g) administered direct into the rumen, abomasum or divided (50 : 50 ratio) in the rumen/abomasum. There was no differences (P>0.05) in ruminal pH and microbial protein concentration between supplemented v. non-supplemented animals. However, in steers receiving ruminal infusion of casein the SAD and ruminal ammonia concentration increased 33% and 76%, respectively, compared with the control. The total concentration of VFA increased (P0.05) in species richness and diversity of γ-proteobacteria, firmicutes and archaea between non-supplemented Nellore steers and steers receiving casein supplementation in the rumen. However, species richness and the Shannon-Wiener index were lower (P<0.05) for the phylum bacteroidetes in steers supplemented with casein in the rumen compared with non-supplemented animals. Venn diagrams indicated that the number of unique bands varied considerably among individual animals and was usually higher in number for non-supplemented steers compared with supplemented animals. These results add new knowledge about the effects of ruminal and postruminal protein supplementation on metabolic activities of rumen microbes and the composition of bacterial and archaeal communities in the rumen of steers.
Assuntos
Caseínas/administração & dosagem , Bovinos/fisiologia , Proteínas Alimentares/administração & dosagem , Suplementos Nutricionais , Ácidos Graxos Voláteis/metabolismo , Amônia/análise , Amônia/metabolismo , Ração Animal , Animais , Peso Corporal , Bovinos/microbiologia , Desaminação , Dieta/veterinária , Digestão , Ácidos Graxos Voláteis/análise , Fermentação , Masculino , Rúmen/metabolismoRESUMO
The sand fly Lutzomyia (Lutzomyia) elizabethrangelae sp. nov. is described and illustrated based on the morphological characters of male and female specimens captured in sandstone caves in the municipality of Palmeirópolis, in the southern region of Tocantins state. The samples were collected as part of an entomological vector-monitoring project during the construction of the Peixe Angical Hydroelectric Plant. Based on the morphological characters of the new species, we believe this species can be included in the subgenus Lutzomyia. This species is closely related to two others, Lutzomyia forattinii Galati et al. 1985 and Lutzomyia almerioi Galati and Nunes 1999. The new species can be distinguished from Lutzomyia forattinii and Lutzomyia almerioi by the morphological characteristics of the male genitalia and the female cibarium.
Assuntos
Psychodidae/anatomia & histologia , Psychodidae/classificação , Animais , Brasil , Cavernas , Feminino , MasculinoRESUMO
The description of the first and autochthonous case of diffuse cutaneous leishmaniasis in the municipality of Paraty, State of Rio de Janeiro, brought the interest of this study. Sand flies were captured over a 3-yr period. Using manual suction tubes, sand flies were collected from the inner and outer walls of homes, in the living spaces of domestic animals, and in Shannon light traps, which were set up outside homes and in the forest. CDC light traps were installed inside homes, around the exterior of the houses, and along the divide and within the forest. A total of 102,937 sand flies were collected, representing 23 species--three from the genus Brumptomyia and 20 from the genus Lutzomyia. Of these, six species, Lutzomyia intermedia, Lutzomyia fischeri, Lutzomyia migonei, Lutzomyia whitmani, and Lutzomyia pessoai have already been recorded as being naturally infected by Leishmania braziliensis, and one species, Lutzomyia ayrozai, by Leishmania naiffi. Lu. intermedia is the vector of Le. braziliensis in the study area, particularly inside the homes and on the exterior of the houses. Lu. fischeri can also act as vector of Le. braziliensis in domestic environments and particularly in the wild. The third-ranked Lu. migonei was the most abundant in kennels, suggesting its canine affinity. Lu. whitmani, ranked fourth, still has characteristics indicative of the wild, but with a significant number located on the edge of the forest, suggesting a selection process of adaptation to the anthropic environment.
Assuntos
Insetos Vetores/fisiologia , Psychodidae/fisiologia , Distribuição Animal , Animais , Brasil , Feminino , Insetos Vetores/classificação , Leishmania/fisiologia , Leishmaniose Cutânea/parasitologia , Leishmaniose Cutânea/transmissão , Masculino , Dinâmica Populacional , Psychodidae/classificaçãoRESUMO
In the present study, we characterized the phagocytic capacity, cytokine profile along with the FCγ-R and TLR expression in leukocytes from Chagas disease patients (indeterminate-IND and cardiac-CARD) before and one-year after Bz-treatment (INDT and CARDT). A down-regulation of IL-17, IFN-γ and IL-10 synthesis by neutrophils was observed in CARDT. The Bz-treatment did not impact on the expression of phagocytosis-related surface molecules or monocyte-derived cytokine profile in INDT. Although CARDT showed unaltered monocyte-phagocytic capacity, up-regulated expression of Fcγ-RI/III and TLR-4 may be related to their ability to produce IL-10 and TGF-ß. Down-regulation of lymphocyte-derived cytokine was observed in INDT whereas up-regulated cytokine profile was observed for lymphocytes in CARDT. Analysis of cytokine network revealed that IND displayed a multifaceted cytokine response characterized by strong connecting axes involving pro-inflammatory/regulatory phagocytes and lymphocytes. On the other hand, CARD presented a modest cytokine network. The Bz-treatment leads to distinct cytokine network: decreasing the links in INDT, with a pivotal role of IL-10(+) monocytes and expanding the connections in CARDT. Our findings highlighted that the Bz-treatment contributes to an overall immunomodulation in INDT and induces a broad change of immunological response in CARDT, eliciting an intricate phenotypic/functional network compatible with beneficial and protective immunological events.
Assuntos
Doença de Chagas/tratamento farmacológico , Neutrófilos/efeitos dos fármacos , Nitroimidazóis/administração & dosagem , Tripanossomicidas/administração & dosagem , Adolescente , Adulto , Doença de Chagas/imunologia , Estudos Controlados Antes e Depois , Citocinas/metabolismo , Feminino , Interações Hospedeiro-Patógeno/efeitos dos fármacos , Humanos , Imunomodulação , Mediadores da Inflamação/metabolismo , Masculino , Pessoa de Meia-Idade , Neutrófilos/imunologia , Receptores de IgG/genética , Receptores de IgG/metabolismo , Receptor 4 Toll-Like/genética , Receptor 4 Toll-Like/metabolismo , Adulto JovemRESUMO
Due to the real need for careful staff training in age assessment, in order to improve capacity, consistency and competence, new research on the reliability and repeatability of methods frequently used in age assessment are required. The aim of this study was twofold: first, to test the accuracy of this method for age estimation; second, to obtain data on the reliability of this technique. A sample of 81 peri-apical radiographs of upper canines (44 men and 37 women), aged between 19 and 74years, was used; the teeth were taken from the osteological collection of Sassari (Sardinia, Italy). Three blinded observers used the technique in order to perform the age estimation. The mean real age of the 81 observations was 37.21 (CI95% 34.37 40.05), and estimated ages ranged from 36.65 to 38.99 (CI95%-Ex1 35.42; 41.28; CI95%-Ex2 33.89; 39.41; CI95%-Ex3 35.92; 42.06). The module differences found by the three observers were 3.43, 4.24 and 4.45, respectively for Ex1×Ex2, Ex1×Ex3 and Ex2×Ex3. The module differences observed among real and observed ages were 2.55 (CI95% 1.90; 3.20), 2.22 (CI95% 1.65; 2.78) and 4.39 (CI95% 3.80; 5.75), respectively for Ex1, Ex2 and Ex3. No differences were observed among measurements. This technique can be reproduced and repeated after proper training, since it was found high reliability and accuracy.
Assuntos
Determinação da Idade pelos Dentes/métodos , Dente Canino/anatomia & histologia , Polpa Dentária/anatomia & histologia , Odontologia Legal/métodos , Adulto , Idoso , Dente Canino/diagnóstico por imagem , Polpa Dentária/diagnóstico por imagem , Feminino , Humanos , Itália , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos TestesRESUMO
In this study, we have analysed the phenotypic features of innate/adaptive immunity of patients with localized cutaneous leishmaniasis (LCL), categorized according to their clinical/laboratorial status, including number of lesion (L1; L24), days of illness duration (≤60;>60) and positivity in the Montenegro skin test (MT−;MT+). Our findings highlighted a range of phenotypic features observed in patients with LCL (↑%HLA-DR+ neutrophils; ↑CD8+ HLA-DR+/CD4+ HLA-DR+ T cell ratio; ↑HLA-DR in B lymphocytes, ↑%CD23+ neutrophils, monocytes and B cells; ↑α-Leishmania IgG and ↑serum NO2â» + NO3â»). Selective changes were observed in L1 (↑%HLA-DR+ neutrophils, ↑CD8+ HLA-DR+/CD4+ HLA-DR+ T cell ratio and ↑serum NO2â» + NO3â») as compared to L24 (↑%CD5− B cells; ↑CD23+ B cells and ↑α-Leishmania IgG). Whilst ≤60 presented a mixed profile of innate/adaptive immunity (↓%CD28+ neutrophils and ↑%CD4+ T cells), >60 showed a well-known leishmanicidal events (↑CD8+ T cells; ↑serum NO2â» + NO3â» and ↑α-Leishmania IgG). MT+ patients showed increased putative leishmanicidal capacity (↑%HLA-DR+ neutrophils; ↑%CD23+ monocytes; ↑CD8+ HLA-DR+/CD4+ HLA-DR+ T cell ratio and ↑ serum NO2â» + NO3â»). Overall, a range of immunological biomarkers illustrates the complex immunological network associated with distinct clinical/laboratorial features of LCL with applicability in clinical studies.
Assuntos
Imunidade Adaptativa , Linfócitos B/imunologia , Imunidade Inata , Leishmaniose Cutânea/imunologia , Neutrófilos/imunologia , Pele/imunologia , Linfócitos T/imunologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Antígenos CD/sangue , Antígenos CD/imunologia , Linfócitos B/parasitologia , Linfócitos B/patologia , Biomarcadores/sangue , Criança , Pré-Escolar , Feminino , Antígenos HLA-DR/sangue , Antígenos HLA-DR/imunologia , Humanos , Imunofenotipagem , Lactente , Leishmania braziliensis/imunologia , Leishmaniose Cutânea/parasitologia , Leishmaniose Cutânea/patologia , Masculino , Pessoa de Meia-Idade , Neutrófilos/parasitologia , Neutrófilos/patologia , Nitratos/sangue , Nitratos/imunologia , Nitritos/sangue , Nitritos/imunologia , Pele/parasitologia , Pele/patologia , Linfócitos T/parasitologia , Linfócitos T/patologiaRESUMO
The distinct ability of phagocytes to present antigens, produce cytokines and provide co-stimulatory signals may contribute to the severity of the outcome of Chagas disease. In this paper, we evaluate the phenotypic features of phagocytes along with the cytokine signature of circulating T-cells from Chagas disease patients with indeterminate (IND) and cardiac (CARD) clinical forms of the disease. Our data demonstrated that neutrophils from IND patients displayed an impaired ability to produce cytokines. A lower Trypanosoma cruzi phagocytic index and higher nitric oxide levels were characteristics of monocytes from IND. The impaired phagocytic capacity did not reflect on the levels of anti-T. cruzi IgG, but was detectable in the downregulation of Fc-γR, TLR and CR1 molecules. The monocyte-derived cytokine signature demonstrated that a down-regulated synthesis of IL-12 and a modulatory state were evidenced by a positive correlation between IL-12 and IL-10 with a lower synthesis of TNF-α. The down-regulation of MHC-II and CD86 in monocytes supports the occurrence of particularities in the APC-activation-arm in IND, and may be involved in the T-cell pro-inflammatory pattern counterbalanced by a potent IL-10 response. Our findings support the hypothesis that differential phenotypic features of monocytes from IND may be committed to the induction of a distinct immune response related to low morbidity in chronic Chagas disease.
Assuntos
Doença de Chagas/imunologia , Citocinas/biossíntese , Monócitos/imunologia , Neutrófilos/imunologia , Fagocitose/imunologia , Anticorpos Antiprotozoários/sangue , Anticorpos Antiprotozoários/imunologia , Células Apresentadoras de Antígenos/imunologia , Células Apresentadoras de Antígenos/metabolismo , Antígenos de Protozoários/imunologia , Antígeno B7-2/metabolismo , Células Cultivadas , Doença de Chagas/metabolismo , Humanos , Imunoglobulina G/sangue , Imunoglobulina G/imunologia , Imunomodulação , Monócitos/metabolismo , Neutrófilos/metabolismo , Óxido Nítrico/biossíntese , Receptores de Complemento 3b/metabolismo , Receptores de IgG/metabolismo , Linfócitos T/imunologia , Linfócitos T/metabolismo , Receptores Toll-Like/metabolismo , Trypanosoma cruzi/imunologiaRESUMO
Our objective was to determine lipid peroxidation and nuclear factor-κB (NF-κB) activation in skeletal muscle and the plasma cytokine profile following maximum progressive swimming. Adult male Swiss mice (N = 15) adapted to the aquatic environment were randomly divided into three groups: immediately after exercise (EX1), 3 h after exercise (EX2) and control. Animals from the exercising groups swam until exhaustion, with an initial workload of 2 percent of body mass attached to the tail. Control mice did not perform any exercise but were kept immersed in water for 20 min. Maximum swimming led to reactive oxygen species (ROS) generation in skeletal muscle, as indicated by increased thiobarbituric acid reactive species (TBARS) levels (4062.67 ± 1487.10 vs 19,072.48 ± 8738.16 nmol malondialdehyde (MDA)/mg protein, control vs EX1). Exercise also promoted NF-κB activation in soleus muscle. Cytokine secretion following exercise was marked by increased plasma interleukin-6 (IL-6) levels 3 h post-exercise (P < 0.05). Interleukin-10 (IL-10) levels were reduced following exercise and remained reduced 3 h post-exercise (P < 0.05). Plasma levels of other cytokines investigated, monocyte chemotactic protein-1 (MCP-1), tumor necrosis factor-alpha (TNF-α), interferon-gamma (IFN-γ) and interleukin-12 (IL-12), were not altered by exercise. The present findings showed that maximum swimming, as well as other exercise models, led to lipid peroxidation and NF-κB activation in skeletal muscle and increased plasma IL-6 levels. The plasma cytokine response was also marked by reduced IL-10 levels. These results were attributed to exercise type and intensity.
Assuntos
Animais , Masculino , Camundongos , Citocinas/sangue , Peroxidação de Lipídeos/fisiologia , Músculo Esquelético/metabolismo , NF-kappa B/metabolismo , Natação/fisiologia , Índice de Massa Corporal , /sangue , /sangue , /sangue , Malondialdeído/metabolismo , Condicionamento Físico Animal/fisiologia , Distribuição Aleatória , Espécies Reativas de Oxigênio/metabolismo , Fatores de Tempo , Substâncias Reativas com Ácido Tiobarbitúrico/metabolismoRESUMO
Our objective was to determine lipid peroxidation and nuclear factor-κB (NF-κB) activation in skeletal muscle and the plasma cytokine profile following maximum progressive swimming. Adult male Swiss mice (N = 15) adapted to the aquatic environment were randomly divided into three groups: immediately after exercise (EX1), 3 h after exercise (EX2) and control. Animals from the exercising groups swam until exhaustion, with an initial workload of 2% of body mass attached to the tail. Control mice did not perform any exercise but were kept immersed in water for 20 min. Maximum swimming led to reactive oxygen species (ROS) generation in skeletal muscle, as indicated by increased thiobarbituric acid reactive species (TBARS) levels (4062.67 ± 1487.10 vs 19,072.48 ± 8738.16 nmol malondialdehyde (MDA)/mg protein, control vs EX1). Exercise also promoted NF-κB activation in soleus muscle. Cytokine secretion following exercise was marked by increased plasma interleukin-6 (IL-6) levels 3 h post-exercise (P < 0.05). Interleukin-10 (IL-10) levels were reduced following exercise and remained reduced 3 h post-exercise (P < 0.05). Plasma levels of other cytokines investigated, monocyte chemotactic protein-1 (MCP-1), tumor necrosis factor-alpha (TNF-α), interferon-gamma (IFN-γ) and interleukin-12 (IL-12), were not altered by exercise. The present findings showed that maximum swimming, as well as other exercise models, led to lipid peroxidation and NF-κB activation in skeletal muscle and increased plasma IL-6 levels. The plasma cytokine response was also marked by reduced IL-10 levels. These results were attributed to exercise type and intensity.
Assuntos
Citocinas/sangue , Peroxidação de Lipídeos/fisiologia , Músculo Esquelético/metabolismo , NF-kappa B/metabolismo , Natação/fisiologia , Animais , Índice de Massa Corporal , Interleucina-10/sangue , Interleucina-12/sangue , Interleucina-6/sangue , Masculino , Malondialdeído/metabolismo , Camundongos , Condicionamento Físico Animal/fisiologia , Distribuição Aleatória , Espécies Reativas de Oxigênio/metabolismo , Substâncias Reativas com Ácido Tiobarbitúrico/metabolismo , Fatores de TempoRESUMO
DoseCal software has been used to evaluate the Entrance Surface Dose (ESD) and Effective Dose (ED) of adult patients undergoing abdomen, cervical spine, chest, lumbar spine and skull diagnostic X-ray examinations in AP, PA and LAT projections. The survey was carried out in nine hospitals in Rio de Janeiro state with a total of 1917 radiographs. The mean values of ESD (mGy) and ED (mSv) were recorded. Although the results obtained are below the international diagnostic reference levels, they present large variations within and between hospitals which reflects the disparity of radiographic techniques used in the examinations. The results were compared with the European Community Reference Levels. Even though in Brazil there are specific legislations on radiation protection and implementation of Quality Assurance Programs (QAPs) in all medical institutions, there is still a need for personnel training and national guidance on good practice for optimization of patients' doses.
Assuntos
Carga Corporal (Radioterapia) , Exposição Ambiental/análise , Exposição Ambiental/estatística & dados numéricos , Doses de Radiação , Radiografia/estatística & dados numéricos , Radiometria/estatística & dados numéricos , População Urbana/estatística & dados numéricos , Adulto , Brasil , Feminino , Humanos , MasculinoRESUMO
OBJECTIVE: To investigate the influence of aging on conventional MRI and magnetic resonance spectroscopy (MRS) findings of mucopolysaccharidosis (MPS) patients and to test the correlation of enzyme levels, urinary glycosaminoglycans (GAG), and neuroimaging findings. METHODS: Sixty patients with MPS types I (n = 8), II (n = 31), IV-A (n = 4), and VI (n = 17) underwent T2, fluid-attenuated inversion recovery (FLAIR), and MRS of the brain. For analysis of MRI variables, we measured the normalized cerebral volume (NCV), CSF volume (NCSFV), ventricular volume (NVV), and lesion load (NLL) on FLAIR using semiautomated and automated segmentation techniques. For MRS, a point-resolved spectroscopy technique was used. Voxels were positioned at the white and gray matter. Statistical analysis involved Pearson or Spearman tests for correlation between neuroimaging, age, enzyme levels, and urinary GAG. RESULTS: The median age at onset of the disease was 20 months. Patients with longer disease duration had more NLL in the white matter (r = 0.28, p = 0.03), and this difference was more pronounced in MPS II patients (r = 0.44, p = 0.02). Metabolites ratios in MRS, NCV, NCSFV, and NVV did not correlate with disease duration or age of the patients (p > 0.05). MRI and MRS variables in either the white or the gray matter did not correlate with enzymatic activity or GAG levels. Patients with MPS II had a lower mean NCV (p < 0.001). CONCLUSIONS: Our data showed that white matter lesion is more extensive as disease duration increases, especially in mucopolysaccharidosis type II patients. MRI and magnetic resonance spectroscopy findings did not correlate with either enzymatic or glycosaminoglycan levels.
Assuntos
Envelhecimento/patologia , Encéfalo/metabolismo , Encéfalo/patologia , Imageamento por Ressonância Magnética/métodos , Mucopolissacaridoses/diagnóstico , Adolescente , Adulto , Idade de Início , Encéfalo/fisiopatologia , Criança , Pré-Escolar , Progressão da Doença , Enzimas/sangue , Feminino , Glicosaminoglicanos/urina , Humanos , Lactente , Espectroscopia de Ressonância Magnética , Masculino , Mucopolissacaridoses/sangue , Mucopolissacaridoses/urina , Mucopolissacaridose II/sangue , Mucopolissacaridose II/diagnóstico , Mucopolissacaridose II/urina , Fibras Nervosas Mielinizadas/metabolismo , Fibras Nervosas Mielinizadas/patologia , Valor Preditivo dos TestesRESUMO
We describe how hookworms interact with their human hosts by comparing lymphocyte phenotyping, proliferative responses, and cytokine and chemokine secretion patterns in adults who are either mono-infected with Necator americanus or egg-negative controls resident in an area of high transmission in Brazil. Cellular immune responses against crude hookworm antigen extracts from different developmental stages were evaluated simultaneously. Principal component analysis (PCA) was used to reduce the standardized immune responses. Random effects multivariate regression was then used to investigate whether principal components (PC) differ between the two groups once potential confounders and effect modifiers have been accounted for. Although hookworm patients had reduced percentages of T and B cells, they had higher levels of activated CD4(+) T and CD19(+) B cells. This state of 'immune activation' coincided with lower proliferative responses, especially to third-stage larval antigen. Cytokine levels in mono-infected adults were also lower and characterized by a mixed Th1/Th2-type profile. Excretory/secretory antigen from adult worms was a potent modulator of the immune response, resulting in diminished TNF-alpha and IL-10 secretion in peripheral blood mononuclear cells (PBMC) from hookworm infected patients. We propose that the longevity of hookworms in their human hosts results from a stage-specific, down-modulation of the immune response.
Assuntos
Estágios do Ciclo de Vida , Ativação Linfocitária/imunologia , Subpopulações de Linfócitos/imunologia , Necator americanus/crescimento & desenvolvimento , Necator americanus/imunologia , Necatoríase/imunologia , Adolescente , Adulto , Idoso , Animais , Antígenos de Helmintos/imunologia , Brasil , Citocinas/biossíntese , Feminino , Interações Hospedeiro-Parasita , Humanos , Masculino , Pessoa de Meia-Idade , Necator americanus/patogenicidade , Necatoríase/parasitologia , Análise de Componente PrincipalRESUMO
This work presents the results of a dose survey performed for paediatric patients and carried out in two large paediatric public hospitals in Rio de Janeiro city. The entrance surface dose (ESD) and the effective dose (ED) were evaluated for chest, skull, abdomen, lumbar spine, cervical spine and pelvis in antero-posterior (AP), postero-anterior (PA) and lateral (LAT) projections. For each examination, four age groups 0-1, 1-5, 5-10 and 10-15 years were studied. The DoseCal software was used to calculate these doses. Wide variations for the same type of examination and projection have been detected. These variations were evident, in Brazil, from previous work. In spite of the present results being still preliminary, they can give an idea of what paediatric ESDs are like in Brazil. Also, with respect to the entrance surface dose, some of the results are above the reference levels, which cause high ED, as well. On the other hand, the wide range of ESD reflects the disparity of radiographic techniques and demonstrates that the ALARA principle is not being applied in Brazilian hospitals and becomes a concern in terms of public health.
Assuntos
Pediatria/métodos , Radiografia/métodos , Radiografia/estatística & dados numéricos , Raios X , Adolescente , Brasil , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Doses de Radiação , Interpretação de Imagem Radiográfica Assistida por Computador/métodos , RadiometriaRESUMO
The Calliphoridae are flies of great ecological, medical and sanitary importance because they are decomposers of organic matter, mechanical vectors of pathogenic agents, and causers of myiasis. This paper attempts to ascertain the diversity of Calliphoridae in the Tinguá Biological Reserve and correlate meteorological data (temperature, relative humidity of the air, and precipitation) with the occurrence of these flies. The study was conducted at a site in the Tinguá Biological Reserve, located in the municipality of Nova Iguaçu, state of Rio de Janeiro, Brazil. Four traps were set up using chicken viscera as bait. The experiment was conducted over the period of May 2001 to April 2002, with two monthly collections. The captured flies were killed with ether and conserved in 70% alcohol and identified in the Laboratory of Diptera Studies (UNIRIO) and the Laboratory of Vector Insect Biology and Control (FIOCRUZ), both headquartered in the city of Rio de Janeiro, RJ, Brazil. A total of 1,987 insects were captured, 37.5% belonging to the family Calliphoridae, 29.4% to Muscidae, 16.0% to Sarcophagidae, and 17.1% to other families. The most representative species found was Phaenicia eximia (47.0%), followed by Hemilucilia semidiaphana (23.6%), Mesembrinella bellardiana (13.7%), Hemilucilia segmentaria (7.5%), Chloroprocta idioidea (4.9%), Chrysomya albiceps (1.2%), Chrysomya megacephala (0.9%), Phaenicia sericata (0.6%), Eumesembrinella sp. (0.5%), and Chrysomya putoria (0.1%). Large numbers of Calliphoridae were noted in May, June, September and January, coinciding with low rainfall and an average temperature of 21.8 to 27.0 degrees C. A negative correlation was found between the number of Calliphoridae captured and meteorological factors.
Assuntos
Dípteros/classificação , Animais , Brasil , Estações do AnoRESUMO
The substantial increase in the rate of azole resistant Candida spp. yeast infections has become a serious treatment problem requiring new and more active antifungal agents. In this study, the in vitro activities of ravuconazole and albaconazole were compared with those of amphotericin B, flucytosine, itraconazole and fluconazole against 162 Brazilian isolates of Candida spp. from which 48 isolates had previously shown lower susceptibility or resistance to fluconazole. Ravuconazole susceptibility ranged from 84.6% (Candida albicans) to 100% for other species and albaconazole MIC(90) was < or =1.0 microg ml(-1) for all the species emphasising the potent activity of these triazoles. To our knowledge this is the first study evaluating the susceptibility of C. dubliniensis to albaconazole.