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1.
Aquichan (En linea) ; 24(2): e2425, 26 abr. 2024.
Artigo em Inglês, Espanhol | LILACS, BDENF - Enfermagem, COLNAL | ID: biblio-1566171

RESUMO

Introdução: o parto é reconhecido como um processo fisiológico que alude à procriação e ao desenvolvimento entre as sociedades; entretanto, pouco se tem falado sobre a assistência humanizada ao parto. Portanto, é necessário identificar a experiência das mulheres durante o parto normal a fim de gerar práticas que garantam uma melhor qualidade de atendimento. Objetivo: caracterizar as evidências científicas relacionadas às experiências das mulheres durante a assistência ao parto normal. Materiais e método: foi realizada uma revisão integrativa, segundo Cooper, e revisadas seis bases de dados: Cochrane, PubMed, Science Direct, Springer, Scopus e Cinahl, com os descritores em espanhol, inglês e português, "parto normal", "parto humanizado", "humanização da assistência", "violência obstétrica", "pesquisa qualitativa", limitados ao período de 2010 a 2023, com os seguintes critérios de inclusão/exclusão: artigos qualitativos em texto completo sobre partos normais, com pontuação maior ou igual a 8 segundo o Critical Appraisal Skills Programme em espanhol (CASPe). Resultados: emergiram seis unidades temáticas: microagressões e macroimpactos: parto ­ entre a dor e o medo; agindo com respeito ­ o parto como um processo natural; silenciar, calar e suportar; meu parto, minha escolha; tornando visível o invisível ­ normalizando a violência durante o parto; e o rito do parto ­ a dignidade da mulher. Conclusões: as experiências de parto das mulheres são moldadas pelo contexto cultural em que elas vivem; os modelos biomédico e tradicional colidem e impactam a vida das mulheres. É necessário que as mulheres estejam cientes de seus direitos reprodutivos para contribuir com a humanização do parto.


Introducción: el parto es reconocido como un proceso fisiológico que alude a la procreación y al desarrollo entre las sociedades; no obstante, poco se ha habla sobre la atención humanizada del mismo. Por lo anterior, es necesario identificar la experiencia de las mujeres durante la atención del parto vaginal para generar prácticas que garanticen una mejor calidad en la atención. Objetivo: caracterizar la evidencia científica relacionada con las experiencias de las mujeres durante la atención del parto vaginal. Materiales y Método: se realizó una revisión integrativa, según Cooper; se revisaron seis bases de datos Cochrane, PubMed, Science Direct, Springer, Scopus y Cinahl, con los descriptores: Parto Normal; Parto Humanizado; Humanización de la Atención; Violencia Obstétrica e Investigación Cualitativa, en idioma español, inglés y portugués, limitada al periodo 2010-2023, con los siguientes criterios de inclusión/exclusión: artículos cualitativos en texto completo sobre partos vaginales, con puntuación mayor o igual a 8 según CASPe. Resultados: se obtuvieron seis unidades temáticas: microagresiones y macro-impactos: el parto: entre el dolor y el miedo; actuar con respeto: el parto como proceso natural; silenciar, callar y soportar; mi parto, mi elección; haciendo visible lo invisible: normalizando la violencia durante el parto; y el rito de parir: dignidad de la mujer. Conclusiones: las experiencias de las mujeres durante el parto están moldeadas por el contexto cultural en el que viven; el modelo biomédico y el tradicional chocan e impactan la vida de la mujer. Es necesario que las mujeres conozcan sus derechos reproductivos para contribuir con la humanización del parto.


Introduction: Childbirth is recognized as a physiological process essential to procreation and societal development. Nevertheless, it often lacks adequate discussion on humanized care practices. Therefore, it is necessary to identify women's experiences during vaginal birth care to create practices that ensure better quality care. Objective: To characterize scientific evidence related to women's experiences during vaginal birth care. Materials and Methods: An integrative review was conducted following Cooper's methodology; six databases were reviewed: Cochrane, PubMed, Science Direct, Springer, Scopus, and Cinahl, using the descriptors: Normal Birth; Humanized Birth; Humanization of Care; Obstetric Violence; Qualitative Research, in Spanish, English, and Portuguese, limited to the 2010-2023 period, with the following inclusion/exclusion criteria: Qualitative full-text articles on vaginal births with a score of 8 or higher according to CASPe. Results: Six thematic units emerged: microaggressions and macro-impacts: childbirth: between pain and fear; acting with respect: childbirth as a natural process; silencing, enduring, and bearing; my birth, my choice; making the invisible visible: normalizing violence during childbirth; and the ritual of childbirth: women's dignity. Conclusions: Women's childbirth experiences are influenced by the cultural contexts in which they live; the biomedical model and traditional practices clash and impact women's lives. Women must know their reproductive rights to contribute to a humanized childbirth.


Assuntos
Parto Humanizado , Parto , Pesquisa Qualitativa , Humanização da Assistência , Violência Obstétrica
2.
Protoplasma ; 261(4): 831-845, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38421489

RESUMO

Chrysolaena flexuosa (Sims.) H. Rob. is a South American species in the tribe Vernonieae, with potential ornamental value: it has attractive inflorescences, is suitable for pot cultivation, and its cypselae are useful for dried flower arrangements. Apart from studies on the growth dynamics of this species under cultivation, chromosome number, DNA content, ploidy level, size, pollen viability, and the characterization of phenotypic and genetic variability, it is noteworthy that other aspects regarding the floral architecture, reproductive mode, and gametophyte formation of C. flexuosa have not yet been studied. For this reason, our study encompasses a floral morphoanatomical survey and a comprehensive assessment of gametophyte development in the species. As a result of this study, we report new floral morphotypes, confirming that the morphological variability of the species might be greater than speculated. The morphoanatomy of the androecium and gynoecium and the male and female gametophyte developmental characteristics are uniform in all the populations studied despite the different ploidy levels. Chrysolaena flexuosa has five tetrasporangiate stamens of the dicotyledonous type of development; all the populations studied displayed a unilocular inferior ovary with a single anatropous, unitegumented, and tenuinucellar ovule. Given that all the embryo sacs observed were of the Polygonum-type development regardless of the ploidy level, we infer that the populations analyzed are fertile and undergo sexual reproduction. Our results not only contribute further research in the field of breeding systems and propagation of this species, but also promote the successful introduction of C. flexuosa to the plant ornamental market.


Assuntos
Asteraceae , Flores , Flores/anatomia & histologia , Flores/crescimento & desenvolvimento , Asteraceae/anatomia & histologia , Asteraceae/crescimento & desenvolvimento , Asteraceae/genética , Pólen/anatomia & histologia , Pólen/ultraestrutura
3.
Rev. biol. trop ; Rev. biol. trop;71(1)dic. 2023.
Artigo em Inglês | LILACS-Express | LILACS | ID: biblio-1449505

RESUMO

Introduction: Seed dispersal and seed predation have important impacts on plant diversity and community structure. Rodents participate in both of these types of interactions. Objectives: To evaluate the removal of the seeds of Crescentia alata, Randia capitata, and Zea mays by the squirrel Notocitellus adocetus to determine how it affects these plant species, by dispersing or preying on their seeds. Methods: We studied 14 individuals for C. alata, 24 for R. capitata, and for Z. mays 35 individuals. We observed foraging and used camera traps to determine the part of the fruit (seed and/or pulp) consumed by the squirrels and the amount of fruit or seed consumed. We also placed fine sand traps (FST) to measure the percentage of seed removal. We quantified the fruits produced by the plant species studied and the percentage of damage caused by N. adocetus throughout the plots. Results: Notocitellus adocetus feeds on the seeds and pulp of C. alata and Z. mays. The species with the highest removal rate and the highest percentage of damage was C. alata. Zea mays was the plant species that had the highest percentage of removal from FST, the largest number of fruits, and the lowest percentage of damage. On FST, R. capitata had the lowest seed remotion. Conclusions: Notocitellus adocetus is considered a seed predator; however, due to its behavior and the characteristics of the fruits of C. alata and R. capitata, this rodent could make the seeds available to secondary seed dispersers.


Introducción: La dispersión y depredación de semillas tienen efectos importantes en la diversidad de plantas y estructura de las comunidades. Los roedores participan en estos tipos de interacciones. Objetivos: Evaluar la remoción de semillas de Crescentia alata, Randia capitata y Zea mays por la ardilla Notocitellus adocetus, para determinar su efecto en estas especies de plantas, dispersando o depredando semillas. Métodos: Estudiamos 14 individuos de C. alata, 24 para R. capitata y 35 individuos para Z. mays. Observamos el forrajeo y usamos cámaras trampas para determinar la parte del fruto (semilla y/o pulpa) consumida y la intensidad de consumo por las ardillas. También colocamos trampas de arena fina (FST) para medir el porcentaje de remoción de semillas. Cuantificamos los frutos producidos por las especies estudiadas y el porcentaje de daño ocasionado por N. adocetus, mediante parcelas. Resultados: Notocitellus adocetus se alimenta de las semillas y pulpa de C. alata y Z. mays. La especie que tuvo mayor tasa de remoción y mayor porcentaje de daño fue C. alata. La especie con mayor porcentaje de remoción, mayor número de frutos y menor daño en las FST fue Z. mays. En las trampas de arena fina, R. capitata tuvo la menor remoción de semillas. Conclusiones: Notocitellus adocetus es considerada depredadora de semillas, no obstante, por su comportamiento y las características de los frutos de C. alata y R. capitata, este roedor podría dejar disponibles las semillas a dispersores secundarios de semillas.

4.
Front Cardiovasc Med ; 10: 1204885, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-38028452

RESUMO

Background: Abdominal obesity (AO) indirectly represents visceral adiposity and can be assessed by waist circumference (WC) measurement. In Latin America, cut-off points for the diagnosis of AO are based on Asian population data. We aim to establish the WC cut-off points to predict major cardiovascular events (MACE) and incident diabetes. Methods: We analyzed data from the cohort PURE study in Colombia. WC cut-off points were defined according to the maximum Youden index. Multivariate logistic regression was used to obtain associations between WC and MACE, diabetes, and cumulative incidence of outcomes visualized using Kaplan-Meier curves. Results: After a mean follow-up of 12 years, 6,580 individuals with a mean age of 50.7 ± 9.7 years were included; 64.2% were women, and 53.5% were from rural areas. The mean WC was 85.2 ± 11.6 cm and 88.3 ± 11.1 cm in women and men, respectively. There were 635 cases of the MACE composite plus incident diabetes (5.25 events per 1,000 person-years). Using a cut-off value of 88.85 cm in men (sensitivity = 0.565) and 85.65 cm in women (sensitivity = 0.558) resulted in the highest value for the prediction of the main outcome. These values were associated with a 1.76 and 1.41-fold increased risk of presenting the composite outcome in men and women, respectively. Conclusions: We defined WC cut-off points of 89 cm in men and 86 cm in women to identify the elevated risk of MACE and incident diabetes. Therefore, we suggest using these values in cardiovascular risk assessment in Latin America.

5.
Vasc Health Risk Manag ; 19: 605-615, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37719697

RESUMO

Background: Higher medication adherence reduces the risk of new cardiovascular events. However, there are individual and health system barriers that lead to lower adherence. The polypill has demonstrated benefits in cardiovascular morbidity and mortality mainly driven by an increase in adherence. We aim to evaluate the impact of the polypill on adherence to cardiovascular medication, its efficacy and safety in cardiovascular disease (CVD) prevention. Methods: A systematic review following PRISMA guidelines was conducted. Databases were searched from January 2003 to December 2022. We included randomized, pragmatic, or real-world clinical trials and observational studies. The primary outcome was medication adherence, secondary outcomes were efficacy in cardiovascular disease in primary and secondary prevention and safety. Results: From the 490 publications screened, 13 met the inclusion criteria and were incorporated into a comparative table Of those included, 70% were randomized controlled trials (RCTs) and 53.8% focused on secondary prevention. Most of the studies received a high and moderate quality rating. Self-report, pill counting and, the Morisky scale were the most frequent methods to evaluate adherence (84.6%). Compared with standard medication, the polypill improved overall medication adherence by 13%, with percentages ranging from 7.6% to 34.9%. Moreover, a potential benefit was also observed in reducing Major Adverse Cardiovascular Events (MACE), particularly in secondary prevention studies, with hazard ratios ranged between 0.43 to 0.76. Compared to standard care, the profile of side effects was similar. Conclusion: The polypill is an effective, safe, and practical strategy to improve adherence in people at risk of CVD. Although there is a demonstrated benefit in reducing MACE, predominantly in secondary prevention, there are still gaps in its efficacy in primary prevention and reducing total mortality. Therefore, the importance of obtaining long-term results of the polypill effect and how this strategy can be implemented in real practice.


Assuntos
Fármacos Cardiovasculares , Doenças Cardiovasculares , Humanos , Doenças Cardiovasculares/diagnóstico , Doenças Cardiovasculares/epidemiologia , Doenças Cardiovasculares/prevenção & controle , Prevenção Secundária , Fármacos Cardiovasculares/efeitos adversos , Bases de Dados Factuais , Adesão à Medicação
6.
Molecules ; 28(6)2023 Mar 09.
Artigo em Inglês | MEDLINE | ID: mdl-36985467

RESUMO

Blueberries are rich in polyphenols, anthocyanins, and proanthocyanidins; however, they are expensive. In contrast, strawberries have a lower cost and are rich in ellagitannins. Therefore, a strawberry-blueberry blend decoction could produce a low-cost beverage with a rich and diverse phytochemical profile. In this study, we developed three berry-based beverages: blend strawberry-blueberry (SBB), strawberry (SB), and blueberry (BB). The polyphenol profile of the beverages was characterized by UPLC-ESI-Q-ToF MSE, an acceptability test was carried out with potential consumers, and a stability analysis was performed under commercial storage conditions (4, 25, and 34 °C). The SBB exhibited a good sensorial preference (score of 81.3) and showed high contents and a diverse composition of anthocyanins and proanthocyanidins, which were up to 3.0- and 1.2-fold higher compared to the SB, respectively. Regarding the storage stability, the SBB showed better retention of lightness (97.9%) and red color (66.7%) at the end of the storage under refrigerated conditions (4 °C) compared to the SB. Therefore, these results demonstrate that using blended berry fruits leads to the creation of a functional beverage that has higher nutraceutical potential than single-berry-based beverages.


Assuntos
Mirtilos Azuis (Planta) , Fragaria , Proantocianidinas , Fragaria/química , Mirtilos Azuis (Planta)/química , Antocianinas/análise , Proantocianidinas/análise , Fenóis/análise , Polifenóis/análise , Frutas/química , Bebidas/análise
7.
Artigo em Inglês | MEDLINE | ID: mdl-36901426

RESUMO

There is an increasing interest in developing natural herb-infused functional beverages with health benefits; therefore, in this study, we aimed to evaluate the effect of strawberry, blueberry, and strawberry-blueberry blend decoction-based functional beverages on obesity-related metabolic alterations in high-fat and high-fructose diet-fed rats. The administration of the three berry-based beverages for eighteen weeks prevented the development of hypertriglyceridemia in obese rats (1.29-1.78-fold) and hepatic triglyceride accumulation (1.38-1.61-fold), preventing the development of hepatic steatosis. Furthermore, all beverages significantly down-regulated Fasn hepatic expression, whereas the strawberry beverage showed the greatest down-regulation of Acaca, involved in fatty acid de novo synthesis. Moreover, the strawberry beverage showed the most significant up-regulation of hepatic Cpt1 and Acadm (fatty acid ß-oxidation). In contrast, the blueberry beverage showed the most significant down-regulation of hepatic Fatp5 and Cd36 (fatty acid intracellular transport). Nevertheless, no beneficial effect was observed on biometric measurements, adipose tissue composition, and insulin resistance. On the other hand, several urolithins and their derivatives, and other urinary polyphenol metabolites were identified after the strawberry-based beverages supplementation. In contrast, enterolactone was found significantly increase after the intake of blueberry-based beverages. These results demonstrate that functional beverages elaborated with berry fruits prevent diet-induced hypertriglyceridemia and hepatic steatosis by modulating critical genes involved in fatty acid hepatic metabolism.


Assuntos
Mirtilos Azuis (Planta) , Fígado Gorduroso , Fragaria , Hipertrigliceridemia , Ratos , Animais , Metabolismo dos Lipídeos , Mirtilos Azuis (Planta)/metabolismo , Fígado/metabolismo , Obesidade/metabolismo , Ácidos Graxos/metabolismo , Hipertrigliceridemia/metabolismo , Bebidas , Dieta Hiperlipídica
9.
Univ. salud ; 24(3): 267-272, sep.-dic. 2022. graf
Artigo em Espanhol | LILACS, COLNAL | ID: biblio-1410294

RESUMO

Introduction: COVID-19 pandemic requires permanent adaptations in management depending on the epidemiological situation. Objective: To analyze the epidemiological behavior of COVID-19 in Cali (Colombia) after ending the face mask mandate in open and enclosed spaces between March 1 and July 11 of 2022. Materials and methods: An observational descriptive study of COVID-19 cases and cumulative incidence (CI) for 7 days with two temporary milestones: refusal of the obligatory use of face masks in open and enclosed environments, using data published by the National Institute of Health. The temporary tendency was evaluated with the Mann-Kendall non parametric test. Results: Differences were found between the first and second milestone; 922 cases in 75 days vs. 12,037 in 59 days; Tau=-0.22 vs. 0.57, S=-608 vs. 968, Var(S)=47,574.66 versus 233,280.66; Sen slope=-0.10 (IC95%: -0.18 and -0.03) versus 7.39 (IC95%: 5.23 and 8.88). After the second milestone, the CI increased with a positive tendency (S=23, p=0.006). Conclusions: The significant increases of COVID-19 cases and the CI coincided with the ending of the face mask mandate in enclosed spaces. Therefore, it is advisable to return to the use of face masks in enclosed spaces, strengthen infodemic management, promote vaccination, and improve natural ventilation.


Introducción: La pandemia COVID-19 demanda permanentes adaptaciones en la gestión según la situación epidemiológica. Objetivo: Analizar el comportamiento epidemiológico de COVID-19 en Cali (Colombia) post levantamiento de obligatoriedad de usar mascarillas en ambientes abiertos y cerrados, entre marzo 1 y julio 11/2022. Materiales y métodos: Estudio observacional descriptivo de casos de COVID-19 e incidencia acumulada (IA) para 7 días, con dos hitos temporales: desistimiento del uso mandatorio de mascarillas en ambientes abiertos y cerrados, usando datos publicados por el Instituto Nacional de Salud. Se evaluó la tendencia temporal con la prueba no paramétrica Mann-Kendall. Resultados: Se demostraron diferencias entre el primer y segundo hito: 922 casos en 75 días versus 12.037 en 59 días; Tau=-0,22 versus 0,57, S=-608 versus 968, Var(S)=47.574,66 versus 233.280,66; pendiente de Sen=-0,10 (IC95%: -0,18 y -0,03) versus 7,39 (IC95%: 5,23 y 8,88). Luego del segundo hito, la IA aumentó con tendencia positiva (S=23, p=0,006). Conclusiones: El aumento significativo de casos de COVID-19 y de IA coincidió con el levantamiento de la medida de usar mascarillas en espacios cerrados. Por tanto, se apoya el regresar al uso de mascarillas en espacios cerrados, reforzar la gestión infodémica, promover la vacunación y acrecentar la ventilación natural.


Assuntos
Humanos , Prática de Saúde Pública , COVID-19 , Controle de Doenças Transmissíveis , Incidência , Monitoramento Epidemiológico , Máscaras
10.
An Acad Bras Cienc ; 94(2): e20201975, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35946644

RESUMO

Colleters are glandular structures related to young shoots protection. In several Angiosperm families, as in Rubiaceae colleters are taxonomically important. This study reports presence, location, morpho-anatomical structure, ontogeny and histochemistry of colleters in vegetative and reproductive organs in 6 species of Cephalanthus and 20 species representatives of the tribe Naucleeae. Primarily based on their color and their secretion color, they were classified into light (LC) and dark (DC) colleters. The LC are exclusive to the inner side of the stipule, while the DC are found in several vegetative and reproductive organs. Histochemical studies revealed that higher mucilage and phenol content in DC could explain the dark color secretion. Results were analyzed at genus, tribe and subtribe levels, evidencing the taxonomic relevance in the family. Finally, the presence of corolline colleters in angiosperm flowers was reviewed. It was confirmed that, besides Cephalanthus, they are only present in Adenoa (Passifloraceae) and Chamaecrista (Fabaceae). Therefore, structures described as colleters in Nerium (Apocynaceae) and Cuscuta (Cuscutaceae) corollas do not correspond to colleters. This proves that corolline colleter is a rare character in Angiosperms. To conclude we provide a record of presence/absence, type and distribution of corolline colleters in an Angiosperm phylogenetic tree.


Assuntos
Fabaceae , Magnoliopsida , Rubiaceae , Flores , Humanos , Filogenia
11.
Rev. cuba. salud pública ; Rev. cuba. salud pública;48(2): e3388, abr.-jun. 2022. tab, graf
Artigo em Espanhol | LILACS, CUMED | ID: biblio-1409286

RESUMO

Introducción: Cuba es un país con desarrollo en el área biotecnológica y de medicamentos, donde los estudios farmacoeconómicos aportan evidencia significativa para la toma de decisiones, principalmente en la actualidad que el país se encuentra inmerso en la Tarea ordenamiento y a la vez es afectado por la pandemia del nuevo coronavirus. Objetivo: Caracterizar los estudios farmacoeconómicos en Cuba en los últimos 20 años. Métodos: Se realizó una investigación bibliométrica para la que se recuperó la producción científica cubana sobre farmacoeconomía en la base de datos Scopus del periodo 2001-2020. Se utilizaron indicadores bibliométricos para obtener número de documentos, años de publicación, fuentes, colaboración, tipo y patrones de colaboración institucional y de países, así como coocurrencia de palabras clave. Resultados: Se recuperaron 648 documentos. El año más productivo fue 2010. Los documentos se publicaron en 273 revistas, 17 (6,2 por ciento) cubanas y 256 (93,8 por ciento) extranjeras. Hubo 449 (69,3 por ciento) documentos en colaboración institucional y 199 (30,7 por ciento) sin colaboración. Las instituciones más productivas fueron Centro de Ingeniería Genética y Biotecnología 82 (12,7 por ciento) y Centro de Inmunología Molecular, 77 (11,9 por ciento). La red de colaboración entre países mostró tres áreas definidas, Latinoamérica, Norteamérica-Europa-India y España. Los temas más publicados fueron efectividad y seguridad de medicamentos, las vacunas y los relacionados con el cáncer. Conclusiones: Las publicaciones se caracterizaron por ser en colaboración, con ligero predominio de las nacionales sobre las internacionales. Es necesario ampliar la realización de evaluaciones económicas completas(AU)


Introduction: Cuba is a country with development in the biotechnology and medicines field, where pharmacoeconomic studies provide significant evidence for decision-making; mainly at present when the country is immersed in the Task of Ordering and at the same time is affected by the pandemic of the new coronavirus. Objective: Characterize pharmacoeconomic studies in Cuba in the last 20 years. Methods: A bibliometric research was carried out for which the Cuban scientific production on pharmacoeconomics was recovered in the Scopus database for the period 2001-2020. Bibliometric indicators were used to obtain the number of documents, years of publication, sources, collaboration, type and patterns of institutional and country collaboration, as well as co-occurrence of keywords. Results: 648 documents were retrieved. The most productive year was 2010. The documents were published in 273 journals, 17 (6.2percent) Cuban ones and 256 (93.8percent) foreign. There were 449 documents (69.3percent) in institutional collaboration and 199 (30.7percent) without collaboration. The most productive institutions were the Center for Genetic Engineering and Biotechnology with 82 (12.7percent) and the Center of Molecular Immunology, with 77 (11.9percent). The collaboration network between countries showed three defined areas: Latin America, North America-Europe-India and Spain. The most published topics were effectiveness and safety of drugs, vaccines, and those related to cancer. Conclusions: The publications were characterized by being collaborative, with a slight predominance of national over international ones. Comprehensive economic assessments need to be expanded(AU)


Assuntos
Humanos , Bibliometria , Farmacoeconomia , Avaliação da Pesquisa em Saúde , Cuba
12.
Rev. cuba. med. mil ; 51(1)mar. 2022.
Artigo em Espanhol | LILACS-Express | LILACS | ID: biblio-1408793

RESUMO

RESUMEN Introducción: El carcinoma epidermoide constituye la variedad más frecuente de cáncer esofágico. Se considera poco frecuente en la práctica clínica y su evolución es muy agresiva. Objetivo: Describir las manifestaciones clínicas y diagnóstico de un paciente con carcinoma epidermoide de esófago. Caso clínico: Paciente masculino de 46 años de edad, que comenzó con fiebre, tos y disfonía; apareció disfagia 20 días después. Se identificó un tumor por exámenes imagenológicos y se indicó biopsia con toma de muestra, mediante endoscopia superior, de manera que se confirmó la enfermedad. Conclusiones: El cáncer esofágico es una entidad infrecuente. Su síntoma cardinal, la disfagia, no se evidencia al inicio de la enfermedad y su diagnóstico se realiza a través de estudios imagenológicos e histológicos.


ABSTRACT Introduction: Squamous cell carcinoma constitutes the most frequent variety of esophageal cancer. It is considered rare in clinical practice and its evolution is very aggressive. Objective: To describe the clinical manifestations and diagnosis of a patient with squamous cell carcinoma of the esophagus. Clinical case: 46-year-old male patient, who began with fever, cough and dysphonia. Dysphagia developed 20 days later, the tumor was identified by imaging tests and a biopsy was indicated with sampling by upper endoscopy so that the disease was confirmed. Conclusions: Esophageal cancer is a rare entity. Its cardinal symptom, dysphagia, is not evident at the beginning of the disease and its diagnosis is made through imaging and histological studies.

13.
J Lipid Res ; 63(3): 100175, 2022 03.
Artigo em Inglês | MEDLINE | ID: mdl-35120994

RESUMO

Cytochrome P450s (P450s) are heme-containing proteins involved in several cellular functions, including biosynthesis of steroidal hormones, detoxification of xenobiotic compounds, among others. Damage response protein 1 (Dap1) has been described as a positive regulator of P450s through protein-protein interactions in organisms such as Schizosaccharomyces pombe. Three P450s in the carotenogenic yeast Xanthophyllomyces dendrorhous have thus far been characterized: Cyp51 and Cyp61, which are involved in ergosterol biosynthesis, and CrtS (astaxanthin synthase), which is involved in biosynthesis of the carotenoid astaxanthin. In this work, we describe the X. dendrorhous DAP1 gene, deletion of which affected yeast pigmentation by decreasing the astaxanthin fraction and increasing the ß-carotene (a substrate of CrtS) fraction, which is consistent with the known role of CrtS. We found that the proportion of ergosterol was also decreased in the Δdap1 mutant. However, even though the fractions of the end products of these two pathways (the synthesis of carotenoids and sterols) were decreased in the Δdap1 mutant, the transcript levels of genes from the P450 systems involved were higher than those in the wild-type strain. We demonstrate that Dap1 coimmunoprecipitates with these three P450s, suggesting that Dap1 interacts with these three proteins. We propose that Dap1 regulates the synthesis of astaxanthin and ergosterol in X. dendrorhous, probably by regulating the P450s involved in both biosynthetic pathways at the protein level. This work suggests a new role for Dap1 in the regulation of carotenoid biosynthesis in X. dendrorhous.


Assuntos
Carotenoides , Fitosteróis , Basidiomycota , Carotenoides/metabolismo , Sistema Enzimático do Citocromo P-450/metabolismo , Ergosterol , Esteróis
14.
J Sex Res ; 59(7): 911-919, 2022 09.
Artigo em Inglês | MEDLINE | ID: mdl-35080994

RESUMO

This study aimed to identify Top, Bottom, and Versatile sexual role identities and anal sex behavior profiles using latent class analysis in a sample of 942 sexual minority men living in Bogotá. A Versatile-insertive and receptive class (52.2%) was the most prevalent of the four resulting classes, whereas the least common was a class (1.7%) that did not use labels and had a low probability of anal sex. We examined whether identity and relational factors (i.e., sexual orientation, LGBT collective identity, and partner type) were associated with profiles. Gay identity was associated with versatile and receptive classes and bisexual identity was associated with insertive and versatile classes. LGBT collective identity was associated with the class characterized by Bottom identity and receptive positioning. Partner type was not associated with class membership, but versatile behaviors were more common among encounters with a main partner. Models using data at different timescales offered consistent patterns of behavior between the last encounter and the past three months, though the versatile class in the three-month model split into two classes based on frequency of versatile positioning. Findings highlight the relationship between sexual identity and positioning and can inform interventions for sexual health education and identity development.


Assuntos
Infecções por HIV , Minorias Sexuais e de Gênero , Bissexualidade , Colômbia , Feminino , Homossexualidade Masculina , Humanos , Masculino , Comportamento Sexual , Parceiros Sexuais
15.
Protoplasma ; 259(2): 237-261, 2022 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-33990859

RESUMO

Information on the reproductive anatomy in genera of the tribe Naucleeae, particularly Cephalanthus, is scarce and fragmented. Of the six species in the genus, only the mature megagamethophyte of Cephalanthus occidentalis has been described. This study aims to provide information on embryological aspects in flowers of C. glabratus and to analyze the morphology and anatomy of the flowers, fruit, and seed in the six species of the genus. Cephalanthus glabratus have imperfect flowers: pistillate (PF) and staminate (SF). In the PF, the ovules are functional, while in the SF, they atrophy during the formation of the embryo sac. The mature ovule has a single integument, corresponds to the Phyllis type and the embryo sac is a Polygonum type, forming only in the PF. The presence of pollenkitt and secondary presentation of pollen were observed in the SF, as well as in the pollen formation previously described, whereas in the PF, they are absent, due to the collapse of the pollen grains inside the indehiscent anthers. The analysis of the ontogeny of the ovular excrescence in C. glabratus determined its funicular origin, calling it an aril. Its development is a pre-anthesis event, initiated during megasporogenesis. In seeds, the aril is a fleshy, white appendage which almost completely envelops the seeds of Cephalanthus, except for Cephalanthus natalensis where it is noticeably more reduced. Studies of the fruit in Cephalanthus species indicate that the infructescence is a dry schizocarp which separates into uni-seminated mericarps, except in C. natalensis that has fleshy indehiscent fruit.


Assuntos
Rubiaceae , Flores/anatomia & histologia , Frutas/anatomia & histologia , Óvulo Vegetal , Pólen
16.
Protoplasma ; 259(1): 141-153, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33903967

RESUMO

In the present work, we study the ovule, seed, and fruit development in six Bulbostylis species in order to characterize the genus in a comparative approach and to identify the characteristics that can be used in taxonomy and phylogeny. Flowers and fruits at different developmental stages were analyzed using LM and SEM after processing according to standard techniques. The species studied have the following: anatropous and bitegmic ovules, weak crassinucellar ovules, obturator of integumentary origin, monosporic embryo sac of the Polygonum type, nuclear endosperm, hypostase formation, seed coat formed by tanniferous endotegmen and exotesta, and Bulbostylis-type embryo. On the other hand, the pericarp development constitutes the main variation within Bulbostylis since the cells of the exocarp may or may not present starch grains, and their inner periclinal walls may be slightly or deeply concave depending on the degree of development of the mesocarp sclereids. In a taxonomic context, the results herein obtained are in conflict with studies which suggest infrageneric groupings based on fruit micromorphology, and also with the relationship among the Bulbostylis species based on molecular analysis. This work contributes to a better understanding of the reproductive anatomy and embryology in Bulbostylis, and reveals the first insights about the origin of multiple embryos in Cyperaceae. Given the frequent presence of polyembryony in Bulbostylis, and the poor mention of this condition in the family, this work highlights an aspect in the anatomy of Cyperaceae that must be re-explored.


Assuntos
Cyperaceae , Óvulo Vegetal , Endosperma , Flores , Frutas
17.
J Interpers Violence ; 37(13-14): NP11991-NP12013, 2022 07.
Artigo em Inglês | MEDLINE | ID: mdl-33663239

RESUMO

Colombia endured 70 years of internal conflict, but despite a peace agreement, violence continues to be significant in the post-conflict era. Violence degrades the health and well-being of affected populations and it engenders psychological distress. Little is known about the impact of violence on the mental health of sexual and gender minority populations in Colombia. This study aimed to examine the frequency and sources of violence among cisgender men who have sex with men (MSM) and transgender women and their association with depressive symptoms and substance use. We administered a survey to 942 MSM and 58 transgender women recruited using respondent-driven sampling. We estimated the relationship between mental health indicators and experiences of violence using stepwise logistic and linear regressions, controlling for income, education, age, race, and mistreatment for being effeminate when younger. Respondent-driven sampling adjusted prevalence of any type of violence was 60.9% for the total sample, 59.8% for MSM, and 75.1% for transgender women. Experiences of violence were significantly related to depressive symptoms, binge drinking and drug use for the MSM sample. Violence perpetrated by family members or acquaintances was associated with greater depressive symptoms, and violence perpetrated by partners and strangers was associated with increased binge drinking and drug use. These results provide significant evidence of the negative association of experiences of violence and the mental health of sexual and gender minority people, a vulnerable population in Colombia. This study addresses issues of diversity regarding sexual orientation and gender identity in a Latin American middle-income country.


Assuntos
Consumo Excessivo de Bebidas Alcoólicas , Infecções por HIV , Minorias Sexuais e de Gênero , Pessoas Transgênero , Consumo Excessivo de Bebidas Alcoólicas/epidemiologia , Colômbia/epidemiologia , Feminino , Identidade de Gênero , Infecções por HIV/epidemiologia , Homossexualidade Masculina/psicologia , Humanos , Masculino , Avaliação de Resultados em Cuidados de Saúde , Comportamento Sexual , Pessoas Transgênero/psicologia , Violência
18.
Braz. J. Pharm. Sci. (Online) ; 58: e201130, 2022. tab, graf
Artigo em Inglês | LILACS | ID: biblio-1420473

RESUMO

Abstract Fridericia caudigera and Cuspidaria convoluta (Bignoniaceae) species, which grow in the northwest of Argentina, have shown antibacterial effect against strains isolated from skin infections, and each one displayed synergism with commercial antibiotics. The aims of this work were to evaluate the antibacterial activity and toxicity of the combination of these two plant species, and to design a stable gel for topical use including the blend of extracts. The combination of extracts was evaluated for synergistic effects (chequerboard assay), genotoxicity (Ames test) and cytotoxicity (Artemia salina test). A gel was subsequently formulated with the combination of extracts using carboxymethylcellulose as a polymer. The following physico- chemical characteristics of the gel formulation: pH, viscosity, spreadability and total phenol content, as well as resistance to severe temperature changes, biological activity (diffusion in agar), in vitro permeation (Franz cells) and primary dermal irritation (Draize test) were analyzed. The combination of extracts showed a synergistic effect on pathogenic bacteria and was not toxic in the in vitro tests. The gel was stable and retained the antimicrobial activity of the original extracts. The formulation proposed in this work could constitute an alternative for primary skin infections since it proved to be safe for topical administration.


Assuntos
Plantas/efeitos adversos , Artemia/classificação , Pele/lesões , Bignoniaceae/classificação , Técnicas In Vitro/métodos , Antibacterianos/farmacologia , Testes de Mutagenicidade/instrumentação
19.
Rev. colomb. ciencias quim. farm ; 50(3)Sep.-Dec. 2021.
Artigo em Inglês | LILACS-Express | LILACS | ID: biblio-1535797

RESUMO

SUMMARY Aim: extended Hildebrand Solubility Approach (EHSA) and Yalkowsky Roseman (YR) were applied to evaluate the solubility of sulfadiazine, and sulfamethazine in ethylene glycol + water mixtures. Methodology: reported experimental equilibrium solubilities and some fusion properties of these drugs were used for the calculations. Results: a good predictive character of EHSA (with mean deviations lower than 3.0%) were found by using regular polynomials in order two correlating the inter-action parameter W with the Hildebrand solubility parameter of solvent mixtures without drug; however, the results obtained from YR model show relatively high deviations greater than 50%.


Objetivo: aplicar los enfoques de los modelos de Solubilidad Extendido de Hildebrand (EHSA) y Yalkowsky Roseman (YR) para evaluar la solubilidad de sulfadiazina y sulfametazina en mezclas de etilenglicol + agua. Metodología: para los cálculos se utilizaron las solubilidades experimentales en equilibrio reportadas y algunas propiedades de fusión de estos fármacos. Resultados: en particular, se encontró un buen carácter predictivo de EHSA (con desviaciones medias inferiores al 3,0%) utilizando polinomios regulares en orden dos correlacionando el parámetro de interacción W con el parámetro de solubilidad de Hildebrand de mezclas de disolventes sin fármaco; sin embargo, los resultados obtenidos del modelo YR muestran desviaciones relativamente altas superiores al 50%.


Objetivo: aplicar as abordagens dos modelos de Solubilidade Estendida de Hildebrand (EHSA) e Yalkowsky Roseman (YR) para avaliar a solubilidade de sulfadiazina e sulfametazina em misturas de etilenoglicol + água. Metodologia: as solubilidades de equilíbrio experimental relatadas e algumas propriedades de fusão dessas drogas foram usadas para os cálculos. Resultados: em particular, foi encontrado um bom caráter preditivo de EHSA (com desvios médios menores que 3,0%) usando polinômios regulares na ordem dois, correlacionando o parâmetro de interação W com o parâmetro de solubilidade de Hildebrand de misturas de solventes sem fármaco; no entanto, os resultados obtidos com o modelo YR mostram desvios relativamente altos superiores a 50%.

20.
Bol. latinoam. Caribe plantas med. aromát ; 20(6): 598-610, nov. 2021. tab
Artigo em Inglês | LILACS | ID: biblio-1369781

RESUMO

Lophophytum species are holoparasites that grow on tree roots. The objectives of the work were to explore the chemical composition of the tubers of two Lophophytum species and to analyze the antioxidant, anti-inflammatory and antilithiatic activity of their extracts using in vitro methods. The chemical composition was determined by histochemical, phytochemical and TLC tests. In addition, the profile of phenolic compounds was determined by HPLC-MS. The presence of secondary metabolites of recognized activity was demonstrated. The results of the HPLC-MS/MS allowed the tentative identification of catechin, luteolin and glycosides of eriodictyol, naringenin and luteolin in the extract of Lophophytum leandriand eriodictyol, naringenin, luteolin and their glycosylated derivatives in Lophophytum mirabile. The extracts showed promising antioxidant (DPPH, ABTS and ß-carotene-linoleic acid), anti-inflammatory (inhibition of 5-LOX) and anti-urolytic (by bioautographic TLC) activity. It is noteworthy that these are the first results of the phytochemical composition and biological activity of L. mirabile. However, in vivo studies are required to corroborate these activities.


Las especies de Lophophytumson holoparásitas que crecen en raíces de árboles. Los objetivos del trabajo fueron explorar la composición química del túber de dos especies de Lophophytum y analizar la actividad antioxidante, antiinflamatoria y antilitiásica de sus extractos usando métodos in vitro. La composición química se determinó mediante pruebas histoquímicas, fitoquímicas y por TLC. Además, se determinó el perfil de compuestos fenólicos por HPLC-MS/MS. Se demostró presencia de metabolitos secundarios de reconocida actividad. Los resultados del HPLC-MS/MS permitieron identificar tentativamente catequina, luteolina y glucósidos de eriodictiol, naringenina y luteolina en el extracto de Lophophytum leandriy eriodictiol, naringenina, luteolina y sus derivados glicosilados en Lophophytum mirabile. Los extractos mostraron prometedora actividad antioxidante (DPPH, ABTS y ß-caroteno-ácido linoleico), antiinflammatoria (inhibición de la 5-LOX) y antiurolitiásica (por TLC bioautográfica). Es de destacar que estos son los primeros resultados de composición fitoquímica y actividad biológica de L. mirabile. Sin embargo, se requieren estudios in vivo para corroborar dichas actividades.


Assuntos
Extratos Vegetais/farmacologia , Extratos Vegetais/química , Balanophoraceae/química , Cromatografia Líquida de Alta Pressão , Flavanonas/análise , Flavonas/análise , Compostos Fenólicos/análise , Espectrometria de Massas em Tandem , Anti-Inflamatórios/farmacologia , Anti-Inflamatórios/química , Antioxidantes/farmacologia , Antioxidantes/química
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