RESUMO
The selection pressure imposed by the host immune system impacts on hepatitis B virus (HBV) variability. This study evaluates HBV genetic diversity, nucleos(t)ide analogs resistance and HBsAg escape mutations in HBV patients under distinct selective pressures. One hundred and thirteen individuals in different phases of HBV infection were included: 13 HBeAg-positive chronic infection, 9 HBeAg-positive chronic hepatitis, 47 HBeAg-negative chronic infection (ENI), 29 HBeAg-negative chronic hepatitis (ENH) and 15 acute infected individuals. Samples were PCR amplified, sequenced and genetically analyzed for the overlapping POL/S genes. Most HBV carriers presented genotype A (84/113; 74.3%), subgenotype A1 (67/84; 79.7%), irrespective of group, followed by genotypes D (20/113; 17.7%), F (8/113; 7.1%) and E (1/113; 0.9%). Clinically relevant mutations in polymerase (tL180M/M204V) and in the Major Hydrophilic Region of HBsAg (sY100C, T118A/M, sM133T, sD144A and sG145R) were observed. Our findings, however, indicated that most polymorphic sites were located in the cytosolic loops (CYL1-2) and transmembrane domain 4 (TMD4) of HBsAg. Lower viral loads and higher HBV genetic diversity were observed in ENI and ENH groups (p < 0.001), suggesting that these groups are subjected to a higher selective pressure. Our results provide information on the molecular characteristics of HBV in a diverse clinical setting, and may guide future studies on the balance of HBV quasispecies at different stages of infection.
Assuntos
Variação Genética , Genótipo , Antígenos de Superfície da Hepatite B , Vírus da Hepatite B , Hepatite B Crônica , Humanos , Vírus da Hepatite B/genética , Hepatite B Crônica/virologia , Hepatite B Crônica/genética , Brasil/epidemiologia , Masculino , Adulto , Feminino , Pessoa de Meia-Idade , Antígenos de Superfície da Hepatite B/genética , Mutação , Farmacorresistência Viral/genética , DNA Viral/genética , Adulto Jovem , Filogenia , Antígenos E da Hepatite B/genéticaRESUMO
BACKGROUND: The diet's inorganic nitrate (NO3-) may provide a physiological substrate for reducing nitrate (NO2-) to NO independent of the endothelium. Studies suggest that inorganic NO3- has beneficial effects on cardiovascular health. OBJECTIVE: This study evaluated the acute effects of 500 mL nitrate-rich beetroot juice (BRJ; containing 11.5mmol NO3-) on blood pressure and endothelial function in treated hypertensive patients. METHODS: A randomized, placebo-controlled, crossover study was conducted in treated hypertensive patients (n=37; women=62%) who underwent clinical and nutritional evaluation and assessment of central hemodynamic parameters and microvascular reactivity. The significance level was p<0.05. RESULTS: The mean age was 59±7 years, and mean systolic and diastolic blood pressures were 142±10/83±9mmHg. There was a significant increase in the subendocardial viability ratio (SEVR; 149±25 vs. 165±30%, p<0.001) and reduction in ejection duration (ED; 37±4 vs. 34±4%, p<0.001) in the beetroot phase but no significant SEVR difference in the control phase. The % increase in perfusion (155 vs. 159 %, p=0.042) was significantly increased in the beetroot phase, which was not observed in the control phase. In the beetroot phase, the change in SEVR showed a significant correlation with the change in the area under the curve of post-occlusive reactive hyperemia (AUC-PORH) (r=0.45, p=0.012). The change in ED showed a significant correlation with the post-intervention perfusion peak (r=-0.37, p=0.031) and AUC-PORH (r=-0.36, p=0.046). CONCLUSIONS: The acute ingestion of BRJ by hypertensive patients resulted in an improvement of endothelial function, which was associated with higher subendocardial viability and performance in myocardial contraction.
FUNDAMENTO: O nitrato inorgânico (NO3) da dieta pode fornecer substrato fisiológico para reduzir o nitrito (NO2) a óxido nítrico (NO) independente do endotélio. Estudos sugerem que o NO3 inorgânico tem efeitos benéficos na saúde cardiovascular. OBJETIVOS: Este estudo avaliou os efeitos agudos de 500 mL de suco de beterraba rico em nitrato (SB; contendo 11,5mmol NO3) na pressão arterial e na função endotelial em pacientes hipertensos tratados. MÉTODOS: Estudo cruzado, randomizado, controlado por placebo foi realizado em pacientes hipertensos tratados (n=37; mulheres=62%) que foram submetidos à avaliação clínica e nutricional, avaliação dos parâmetros hemodinâmicos centrais e reatividade microvascular. O nível de significância foi p<0,05. RESULTADOS: A média de idade foi 59±7 anos e das pressões sistólica e diastólica foi de 142±10/83±9 mmHg. Houve aumento significativo na taxa de viabilidade subendocárdica (RVSE; 149±25 vs. 165±30%, p<0,001) e redução na duração da ejeção (DE; 37±4 vs. 34±4%, p<0,001) na fase beterraba, mas nenhuma diferença significativa de RVSE na fase controle. O % de aumento na perfusão (155 vs. 159%, p=0,042) cresceu significativamente na fase beterraba, o que não foi observado na fase controle. Na fase beterraba, a alteração da RVSE apresentou correlação significativa com a alteração da área sob a curva de hiperemia reativa pós-oclusiva (ASC-HRPO) (r=0,45, p=0,012). A mudança na DE mostrou uma correlação significativa com pico de perfusão pós-intervenção (r=-0,37, p=0,031) e ASC-HRPO (r=-0,36, p=0,046). CONCLUSÃO: A ingestão aguda de SB por pacientes hipertensos resultou em melhora da função endotelial, que foi associada à maior viabilidade subendocárdica e desempenho na contração miocárdica.
Assuntos
Hipertensão , Nitratos , Humanos , Feminino , Pessoa de Meia-Idade , Idoso , Nitratos/farmacologia , Nitratos/uso terapêutico , Estudos Cross-Over , Hipertensão/tratamento farmacológico , Pressão Sanguínea , Endotélio , Suplementos Nutricionais , Método Duplo-CegoRESUMO
Resumo Fundamento O nitrato inorgânico (NO3-) da dieta pode fornecer substrato fisiológico para reduzir o nitrito (NO2-) a óxido nítrico (NO) independente do endotélio. Estudos sugerem que o NO3- inorgânico tem efeitos benéficos na saúde cardiovascular. Objetivos Este estudo avaliou os efeitos agudos de 500 mL de suco de beterraba rico em nitrato (SB; contendo 11,5mmol NO3-) na pressão arterial e na função endotelial em pacientes hipertensos tratados. Métodos Estudo cruzado, randomizado, controlado por placebo foi realizado em pacientes hipertensos tratados (n=37; mulheres=62%) que foram submetidos à avaliação clínica e nutricional, avaliação dos parâmetros hemodinâmicos centrais e reatividade microvascular. O nível de significância foi p<0,05. Resultados A média de idade foi 59±7 anos e das pressões sistólica e diastólica foi de 142±10/83±9 mmHg. Houve aumento significativo na taxa de viabilidade subendocárdica (RVSE; 149±25 vs. 165±30%, p<0,001) e redução na duração da ejeção (DE; 37±4 vs. 34±4%, p<0,001) na fase beterraba, mas nenhuma diferença significativa de RVSE na fase controle. O % de aumento na perfusão (155 vs. 159%, p=0,042) cresceu significativamente na fase beterraba, o que não foi observado na fase controle. Na fase beterraba, a alteração da RVSE apresentou correlação significativa com a alteração da área sob a curva de hiperemia reativa pós-oclusiva (ASC-HRPO) (r=0,45, p=0,012). A mudança na DE mostrou uma correlação significativa com pico de perfusão pós-intervenção (r=-0,37, p=0,031) e ASC-HRPO (r=-0,36, p=0,046). Conclusão A ingestão aguda de SB por pacientes hipertensos resultou em melhora da função endotelial, que foi associada à maior viabilidade subendocárdica e desempenho na contração miocárdica.
Abstract Background The diet's inorganic nitrate (NO3-) may provide a physiological substrate for reducing nitrate (NO2-) to NO independent of the endothelium. Studies suggest that inorganic NO3- has beneficial effects on cardiovascular health. Objective This study evaluated the acute effects of 500 mL nitrate-rich beetroot juice (BRJ; containing 11.5mmol NO3-) on blood pressure and endothelial function in treated hypertensive patients. Methods A randomized, placebo-controlled, crossover study was conducted in treated hypertensive patients (n=37; women=62%) who underwent clinical and nutritional evaluation and assessment of central hemodynamic parameters and microvascular reactivity. The significance level was p<0.05. Results The mean age was 59±7 years, and mean systolic and diastolic blood pressures were 142±10/83±9mmHg. There was a significant increase in the subendocardial viability ratio (SEVR; 149±25 vs. 165±30%, p<0.001) and reduction in ejection duration (ED; 37±4 vs. 34±4%, p<0.001) in the beetroot phase but no significant SEVR difference in the control phase. The % increase in perfusion (155 vs. 159 %, p=0.042) was significantly increased in the beetroot phase, which was not observed in the control phase. In the beetroot phase, the change in SEVR showed a significant correlation with the change in the area under the curve of post-occlusive reactive hyperemia (AUC-PORH) (r=0.45, p=0.012). The change in ED showed a significant correlation with the post-intervention perfusion peak (r=-0.37, p=0.031) and AUC-PORH (r=-0.36, p=0.046). Conclusions The acute ingestion of BRJ by hypertensive patients resulted in an improvement of endothelial function, which was associated with higher subendocardial viability and performance in myocardial contraction.
RESUMO
Background and objectives: For decades, dengue outbreaks have been affecting vast territories of the Americas. In 2010's decade, Chikungunya and Zika virus (CHIKV and ZIKV) emerged as new arboviruses in the region. While several seroprevalence rates have been reported for dengue virus (DENV) infection in Brazil, serological surveys for the latest are scarce. We aimed to evaluate the seroprevalence of CHIKV, ZIKV, and DENV infections in pregnant women at admission to a public maternity hospital of Nova Iguaçu, state of Rio de Janeiro. Methods: A simple questionnaire was applied, containing limited demographic, obstetric, and clinical data, alongside with blood collection. Different commercial test kits, based on enzyme-linked immunosorbent assay (ELISA), were used. Results: Among 349 pregnant women enrolled from July to December 2017, there was a 28.4% seroreactivity for CHIKV, 47.2% for ZIKV, and 88.8% for DENV. Conclusion: These findings reflect the high dengue endemicity scenario and suggest a significant reach of the recent outbreaks of ZIKV and CHIKV infections in the region.(AU)
Justificativas e objetivos: Há décadas, surtos de dengue afetam vastos territórios das Américas. Na década de 2010, os vírus Chikungunya e Zika (CHIKV e ZIKV) surgiram como arbovírus emergentes na região. Embora diversas taxas de soroprevalência tenham sido relatadas para a infecção pelo vírus da dengue (DENV) no Brasil, pesquisas sorológicas para chikungunya e zika são escassas. Objetivou-se avaliar a soroprevalência das infecções por CHIKV, ZIKV e DENV em gestantes admitidas em uma maternidade pública de Nova Iguaçu, estado do Rio de Janeiro. Métodos: Foi aplicado um questionário simples, contendo dados demográficos, obstétricos e clínicos limitados, sendo realizada coleta de sangue na mesma visita. Diferentes kits de teste comerciais, baseados em ensaio imunoenzimático (ELISA), foram utilizados. Resultados: De 349 gestantes recrutadas de julho a dezembro de 2017, houve sororreatividade de 28,4% para CHIKV, 47,2% para ZIKV e 88,8% para DENV. Conclusão: Esses achados refletem o cenário de alta endemicidade da dengue e sugerem um alcance significativo dos surtos recentes causados por ZIKV e CHIKV na região.(AU)
Justificación y objetivos: Durante décadas, los brotes de dengue han afectado a vastos territorios de las Américas. En la década de 2010, los virus Chikungunya y Zika (CHIKV y ZIKV) surgieron como arbovirus emergentes en la región. Aunque se han reportadas varias tasas de seroprevalencia para la infección por el virus del dengue (DENV) en Brasil, la investigación serológica para el chikungunya y el Zika es escasa. Este estudio tuvo como objetivo evaluar la seroprevalencia de infecciones por CHIKV, ZIKV y DENV en mujeres embarazadas ingresadas en una maternidad pública en Nova Iguaçu, estado de Rio de Janeiro. Métodos: Se aplicó un sencillo cuestionario, que contenía datos demográficos, obstétricos y clínicos limitados, y se extrajo sangre en la misma visita. Se utilizaron diferentes kits de prueba comerciales basados en el ensayo inmunoabsorbente ligado a enzimas (ELISA). Resultados: De 349 mujeres embarazadas reclutadas de julio a diciembre de 2017, hubo serorreactividad de 28,4% para CHIKV, 47,2% para ZIKV y 88,8% para DENV. Conclusión: Estos hallazgos reflejan el escenario de alta endemicidad para el dengue y sugieren una variedad significativa de brotes recientes causados por ZIKV y CHIKV en la región.(AU)
Assuntos
Estudos Soroepidemiológicos , Dengue , Gestantes , Febre de Chikungunya , Zika virusRESUMO
In this work, an ingredient containing non-starch polysaccharides (NSP), obtained from overripe bananas, was characterized using differential scanning calorimetry (DSC) and vapor sorption isotherms. Soluble sugars from overripe bananas were extracted using ethanol, resulting in a solid NSP-rich fraction. The physical properties of this new ingredient and its response to temperature and water interactions are needed for its application as a fiber flour aggregate in food preparations. Results from thermal analyses, including gelatinization, glass transition and fusion, allowed building state diagrams, then compared to vapor sorption isotherms which resulted similar to a Brunauer-Emmet-Teller (BET) type III isotherm at 25 °C, for NSP and standards samples as arabinoxylan and polygalacturonic acid. A good fit was obtained for the glass transition curves using the Kwei model. This approach enabled us to explore the stability of the material, regarding safety limits for microbial deterioration and structural changes due to glass transition.
Assuntos
Musa , Varredura Diferencial de Calorimetria , Farinha/análise , Polissacarídeos , Temperatura , ÁguaRESUMO
BACKGROUND: Several anthropometric indexes have been proposed to determine the association between overweight and cardiovascular risk factors. OBJECTIVE: To evaluate the relationship between body adiposity and microvascular reactivity in hypertensive patients under antihypertensive therapy. METHODS: Treated hypertensive patients aged 40 to 70 were submitted to evaluation of anthropometric indexes: conicity (CI), body adiposity (BAI), visceral adiposity (VAI) and waist-to-height ratio (WHtR). Participants were divided by the terciles of fat percentage (%F) obtained by bioelectrical impedance. The patients underwent microvascular reactivity test (Laser Speckle Contrast Image) and pulse wave velocity (PWV) measurement. The p value <0.05 was considered statistically significant. RESULTS: The variation of the area under the curve (AUC) of the skin perfusion was lower in the upper tercile (97±57% vs. 67±36%; p=0.027). %F showed significant correlation with WHtR (r=0.77; p<0.001), VAI (r=0.41; p=0.018), CI (r=0.60; p<0.001), BAI (r=0.65; p<0.001) in men and only with WHtR (r=0.55; p<0.001) and BAI (r=0.60; p<0.001) in women. In linear regression, AUC was independently associated with %F (ß=-3.15; p=0.04) in women and with blood glucose (ß=-1.15; p=0.02) in men. There was no difference in PWV measurements. CONCLUSION: Anthropometric indices were more associated with %F in men. Higher body adiposity was associated with lower microvascular reactivity, which was more evident in women. There was no difference in arterial stiffness, which may have been influenced by antihypertensive treatment.
FUNDAMENTO: Diversos índices antropométricos têm sido propostos para determinar a associação entre excesso de peso e fatores de risco cardiovascular. OBJETIVO: Avaliar a relação entre adiposidade corporal e reatividade microvascular em pacientes hipertensos sob terapia anti-hipertensiva. MÉTODOS: Pacientes hipertensos tratados de 40 a 70 anos foram submetidos à avaliação de índices antropométricos: conicidade (IC), adiposidade corporal (IAC), adiposidade visceral (IAV) e relação cintura-estatura (RCE). Os participantes foram divididos pelos tercis de percentual de gordura (%G) obtido pela bioimpedância elétrica (BIA) e submetidos a teste de reatividade microvascular (laser speckle contrast image), medida da velocidade da onda de pulso (VOP). O valor de p < 0,05 foi considerado estatisticamente significativo. RESULTADOS: A variação da área sob a curva (ASC) da perfusão cutânea foi inferior no tercil superior (97 ± 57% vs. 67 ± 36%; p = 0,027). O %G apresentou correlação significativa com RCE (r = 0,77; p < 0,001), IAV (r = 0,41; p = 0,018), IC (r = 0,60; p < 0,001) e IAC (r = 0,65; p < 0,001) nos homens e somente com RCE (r = 0,55; p < 0,001) e IAC (r = 0,60; p < 0,001) nas mulheres. Na regressão linear, a ASC mostrou associação independente com o %G (ß =3,15; p = 0,04) nas mulheres e com a glicemia (ß = 1,15; p = 0,02) nos homens. Não houve diferença nas medidas de VOP. CONCLUSÃO: Os índices antropométricos de obesidade foram mais associados ao %G nos homens. A maior adiposidade corporal foi relacionada com menor reatividade microvascular, o que foi mais evidente nas mulheres. Não houve diferença na rigidez arterial, o que pode ter sido influenciado pelo tratamento anti-hipertensivo.
Assuntos
Adiposidade , Análise de Onda de Pulso , Adulto , Idoso , Índice de Massa Corporal , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fatores de Risco , Circunferência da CinturaRESUMO
Resumo Fundamento: Diversos índices antropométricos têm sido propostos para determinar a associação entre excesso de peso e fatores de risco cardiovascular. Objetivo: Avaliar a relação entre adiposidade corporal e reatividade microvascular em pacientes hipertensos sob terapia anti-hipertensiva. Métodos: Pacientes hipertensos tratados de 40 a 70 anos foram submetidos à avaliação de índices antropométricos: conicidade (IC), adiposidade corporal (IAC), adiposidade visceral (IAV) e relação cintura-estatura (RCE). Os participantes foram divididos pelos tercis de percentual de gordura (%G) obtido pela bioimpedância elétrica (BIA) e submetidos a teste de reatividade microvascular (laser speckle contrast image), medida da velocidade da onda de pulso (VOP). O valor de p < 0,05 foi considerado estatisticamente significativo. Resultados: A variação da área sob a curva (ASC) da perfusão cutânea foi inferior no tercil superior (97 ± 57% vs. 67 ± 36%; p = 0,027). O %G apresentou correlação significativa com RCE (r = 0,77; p < 0,001), IAV (r = 0,41; p = 0,018), IC (r = 0,60; p < 0,001) e IAC (r = 0,65; p < 0,001) nos homens e somente com RCE (r = 0,55; p < 0,001) e IAC (r = 0,60; p < 0,001) nas mulheres. Na regressão linear, a ASC mostrou associação independente com o %G (β =-3,15; p = 0,04) nas mulheres e com a glicemia (β = -1,15; p = 0,02) nos homens. Não houve diferença nas medidas de VOP. Conclusão: Os índices antropométricos de obesidade foram mais associados ao %G nos homens. A maior adiposidade corporal foi relacionada com menor reatividade microvascular, o que foi mais evidente nas mulheres. Não houve diferença na rigidez arterial, o que pode ter sido influenciado pelo tratamento anti-hipertensivo.
Abstract Background: Several anthropometric indexes have been proposed to determine the association between overweight and cardiovascular risk factors. Objective: To evaluate the relationship between body adiposity and microvascular reactivity in hypertensive patients under antihypertensive therapy. Methods: Treated hypertensive patients aged 40 to 70 were submitted to evaluation of anthropometric indexes: conicity (CI), body adiposity (BAI), visceral adiposity (VAI) and waist-to-height ratio (WHtR). Participants were divided by the terciles of fat percentage (%F) obtained by bioelectrical impedance. The patients underwent microvascular reactivity test (Laser Speckle Contrast Image) and pulse wave velocity (PWV) measurement. The p value <0.05 was considered statistically significant. Results: The variation of the area under the curve (AUC) of the skin perfusion was lower in the upper tercile (97±57% vs. 67±36%; p=0.027). %F showed significant correlation with WHtR (r=0.77; p<0.001), VAI (r=0.41; p=0.018), CI (r=0.60; p<0.001), BAI (r=0.65; p<0.001) in men and only with WHtR (r=0.55; p<0.001) and BAI (r=0.60; p<0.001) in women. In linear regression, AUC was independently associated with %F (β=−3.15; p=0.04) in women and with blood glucose (β=−1.15; p=0.02) in men. There was no difference in PWV measurements. Conclusion: Anthropometric indices were more associated with %F in men. Higher body adiposity was associated with lower microvascular reactivity, which was more evident in women. There was no difference in arterial stiffness, which may have been influenced by antihypertensive treatment.
Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Idoso , Adiposidade , Análise de Onda de Pulso , Índice de Massa Corporal , Estudos Transversais , Fatores de Risco , Circunferência da CinturaRESUMO
An electroencephalogram (EEG) is a test that records electrical activity of the brain using electrodes attached to the scalp, and it has recently been used in conjunction with BMI (Brain-Machine Interface). Currently, the analysis of the EEG is visual, using graphic tools such as topographic maps. However, this analysis can be very difficult, so in this work, we apply a methodology of EEG analysis through data mining to analyze two different band frequencies of the brain signals (full band and Beta band) during an experiment where visually impaired and sighted individuals recognize spatial objects through the sense of touch. In this paper, we present details of the proposed methodology and a case study using decision trees to analyze EEG signals from visually impaired and sighted individuals during the execution of a spatial ability activity. In our experiment, the hypothesis was that sighted individuals, even if they are blindfolded, use vision to identify objects and that visually impaired people use the sense of touch to identify the same objects.
Assuntos
Percepção do Tato , Pessoas com Deficiência Visual , Árvores de Decisões , Eletroencefalografia , Humanos , TatoRESUMO
INTRODUCTION: The effects of magnesium (Mg) supplementation on vascular function have been evaluated in some randomized controlled trials (RCT) but their results are conflicting. AIM: A systematic review and meta-analysis were conducted to summarize the effects of oral Mg supplementation on vascular function in RCT. METHODS: The databases MEDLINE (PubMed), Embase, Web of Science and Cochrane Library were accessed from inception to May 27, 2019. Intergroup differences (treatment vs. control group) related to changes in flow-mediated dilation (FMD) and pulse wave velocity (PWV), expressed as mean and standard deviation, were used to evaluate the effect of Mg supplementation on these outcomes. The results of the meta-analysis were expressed using a random-effects model. The heterogeneity between studies was evaluated using the I2 statistic. RESULTS: The oral supplementation of Mg had no significant effect on FMD (mean difference 2.13; 95% CI - 0.56, 4.82; p = 0.12) and PWV (mean difference - 0.54, 95% CI - 1.45, 0.36, p = 0.24). Heterogeneity for both outcomes (FMD and PWV) was high (I2 = 99%, p < 0.001). However, in subgroup analyses, oral Mg significantly improved FMD in studies longer than 6 months, in unhealthy subjects, in individuals older than 50 years, or in those with body mass index (BMI) ≥ 25 kg/m2. The reduced number of RCT and the heterogeneity among them were the main limitations. CONCLUSIONS: This meta-analysis suggest that oral Mg supplementation may improve endothelial function when conducted at least for 6 months and in unhealthy, overweight or older individuals. Registration number: PROSPERO CRD42019111462.
Assuntos
Doenças Cardiovasculares/tratamento farmacológico , Suplementos Nutricionais , Endotélio Vascular/efeitos dos fármacos , Magnésio/administração & dosagem , Rigidez Vascular/efeitos dos fármacos , Vasodilatação/efeitos dos fármacos , Administração Oral , Adulto , Fatores Etários , Idoso , Índice de Massa Corporal , Doenças Cardiovasculares/diagnóstico , Doenças Cardiovasculares/epidemiologia , Doenças Cardiovasculares/fisiopatologia , Suplementos Nutricionais/efeitos adversos , Endotélio Vascular/fisiopatologia , Feminino , Nível de Saúde , Humanos , Magnésio/efeitos adversos , Masculino , Pessoa de Meia-Idade , Obesidade/diagnóstico , Obesidade/epidemiologia , Ensaios Clínicos Controlados Aleatórios como Assunto , Fatores de Risco , Fatores de Tempo , Resultado do TratamentoRESUMO
Studies aiming to associate the sodium/potassium (Na/K) ratio with hypertension use 24-hour urinary excretion as a daily marker of ingestion. The objective of this study was to evaluate the association between urinary Na/K ratio and structural and functional vascular alterations in non-diabetic hypertensive patients. In hypertensive patients (n = 72), aged between 40 and 70 years, both sexes (61% women), in use of hydrochlorothiazide, we measured blood pressure, 24-hour urine sample collection, assessment of carotid-femoral pulse wave velocity (cf-PWV, Complior), central hemodynamic parameters (SphygmoCor), and post-occlusive reactive hyperemia (PORH). The participants were divided according to the tertile of 24-hour urinary Na/K ratio. Each group contained 24 patients. Systolic blood pressure was higher in T2 (133 ± 9 vs 140 ± 9 mmHg, P = .029). C-reactive protein (CRP) presented higher values in T3 as compared to T1 [0.20(0.10-0.34) vs 1.19 (0.96-1.42) mg/dL, P < .001]. Higher values in T3 were also observed for aortic systolic pressure (aoSP) [119(114-130) vs 135(125-147) mmHg, P = .002] and cf-PWV (9.2 ± 1.6 vs 11.1 ± 1.5 m/s, P < .001). The urinary Na/K ratio presented significant correlations with proteinuria (r = .27, P = .023), CRP (r = .77, P < .001), cf-PWV (r = .41, P < .001), and post-occlusive reactive hyperemia on cutaneous vascular conductance (PORH CVC) (r = -.23, P = .047). By multivariate linear regression, it was detected an independent and significant association of cf-PWV with urinary Na/K ratio (R2 = 0.17, P < .001) and PORH CVC with CRP (R2 = 0.30, P = .010). Our data indicated that increased urinary Na/K ratio in non-diabetic hypertensive patients was associated with higher degree of inflammation, raised peripheral and central pressure levels, and changes suggestive of endothelial dysfunction and arterial stiffness.
Assuntos
Hipertensão/metabolismo , Hipertensão/fisiopatologia , Potássio/urina , Sódio/urina , Adulto , Idoso , Pressão Sanguínea/fisiologia , Determinação da Pressão Arterial/métodos , Proteína C-Reativa/análise , Velocidade da Onda de Pulso Carótido-Femoral/métodos , Estudos Transversais , Feminino , Hemodinâmica/efeitos dos fármacos , Humanos , Hidroclorotiazida/uso terapêutico , Hiperemia/epidemiologia , Hipertensão/tratamento farmacológico , Masculino , Pessoa de Meia-Idade , Proteinúria/epidemiologia , Inibidores de Simportadores de Cloreto de Sódio/uso terapêutico , Coleta de Urina/métodos , Rigidez Vascular/fisiologiaRESUMO
This research was conducted to evaluate the methylene blue dye adsorption by piaçava fibers. The effects of adsorbent amount, pH, kinetics, equilibrium, and thermodynamics were analyzed, as well as the adsorbent performance in the treatment of synthetic textile effluents. The adsorbent characterization was also performed. Experimental kinetic data were fitted with pseudo-first-order, pseudo-second-order, and Elovich models. The equilibrium tests were done at 298, 308, and 318 K, and the models of Freundlich, Langmuir, Redlich-Peterson, and Sips were used. The adsorption was favored using 0.025 g of adsorbent, pH 10, and 318 K. The Elovich model provided better fit to kinetic data. The equilibrium experimental points were well represented by the Sips model. The maximum experimental adsorption capacity of methylene blue dye was 427.3 mg g-1. It was verified a spontaneous, favorable, and endothermic adsorption. Piaçava fiber was a promising low-cost material to be used for color removal in effluents containing methylene blue.
Assuntos
Corantes/química , Azul de Metileno/química , Adsorção , Cinética , Têxteis , TermodinâmicaRESUMO
OBJECTIVE: to analyze the adhesion of the nursing team to the practice of hands hygiene (HH) and the use of latex gloves in a hemodialysis service. METHOD: this is a descriptive-exploratory study with a quantitative approach, performed between August and October 2016 in a hemodialysis service in the countryside of São Paulo State, Brazil, where the nursing team adhered to HH and the use of gloves. All ethical aspects have been contemplated. RESULTS: there were 1090 opportunities for HH, with the adhesion rate being only 16.6%. Regarding the use of gloves, of the 510 opportunities observed, there was correct use in 45%, reuse in 25% and absence of latex gloves in 29% of the time. CONCLUSION: the rate of HH and adherence to gloves is far from ideal, contributing to the increased risk of infection for both the user and the professional.
Assuntos
Luvas Protetoras/estatística & dados numéricos , Higiene das Mãos/normas , Diálise Renal/enfermagem , Brasil , Fidelidade a Diretrizes/normas , Fidelidade a Diretrizes/estatística & dados numéricos , Higiene das Mãos/métodos , Higiene das Mãos/estatística & dados numéricos , Humanos , Equipe de Assistência ao Paciente/estatística & dados numéricos , Equipamento de Proteção Individual/estatística & dados numéricosRESUMO
ABSTRACT Objective: to analyze the adhesion of the nursing team to the practice of hands hygiene (HH) and the use of latex gloves in a hemodialysis service. Method: this is a descriptive-exploratory study with a quantitative approach, performed between August and October 2016 in a hemodialysis service in the countryside of São Paulo State, Brazil, where the nursing team adhered to HH and the use of gloves. All ethical aspects have been contemplated. Results: there were 1090 opportunities for HH, with the adhesion rate being only 16.6%. Regarding the use of gloves, of the 510 opportunities observed, there was correct use in 45%, reuse in 25% and absence of latex gloves in 29% of the time. Conclusion: the rate of HH and adherence to gloves is far from ideal, contributing to the increased risk of infection for both the user and the professional.
RESUMEN Objetivo: analizar la adhesión del equipo de enfermería a la práctica de higienización de las manos (HM) y al uso de guantes en un servicio de hemodiálisis. Método: el estudio descriptivo-exploratorio y cuantitativo, realizado entre agosto y octubre de 2016 en un servicio de hemodiálisis del interior del estado de São Paulo, Brasil, donde se observó la adhesión del equipo de enfermería a la HM y al uso de guantes. Todos los aspectos éticos fueron contemplados. Resultados: se observó 1090 oportunidades de HM, siendo la tasa de adhesión de apenas el 16,6%. En cuanto al uso de guantes, de las 510 oportunidades observadas, hubo utilización correcta en un 45%, la reutilización en un 25% y ausencia del uso de guantes en un 29%. Conclusion: la tasa de HM y la adhesión al uso de guantes están muy por debajo del ideal, contribuyendo al aumento del riesgo de infección, tanto para el usuario y para el profesional.
RESUMO Objetivo: analisar a adesão da equipe de enfermagem à prática de higienização das mãos (HM) e ao uso de luvas em um serviço de hemodiálise. Método: estudo descritivo-exploratório de abordagem quantitativa, realizado entre agosto e outubro de 2016 em um serviço de hemodiálise do interior do Estado de São Paulo, Brasil, onde foi observada a adesão da equipe de enfermagem à HM e ao uso de luvas. Todos os aspectos éticos foram contemplados. Resultados: observou-se 1090 oportunidades de HM, sendo a taxa de adesão de apenas 16,6%. Quanto ao uso de luvas, das 510 oportunidades observadas, houve utilização correta em 45%, a reutilização em 25% e ausência do uso de luvas em 29% das vezes. Conclusão: a taxa de HM e a adesão ao uso de luvas estão muito aquém do ideal, contribuindo para o aumento do risco de infecção, tanto para o usuário como para o profissional.
Assuntos
Humanos , Diálise Renal/enfermagem , Luvas Protetoras/estatística & dados numéricos , Higiene das Mãos/normas , Equipe de Assistência ao Paciente/estatística & dados numéricos , Brasil , Fidelidade a Diretrizes/normas , Fidelidade a Diretrizes/estatística & dados numéricos , Higiene das Mãos/métodos , Higiene das Mãos/estatística & dados numéricos , Equipamento de Proteção Individual/estatística & dados numéricosRESUMO
In Brazil, detection of the HIV-1 sub-subtype F1 has decreased with a simultaneous increase in detection of the recombinant FB and FC forms. In previous HIV-1 env molecular epidemiology studies in Rio de Janeiro, 11.4% of the detected sequences were of the F1 sub-subtype. With the goal of re-estimating the prevalence of the HIV-1 F1 sub-subtype, we performed extended analyses of these samples by examining five genomic regions, resulting in 3.3% being confirmed as F1. Moreover, genomic analysis of 11 of the 21 samples identified as F1 confirmed that nine were F1 and two were BF1. Considering the number of samples assayed, the prevalence of F1 was quite low, which supports the use of different genomic regions for the assessment of HIV-1 classification in countries where several subtypes and recombinant forms co-circulate.
Assuntos
Genoma Viral/genética , Infecções por HIV/epidemiologia , Infecções por HIV/virologia , HIV-1/genética , Sequência de Bases , Brasil/epidemiologia , Genótipo , Humanos , Epidemiologia Molecular , Filogenia , Análise de Sequência de DNARESUMO
Pará chestnut husk (Bertholletia excelsa) (PCH), an agro-industrial waste largely generated in Brazil, was employed as a low-cost and efficient biosorbent to remove the cationic dyes Crystal Violet (CV) and Methylene Blue (MB) from aqueous media. PCH presented an amorphous structure containing carboxylic acids, esters, ketones and aldehydes on the surface. Non-porous and irregular particles were also observed. For both dyes, the biosorption capacity was favored under acid conditions. Equilibrium was attained within 40 min at 25 °C with a PCH dosage of 0.5 g L-1. The biosorption kinetic curves were satisfactory explained by the pseudo-first-order model. The Freundlich model was best for representing the equilibrium curves. The maximum biosorption capacities were 83.6 and 83.8 mg g-1 for CV and MB, respectively. PCH was efficient for treating a simulated textile effluent containing several dyes and chemicals, achieving a color removal of 90%. In this way, PCH can be considered as an option for treating colored effluents containing textile dyes.
Assuntos
Bertholletia/química , Corantes/química , Resíduos Industriais/análise , Adsorção , Brasil , Cátions , Violeta Genciana , Concentração de Íons de Hidrogênio , Cinética , Azul de Metileno , Indústria Têxtil , Eliminação de Resíduos Líquidos , Água , Poluentes Químicos da Água/químicaRESUMO
The treatment of colored effluents containing Procion Red dye (PR) was investigated using H2SO4 and HNO3 modified avocado shells (Persea americana) as adsorbents. The adsorbent materials (AS-H2SO4 and AS-HNO3) were properly characterized. The adsorption study was carried out considering the effects of adsorbent dosage and pH. Kinetic, equilibrium, and thermodynamic aspects were also evaluated. Finally, the adsorbents were tested to treat simulated dye house effluents. For both materials, the adsorption was favored using 0.300 g L-1 of adsorbent at pH 6.5, where, more than 90% of PR was removed from the solution. General order model was able to explain the adsorption kinetics for both adsorbents. The Sips model was adequate to represent the isotherm data, being the maximum adsorption capacities of 167.0 and 212.6 mg g-1 for AS-H2SO4 and AS-HNO3, respectively. The adsorption processes were thermodynamically spontaneous, favorable (- 17.0 < ΔG 0 < - 13.2 kJ mol-1), and exothermic (ΔH 0 values of - 29 and - 55 kJ mol-1). AS-H2SO4 and AS-HNO3 were adequate to treat dye house effluents, attaining color removal percentages of 82 and 75%. Avocado shells, after a simple acid treatment, can be a low-cost option to treat colored effluents.
Assuntos
Ácido Nítrico/química , Persea/química , Ácidos Sulfúricos/química , Triazinas/análise , Poluentes Químicos da Água/análise , Purificação da Água/métodos , Adsorção , Biomassa , Concentração de Íons de Hidrogênio , Cinética , TermodinâmicaRESUMO
Person who inject illicit substances have an important role in HIV-1 blood and sexual transmission and together with person who uses heavy non-injecting drugs may have less than optimal adherence to anti-retroviral treatment and eventually could transmit resistant HIV variants. Unfortunately, molecular biology data on such key population remain fragmentary in most low and middle-income countries. The aim of the present study was to assess HIV infection rates, evaluate HIV-1 genetic diversity, drug resistance, and to identify HIV transmission clusters in heavy drug users (DUs). For this purpose, DUs were recruited in the context of a Respondent-Driven Sampling (RDS) study in different Brazilian cities during 2009. Overall, 2,812 individuals were tested for HIV, and 168 (6%) of them were positive, of which 19 (11.3%) were classified as recent seroconverters, corresponding to an estimated incidence rate of 1.58%/year (95% CI 0.92-2.43%). Neighbor joining phylogenetic trees from env and pol regions and bootscan analyses were employed to subtype the virus from132 HIV-1-infected individuals. HIV-1 subtype B was prevalent in most of the cities under analysis, followed by BF recombinants (9%-35%). HIV-1 subtype C was the most prevalent in Curitiba (46%) and Itajaí (86%) and was also detected in Brasília (9%) and Campo Grande (20%). Pure HIV-1F infections were detected in Rio de Janeiro (9%), Recife (6%), Salvador (6%) and Brasília (9%). Clusters of HIV transmission were assessed by Maximum likelihood analyses and were cross-compared with the RDS network structure. Drug resistance mutations were verified in 12.2% of DUs. Our findings reinforce the importance of the permanent HIV-1 surveillance in distinct Brazilian cities due to viral resistance and increasing subtype heterogeneity all over Brazil, with relevant implications in terms of treatment monitoring, prophylaxis and vaccine development.
Assuntos
Farmacorresistência Viral/genética , Infecções por HIV/epidemiologia , Infecções por HIV/genética , HIV-1/genética , Abuso de Substâncias por Via Intravenosa/epidemiologia , Produtos do Gene env do Vírus da Imunodeficiência Humana/genética , Produtos do Gene pol do Vírus da Imunodeficiência Humana/genética , Adolescente , Adulto , Antirretrovirais/administração & dosagem , Brasil/epidemiologia , Feminino , Infecções por HIV/tratamento farmacológico , Humanos , Masculino , PrevalênciaRESUMO
O Vírus da Imunodeficiência Humana (HIV) tem extrema variabilidade genética resultante das altas taxas de mutação e recombinação, acarretados pela falta de atividade de revisão da transcriptase reversa,associado à alta taxa de replicação viral. [...] Estudos baseados na região do envelope viral detectam uma maior prevalência de subsubtipo F1 e menor de recombinantes BF1, já estudos com a região PR/RT encontram maior prevalência de BF1 e menor de F1. Assim, o presente estudo teve como objetivo reavaliar a caracterização molecular de um conjunto de amostras previamente classificadas como subsubtipo F1 apenas com a análise da região C2-V3 do envelope viral. Para tal, foram caracterizadas cinco regiões do genoma do HIV, incluindo as mais recombinogênicas, com a finalidade de estimar a prevalência real do subsubtipo F1, de realizar a dispersão temporal das amostras reclassificadas como subsubtipo F1 e recombinantes, e ainda compreender a complexidade dos perfis de recombinação. De um total de 635 amostras de HIV-1 positivas coletadas e previamente caracterizadas entre 1998-2013, 74 foram classificados como F1 na região C2-V3 env. Dessas, 56 possuíam amostras biológicas disponíveis e foram incluídas neste estudo. As amostras de DNA foram extraídas, amplificadas e sequenciadas nas regiões gag, PR / RT, INT, env e nef. As sequências foram alinhadas com amostras de referência do grupo M do HIV-1 pelo ClustalW...
Human Immunodeficiency vírus (HIV) has extreme genetic variability resulting from high mutation andrecombination rates, entailed by the lack of revision of reverse transcriptase activity associated with thehigh rate of viral replication. [...] Studies based on the viral envelope region detect higher prevalence of sub-subtype F1 and minor ofBF1recombinants, on the other hand studies on PR/RT region depicted higher prevalence of BF1 andminor of F1. Thus, this study aimed to review the molecular characterization of a set of samplespreviously classified as sub-subtype F1 only based in the analysis of the C2-V3 region of viral envelop.For this purpose, five regions were characterized genome of HIV, including the more recombinogenicones, in order to estimate the real prevalence F1 sub-subtype, to perform the temporal dispersion ofsamples reclassified as sub-subtype F1 and recombinants, and still understand the complexity ofrecombination profiles. From a total of 635 HIV-1 positive samples collected and previouslycharacterized between 1998-2013, 74 were classified as F1 based on C2-V3 env region. Of those, 56possessed available biological samples and were included in this study. The DNA samples wereextracted, amplified and sequenced regions in gag, PR / RT, INT, env and nef. The sequences werealigned with reference samples from HIV-1 group M by ClustalW...
Assuntos
Humanos , Síndrome da Imunodeficiência Adquirida , HIV-1 , Tipagem Molecular , Reação em Cadeia da PolimeraseRESUMO
This study analyzed the growth and biochemical responses of six bacterial colonies isolated from the mucus of the estuarine polychaeta Laeonereis acuta (Nereididae) after exposure to a water suspension of fullerene (nC60) and nanosilver (nAg) separately (0.01; 0.10; and 1.00 mg/L) and together (0.01; 0.10; and 1.00 mg/L of nanosilver and 1.00 mg/L of fullerene added to each nAg concentration). Exposures were performed in darkness during 24 h and then samples were taken from the worms and inoculated on agar during 24 h to analyze colonies growth. After this the material was analyzed biochemically. Colonies growth (tested by wet biomass weight) was inhibited at 0.01 and 0.10 mg/L of nAg and 0.01 and 0.10 mg/L nAg + constant 1.00 mg/L of nC60 (p < 0.05). Lipid peroxidation damage was significant from the control for the concentrations of 0.01 and 0.10 mg/L of nC60 and glutathione-S-transferase (GST) activity was significantly higher for the concentration of 1.00 mg/L mg/L nAg + constant 1.00 mg/L of nC60 (p < 0.05). Although nC60 did not induced growth inhibition, it triggered lipid peroxidation alone and increased GST activity together with nAg.60 Contrary to nC60, nanosilver inhibited bacterial growth, although the biochemical measurements indicate that this response is not due to reactive oxygen species generation.
Assuntos
Bactérias/efeitos dos fármacos , Fulerenos/toxicidade , Nanoestruturas/toxicidade , Poliquetos/microbiologia , Prata/toxicidade , Animais , Bactérias/crescimento & desenvolvimento , Contagem de Colônia Microbiana , Primers do DNA/genética , Relação Dose-Resposta a Droga , Glutationa Transferase/metabolismo , Peroxidação de Lipídeos/efeitos dos fármacos , Nanoestruturas/análise , Prata/química , Substâncias Reativas com Ácido TiobarbitúricoRESUMO
Fullerene (nC60) and nanosilver (nAg) are nanomaterials with bactericide properties. The increments in their use raise questions about their potential environmental impacts, including estuarine ones. The polychaete Laeonereis acuta (Nereididae) secretes mucus that is colonized by bacteria communities. We analyzed the antioxidant and oxidative damage responses of anterior, middle and posterior region of L. acuta and bacteria communities after nC60 or nAg exposure during 24 h. Molecular analysis showed a prevalence of Vibrio genera in the communities. Bacteria biomass was lowered in worms exposed to 1.0 mg/L of nAg. nC60 reduced total antioxidant capacity of bacteria from worms exposed to 0.1 mg/L. Worms anterior region presented lower antioxidant capacity after exposure to 1.0 mg nC60/L, and the same was observed in the posterior region of worms exposed to 1.0 mg nAg/L. Lipid peroxidation was reduced in the anterior region of worms exposed to nC60 and the opposite was observed in the posterior region.