RESUMO
A wearable glove-based sensor is a portable and practical approach for onsite detection/monitoring of a variety of chemical threats. Herein, we report a flexible and sensitive wearable sensor fabricated on the nitrile glove fingertips by stencil-printing technique. The working electrodes were modified with multiwalled carbon nanotubes (MWCNTs)/poly(3,4-ethylenedioxythiophene):poly(styrenesulfonate) (PEDOT:PSS) for sensitive and real-time analyses of hazardous or chemical treats, as picric acid (PA) explosive, diazepam (DZ) as drug-facilitated crimes and the emerging pollutant 4-nitrophenol (4-NP). The multi-sensing platform towards PA, 4-NP, and DZ offers the ability of in-situ qualitative and quantitative analyses of powder and liquid samples. A simple sampling by touching or swiping the fingertip sensor on the sample or surface under investigation using an ionic hydrogel combined with fast voltammetry measurement provides timely point-of-need analyses. The wearable glove-based sensor uses the square wave voltammetry (SWV) technique and exhibited excellent performance to detect PA, 4-NP, and DZ, resulting in limits of detection (LOD) of 0.24 µM, 0.35 µM, 0.06 µM, respectively, in a wide concentration range (from 0.5 µM to 100 µM). Also, we obtained excellent manufacturing reproducibility with relative standard deviations (RSD) in the range of 3.65%-4.61% using 7 different wearable devices (n = 7) and stability in the range of 4.86%-6.61% using different electrodes stored for 10 days at room temperature (n = 10), demonstrating the excellent sensor-to-sensor reproducibility and stability for reliable in-field measurements. The stretchable sensor presented great mechanical robustness, supporting up to 80 bending or stretching deformation cycles without significant voltammetric changes. Collectively, our wearable glove-based sensor may be employed for analyses of chemical contaminants of concern, such as explosives (PA), drugs (DZ), and emerging pollutants (4-NP), helping in environmental and public safety control.
Assuntos
Diazepam , Técnicas Eletroquímicas , Nanotubos de Carbono , Nitrofenóis , Dispositivos Eletrônicos Vestíveis , Nanotubos de Carbono/química , Nitrofenóis/análise , Técnicas Eletroquímicas/instrumentação , Técnicas Eletroquímicas/métodos , Diazepam/análise , Eletrodos , Humanos , Limite de Detecção , Substâncias Explosivas/análise , Polímeros/química , PicratosRESUMO
Tropical forests are being heavily modified by varying intensities of land use ranging from structural degradation to complete conversion. While ecological responses of vertebrate assemblages to habitat modification are variable, such understanding is critical to appropriate conservation planning of anthropogenic landscapes. We assessed the responses of medium/large-bodied mammal assemblages to the ecological impacts of reduced impact logging, secondary regrowth, and eucalyptus and oil palm plantations in Eastern Brazilian Amazonia. We used within-landscape paired baseline-treatment comparisons to examine the impact of different types of habitat modification in relation to adjacent primary forest. We examined assemblage-wide metrics including the total number of species, number of primary forest species retained in modified habitats, abundance, species composition, and community integrity. We ranked all types of habitat modification along a gradient of assemblage-wide impact intensity, with oil palm and eucalyptus plantations exerting the greatest impact, followed by secondary regrowth, and selectively logging. Selectively-logged and secondary forests did not experience discernible biodiversity loss, except for the total number of primary forest species retained. Secondary forests further experienced pronounced species turnover, with loss of community integrity. Considering the biodiversity retention capacity of anthropogenic habitats, this study reinforces the landscape-scale importance of setting aside large preserved areas.
Assuntos
Adaptação Fisiológica , Arecaceae/crescimento & desenvolvimento , Conservação dos Recursos Naturais , Ecossistema , Eucalyptus/crescimento & desenvolvimento , Agricultura Florestal , Floresta Úmida , Árvores/crescimento & desenvolvimento , Biodiversidade , Monitoramento Ambiental , Clima TropicalRESUMO
Candida yeasts are the most frequent in the vaginal content. This yeast may be a normal microbiota but also causes candidiasis. In symptomatic cases, primary candidiasis (VVC) or recurrence (RVVC) can be considered. This study aims to compare the frequency and in vitro sensitivity profile of Candida species isolated in the vaginal content with the different stages of the presence of yeasts. A total of 258 non-pregnant patients with/without VVC were prospectively screened at a teaching Health Centre of the Faculty of Medicine, in the University of Sao Paulo. The vaginal isolates were identified by traditional and molecular methods. Yeasts were isolated in 160 women. 34% were asymptomatic, 34% with vulvovaginal candidiasis (VVC), and 32% recurrent vulvovaginal candidiasis (RVVC). C. albicans was the most frequent species with 50.1% (82/160), followed by C. parapsilosis 13.7%(22/160), C. glabrata 12.5% (20/160), and C. tropicalis (6.2%). Analysis by the group showed that, in the asymptomatic group, eight yeast species were isolated, C. albicans 44.5% (24/54), C. glabrata 20% (11/54), C. parapsilosis and Rhodotorula rubra being the most frequent. In the VVC group, 11 yeast species were identified. Most isolates were C. albicans 68.5% (37/54), C. tropicalis 7.5% (4/54), and C. parapsilosis 5.5% (3/54). In the RVVC group, ten species were identified, the most frequent being C. albicans 38.5% (20/52), C. parapsilosis 17% (9/52), C. glabrata 4% (8/52), and C. tropicalis 6% (3/52). Less frequent species, such as C. haemulonii and Trichosporon spp, were isolated in the VVC and RVVC groups, C. kefyr was isolated in the three groups studied, and Rhodotorula spp was isolated in the control and RVVC groups. Candida metapsilosis was present in two isolates from the RVVC group. Most isolates were considered sensitive to the tested antifungals. Less sensitivity was seen for caspofungin. In this study, we were able to verify that the most common species of yeasts found in vaginal secretion were isolated in the three groups studied; however, there was the diversity of species in VVC and RVVC. Cryptic species C. haemulonii and were isolated in symptomatic patients. High levels of MICs, some of the antifungals tested, in the control group, draw attention in the group of asymptomatic women. We would like to emphasize that this research aims to assist clinicians and gynecologists, as well as assist in the epidemiological studies of candidiasis, in our country, how to draw attention to the profile of sensitivity/resistance to antifungals.
Assuntos
Candidíase Vulvovaginal , Candidíase , Antifúngicos/uso terapêutico , Candida albicans , Candidíase/tratamento farmacológico , Candidíase Vulvovaginal/tratamento farmacológico , Feminino , Humanos , Mucosa , RhodotorulaRESUMO
The aim of this research is to verify the yeast species isolated from oral mucosa in street mixed-breed dogs and to determine the antifungal profiles. After capturing and sedating the animals, oral mucosa samples were collected from fifty dogs and the materials were inoculated on Sabouraud dextrose agar with chloramphenicol. Forty-three yeast strains were isolated and identified trough the API-20C AUX method. Thirty-seven (86.1%) of the yeasts belonged to genus Candida, five (11.6%) to genus Trichosporon and only one strain (2.3%) to genus Malassezia. The sensitivity profiles to anifungals (amphotericin B, itraconanole, ketoconazole, fluconazole and variconazole) were determined through Etest® method. This study found resistance of some yeasts to amphotericin B and a good susceptibility to voriconazole and ketoconazole. Some of these antifungals are used in veterinary medical practice. This research is the first investigation on street mixed-breed dogs regarding yeast identifications and antifungals profiles.
Assuntos
Antifúngicos/farmacologia , Cães/microbiologia , Mucosa Bucal/microbiologia , Leveduras/efeitos dos fármacos , Leveduras/isolamento & purificação , Animais , Animais Selvagens , Cruzamentos Genéticos , Doenças do Cão/microbiologia , Cães/genética , Farmacorresistência Fúngica , Feminino , Masculino , Testes de Sensibilidade Microbiana , Micoses/microbiologia , Micoses/veterináriaRESUMO
Solanum paniculatum L. or popularly known as "jurubeba" is an herbal medicinal plant. A few studies have investigated its biological effects; however, research aimed at elucidating the redox balance effects from its fruits has not been reported so far. ROS interplays in various fields of medicine such as chemotherapy. Here, we evaluated antioxidant and inflammatory activities of the hydroethanolic extract of Solanum Paniculatum L. (HESPL) fruits in breast cancer cells, as well as its phytochemical profile. The antioxidant profile (carotenoids and phenolic compounds) was obtained by HPLC-DAD-UV and HPLC-APCI-MS. Cancer cell lines and human vein endothelial cells (HUVECs) were cultivated and treated with 1.87-30 µg/mL of HESPL for 24 hrs. Cytotoxicity, oxidative, and inflammation biomarkers were evaluated. The dose of 30 µg/mL of the HESPL extract presented cytotoxicity in the MCF-7 cell line. However, for MDA-MB-231, the cytotoxicity was observed in the dose of 1.87 g/mL. The 1.87 µg/mL and 3.75 µg/mL doses decreased the concentration of IL-6 in MCF-7 cells. In the MDA-MB-231 cells, the HESPL did not decrease the IL-6 concentration; however, in the doses of 15 and 30 µg/mL, an increase in this parameter was observed. The HESPL increased IL-1ß concentration in HUVECs. The ROS level in MCF-7 was elevated only at the 30 µg/ml dose. Regarding MDA-MB-231, HESPL promoted increased ROS levels at all doses tested. HUVEC showed no increase in ROS under any dose. HESPL treatment may modulate cytotoxicity, ROS, and cytokine levels due to its phytochemical profile, and it has shown an antioxidant or anti-inflammatory effect.
Assuntos
Citocinas/metabolismo , Etanol/química , Frutas/química , Extratos Vegetais/farmacologia , Espécies Reativas de Oxigênio/metabolismo , Solanum/química , Água/química , Carotenoides/análise , Linhagem Celular , Sobrevivência Celular/efeitos dos fármacos , HumanosRESUMO
Abstract Birds of prey and from Psittacidae family are host to fungal microbiota and play an important role in the epidemiology of zoonoses. Few studies in the literature have characterized mycelial and yeast fungi in the droppings of these birds and correlated the isolates with the zoonotic potential of the microorganisms. Droppings from 149 birds were evaluated and divided into two groups: captive: Rhea americana araneipes, Primolius maracana, Ara ararauna, Ara chloropterus, Anodorhynchus hyacinthinus, Amazona aestiva, Ara macao macao, Ramphastos toco, Sarcoramphus papa, Busarellus nigricollis, Bubo virginianus nacurutu, Buteogallus coronatus, Buteogallus urubitinga urubitinga, Spizaetus melanoleucus, Spizaetus ornatus ornatus, Buteo albonotatus, Geranoaetus albicaudatus albicaudatus, Rupornis magnirostris magnirostris and Harpia harpyja, and quarantined birds: Amazona aestiva and Eupsitulla aurea. The fungal isolates were identified according to macroscopic (gross colony appearance), micromorphological and biochemical characteristics. Among birds displayed in enclosures, Aspergillus niger (41.1%) and Candida kefyr (63.8%) were the fungi most frequently isolated in Harpia harpyja and Ramphastos toco, respectively. For quarantined birds, the following percentages were observed in Eupsittula aurea , (76.6%) C. krusei, (84.4%) C. kefyr and (15.2%) C. famata, while in Amazona aestiva, (76.2%) C. krusei was observed. These findings indicate potentially pathogenic species in the bird droppings assessed, which constitute a risk of exposure for keepers and individuals who visit the zoo. Birds of the Cerrado and Pantanal of Mato Grosso (Central Western region of Brazil) could act in the epidemiological chain of important zoonoses.
Resumo Aves de rapina e psitacídeos são hospedeiras de uma rica microbiota fúngica e desempenham um papel importante na epidemiologia de zoonoses. Poucos estudos na literatura têm caracterizado fungos micelianos e leveduras nos excrementos de pássaros e correlacionados estes isolados com o potencial zoonótico dos microrganismos isolados. Excrementos de 149 aves foram divididas e avaliados em dois grupos: Em cativeiro: Rhea americana araneipes, Primolius maracana, Ara ararauna, Ara chloropterus, Anodorhynchus hyacinthinus, Amazona aestiva, Ara macao macao, Ramphastos toco, Sarcoramphus papa, Busarellus nigricollis , Bubo virginianus nacurutu, Buteogallus coronatus, Buteogallus urubutinga urubitinga, Spizaetus melanoleucus, Spizaetus ornatus ornatus, Buteo albonotatus, Geranoaetus albicaudatus albicaudatus, Rupornis magnirostris magnirostris e Harpia harpyja e aves em quarentena: Amazona aestiva e Eupsittula aurea). Os isolados de leveduras e de fungos micelianos foram identificados em observações macroscópicas (aspectos das colônias), características micromorfológicas e bioquímicas. Entre as aves indicadas em compartimentos, Aspergillus niger (41,1%) e Candida kefyr (63,8%) foram os fungos mais isolada em Harpia harpyja e Ramphastos toco, respectivamente. Para as aves em quarentena, os seguintes percentuais foram observados em Eupsittula aurea (76,6%) C. krusei, (84,4%) C. kefyr e (15,2%) C. famata, enquanto em Amazona aestiva (76,2%) de C. krusei foi observada. Estes resultados indicam a presença de espécies potencialmente patogênicos nas excretas das aves avaliadas, constituem um risco a exposição para os criadores e pessoas que visitam o zoológico. Aves do Pantanal e do Cerrado de Mato Grosso (região Centro-Oeste do Brasil) poderia atuar na cadeia epidemiológica das zoonoses importantes.
Assuntos
Humanos , Animais , Papagaios/microbiologia , Aves Predatórias/microbiologia , Fungos/isolamento & purificação , Leveduras/isolamento & purificação , Brasil , Medição de Risco , Reiformes , Fezes/microbiologia , Animais de ZoológicoRESUMO
Metabolic Syndrome (MetS) is multivariate disease, clustered with socioeconomic and behavioral risk factors. Investigations about epidemiology estimative could be a prevention strategy. AIM: to investigate the prevalence of metabolic syndrome and its associated factors in adult population in Fernando de Noronha Archipelago (PE-Brazil). METHODS: A cross-sectional study was performed on a representative sample (Nâ¯=â¯375) of adult residents of the region, aged 24-59 years, were harmonized according to the International Diabetes Federation (IDF) criteria. RESULTS: The prevalence of metabolic syndrome was 45 (12%) and, the age was associated with MetS, which increases the chances to MetS development around 3% respectively (OR: 1.03; CI 95%: 1.002-1.070â¯P 0.0384). Waist circumference was elevated in female population 266 (70.74%), however, levels of fasting blood glucose (304 [80.85%]), blood pressure (375 [100%]), TG (302 [80.32]), and low HDLc (297 [78.99]) presented normal biochemical values. There is no significative difference for male and female gender and, the social and behavior factors did not present significative association. CONCLUSION: The Fernando de Noronha presents lower prevalence of MetS thus, shows associations for elderly people. The waist circumference was elevated on female population. The results of this study provide further evidence and underscore the need for public health strategies that include education about MetS, promotion of cardiometabolic health, and prevention of undesirable outcomes such as diabetes and cardiovascular disease.
Assuntos
Glicemia/metabolismo , Síndrome Metabólica/sangue , Síndrome Metabólica/epidemiologia , Circunferência da Cintura/fisiologia , Adulto , Brasil/epidemiologia , Estudos Transversais , Feminino , Humanos , Masculino , Síndrome Metabólica/diagnóstico , Pessoa de Meia-Idade , Prevalência , Fatores de RiscoRESUMO
Birds of prey and from Psittacidae family are host to fungal microbiota and play an important role in the epidemiology of zoonoses. Few studies in the literature have characterized mycelial and yeast fungi in the droppings of these birds and correlated the isolates with the zoonotic potential of the microorganisms. Droppings from 149 birds were evaluated and divided into two groups: captive: Rhea americana araneipes, Primolius maracana, Ara ararauna, Ara chloropterus, Anodorhynchus hyacinthinus, Amazona aestiva, Ara macao macao, Ramphastos toco, Sarcoramphus papa, Busarellus nigricollis, Bubo virginianus nacurutu, Buteogallus coronatus, Buteogallus urubitinga urubitinga, Spizaetus melanoleucus, Spizaetus ornatus ornatus, Buteo albonotatus, Geranoaetus albicaudatus albicaudatus, Rupornis magnirostris magnirostris and Harpia harpyja, and quarantined birds: Amazona aestiva and Eupsitulla aurea. The fungal isolates were identified according to macroscopic (gross colony appearance), micromorphological and biochemical characteristics. Among birds displayed in enclosures, Aspergillus niger (41.1%) and Candida kefyr (63.8%) were the fungi most frequently isolated in Harpia harpyja and Ramphastos toco, respectively. For quarantined birds, the following percentages were observed in Eupsittula aurea , (76.6%) C. krusei, (84.4%) C. kefyr and (15.2%) C. famata, while in Amazona aestiva, (76.2%) C. krusei was observed. These findings indicate potentially pathogenic species in the bird droppings assessed, which constitute a risk of exposure for keepers and individuals who visit the zoo. Birds of the Cerrado and Pantanal of Mato Grosso (Central Western region of Brazil) could act in the epidemiological chain of important zoonoses.
Assuntos
Fungos/isolamento & purificação , Papagaios/microbiologia , Aves Predatórias/microbiologia , Animais , Animais de Zoológico , Brasil , Fezes/microbiologia , Humanos , Reiformes , Medição de Risco , Leveduras/isolamento & purificaçãoRESUMO
Birds of prey and from Psittacidae family are host to fungal microbiota and play an important role in the epidemiology of zoonoses. Few studies in the literature have characterized mycelial and yeast fungi in the droppings of these birds and correlated the isolates with the zoonotic potential of the microorganisms. Droppings from 149 birds were evaluated and divided into two groups: captive: Rhea americana araneipes, Primolius maracana, Ara ararauna, Ara chloropterus, Anodorhynchus hyacinthinus, Amazona aestiva, Ara macao macao, Ramphastos toco, Sarcoramphus papa, Busarellus nigricollis, Bubo virginianus nacurutu, Buteogallus coronatus, Buteogallus urubitinga urubitinga, Spizaetus melanoleucus, Spizaetus ornatus ornatus, Buteo albonotatus, Geranoaetus albicaudatus albicaudatus, Rupornis magnirostris magnirostris and Harpia harpyja, and quarantined birds: Amazona aestiva and Eupsitulla aurea. The fungal isolates were identified according to macroscopic (gross colony appearance), micromorphological and biochemical characteristics. Among birds displayed in enclosures, Aspergillus niger (41.1%) and Candida kefyr (63.8%) were the fungi most frequently isolated in Harpia harpyja and Ramphastos toco, respectively. For quarantined birds, the following percentages were observed in Eupsittula aurea , (76.6%) C. krusei, (84.4%) C. kefyr and (15.2%) C. famata, while in Amazona aestiva, (76.2%) C. krusei was observed. These findings indicate potentially pathogenic species in the bird droppings assessed, which constitute a risk of exposure for keepers and individuals who visit the zoo. Birds of the Cerrado and Pantanal of Mato Grosso (Central Western region of Brazil) could act in the epidemiological chain of important zoonoses.(AU)
Aves de rapina e psitacídeos são hospedeiras de uma rica microbiota fúngica e desempenham um papel importante na epidemiologia de zoonoses. Poucos estudos na literatura têm caracterizado fungos micelianos e leveduras nos excrementos de pássaros e correlacionados estes isolados com o potencial zoonótico dos microrganismos isolados. Excrementos de 149 aves foram divididas e avaliados em dois grupos: Em cativeiro: Rhea americana araneipes, Primolius maracana, Ara ararauna, Ara chloropterus, Anodorhynchus hyacinthinus, Amazona aestiva, Ara macao macao, Ramphastos toco, Sarcoramphus papa, Busarellus nigricollis , Bubo virginianus nacurutu, Buteogallus coronatus, Buteogallus urubutinga urubitinga, Spizaetus melanoleucus, Spizaetus ornatus ornatus, Buteo albonotatus, Geranoaetus albicaudatus albicaudatus, Rupornis magnirostris magnirostris e Harpia harpyja e aves em quarentena: Amazona aestiva e Eupsittula aurea). Os isolados de leveduras e de fungos micelianos foram identificados em observações macroscópicas (aspectos das colônias), características micromorfológicas e bioquímicas. Entre as aves indicadas em compartimentos, Aspergillus niger (41,1%) e Candida kefyr (63,8%) foram os fungos mais isolada em Harpia harpyja e Ramphastos toco, respectivamente. Para as aves em quarentena, os seguintes percentuais foram observados em Eupsittula aurea (76,6%) C. krusei, (84,4%) C. kefyr e (15,2%) C. famata, enquanto em Amazona aestiva (76,2%) de C. krusei foi observada. Estes resultados indicam a presença de espécies potencialmente patogênicos nas excretas das aves avaliadas, constituem um risco a exposição para os criadores e pessoas que visitam o zoológico. Aves do Pantanal e do Cerrado de Mato Grosso (região Centro-Oeste do Brasil) poderia atuar na cadeia epidemiológica das zoonoses importantes.(AU)
Assuntos
Animais , Papagaios/microbiologia , Aves Predatórias/microbiologia , Leveduras , Fungos , Animais de ZoológicoRESUMO
OBJECTIVE: To check the oral colonization in neonates at high-risk and to associate these cases with candidemia. SUBJECTS AND METHODS: This study was conducted in the NICU. For six months, 125 high-risk neonates were investigated for oral colonization and septicemia by yeasts. From this total, 19 neonates had yeasts on the oral mucosae and 12 neonates developed fungemia. All of the 12 neonates with fungemia were included in the amount of 19 who have presented oral colonization by yeasts. RESULTS: There was a species concordance between the yeasts of the oral mucosae and the blood in 6 neonates (50%) among the 12 neonates with oral colonization and septicemia at the same time. The yeasts isolated in these 6 cases regarding the species concordance were Candida albicans (5 cases, 83.4%) and Candida parapsilosis (1 case, 16.6%). All of the cases involving an association were confirmed by PFGE. All of the strains of yeasts involved in oral colonization and also blood presented the same karyotype. A total of 66.6% of the patients with strains in agreement progressed to death. CONCLUSION: The results indicate the relevance of monitoring the oral microbiota, as a possible source of fungal infection, and assisting to develop appropriate therapeutic strategy.
Assuntos
Candida/crescimento & desenvolvimento , Candidemia/microbiologia , Recém-Nascido de Baixo Peso , Mucosa Bucal/microbiologia , Brasil/epidemiologia , Candida/isolamento & purificação , Candidemia/epidemiologia , Humanos , Recém-Nascido , Técnicas de Tipagem Micológica , Pichia/crescimento & desenvolvimento , Pichia/isolamento & purificação , Sepse/epidemiologia , Sepse/microbiologia , Trichosporon/crescimento & desenvolvimento , Trichosporon/isolamento & purificaçãoRESUMO
The aim of this study is to evaluate the oral colonization by Candida albicans in experimental murine immunosuppressed DBA/2 and treatment with probiotic bacteria. To achieve these objectives, 152 DBA/2-immunosuppressed mice were orally inoculated with a suspension of C. albicans containing 10(8) viable yeast cells, the animals were treated with nystatin or with the probiotics (Lactobacillus acidophilus and Lactobacillus rhamnosus). Evaluations were performed by Candida count from oral mucosa swabbing. The oral mucosa colonization by C. albicans started at day 1 after inoculation, remained maximal from day 3 until day 7, and then decreased significantly. Probiotics reduced the C. albicans colonization significantly on the oral mucosa in comparison with the untreated animal group. In the group treated with L. rhamnosus, the reduction in yeast colonization was significantly higher compared with that of the group receiving nystatin. Immunosuppressed animal model DBA/2 is a relevant model for experimental Candida oral colonization, and the treatment with probiotics in this model may be an effective alternative to prevent it.
Assuntos
Candidíase Bucal/terapia , Terapia de Imunossupressão , Probióticos/uso terapêutico , Animais , Antifúngicos/uso terapêutico , Candida/isolamento & purificação , Candidíase Bucal/tratamento farmacológico , Contagem de Colônia Microbiana , Ciclofosfamida/administração & dosagem , Modelos Animais de Doenças , Imunossupressores/administração & dosagem , Lactobacillus acidophilus , Lacticaseibacillus rhamnosus , Masculino , Camundongos , Camundongos Endogâmicos DBA , Mucosa Bucal/microbiologia , Nistatina/uso terapêutico , Palato/microbiologia , Distribuição Aleatória , Língua/microbiologiaRESUMO
The aim of this study was to assess the prevalence of factors associated with oral colonization by Candida spp. in pediatric patients with AIDS. The sample comprised of 117 children. Clinical status, medicines in use, and laboratory findings were obtained from hospital records; sociodemographic data were given by relatives. A dental examination assessed the prevalence of dental caries. The prevalence of oral colonization by Candida was 62%. Only seven children presented clinical manifestation of oral candidosis despite their high viral load index and low-for-age CD4 count. Candida colonization was directly associated with frequent use of antibiotics (prevalence ratio [PR] = 1.44), sulfa drugs (PR = 1.23), alteration in the oral mucosa (PR = 1.55), and untreated dental caries (PR = 1.93). It was inversely associated with the use of antiretroviral therapies (PR = 0.65). Candida albicans was the most frequently detected species (80%); phenotypic tests did not detect C. dubliniensis strains. This study observed a low prevalence of Candida-related oral lesions in these patients, which is compatible with the hypothesis that antiretroviral medicines may have contributed to reducing oral manifestations from Candida infection. The high prevalence of Candida colonization in HIV+/AIDS children with untreated dental caries reinforces the importance of oral health care in interdisciplinary health units that assist these patients.
Assuntos
Síndrome da Imunodeficiência Adquirida/microbiologia , Candida/crescimento & desenvolvimento , Boca/microbiologia , Infecções Oportunistas Relacionadas com a AIDS/microbiologia , Adolescente , Antibacterianos/uso terapêutico , Fármacos Anti-HIV/uso terapêutico , Anti-Infecciosos/uso terapêutico , Contagem de Linfócito CD4 , Candida albicans/crescimento & desenvolvimento , Candidíase Bucal/diagnóstico , Criança , Pré-Escolar , Assistência Odontológica , Cárie Dentária/classificação , Feminino , HIV/isolamento & purificação , Transcriptase Reversa do HIV/antagonistas & inibidores , Humanos , Masculino , Mucosa Bucal/microbiologia , Higiene Bucal , Palato/microbiologia , Estudos Retrospectivos , Fatores Socioeconômicos , Sulfanilamidas/uso terapêutico , Língua/microbiologia , Carga ViralRESUMO
OBJETIVO: Identificar a prevalência de sobrepeso e obesidade e fatores associados em alunos de seis a dez anos das escolas públicas municipais da área urbana de Marialva, no Paraná. MÉTODOS: Estudo transversal que utilizou uma amostra aleatória estratificada de 356 alunos. Foram avaliadas as seguintes variáveis: índice de massa corpórea, sexo, faixa etária, número de irmãos, atividade física e atividades sedentárias. Utilizou-se estatística descritiva para apresentação da distribuição da amostra nas estratificações. O teste do qui-quadrado foi aplicado para verificar a diferença entre a distribuição da amostra para cada uma das categorias das variáveis. A associação entre as variáveis foi realizada por meio da análise univariada, com razão de prevalência como medida de associação. RESULTADOS: A prevalência de sobrepeso encontrada foi de 20 por cento e a de obesidade de 7 por cento. A maioria dos alunos (72 por cento) não praticava atividade física fora da escola e pouco mais da metade deles (53 por cento) gastava mais de quatro horas por dia em atividades sedentárias. O número de irmãos foi a única variável associada com o excesso de peso (RP=1,64; IC95 por cento=1,10-2,45) para aqueles que tinham apenas um irmão e (RP=1,70; IC95 por cento=1,02-2,84) para os que não tinham irmão, quando comparados àqueles que tinham dois ou mais irmãos. CONCLUSÕES: Observou-se elevada prevalência de sobrepeso e obesidade nessa amostra, reforçando a necessidade de mais estudos em crianças residentes em municípios de pequeno porte, assim como de pesquisas e ações que visem prevenir e/ou tratar a obesidade.
OBJECTIVE: To identify the prevalence of overweight and obesity and associated factors among six to ten-year-old students from public county schools in the urban area of Marialva in Paraná, Brazil. METHODS: Cross-sectional study that used a stratified random sample of 356 students. The following variables were evaluated: body mass index, gender, age, number of siblings, physical activity and sedentary activities. Descriptive statistics was used to verify the distribution of the sample in the strata. The chi-square test was used in order to verify the differences between the distribution of the sample for each category of variables. The association between variables was tested by univariate analysis. RESULTS: Prevalence of overweight was 20 percent and obesity, 7 percent. Most students (72 percent) did not practice physical activity outside school and about half of them (53 percent) spent more than four hours a day in sedentary activities. The number of siblings was the only variable associated with excessive weight for those who had only one sibling (PR=1.64; 95 percentCI=1.10-2.45) and for those who had no siblings (PR=1.70; 95 percentCI=1.02-2.84), compared to those who had two or more siblings. CONCLUSIONS: There was a high prevalence of overweight and obesity in this sample. Further studies are needed in order to investigate the prevalence of this disease in children living in small Brazilian municipalities, as well as for research and actions to prevent and/or treat obesity.
Assuntos
Humanos , Masculino , Feminino , Criança , Obesidade/epidemiologia , Saúde da Criança , Sobrepeso/epidemiologia , Índice de Massa CorporalRESUMO
We assessed the virulence factor profile and in vitro antifungal susceptibility of 27 hospital isolates of C. albicans; 19 of these were from infections (16 urinary and three blood), and the other eight were isolated from sites of colonization (two from hands of health professionals, and six from central venous catheters). The virulence factors assayed were germ tube formation and production of extracellular products (hemolysins, proteinases, and phospholipases). Susceptibility to fluconazole, itraconazole, voriconazole and amphotericin B was determined by E-test. Regarding the virulence factors, the infection isolates produced significantly more hemolysin and germ tubes than the colonization isolates (p<0.05). There were no significant differences in the production of other factors between isolates from the two sources (p>0.05). Amphotericin B showed the lowest minimum inhibitory concentrations for all the isolates. The highest resistance was observed for the azoles, especially in the clinical isolates. These results suggest that the capacity of C. albicans to produce hemolysins and germ tubes may be associated with its pathogenic potential. Colonization isolates may pose a high risk of nosocomial infection, especially when the yeasts show resistance to antifungals.
O perfil de virulência e o de susceptibilidade in vitro aos antifúngicos de 27 amostras de C. albicans de origem hospitalar foi avaliado, sendo que 19 delas foram isoladas de infecções (16 urinárias e três sanguíneas) e as outras oito foram isoladas de colonização (duas de mãos de profissionais da saúde e seis de cateter venoso central). Os seguintes fatores de virulência foram investigados: formação de tubo germinativo e produção de compostos extracelulares (hemolisinas, proteinases e fosfolipases). Suscetibilidade ao fluconazol, itraconazol, voriconazol e anfotericina B foram determinadas por E-test. Em relação aos fatores de virulência, os isolados de infecção produziram significativamente mais hemolisina e tubos germinativos do que os de colonização (p<0.05). Não houve diferença significativa na produção das outras enzimas, entre os isolados das duas fontes (p>0.05). Anfotericina B mostrou as menores concentrações inibitórias mínimas para todos os isolados. Maiores índices de resistência foram observados aos azólicos, especialmente entre os isolados clínicos. Estes resultados sugerem que a capacidade de C. albicans produzir hemolisinas e tubos germinativos pode estar associada com seu potencial patogênico. Por outro lado, leveduras em colonização podem oferecer alto risco para infecção hospitalar, especialmente quando têm perfil de resistência aos antifúngicos.
Assuntos
Humanos , Candida albicans/isolamento & purificação , Candida albicans/patogenicidade , Proteínas Hemolisinas , Infecção HospitalarRESUMO
This investigation was designed to evaluate the frequency of erythematous candidosis (EC) and Candida species, proteinase and phospholipase exoenzyme production, and to compare clinical features in patients with complete dentures and HIV+/Acquired Immunodeficiency Disease Syndrome (AIDS). Fifty-one patients were selected from a total of 285 with EC: denture wearers (n = 30) and HIV+/AIDS (n = 21). The yeast prevalence and the production of exoenzymes, such as proteinase and phospholipase by Candida species were evaluated by sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS-PAGE) electrophoresis. The frequency of Candida albicans was significantly higher (P < 0.05) in both groups although other yeast species (Candida glabrata, Candida krusei, Candida parapsilosis, Candida guilliermondi and Candida tropicalis) were also found. Candida albicans showed greater levels of proteinase production in the denture wearers, when compared with the HIV+/AIDS group. There was no difference between groups with regard to phospholipase production. The protein bands presented similar molecular weights, showing the presence of proteinases in both groups. It could be concluded that the clinical manifestation of EC may be related to its proteinase production capacity. Combination therapies using proteinase inhibitors play an important role in inhibiting exoenzyme production by Candida species, mainly C. albicans.
Assuntos
Infecções Oportunistas Relacionadas com a AIDS/epidemiologia , Infecções Oportunistas Relacionadas com a AIDS/microbiologia , Candida/isolamento & purificação , Candidíase Bucal/epidemiologia , Candidíase Bucal/microbiologia , Prótese Total/microbiologia , Infecções por HIV/epidemiologia , Síndrome da Imunodeficiência Adquirida/epidemiologia , Síndrome da Imunodeficiência Adquirida/microbiologia , Brasil/epidemiologia , Candida/classificação , Comorbidade , Prótese Total/estatística & dados numéricos , Eletroforese em Gel de Poliacrilamida , Endopeptidases/análise , Endopeptidases/isolamento & purificação , Feminino , Infecções por HIV/microbiologia , Humanos , Masculino , Pessoa de Meia-Idade , Boca/microbiologia , Técnicas de Tipagem Micológica , Fosfolipases/análise , Fosfolipases/isolamento & purificação , PrevalênciaRESUMO
Some clear dissimilarities occur among the varieties of Cryptococcus neoformans but there are few studies about the differences among individual yeast antioxidant enzymes. The total superoxide dismutase (SOD) activities and the copper, zinc-depend SOD (Cu,ZnSOD) and manganese-dependent SOD (MnSOD) isoenzymes of five reference C. neoformans strains belonged to A, B, C, AD and D serotypes (Table I) and other nine C. neoformans isolates (Table II) were determined. There were significant differences (p < 0.01 and p < 0.05) in total SOD activity among the varietie gattii (serotype C) and the other varieties. Cu,ZnSOD showed difference (p < 0.05) between A and D serotypes. These results point out a variety and serotype-independent SOD activity in C. neoformans reference strains and the other isolates that were evaluated.
Assuntos
Cryptococcus neoformans/enzimologia , Superóxido Dismutase/análise , Cryptococcus neoformans/genética , SorotipagemRESUMO
Some clear dissimilarities occur among the varieties of Cryptococcus neoformans but there are few studies about the differences among individual yeast antioxidant enzymes. The total superoxide dismutase (SOD) activities and the copper, zinc-depend SOD (Cu,ZnSOD) and manganese-dependent SOD (MnSOD) isoenzymes of five reference C. neoformans strains belonged to A, B, C, AD and D serotypes (Table I) and other nine C. neoformans isolates (Table II) were determined. There were significant differences (p < 0.01 and p < 0.05) in total SOD activity among the varietie gattii (serotype C) and the other varieties. Cu,ZnSOD showed difference (p < 0.05) between A and D serotypes. These results point out a variety and serotype-independent SOD activity in C. neoformans reference strains and the other isolates that were evaluated.
Assuntos
Cryptococcus neoformans/enzimologia , Superóxido Dismutase/análise , Cryptococcus neoformans/genética , SorotipagemAssuntos
Candida/classificação , Candidíase Vulvovaginal/diagnóstico , Candidíase Vulvovaginal/epidemiologia , Adolescente , Adulto , Distribuição por Idade , Antifúngicos/uso terapêutico , Brasil/epidemiologia , Estudos de Coortes , Feminino , Humanos , Pessoa de Meia-Idade , Razão de Chances , Prevalência , Probabilidade , Prognóstico , Medição de Risco , Índice de Gravidade de Doença , Resultado do TratamentoRESUMO
BACKGROUND: In order to identify intraspecific variations in Trichophyton rubrum and to correlate them to the immunological status of the host, sixty strains isolated from AIDS, HIV-positive and HIV-negative patients were compared for the production of extracellular enzymes and for their susceptibility to several antifungal drugs. METHODS: The isolates were tested for their ability to secrete keratinases, proteinases, phospholipases, lipases and DNases. Likewise, we investigated their susceptibility to amphotericin B, ketoconazole, ciclopiroxolamine, griseofulvin, miconazole and tolnaftate. RESULTS: Variations in the Minimal Inhibitory Concentration (MIC80)) values were observed for all antifungals tested, but they were similarly distributed among the three clinical groups. Griseofulvin showed the most prominent differences among the three groups of isolates. Regarding enzyme secretion, all samples secreted keratinases and DNases, while none secreted phospholipases. Proteinases and lipases were secreted by some of them. CONCLUSIONS: The differences among isolates of the three groups were not statistically significant and therefore could not be ascribed to a given clinical status. Intraspecific variations similarly occurred in each group, irrespective of the immunological status of the patients.
Assuntos
Síndrome da Imunodeficiência Adquirida/microbiologia , Antifúngicos/farmacologia , Tinha/microbiologia , Trichophyton/efeitos dos fármacos , Trichophyton/enzimologia , Brasil/epidemiologia , Desoxirribonucleases/metabolismo , Suscetibilidade a Doenças , HIV/patogenicidade , Humanos , Lipase/metabolismo , Testes de Sensibilidade Microbiana , Peptídeo Hidrolases/metabolismo , Fosfolipases/metabolismo , Trichophyton/isolamento & purificaçãoRESUMO
We conducted a study to determine the antifungal susceptibility of vaginal Candida isolates from HIV-infected Brazilian women. Among 127 women enrolled, positive cultures for yeast were obtained from 31 of 38 (81%) women with symptomatic vulvovaginitis, and from 41 of 89 (46%) asymptomatic women. Susceptibility testing demonstrated 11 of the 72 isolates had either resistance or dose-dependent susceptibility to azole drugs, including four Candida albicans strains. Expression of the MDR1, CDR1, CDR2 and ERG11 genes was evaluated in all of the C. albicans isolates, and all four of the strains with reduced susceptibility to fluconazole had increased expression of CDR1 as compared to the fluconazole-sensitive strains. No increased expression of the other genes was identified. This large survey of Candida isolates from HIV-infected women from Brazil demonstrates that reduced susceptibility to azoles occurs at a low frequency among vaginal yeast isolates, and when present in C. albicans, azole resistance is associated with increased expression of CDR1.