RESUMO
INTRODUCTION: The increase in breast cancer survival poses a challenge for patients to be able to rejoin their professional and social life in very similar conditions to those before diagnosis. The aim of this study is to assess short- and medium-term social, economic and professional impact of BC among women diagnosed with it. METHODS: A cross-sectional descriptive study using QLQ-C30, QLQ-BR23, and MOS-SSS instruments and a semi-structured interview in women diagnosed in years 2011, 2014, and 2016 in Hospital de la Santa Creu i Sant Pau in Barcelona (Spain). RESULTS: 175 patients were included with a mean age of 55. About 62.8% were married or coupled, 76% were living with their family unit, and 52.6% denied changes in their living situation. The mean Support Global Index was 74.7% and 78.8% before and after diagnosis, respectively. The mean global quality of life (QOL) was 67.3%, outstanding insomnia as the main symptom (X > 30%) and sexual function as the most affected dimension. At the moment of diagnosis, two-thirds of patients were working. After diagnosis, 87.5% stopped working, 39.4% were off work for 7-12 months, and only 50% returned to work. Multivariate analysis identified working as the most associated variable with a good QOL. CONCLUSIONS: QOL among women diagnosed with breast cancer is quite high and stable. Nevertheless, there are some very relevant aspects to QOL that need to be considered whilst caring for patients with BC to achieve rehabilitation as complete and comprehensive as possible.
Assuntos
Neoplasias da Mama , Fatores Socioeconômicos , Adulto , Idoso , Neoplasias da Mama/complicações , Neoplasias da Mama/diagnóstico , Neoplasias da Mama/terapia , Sobreviventes de Câncer , Estudos Transversais , Emprego/estatística & dados numéricos , Características da Família , Feminino , Humanos , Pessoa de Meia-Idade , Análise Multivariada , Qualidade de Vida , Características de Residência , Retorno ao Trabalho/estatística & dados numéricos , Comportamento Sexual , Transtornos do Sono-Vigília/epidemiologia , Mudança Social , Apoio Social , EspanhaRESUMO
Los probióticos se definen como microorganismos que, administrados en cantidades adecuadas, brindan un beneficio en la salud del huésped. El efecto del tratamiento con probióticos viene siendo estudiado extensamente en una diversidad de indicaciones sistémicas y desórdenes médicos. Recientemente existe un gran interés en el control probiótico contra las infecciones orales más comunes como la caries dental y la periodontitis, sin embargo, la información disponible sobre los efectos de probióticos en la salud periodontal y sus condiciones clínicas es aún limitada. La presente revisión describe el conocimiento actual en bacterioterapia con probióticos desde una perspectiva en la salud oral y periodontal.
Probiotics are defined as live microorganisms that administered in adequate amounts, bring beneficial effect on the health of the host. The effect of probiotic therapy has been studied extensively for a variety of systemic indications and medical disorders. Recently, there has been increasing interest in probiotic for the control of the most common oral infectious diseases such as dental caries and periodontitis. However, only limited information is available regarding the effect of probiotics on periodontal health and clinical conditions. This review describes current knowledge on probiotic bacterio therapy from the oral health and periodontal perspective.
Assuntos
Humanos , Cárie Dentária/prevenção & controle , Periodonto , Periodontite/prevenção & controle , Probióticos/administração & dosagem , Saúde BucalRESUMO
Glycolytic metabolism in meiotic and post-meiotic spermatogenic cells shows differentiation-related changes. The developmental and physiological significance of these metabolic changes is not known. The aim of the present study was to test the hypothesis that glucose and lactate metabolism can modulate intracellular calcium [Ca2+](i) in spermatogenic cells in an opposing and dynamic manner. Fluorescent probes were used to measure [Ca2+](i) and pH(i), and HPLC was used to measure intracellular adenine nucleotides and mitochondrial sensing of ATP turnover. [Ca2+](i) in pachytene spermatocytes and round spermatids was modulated by changes in lactate and glucose concentrations in the media. The kinetics and magnitude of the [Ca2+](i) changes induced by lactate and glucose were different in meiotic and post-meiotic spermatogenic cells. The presence of glucose in the medium induced a decrease in pH(i) in spermatogenic cells. This glucose-induced pH(i) decrease occurred later than the changes in [Ca2+](i), which were also observed when the pH(i) decrease was inhibited, indicating that the glucose-induced [Ca2+](i) increase was not a consequence of pH(i) changes. Hexose phosphorylation in glycolysis was part of the mechanism by which glucose metabolism induced a [Ca2+](i) increase in spermatogenic cells. The sensitivity of [Ca2+](i) to carbohydrate metabolism was higher in round spermatids than in pachytene spermatocytes. Thus, differentiation-related changes in carbohydrate metabolism in spermatogenic cells determine a dynamic and differential modulation of their [Ca2+](i) by glucose and lactate, two substrates secreted by the Sertoli cells.
Assuntos
Cálcio/metabolismo , Glucose/farmacologia , Líquido Intracelular/metabolismo , Ácido Láctico/farmacologia , Espermatozoides/metabolismo , Trifosfato de Adenosina/metabolismo , Animais , Metabolismo dos Carboidratos , Diferenciação Celular , Concentração de Íons de Hidrogênio , Masculino , Consumo de Oxigênio , Ratos , Ratos Wistar , Espermátides/metabolismo , Espermatócitos/metabolismoRESUMO
The hypothesis that intracellular [Ca2+] is a cell parameter responsive to extreme temperatures in rat meiotic and postmeiotic spermatogenic cells was tested using intracellular fluorescent probes for Ca2+ and pH. In agreement with this hypothesis, extreme temperatures induced a rapid increase of cytosolic [Ca2+] in rat pachytene spermatocytes and round spermatids. Oscillatory changes in temperature can induce oscillations in cytosolic [Ca2+] in these cells. Intracellular [Ca2+] homeostasis in round spermatids was more sensitive to high temperatures compared with pachytene spermatocytes. The calculated activation energies for SERCA ATPase-mediated fluxes in pachytene spermatocytes and round spermatids were 62 and 75 kJ mol(-1), respectively. The activation energies for leak fluxes from intracellular Ca2+ stores were 55 and 68 kJ mol(-1) for pachytene spermatocytes and round spermatids, respectively. Together with changes in cytosolic [Ca2+], round spermatids undergo a decrease in pH(i) at high temperatures. This temperature-induced decrease in pH(i) appears to be partially responsible for the increase in cytosolic [Ca2+] of round spermatids induced by high temperatures. This characteristic of rat meiotic and postmeiotic spermatogenic cells to undergo an increment in cytosolic Ca2+ at temperatures > 33 degrees C can be related to the induction of programmed cell death by high temperatures in these cells.
Assuntos
Cálcio/metabolismo , Citosol/metabolismo , Temperatura Alta/efeitos adversos , Espermatozoides/metabolismo , Animais , Apoptose , Homeostase , Concentração de Íons de Hidrogênio , Masculino , Meiose , Ratos , Ratos Sprague-Dawley , Espermátides/metabolismo , Espermatócitos/metabolismoRESUMO
Energy metabolism and intracellular adenine nucleotides of meiotic and postmeiotic spermatogenic cells are highly dependent on external substrates for oxidative phosphorylation and glycolysis. Using fluorescent probes to measure the changes in cytosolic [Ca2+] ([Ca2+]i) and pH (pHi), we were able to demonstrate that changes in energy metabolism of meiotic and postmeiotic spermatogenic cells were rapidly translated into changes of pHi and [Ca2+]i in the absence or presence of external Ca2+. Under these conditions, mitochondria were gaining cytosolic calcium in these cells. Our results indicate that Ca2+ mobilised by changes in metabolic energy pathways originated in thapsigargin-sensitive intracellular Ca2+ stores. Changes in intracellular adenine nucleotides, measured by HPLC, and a likely colocalization of ATP-producing and ATP-consuming processes in the cells seemed to provide the linkage between metabolic fluxes and the changes in pHi and [Ca2+]i in pachytene spermatocytes and round spermatids. Glucose metabolism produced an increase of [Ca2+]i in round spermatids but not in pachytene spermatocytes, and a decrease in pHi in both cell types. Hence, glucose emerges as a molecule that can differentially modulate [Ca2+]i and pHi in pachytene spermatocytes and round spermatids in rats.
Assuntos
Cálcio/metabolismo , Metabolismo Energético , Concentração de Íons de Hidrogênio , Espermatócitos/metabolismo , Trifosfato de Adenosina/metabolismo , Animais , Fluoresceínas , Corantes Fluorescentes , Fura-2 , Cinética , Masculino , Mitocôndrias/metabolismo , Fosforilação Oxidativa/efeitos dos fármacos , Ratos , Ratos Wistar , Espectrometria de Fluorescência , Espermátides/metabolismo , Espermátides/ultraestrutura , Espermatócitos/ultraestruturaRESUMO
BACKGROUND: The presence of food in the intestinal lumen increases absorption from an isolated intestinal loop, the mechanisms involved are unknown. Casein, and its respective hydrolysate, increased D-xylose absorption in both normal volunteers and experimental animals; this effect was associated with prolonged small intestinal transit time and a decrease of motor activity. AIMS: To separate from casein hydrolysate, groups of peptides and to investigate their effects on both D-xylose absorption and small intestinal motility. MATERIAL AND METHODS: Studies were performed on five dogs with a surgically implanted duodenal cannula. Three groups of peptides were separated by means of a Silica Gel 60 column and were continuously infused through the duodenal cannula. After 15 min, 5 g of D-xylose were injected in the duodenum, plasma levels were measured, and the area under the curve was estimated. Motility was recorded by means of infused catheters and external transducers. RESULTS: Plasma levels of D-xylose were significantly increased during the infusion of one group of peptides compared to the others. In addition, the area under the curve: 3366 +/- 885 mg x min-1 observed with this group was significantly greater than the other two groups: 1432 +/- 183 mg x min-1 and 1137 +/- 280 mg x min-1 respectively. No statistically significant differences in motor activity were observed between the different groups of peptides. CONCLUSIONS: A group of peptides derived from casein was characterized by increasing D-xylose absorption. The presence of beta casomorphines might be the possible mechanism involved.