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Resumo Objetivos As estruturas capsulo-ligamentares do ombro funcionam como estabilizadores estáticos, juntamente com os músculos do bíceps e do manguito rotador, aumentando a superfície de contato da cavidade glenoide. Terminações nervosas livres e mecanorreceptores foram identificados no ombro; no entanto, existem alguns estudos que descrevem a presença desses nervos na inserção do bíceps. Este estudo teve como objetivo descrever a morfologia e distribuição de terminações nervosas utilizando imunofluorescência com protein gene product 9.5 (PGP 9.5) e microscopia confocal. Métodos Foram estudados seis complexos labrum-bíceps de seis cadáveres congelados frescos. Os espécimes foram cortados coronalmente e preparados pelo método de imunofluorescência. Tanto em hematoxilina e eosina (H&E) quanto em imunofluorescência, foi descrita a organização do tecido conjuntivo com fibras paralelas de colágeno. Resultados No estudo de H&E, foram visualizadas estruturas vasculares e algumas estruturas nervosas, que foram identificadas pela presença alongada da célula nervosa. Todas as amostras analisadas com imunofluorescência e microscopia confocal demonstraram baixa ocorrência de morfotipos de corpúsculos sensoriais e terminações nervosas livres. Identificamos terminações nervosas livres localizadas no labrum, inserção bicipital e terminações nervosas esparsas ao longo do tendão. Terminais corpusculares com aspecto fusiforme, cuneiforme e oval foram identificados no tendão. Conclusão Esses achados corroboram a hipótese de que a geração de dor nas lesões labrais superiores de anterior a posterior (SLAP, na sigla em inglês) deriva da parte mais proximal do cabo longo do bíceps e ainda mais do labrum superior. Estudos quantitativos futuros com um número maior de espécimes podem fornecer mais informações sobre esses sistemas sensoriais.

Abstract Objectives The capsuloligamentous structures of the shoulder work as static stabilizers, together with the biceps and rotator cuff muscles, increasing the contact surface of the glenoid cavity. Free nerve endings and mechanoreceptors have been identified in the shoulder; however, there are a few studies that describe the presence of these nerves in the biceps' insertion. The present study aimed to describe the morphology and distribution of nerve endings using immunofluorescence with protein gene product 9.5 (PGP 9.5) and confocal microscopy. Methods Six labrum-biceps complexes from six fresh-frozen cadavers were studied. The specimens were coronally cut and prepared using the immunofluorescence technique. In both hematoxylin and eosin (H&E) and immunofluorescence, the organization of the connective tissue with parallel collagen fibers was described. Results In the H&E study, vascular structures and some nerve structures were visualized, which were identified by the elongated presence of the nerve cell. All specimens analyzed with immunofluorescence and confocal microscopy demonstrated poor occurrence of morphotypes of sensory corpuscles and free nerve endings. We identified free nerve endings located in the labrum and in the bicipital insertion, and sparse nerve endings along the tendon. Corpuscular endings with fusiform, cuneiform, and oval aspect were identified in the tendon. Conclusion These findings support the hypothesis that the generation of pain in the superior labral tear from Anterior to posterior (SLAP) lesions derives from the more proximal part of the long biceps cord and even more from the upper labrum. Future quantitative studies with a larger number of specimens may provide more information on these sensory systems.

https://doi.org/10.1055/s-0040-1722579

Valorization of Hesperidin from Citrus Residues: Evaluation of Microwave-Assisted Synthesis of Hesperidin-Mg Complex and Their Insecticidal Activity
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Silva, Danielle F. da

; Bomfim, João P. A.

; Marchi, Rafael C.

; Amaral, Jéssica C.

; Pinto, Luciano S.

; Carlos, Rose M.

; Ferreira, Antonio G.

; Forim, Moacir R.

; Fernandes, João B.

; Silva, Maria F. G. F. da

; Oliveira, Regiane C. de

; Buss, David

; Kirk, William D. J.

; Bruce, Toby J. A.

Journal of the Brazilian Chemical Society

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jul 2022, Volume 33 N. 7 Pages 772 - 782

Abstract: En | Text: En | PDF: En

The aim of the current study was the valorization of hesperidin, the dominant flavonoid in citrus processing waste, by microwave-assisted synthesis of hesperidin-Mg complex, improving its antioxidant activity and insecticidal potential. Here we show, for the first time, that microwave-assisted synthesis of [Mg(hesp)2(phen)]OAc (1) (hesp: hesperidin, phen: phenanthroline) improve the reaction rate and yield. The nuclear magnetic resonance (NMR) experiments proved to be powerful tools for the identification of three isomers in metal complexes. Moreover, we explore the insecticidal potential of 1 and [Mg(phen)2(Isov)]OAc (2) (Isov : isovanillic acid) complexes against three insects. Complex 1 killed 80% of adults whitefly at 0.14 μmol L-1, and 2 76% at 0.36 μmol L-1. There was a total mortality of Spodoptera frugiperda with 2 at 0.39 μmol L-1, and 83% with 1 at 0.14 μmol L-1. Both have similar activity, and represent a novel group of insecticide for Bemisia tabaci and S. frugiperda; nevertheless, the benefits of both as Myzus persicae repellent require further evaluation.

https://doi.org/10.21577/0103-5053.20220050

WSOC and Its Relationship with BC, Levoglucosan and Transition Metals in the PM2.5 of an Urban Area in the Amazon
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Fernandes, Karenn S.

; Santos, Erickson O. dos

; Batista, Carla E.

; Ribeiro, Igor O.

; Piracelli, Victor P.

; Solci, Maria Cristina

; Duvoisin Jr., Sergio

; Martin, Scot T.

; Souza, Rodrigo A. F.

; Machado, Cristine M. D.

Journal of the Brazilian Chemical Society

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jun 2022, Volume 33 N. 6 Pages 570 - 581

Abstract: En | Text: En | PDF: En

Water-soluble organic carbon (WSOC) makes up a large mass fraction of the organic carbon in the aerosol and can influence important cloud processes in the atmosphere. The capacity of WSOC to form metallic complexes with transition metals is well known; however, its influence on the aerosol of urban areas in the Amazon region is not very well known. In this study, we investigated the relationship between WSOC, black carbon (BC), levoglucosan (LEV) and transition metals (Fe, Cu and Mn) present in the PM2.5 (particles with a diameter smaller than 2.5 µm) of an urban environment during the dry season in the central Amazon. Oxalic acid (C2) was used to identify the influence of transition metals on WSOC. The mean mass concentration value of the PM2.5 was 14.72 μg m-3 (2.11-31.68 μg m-3). The WSOC made up 58.34% of the PM2.5 mass, followed by BC (20.28%), and LEV (2.62%). The WSOC showed significant correlation with the transition metals analyzed (> 0.56), especially Mn with C2 (linear coefficient (R2) = 0.74). A multiple linear regression with WSOC, BC and LEV showed a strong linear correlation between them (R2 = 0.86), indicating the influence of biomass burning and vehicle traffic on the organic aerosol.

https://doi.org/10.21577/0103-5053.20220011

Mitral Valve Fenestration as a Rare Cause of Congenital Mitral Insufficiency Successfully Repaired
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Moreira Neto, Francisco Fernandes

; Arantes, Thiago S.

; Jurca, Mauro Cruz

; Moreira, Maria Rita F. S.

; Jacob, Cecilio A. Barbosa

Brazilian Journal of Cardiovascular Surgery

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aug 2021, Volume 36 N. 4 Pages 575 - 577

Abstract: En | Text: En | PDF: En

Abstract A rare case of congenital mitral insufficiency characterized by a fenestration in the anterior leaflet of mitral valve is reported. At operation, the mitral valve was successfully repaired by closure of unusual valvular tissue orifice with bovine pericardium and suture of the free edge between A1 and A2 without a ring annuloplasty. reported operation annuloplasty

https://doi.org/10.21470/1678-9741-2020-0262

In vitro antimicrobial activity of methanolic extracts from cutaneous secretions of Amazonian amphibians against phytopathogens of agricultural interest
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RAASCH-FERNANDES, Livia Deice

; BONALDO, Solange Maria

; RODRIGUES, Domingos de Jesus

; FERRARINI, Stela Regina

; VERÇOSA, Ana Gabriela Araújo

; OLIVEIRA, Daiane Lopes de

Acta Amazonica

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jun 2021, Volume 51 N. 2 Pages 145 - 155

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO Os mecanismos de defesa bioquímica dos anfíbios envolvem secreções cutâneas de moléculas bioativas com atividade antimicrobiana. Este estudo avaliou a atividade in vitro de extratos metanólicos da secreção cutânea de duas espécies de anfíbios da família Bufonidae, Rhaebo guttatus e Rhinella marina, no controle dos patógenos Fusarium udum, Fusarium solani, Colletotrichum truncatum, Aspergillus flavus, Rhizoctonia solani, Macrophomina phaseolina e Calonectria pseudometrosideri. O extrato de R. guttatus inibiu o crescimento micelial de F. udum, F. solani, A. flavus e M. phaseolina em algumas concentrações testadas. O extrato de R. marina inibiu o crescimento micelial de C. truncatum na concentração de 0,5 mg mL-¹, e inibiu o crescimento micelial de A. flavus nas concentrações de 0,1 e 0,5 mg mL-¹, que foi semelhante à inibição pelo controle positivo. O extrato de R. marina também diminuiu a produção de microescleródios de R. solani nas concentrações de 0,2 e 0,3 mg mL-¹. Além disso, os extratos inibiram a esporulação e germinação de conídios em graus variados. A inibição da formação de apressórios em C. truncatum pelos extratos de R. guttatus e R. marina foi de 85%-99% e 63%-100%, respectivamente. Nossos resultados demonstraram que o tratamento com extratos da secreção cutânea de R. guttatus e R. marina apresentou atividade antifúngica sobre os fitopatógenos estudados.

ABSTRACT The biochemical defense mechanisms of amphibians involve cutaneous secretions of bioactive molecules with antimicrobial activity. This study evaluated the in vitro activity of methanolic extracts from cutaneous secretions of two amphibian species of the Bufonidae family, Rhaebo guttatus and Rhinella marina, in the control of the phytopathogens Fusarium udum, Fusarium solani, Colletotrichum truncatum, Aspergillus flavus, Rhizoctonia solani, Macrophomina phaseolina, and Calonectria pseudometrosideri. The R. guttatus extract decreased the mycelial growth of F. udum, F. solani, A. flavus, and M. phaseolina at some tested concentrations. The R. marina extract decreased the mycelial growth of C. truncatum at the concentration of 0.5 mg mL-¹, and inhibited the mycelial growth of A. flavus at concentrations of 0.1 and 0.5 mg mL-¹, which was similar to the inhibition by the positive control. The R. marina extract also decreased the microsclerotia production by R. solani at concentrations of 0.2 and 0.3 mg mL-¹. In addition, the extracts inhibited conidial sporulation and germination at varying degrees. The inhibition of appressoria formation in C. truncatum by the R. guttatus and R. marina extracts was 85-99% and 63-100%, respectively. Our results demonstrated that treatment with extracts from R. guttatus and R. marina cutaneous secretions showed antifungal activity against the studied phytopathogens.

https://doi.org/10.1590/1809-4392201904462 413 downloads

Sheep manure fertilization in Mimosa caesalpiniifolia in an Albaquult
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Souza, Henrique A. de

; Pompeu, Roberto C. F. F.

; Tonucci, Rafael G.

; Fernandes, Francisco E. P.

; Araújo, Maria D. M.

; Leite, Luiz F. C.

Revista Brasileira de Engenharia Agrícola e Ambiental

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apr 2021, Volume 25 N. 4 Pages 243 - 249

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO O uso de adubos orgânicos pode incrementar a produção de espécies florestais, as quais podem ser usadas para extração de madeira em monocultivos ou em sistemas integrados. Objetivou-se neste estudo, avaliar a aplicação de doses de esterco de ovino na implantação de Mimosa caesalpiniifolia (sabiá) em sistema silviagrícola, de uma área anteriormente ocupada por pastagem degradada em um Albaquult (Planossolo Háplico). O delineamento experimental foi em blocos casualizados, com quatro repetições, e os tratamentos corresponderam às seguintes doses: 0, 2; 4; 8 e 12 kg de esterco de ovino por planta no primeiro ano, cujas quantidades empregadas foram reaplicadas em dobro (0, 4, 8, 16 e 32 kg por planta) no ano seguinte na projeção da copa. As variáveis avaliadas corresponderam aos atributos biométricos: altura (ALT); diâmetro do colmo ou coleto (DC) e diâmetro na altura do peito (DAP); massa seca da parte aérea (MSPA); acúmulo de nutrientes (parte aérea); e fertilidade do solo. As plantas de sabiá foram responsivas à adubação orgânica com incrementos nas variáveis ALT, DAP e MSPA. O esterco de ovino aumentou os valores médios na camada de 0-0,20 m para pH, P, K, Ca, Mg, SB, CTC, V, S-SO4 2- e Zn; com diminuição da acidez potencial. Para a variável matéria orgânica o incremento ocorreu até à dose de 13,70 kg por planta. O acúmulo de macro e micronutrientes, em plantas de sabiá foi N > Ca > K > Mg > P > S e Fe > Mn > B > Zn > Cu, respectivamente.

ABSTRACT The use of organic fertilizers can increase the production of forest species for the extraction of wood from monoculture stands or integrated systems. This study aimed to evaluate the effect of applying doses of sheep manure on the biometric traits of Mimosa caesalpiniifolia (‘sabiá’) in a silviculture system in an area previously occupied by native degraded pasture in an Albaquult. The experimental design was randomized blocks with four repetitions, with treatments corresponding to five doses of sheep manure per plant: 0, 2, 4, 8, and 12 kg in the first year, while in the second year the double of the doses (0, 4, 8, 16 and 32 kg per plant) were applied as topdressing under the canopy. The following biometric variables were evaluated: height (H); root collar diameter (RCD); diameter at breast height (DBH); above-ground dry weight (AGDW); accumulation of nutrients (aerial part); and soil fertility. The plants were responsive to the organic fertilization regarding the variables H, DBH, and AGDW. The sheep manure increased the mean values of pH, P, K, Ca, Mg, SB, CEC, BS, S-SO4 2- and Zn, and reduced the potential acidity in the 0-0.20 m soil layer. The organic matter variable increased up to the dose of 13.70 kg per plant. The accumulation rates of macro and micronutrients in the ‘sabiá’ plants were N > Ca > K > Mg > P > S and Fe > Mn > B > Zn > Cu, respectively.

https://doi.org/10.1590/1807-1929/agriambi.v25n4p243-249 243 downloads

INSECTICIDAL AND FUNGICIDAL ACTIVITY OF A MAGNESIUM COMPOUND CONTAINING ISOVANILLIC ACID AGAINST LEAF-CUTTING ANT AND ITS SYMBIOTIC FUNGUS
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Silva, Eldevan S.

; Marchi, Rafael C.

; Matos, Carla Sthefane P.

; Silva, Maria Fátima G. F.

; Fernandes, João B.

; Bueno, Odair C.

; Carlos, Rose M.

Química Nova

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mar 2021, Volume 44 N. 3 Pages 267 - 271

Abstract: En | Text: En | PDF: En

Pesticides offer a simple, cost-effective solution to ensure food supplies for a growing world population. However, their environmental performance needs improvement if pesticides are to continue contributing importantly. This study explores the insecticidal potential of a magnesium (II) metal complex containing 1,10-phenanthroline and isovanillic acid (MgPhenIso) against leaf-cutting ant (Atta sexdens rubropilosa) and its symbiotic fungus (Leucoagaricus gongylophorus). The MgPhenIso complex is easy-to-prepare, stable in solid state and in aqueous solution, and resistant to sunlight irradiation. The insecticidal activity of MgPhenIso-containing bait against A. sexdens rubropilosa and L. gongylophorus showed a delayed action mode at 2 mg g-1 (100% kill, 6th day, S50=2b) and suppressed fungus development and growth. These results, together with earlier investigations on MgPhenIso regarding its absence of toxicity to Zebrafish and Wistar male rats, emphasize the potential of this complex as an environmentally friendly insecticide candidate.

https://doi.org/10.21577/0100-4042.20170693 101 downloads

FATTY ACIDS ANALYSIS AND CHEMOTAXONOMIC CONSIDERATIONS OF MALVOIDEAE (MALVACEAE) SPECIES
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Fernandes, Diégina A.

; Chaves, Otemberg S.

; Teles, Yanna C. F.

; Agra, Maria de F.

; Vieira, Maria A. R.

; Silva, Paulo S. S. da

; Marques, Marcia O. M.

; Souza, Maria de Fátima Vanderlei de

Química Nova

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feb 2021, Volume 44 N. 2 Pages 137 - 141

Abstract: En | Text: En | PDF: En

Previous researches showed that fatty acids analysis might be a useful tool to support the taxonomic investigation. In this approach the fatty acids content of ten Malvoideae species was analyzed and its chemotaxonomic significance has been investigated. The aerial parts of the species were collected in the Northeast of Brazil and their fatty acid methyl esters were analyzed by gas chromatography with flame ionization detector. The chemometric analysis consisted of principal component analysis (PCA) and hierarchical clustering analysis (HCA) with the euclidean distance between the samples given by the Ward.D2 algorithm. This is the first report of fatty acids from Wissadula peripocifolia, Herissantia crispa, Bakeridesia pickelii, Sidastrum micranthum, Pavonia cancellata and Pavonia malacophylla. The results showed the predominance of palmitic (C16:0), oleic (C18:1) and linoleic (C18:2) acids in the studied species. By the PCA and HCA analysis, the fatty acid composition was able to distinguish the species Herissantia crispa and Pavonia malacophylla. Our findings showed a chemotaxonomic proximity among species from different genera reflecting the taxonomic and phylogenetic closeness previously demonstrated by molecular investigations on Malvoidae species. Furthermore, our results demonstrated that the fatty acid analysis may be an interesting tool to support the taxonomic investigations on Malvoideae species.

https://doi.org/10.21577/0100-4042.20170668 125 downloads

SÍNTESE E AVALIAÇÃO DAS ATIVIDADES FOTOPROTETORA, CITOTÓXICA E ANTIVIRAL CONTRA O ZIKA VÍRUS DE DERIVADOS TRIAZÓLICOS DA BENZOFENONA
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Lima, Ângela M. A.

; Teixeira, Róbson R.

; Silva, Bianca F. da

; Siqueira, Raoni P.

; Silva, Ítalo E. P. da

; Santos, Edjon G.

; Fernandes, Maria Cecília

; Gonçalves, Victor Hugo Sousa

; Bressan, Gustavo C.

; Mendes, Tiago Antonio de Oliveira

; Paula, Sérgio O. de

; Costa, Adílson Vidal

; Santos, Marcelo H. dos

Química Nova

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may 2019, Volume 42 N. 5 Pages 473 - 484

Abstract: Pt | Text: Pt | PDF: Pt

The benzophenones are synthetic and natural compounds presenting a variety of activities, including photoprotective, cytotoxic and antiviral. It is herein described the preparation of a series of twenty-seven benzophenone derivatives bearing 1,2,3-triazole functionalities and the evaluation of their photoprotective, cytotoxic and antiviral on Zika Virus (ZIKV) activities. The compounds were prepared in three steps, namely reduction of benzophenone, alkylation of diphenylmethanol and CuAAC reactions. The in vitro evaluation of the photoprotective activity revealed that the most active derivative 4-((benzhydryloxy)methyl)-1-(4-nitrobenzyl)-1H-1,2,3-triazole (4k) displayed UVB sun protection factor equal to 6,9±0,53, which make this compound a possible candidate to be used in formulations for photoprotective applications. In terms of cytotoxicity, the compounds were evaluated against MDA-MB-231 and B16F10 cell lines. It was observed that the compounds were more active against MDA-MB-231 cells and three of them were capable of reducing cell viability by approximately 55% at 100 µmol L-1. In the antiviral screening against ZIKV, compound 4-(3-benzhydryloxy)propyl)-1-(3-methylbenzyl)-1H-1,2,3-triazole (5j) was the most effective in mantaining Vero cell viability.

https://doi.org/10.21577/0100-4042.20170365 1170 downloads

10.

Brazilian Guidelines for Hereditary Angioedema Management - 2017 Update Part 1: Definition, Classification and Diagnosis
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Giavina-Bianchi, Pedro

; Arruda, Luisa Karla

; Aun, Marcelo V.

; Campos, Regis A.

; Chong-Neto, Herberto J.

; Constantino-Silva, Rosemeire N.

; Fernandes, Fátima R.

; Ferraro, Maria F.

; Ferriani, Mariana P.L.

; França, Alfeu T.

; Fusaro, Gustavo

; Garcia, Juliana F.B.

; Komninakis, Shirley

; Maia, Luana S.M.

; Mansour, Eli

; Moreno, Adriana S.

; Motta, Antonio A.

; Pesquero, João B.

; Portilho, Nathalia

; Rosário, Nelson A.

; Serpa, Faradiba S.

; Solé, Dirceu

; Takejima, Priscila

; Toledo, Eliana

; Valle, Solange O.R.

; Veronez, Camila L.

; Grumach, Anete S.

Clinics

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2018, Volume 73 elocation e310

Abstract: En | Text: En | PDF: En

Hereditary angioedema is an autosomal dominant disease characterized by recurrent angioedema attacks with the involvement of multiple organs. The disease is unknown to many health professionals and is therefore underdiagnosed. Patients who are not adequately diagnosed and treated have an estimated mortality rate ranging from 25% to 40% due to asphyxiation by laryngeal angioedema. Intestinal angioedema is another important and incapacitating presentation that may be the main or only manifestation during an attack. In this article, a group of experts from the “Associação Brasileira de Alergia e Imunologia (ASBAI)” and the “Grupo de Estudos Brasileiro em Angioedema Hereditário (GEBRAEH)” has updated the Brazilian guidelines for the diagnosis and treatment of hereditary angioedema.

https://doi.org/10.6061/clinics/2018/e310 1717 downloads

11.

Synthesis by Click Reactions and Antiplasmodial Activity of Lupeol 1,2,3-Triazole Derivatives
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Borgati, Tatiane F.

; Pereira, Guilherme R.

; Brandão, Geraldo C.

; Santos, Juliana O.

; Fernandes, Dayane Aparecida M.

; Paula, Renata C. de

; Nascimento, Maria Fernanda A. do

; Soares, Luciana F.

; Lopes, Júlio César D.

; Souza Filho, José D. de

; Oliveira, Alaíde B. de

Journal of the Brazilian Chemical Society

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oct 2017, Volume 28 N. 10 Pages 1850 - 1856

Abstract: En | Text: En | PDF: En

Lupeol, a triterpene frequently found in Asteraceae plant species, showed moderate to low activity in different strains of Plasmodium falciparum, the most virulent malaria etiological agents. In this work, lupeol was isolated from Parahancornia fasciculata, a plant that is used to treat malaria in the Amazonia region. In the search of more activity lupeol derivatives, five new 1,2,3-triazole hybrid molecules were synthetized by copper-catalyzed azide-alkyne cycloaddition. The antiplasmodial activity of the semi-synthetic compounds were evaluated by the lactate dehydrogenase assay; the lupeol propargyl ether was the only one to disclosing increased activity (half maximal inhibitory concentration-IC50-62.0 ± 1.92 µmol L-1) in relation to lupeol (IC50 117.00 µmol L-1). Therefore, this work revealed a new class of interesting lupeol derivatives that can be obtained by linking electron donors to the hydroxy group at C-3.

https://doi.org/10.21577/0103-5053.20170013 899 downloads

12.

Next-generation Sequencing-based genomic profiling: Fostering innovation in cancer care?
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Fernandes, Gustavo S.

; Marques, Daniel F.

; Girardi, Daniel M.

; Braghiroli, Maria Ignez F.

; Coudry, Renata A.

; Meireles, Sibele I.

; Katz, Artur

; Hoff, Paulo M.

Clinics

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oct 2017, Volume 72 N. 10 Pages 588 - 594

Abstract: En | Text: En | PDF: En

OBJECTIVES: With the development of next-generation sequencing (NGS) technologies, DNA sequencing has been increasingly utilized in clinical practice. Our goal was to investigate the impact of genomic evaluation on treatment decisions for heavily pretreated patients with metastatic cancer. METHODS: We analyzed metastatic cancer patients from a single institution whose cancers had progressed after all available standard-of-care therapies and whose tumors underwent next-generation sequencing analysis. We determined the percentage of patients who received any therapy directed by the test, and its efficacy. RESULTS: From July 2013 to December 2015, 185 consecutive patients were tested using a commercially available next-generation sequencing-based test, and 157 patients were eligible. Sixty-six patients (42.0%) were female, and 91 (58.0%) were male. The mean age at diagnosis was 52.2 years, and the mean number of pre-test lines of systemic treatment was 2.7. One hundred and seventy-seven patients (95.6%) had at least one identified gene alteration. Twenty-four patients (15.2%) underwent systemic treatment directed by the test result. Of these, one patient had a complete response, four (16.7%) had partial responses, two (8.3%) had stable disease, and 17 (70.8%) had disease progression as the best result. The median progression-free survival time with matched therapy was 1.6 months, and the median overall survival was 10 months. CONCLUSION: We identified a high prevalence of gene alterations using an next-generation sequencing test. Although some benefit was associated with the matched therapy, most of the patients had disease progression as the best response, indicating the limited biological potential and unclear clinical relevance of this practice.

https://doi.org/10.6061/clinics/2017(10)01 1173 downloads

13.

Cardiac arrest animal model: a simple device for small animals’ chest compression
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Vane, Matheus F.

; Carmona, Maria Jose Carvalho

; Otsuki, Denise A.

; Maia, Debora R.R.

; Vane, Lucas F.

; Vane, Luiz A.

; Araújo Filho, Elson Alberto Fernandes de

; Xavier, Marcelo

; Auler Junior, José Otávio Costa

Revista Brasileira de Anestesiologia

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jul 2017, Volume 67 N. 4 Pages 440 - 441

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

https://doi.org/10.1016/j.bjane.2017.04.005 1177 downloads

14.

Use of the Lower Extremity Functional Scale (LEFS-Brazil) questionnaire compared to Lequesne Algofunctional Index for definition of knee and hip osteoarthritis severity
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Santos, João Paulo M.

; Silva, Rubens A. da

; Fernandes, Marcos Tadeu P.

; Poli-Frederico, Regina Célia

; Santos, Denis C.

; Andraus, Rodrigo A.C.

; Fernandes, Thais Maria F.

; Fernandes, Karen B.P.

Revista Brasileira de Reumatologia

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may 2017, Volume 57 N. 3 Pages 274 - 277

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

https://doi.org/10.1016/j.rbre.2016.07.010 6507 downloads

15.

Recommendations of the Brazilian Society of Rheumatology for the diagnosis and treatment of chikungunya fever. Part 2 - Treatment
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Marques, Claudia Diniz Lopes

; Duarte, Angela Luzia Branco Pinto

; Ranzolin, Aline

; Dantas, Andrea Tavares

; Cavalcanti, Nara Gualberto

; Gonçalves, Rafaela Silva Guimarães

; Rocha Junior, Laurindo Ferreira da

; Valadares, Lilian David de Azevedo

; Melo, Ana Karla Guedes de

; Freire, Eutilia Andrade Medeiros

; Teixeira, Roberto

; Neto, Francisco Alves Bezerra

; Medeiros, Marta Maria das Chagas

; Carvalho, Jozélio Freire de

; Santos, Mario Sergio F.

; Océa, Regina Adalva de L. Couto

; Levy, Roger A.

; Andrade, Carlos Augusto Ferreira de

; Pinheiro, Geraldo da Rocha Castelar

; Abreu, Mirhelen Mendes

; Verztman, José Fernando

; Merenlender, Selma

; Ribeiro, Sandra Lucia Euzebio

; Costa, Izaias Pereira da

; Pileggi, Gecilmara

; Trevisani, Virginia Fernandes Moça

; Lopes, Max Igor Banks

; Brito, Carlos

; Figueiredo, Eduardo

; Queiroga, Fabio

; Feitosa, Tiago

; Tenório, Angélica da Silva

; Siqueira, Gisela Rocha de

; Paiva, Renata

; Vasconcelos, José Tupinambá Sousa

; Christopoulos, Georges

Revista Brasileira de Reumatologia

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2017, Volume 57 Suppl. 2 Pages s438 - s451

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo A febre chikungunya tem se tornado um importante problema de saúde pública nos países onde ocorrem as epidemias, visto que metade dos casos evolui com artrite crônica, persistente e incapacitante. Os dados na literatura sobre terapêuticas específicas nas diversas fases da artropatia ocasionada pela infecção pelo vírus chikungunya (CHIKV) são limitados, não existem estudos randomizados de qualidade que avaliem a eficácia das diferentes terapias. Há algumas poucas publicações sobre o tratamento das manifestações musculoesqueléticas da febre chikungunya, porém com importantes limitações metodológicas. Os dados atualmente disponíveis não permitem conclusões favoráveis ou contrárias a terapêuticas específicas, bem como uma adequada avaliação quanto à superioridade entre as diferentes medicações empregadas. O objetivo deste trabalho foi elaborar recomendações para o tratamento da febre chikungunya no Brasil. Foi feita uma revisão da literatura com seleção de artigos baseados em evidência, nas bases de dados Medline, SciELO, PubMed e Embase e de resumos de anais de congressos, além da opinião dos especialistas para dar apoio às decisões tomadas para definir as recomendações. Para a definição do grau de concordância foi feita uma metodologia Delphi, em duas reuniões presenciais e várias rodadas de votação on line. Este artigo refere-se à parte 2 das Recomendações da Sociedade Brasileira de Reumatologia para Diagnóstico e Tratamento da Febre Chikungunya, que trata especificamente do tratamento.

Abstract Chikungunya fever has become an important public health problem in countries where epidemics occur because half of the cases progress to chronic, persistent and debilitating arthritis. Literature data on specific therapies at the various phases of arthropathy caused by chikungunya virus (CHIKV) infection are limited, lacking quality randomized trials assessing the efficacies of different therapies. There are a few studies on the treatment of musculoskeletal manifestations of chikungunya fever, but these studies have important methodological limitations. The data currently available preclude conclusions favorable or contrary to specific therapies, or an adequate comparison between the different drugs used. The objective of this study was to develop recommendations for the treatment of chikungunya fever in Brazil. A literature review was performed via evidence-based selection of articles in the databases Medline, SciELO, PubMed and Embase and conference proceedings abstracts, in addition to expert opinions to support decision-making in defining recommendations. The Delphi method was used to define the degrees of agreement in 2 face-to-face meetings and several online voting rounds. This study is part 2 of the Recommendations of the Brazilian Society of Rheumatology (Sociedade Brasileira de Reumatologia - SBR) for the Diagnosis and Treatment of chikungunya fever and specifically addresses treatment.

https://doi.org/10.1016/j.rbre.2017.06.004 38509 downloads

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