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RESUMO: A leucose enzoótica bovina (LEB) é uma doença infecciosa natural dos bovinos com distribuição mundial causada pelo “bovine leukemia virus” (BLV). A imunodifusão em gel de ágar (IDGA) foi considerada por muitos anos o teste de eleição, porém ensaios imunoenzimáticos (ELISA) apresentam sensibilidade mais elevada e leitura mais rápida e objetiva. No entanto, a importação de kits de ELISA é um processo dispendioso e demorado, e atualmente não há kits de IDGA comercialmente disponíveis no Brasil. Desta forma, o objetivo deste trabalho foi padronizar um ELISA indireto (iELISA) para diagnóstico da LEB utilizando antígenos produzidos a partir do cultivo do BLV em linhagem celular Tadarida brasiliensis “lung” (Tb1Lu) livre de “bovine viral diarrhea virus” (BVDV), diferentemente do que acontece com as linhagens “fetal lamb kidney” (FLK) atualmente utilizadas na produção desses antígenos para uso em ensaios sorológicos. Após a padronização do iELISA, os resultados foram comparados com aqueles obtidos por IDGA e pelo ELISA comercial “Chekit Leucose-Serum”. Comparado ao IDGA, o iELISA apresentou 94,44% de sensibilidade, 75,68% de especificidade, valor preditivo positivo (VPP) de 79,1% e valor preditivo negativo (VPN) de 93,3%, com concordância entre os testes de 84% e o índice Kappa 0,699. Quando comparado ao ELISA “Chekit Leucose-Serum”, o iELISA apresentou sensibilidade de 92,6%, especificidade de 87,09%, VPP de 90,27% e VPN de 90%, com concordância de 90,27% e o índice Kappa 0,801. Portanto, devido à alta concordância com os testes tradicionais e ausência da ocorrência de reações inespecíficas com BVDV, o ensaio desenvolvido pode ser utilizado como ferramenta diagnóstica para o controle da LEB no Brasil.

ABSTRACT: Enzootic bovine leukosis (EBL) is an infectious disease caused by bovine leukemia virus (BLV) that affects cattle worldwide. Agar gel immunodiffusion (AGID) was the reference test for EBL diagnosis for many years, but enzyme-linked immunosorbent assay (ELISA) showed higher sensitivity, was faster to perform, and resulted in an objective reading. However, the importation of ELISA kits is lengthy and expensive, and currently, no AGID kits are available in Brazil. The aim of this work was to standardize an indirect ELISA (iELISA) for EBL diagnosis using BLV antigens produced in Tadarida brasiliensis lung (Tb1Lu) cells, which are Bovine viral diarrhea virus (BVDV) free, unlike fetal lamb kidney (FLK) cells, currently used for this purpose. Following standardization, iELISA results were compared with those obtained by AGID and the commercial Chekit Leucose-Serum ELISA. Compared to AGID, iELISA had 94,44% sensitivity, 75.68% specificity, 79.10% positive predictive value (PPV) and 93.30% negative predictive value (NPV), with 84% concordance and a Kappa index of 0.699. Compared to the Chekit Leucose-Serum ELISA, iELISA showed 92.60% sensitivity, 87.09% specificity, 90.27% PPV and 90,00% NPV, with 90.27% concordance and a Kappa index of 0.801. Taking into account the high agreement with the traditional tests and the absence of non-specific reactions with BVDV, the developed assay could be used as diagnostic method to control EBL in Brazil.

https://doi.org/10.1590/1678-5150-pvb-6731 295 downloads

Prevalence and trends of mental disorders requiring inpatient care in the city of Porto Alegre: a citywide study including all inpatient admissions due to mental disorders in the public system from 2013-2017
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Salum, Giovanni A.

; Leite, Loiva dos S

; dos Santos, Sara Jane E

; Mazzini, Gabriel

; Baeza, Fernanda L. C.

; Spanemberg, Lucas

; Evans-Lacko, Sara

; Sato, João Ricardo

; do Nascimento, Diane M

; Frank, Thiago

; Pfeil, Juliana

; Katz, Natan

; Osório, Jorge

; dos Santos, Paulo Ricardo

; da Silva, Eliana

; Nunes, Christiane

; Soares, Kelma Nunes

; Machado, Ângela Maria Grando

; Breyer, Tatiana

; Rodrigues, Márcio

; Galão, Adriani

; Motta, Gledis Lisiane

; Schuch, Silvia

; Osório, Eduardo

; Rodrigues, Cláudia

; Sturmer, Pablo de Lannoy

; Harzheim, Erno

Trends in Psychiatry and Psychotherapy

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mar 2020, Volume 42 N. 1 Pages 86 - 91

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

Resumo Objetivos Investigar a prevalência de 5 anos de pacientes internados no sistema público de saúde por motivo de saúde mental, estratificando-os por grupo etário e diagnóstico, e avaliar tendências temporais nas admissões nesse período em Porto Alegre. Métodos Todas as admissões no sistema público de saúde mental reguladas pelo sistema eletrônico da cidade, denominado Administração Geral dos Hospitais (AGHOS), foram incluídos na análise. A população total foi obtida a partir de estimativas da Fundação de Economia e Estatística (FEE). Informações gerais sobre a prevalência de 5 anos de admissões, tendências das séries temporais e prevalência por grupo etário e por diagnóstico foram apresentadas. Resultados Ocorreram 32.608 admissões no período de 5 anos analisado. A prevalência global de pacientes foi de 1,62% na população total, 0,01% em crianças, 1,12% em adolescentes, 2,28% em adultos e 0,93% em idosos. Os diagnósticos mais comuns foram relacionados ao uso de drogas, seguidos de transtornos de humor, relacionados ao álcool e transtornos psicóticos. Houve uma tendência linear mostrando um aumento no número de admissões de 2013 a meados de 2014, que caíram em 2015. Conclusões Admissões por transtornos mentais são relativamente comuns, principalmente entre adultos e relacionados ao uso de drogas e transtornos de humor. Tendências lineares variaram levemente nos últimos 5 anos. Estimativas de prevalência no mundo real podem ser úteis para formuladores de políticas interessados em planejar o sistema público de saúde mental em grandes cidades brasileiras.

Abstract Objectives To investigate the 5-year prevalence of patients admitted to public inpatient care units due to a mental disorder, stratifying them by age group and diagnosis, and to assess trends of admissions over this time period in Porto Alegre. Methods All admissions to the public mental health care system regulated by the city-owned electronic system Administração Geral dos Hospitais (AGHOS) were included in the analysis. The total population size was obtained by estimations of Fundação de Economia e Estatística (FEE). General information about 5-year prevalence of inpatient admissions, time-series trends e prevalence by age groups and diagnosis were presented. Results There were 32,608 admissions over the 5-year period analyzed. The overall prevalence of patients was 1.62% among the total population, 0.01% among children, 1.12% among adolescents, 2.28% among adults and 0.93% among the elderly. The most common diagnosis was drug-related, followed by mood, alcohol-related and psychotic disorders. There was a linear trend showing an increase in the number of admissions from 2013 to the midst of 2014, which dropped in 2015. Conclusions Admissions due to mental disorders are relatively common, mainly among adults and related to drug use and mood disorders. Time trends varied slightly over the 5 years. Prevalence rates in real-world settings might be useful for policymakers interested in planning the public mental health system in large Brazilian cities.

https://doi.org/10.1590/2237-6089-2018-0115 713 downloads

Differences in Total Brain Volume between Sexes in a Cognitively Unimpaired Elderly Population
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Buchpiguel, Marina

; Rosa, Pedro

; Squarzoni, Paula

; Duran, Fabio L.S.

; Tamashiro-Duran, Jaqueline H.

; Leite, Claudia C.

; Lotufo, Paulo

; Scazufca, Marcia

; Alves, Tania C.T.F.

; Busatto, Geraldo F.

Clinics

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2020, Volume 75 elocation e2245

Abstract: En | Text: En | PDF: En

OBJECTIVES: Although a large number of studies have shown brain volumetric differences between men and women, only a few investigations have analyzed brain tissue volumes in representative samples of the general elderly population. We investigated differences in gray matter (GM) volumes, white matter (WM) volumes, and intracranial volumes (ICVs) between the sexes in individuals older than 66 years using structural magnetic resonance imaging (MRI). METHODS: Using FreeSurfer version 5.3, we obtained the ICVs and GM and WM volumes from the MRI datasets of 84 men and 92 women. To correct for interindividual variations in ICV, GM and WM volumes were adjusted with a method using the residuals of a least-square-derived linear regression between raw volumes and ICVs. We then performed an analysis of covariance comparing men and women, including age and years of schooling as confounding factors. RESULTS: Women had a lower socioeconomic status overall and fewer years of schooling than men. The comparison of unadjusted brain volumes showed larger GM and WM volumes in men. After the ICV correction, the adjusted volumes of GM and WM were larger in women. CONCLUSION: After the ICV correction and taking into account differences in socioeconomic status and years of schooling, our results confirm previous findings of proportionally larger GM in women, as well as larger WM volumes. These results in an elderly population indicate that brain volumetric differences between sexes persist throughout the aging process. Additional studies combining MRI and other biomarkers to identify the hormonal and molecular bases influencing such differences are warranted.

https://doi.org/10.6061/clinics/2020/e2245 150 downloads

Anthelmintic effect of Cymbopogon citratus essential oil and its nanoemulsion on sheep gastrointestinal nematodes
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Macedo, Iara Tersia Freitas

; Oliveira, Lorena Mayana Beserra de

; André, Weibson Paz Pinheiro

; Araújo Filho, José Vilemar de

; Santos, Jéssica Maria Leite dos

; Rondon, Fernanda Cristina Macedo

; Ribeiro, Wesley Lyeverton Correia

; Camurça-Vasconcelos, Ana Lourdes Fernandes

; Oliveira, Erick Falcão de

; Paula, Haroldo César Beserra de

; Bevilaqua, Claudia Maria Leal

Revista Brasileira de Parasitologia Veterinária

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jul 2019, Volume 28 N. 3 Pages 522 - 527

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

Resumo A resistência anti-helmíntica estimulou a busca por estratégias de controle de nematoides gastrintestinais, incluindo óleos essenciais livres ou em nanoemulsão. Este estudo avaliou a eficácia anti-helmíntica do óleo essencial de Cymbopogon citratus (OECc) e da nanoemulsão do óleo essencial de C. citratus (nOECc). Análises físico-químicas foram realizadas. O efeito in vitro foi determinado no teste de eclosão de ovos (TEO) sobre Haemonchus contortus e o efeito in vivo foi avaliado em ovinos infectados com nematoides gastrintestinais. Os animais foram tratados com OECc (500 mg/kg) ou nOECc (450 mg/kg) para determinação do número de ovos por grama de fezes (OPG) e carga parasitária. O principal constituinte do OECc foi citral. O conteúdo de OECc na nanoemulsão foi 20% e o tamanho médio de partícula foi 248 nm. No TEO, OECc e nOECc (1,25 mg/mL) inibiram 98,4 e 97,1% da eclosão larvar, respectivamente. Três animais tratados com o OECc morreram, enquanto um animal do grupo tratado com a nOECc morreu. O OPG e a carga parasitária total dos grupos tratados não diferiram do controle negativo (p>0.05). A nOECc apresentou eficácia somente sobre H. contortus (p<0.05). Como conclusão, o nanoencapsulamento reduziu a toxicidade e aumentou a eficácia sobre H. contortus.

Abstract The anthelmintic resistance stimulated the search for strategies for controlling gastrointestinal nematodes, including the use of free essential oils or its nanoemulsion. This study evaluated the anthelmintic efficacy of Cymbopogon citratus essential oil (CcEO) and C. citratus essential oil nanoemulsion (CcEOn). Pysicochemical analyses were performed. The in vitro effect was determined using the egg hatch test (EHT) on Haemonchus contortus and in vivo effect was evaluated in sheep infected with gastrointestinal nematodes. The animals were treated with CcEO (500 mg/kg) or CcEOn (450 mg/kg) for the fecal egg count (FEC) and the determination of worm burden. The main component of CcEO was citral. The CcEO content in the nanoemulsion was 20% (v/v), and the mean particle size was 248 nm. In EHT, CcEO and CcEOn (1.25 mg/mL) inhibited larval hatching by 98.4 and 97.1%, respectively. Three animals treated with CcEO died whereas in the group treated with CcEOn one animal died. The FEC and total worm burden of the treated groups did not differ from the negative control (p>0.05). The CcEOn showed efficacy only on H. contortus (p<0.05). In conclusion, nanoencapsulation reduced toxicity and increased efficacy on H. contortus.

https://doi.org/10.1590/s1984-29612019065 1230 downloads

Antibiofilm Activity of an Experimental Ricinus Communis Dentifrice on Soft Denture Liners
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Badaró, Maurício Malheiros

; Leite-Fernandes, Vanessa Maria Fagundes

; Martin, Luciano Trevisan

; Oliveira, Viviane de Cássia

; Watanabe, Evandro

; Paranhos, Helena de Freitas de Oliveira

; Silva-Lovato, Cláudia Helena

Brazilian Dental Journal

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jun 2019, Volume 30 N. 3 Pages 252 - 258

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

Resumo A desvantagem dos materiais resilientes é a dificuldade de controle do biofilme. Este estudo comparou um dentífrico experimental contendo Ricinus communis, com dentifrícios comerciais quanto atividade contra biofilme formado em reembasador de próteses totais. Seiscentos espécimes foram distribuídos em 5 grupos (n=18/microrganismo): água; dentifrício experimental; dentifrício específico para próteses totais e dois convencionais; contra C. albicans; C. glabrata; S. mutans; S. aureus; E. coli. Cada grupo teve um controle negativo (n=5; sem contaminação) e um positivo (n=15/ microrganismo; sem higienização). A atividade contra biofilme foi avaliada pelo método de formação do biofilme, em triplicata. Os espécimes foram contaminados, padronizadamente, e incubados. Posteriormente, foi realizada escovação manual (60 s), lavagem em PBS, imersão em meio de cultura líquido para ressuspensão e semeadura em meio sólido. Os resultados (média das triplicatas) foram expressos em UFC/mL. Os dados foram submetidos aos testes Shapiro-Wilk, ANOVA e Tukey (p<0,05). O dentifrício específico (1,27±1,20) foi o mais eficaz contra S. mutans, seguido dos convencionais (Trihydral, 3,13±0,88; Colgate, 2,16±2,02) e experimental (3,81±1,37), que foram semelhantes entre si (p=0,008). Todos eles foram diferentes da água (4,79±1,42). O dentifrício específico (0,21±0,21) e o experimental (0,36±0,25) foram semelhantes contra S. aureus, com maiores médias de UFC quando comparado ao convencional (Colgate, 0,06±0,13), que foi mais eficiente (p=0,000). Para C. albicans, C. glabrata e E.coli, todos os dentifrícios foram similares à água (p=0,186). Conclui-se que o dentifrício experimental foi efetivo somente contra S. aureus e não foi eficiente perante Candida spp.; S. mutans; E. coli, como ocorrido com os dentifrícios comerciais.

Abstract The disadvantage of liners materials is the difficulty of biofilm control. It was compared an experimental dentifrice contained Ricinus communis, with commercials dentifrices as antibiofilm activity against microorganisms on denture liner. Six hundred specimens were distributed in 5 groups (n=18/ microorganism): water; experimental dentifrice; specific dentifrice for denture and two conventional dentifrices against C. albicans; C. glabrata; S. mutans; S. aureus; E. coli. Each group had a negative (n=5; without contamination) and positive control (n=15/ microorganism; without cleaning). The antibiofilm activity was evaluated by the method of biofilm formation in triplicate. The specimens were contaminated in a standard way and incubated. After that, manual brushing was performed (60 s), washed with PBS, immersed in liquid culture medium for resuspension and sowing in solid medium. The results (mean of triplicates) were expressed in CFU/mL. The data was submitted to Shapiro-Wilk, ANOVA and Tukey test (p<0.05). The specific dentifrice (1.27±1.20) was the most effective against S. mutans, followed by conventional (Trihydral, 3.13±0.88; Colgate, 2.16±2.02) and experimental (3.81±1.37) dentifrices, which were similar to each other (p=0.008). All of them were different from water (4.79±1.42). The specific (0.21±0.21) and experimental (0.36±0.25) dentifrices were similar against S. aureus, with a higher mean of CFU when compared to conventional (Colgate, 0.06±0.13), which was more efficient (p=0.000). For C. albicans, C. glabrata and E. coli, all dentifrices were similar to water (p=0.186). It was concluded, that the experimental dentifrice was effective against S. aureus and had not efficacy against Candida spp.; S. mutans; E. coli, as occurred with the commercials dentifrices.

https://doi.org/10.1590/0103-6440201902326 1074 downloads

Prevalence of Physical Inactivity and its Effects on Blood Pressure and Metabolic Parameters in a Brazilian Urban Population
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Rissardi, Geiza da Graça Leite

; Cipullo, José Paulo

; Moreira, Gisela Cipullo

; Ciorlia, Luiz Alberto Souza

; Cesarino, Cláudia Bernardi

; Giollo Junior, Luiz Tadeu

; Zanesco, Angelina

; Vilela-Martin, José Fernando

International Journal of Cardiovascular Sciences

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dec 2018, Volume 31 N. 6 Pages 594 - 602

Abstract: En | Text: En | PDF: En

Abstract Background: Cardiovascular disease is the leading cause of mortality in the world and physical inactivity represents an important risk factor. Objective: This study aimed to evaluate the prevalence of physical inactivity in the adult population and its effects on blood pressure, blood glucose and lipid profile. Methods: A population-based cross-sectional study with stratified simple random sampling was conducted in 1,717 adults divided by age groups: 18-39, 40-49, 50-59, 60-69 and ≥ 70 years. The participants answered the physical activity questionnaire and were classified as physically active or inactive. The bootstrap statistical method was used to assess physical activity, associated with lipid profile and blood glucose levels. The level of significance was 5%. Results: The prevalence of physical inactivity in the general population was 65.8%. There was a significant difference in the group older than 70 years. There was a significant decrease in physical activity in the group with lower educational level, with a significant difference between social classes AB and C. The prevalence of hypertension was 27.5% among physically inactive and 21.4% among active individuals (p = 0.04). The prevalence of metabolic syndrome was 26.1% in inactive and 16.7% in the active individuals (p = 0.007). Total cholesterol, low-density lipoprotein and triglycerides levels were more elevated in the physically inactive group, which was not observed with high-density lipoprotein levels. Blood glucose was also higher in the inactive group. Conclusion: This study shows a high prevalence of physical inactivity and a positive correlation between risk factors for cardiovascular disease, mainly blood pressure, glucose and lipids profiles. (Int J Cardiovasc Sci. 2018; [online].ahead print, PP.0-0)

https://doi.org/10.5935/2359-4802.20180064 1991 downloads

Support vector machine-based classification of neuroimages in Alzheimer’s disease: direct comparison of FDG-PET, rCBF-SPECT and MRI data acquired from the same individuals
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Ferreira, Luiz K.

; Rondina, Jane M.

; Kubo, Rodrigo

; Ono, Carla R.

; Leite, Claudia C.

; Smid, Jerusa

; Bottino, Cassio

; Nitrini, Ricardo

; Busatto, Geraldo F.

; Duran, Fabio L.

; Buchpiguel, Carlos A.

Brazilian Journal of Psychiatry

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jun 2018, Volume 40 N. 2 Pages 181 - 191

Abstract: En | Text: En | PDF: En

Objective: To conduct the first support vector machine (SVM)-based study comparing the diagnostic accuracy of T1-weighted magnetic resonance imaging (T1-MRI), F-fluorodeoxyglucose-positron emission tomography (FDG-PET) and regional cerebral blood flow single-photon emission computed tomography (rCBF-SPECT) in Alzheimer’s disease (AD). Method: Brain T1-MRI, FDG-PET and rCBF-SPECT scans were acquired from a sample of mild AD patients (n=20) and healthy elderly controls (n=18). SVM-based diagnostic accuracy indices were calculated using whole-brain information and leave-one-out cross-validation. Results: The accuracy obtained using PET and SPECT data were similar. PET accuracy was 68∼71% and area under curve (AUC) 0.77∼0.81; SPECT accuracy was 68∼74% and AUC 0.75∼0.79, and both had better performance than analysis with T1-MRI data (accuracy of 58%, AUC 0.67). The addition of PET or SPECT to MRI produced higher accuracy indices (68∼74%; AUC: 0.74∼0.82) than T1-MRI alone, but these were not clearly superior to the isolated neurofunctional modalities. Conclusion: In line with previous evidence, FDG-PET and rCBF-SPECT more accurately identified patients with AD than T1-MRI, and the addition of either PET or SPECT to T1-MRI data yielded increased accuracy. The comparable SPECT and PET performances, directly demonstrated for the first time in the present study, support the view that rCBF-SPECT still has a role to play in AD diagnosis.

https://doi.org/10.1590/1516-4446-2016-2083 2234 downloads

High frequency of silent brain infarcts associated with cognitive deficits in an economically disadvantaged population
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Squarzoni, Paula

; Tamashiro-Duran, Jaqueline H.

; Duran, Fabio L.S.

; Leite, Claudia C.

; Wajngarten, Mauricio

; Scazufca, Marcia

; Menezes, Paulo R.

; Lotufo, Paulo A.

; Alves, Tania C.T.F.

; Busatto, Geraldo F.

Clinics

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aug 2017, Volume 72 N. 8 Pages 474 - 480

Abstract: En | Text: En | PDF: En

OBJECTIVE: Using magnetic resonance imaging, we aimed to assess the presence of silent brain vascular lesions in a sample of apparently healthy elderly individuals who were recruited from an economically disadvantaged urban region (São Paulo, Brazil). We also wished to investigate whether the findings were associated with worse cognitive performance. METHODS: A sample of 250 elderly subjects (66-75 years) without dementia or neuropsychiatric disorders were recruited from predefined census sectors of an economically disadvantaged area of Sao Paulo and received structural magnetic resonance imaging scans and cognitive testing. A high proportion of individuals had very low levels of education (4 years or less, n=185; 21 with no formal education). RESULTS: The prevalence of at least one silent vascular-related cortical or subcortical lesion was 22.8% (95% confidence interval, 17.7-28.5), and the basal ganglia was the most frequently affected site (63.14% of cases). The subgroup with brain infarcts presented significantly lower levels of education than the subgroup with no brain lesions as well as significantly worse current performance in cognitive test domains, including memory and attention (p<0.002). CONCLUSIONS: Silent brain infarcts were present at a substantially high frequency in our elderly sample from an economically disadvantaged urban region and were significantly more prevalent in subjects with lower levels of education. Covert cerebrovascular disease significantly contributes to cognitive deficits, and in the absence of magnetic resonance imaging data, this cognitive impairment may be considered simply related to ageing. Emphatic attention should be paid to potentially deleterious effects of vascular brain lesions in poorly educated elderly individuals from economically disadvantaged environments.

https://doi.org/10.6061/clinics/2017(08)04 719 downloads

ANTIFUNGAL SUSCEPTIBILITY TESTING AND GENOTYPING CHARACTERIZATION OF Cryptococcus neoformans AND gattii ISOLATES FROM HIV-INFECTED PATIENTS OF RIBEIRÃO PRETO, SÃO PAULO, BRAZIL
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FIGUEIREDO, Thais Pandini

; LUCAS, Rosymar Coutinho de

; CAZZANIGA, Rodrigo Anselmo

; FRANÇA, Carolina Nunes

; SEGATO, Fernando

; TAGLIALEGNA, Rafael

; MAFFEI, Claudia Maria Leite

Revista do Instituto de Medicina Tropical de São Paulo

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2016, Volume 58 elocation 69

Abstract: En | Text: En | PDF: En

SUMMARY Cryptococcosis is a leading invasive fungal infection in immunocompromised patients. Considering the high prevalence and severity of these infections in immunocompromised patients attended at HC-FMRP-USP, the present research aimed to characterize the clinical isolates of Cryptococcus strains by biochemical and molecular methods and evaluate antifungal susceptibility of clinical isolates. Fifty isolates from 32 HIV-positive patients were obtained at HC-FMRP-USP. Most of the isolates (78.1%) were identified as C. neoformans, and 100% of C. neoformans and C. gattii strains were susceptible to amphotericin B, ketoconazole and fluconazole. All isolates were classified as serotype A (grubbii variety) by PCR and most of them were characterized in mating type MATa. PCR analysis of specific M13 microsatellite sequence revealed that VNI type was predominant among C. neoformans, while VGII was predominant among C. gattii. The strains did not show a significant resistance to the antifungals tested, and Canavanine-Glycine-Bromthymol Blue Agar (CGB) proved to be a reliable test presenting a good correlation with the molecular characterization. C. neoformans isolated from disseminated infections in the same patient showed molecular identity when different anatomical sites were compared; besides, the studied strains did not present a significant increase in resistance to antifungal agents. In addition, the homogeneity of the molecular types and detection of the mating types suggested a low possibility of crossing among the strains.

https://doi.org/10.1590/S1678-9946201658069 1524 downloads

10.

Analysis of the posterior cingulate cortex with [ 18 F]FDG-PET and Naa/mI in mild cognitive impairment and Alzheimer's disease: Correlations and differences between the two methods
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Coutinho, Artur M.N.

; Porto, Fábio H.G.

; Zampieri, Poliana F.

; Otaduy, Maria C.

; Perroco, Tíbor R.

; Oliveira, Maira O.

; Nunes, Rafael F.

; Pinheiro, Toulouse Leusin

; Bottino, Cassio M.C.

; Leite, Claudia C.

; Buchpiguel, Carlos A.

Dementia & Neuropsychologia

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dec 2015, Volume 9 N. 4 Pages 385 - 393

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

RESUMO Redução do metabolismo cerebral regional glicolítico (MRG) medido pela PET-18FDG no giro do cíngulo posterior (GCP) está relacionada a maior conversão para doença de Alzheimer (DA) em sujeitos com comprometimento cognitivo leve (CCL). Espectroscopia por ressonância magnética (MRS), um biomarcador promissor, demonstra redução de Naa/mI no GCP na DA. Raros estudos avaliam relações entre Naa/mI e MRG. OBJETIVO Avaliar diferenças e possíveis correlações entre MRG com PET-18FDG e Naa/mI por MRS no GCP de sujeitos com DA, CCL e voluntários normais. MÉTODOS Sujeitos com DA (N=32), CCL amnéstico (N=27) e voluntários idosos normais (GC, N=28), foram submetidos a PET-18FDG e análise de Naa/mI no GCP. A performance de ambos os métodos foi então comparada e verificou-se a existência de correlações entre os achados da PET e da MRS. RESULTADOS Observou-se hipometabolismo glicolítico nos pacientes com DA no GCP em relação ao GC, porém não no CCL. A MRS demonstrou valores menores de Naa/mI no CP do grupo DA em relação ao GC, porém também sem diferenças entre CCL e GC. A área sob a curva ROC demonstrou valor de 0,70 para MRS e 0,93 para o MRG no GCP para diferenciar DA do GC. Houve correlação positiva entre o MRG e o Naa/mI no GCP. CONCLUSÃO Os valores de metabolismo de glicose à PET e de Naa/mI à MRS no giro do cíngulo posterior apresentaram correlação positiva estatisticamente significante na presente amostra. Houve ainda superioridade da PET-18FDG para diferenciar DA do GC.

ABSTRACT Reduction of regional brain glucose metabolism (rBGM) measured by [18F]FDG-PET in the posterior cingulate cortex (PCC) has been associated with a higher conversion rate from mild cognitive impairment (MCI) to Alzheimer's disease (AD). Magnetic Resonance Spectroscopy (MRS) is a potential biomarker that has disclosed Naa/mI reductions within the PCC in both MCI and AD. Studies investigating the relationships between the two modalities are scarce. OBJECTIVE To evaluate differences and possible correlations between the findings of rBGM and NAA/mI in the PCC of individuals with AD, MCI and of cognitively normal volunteers. METHODS Patients diagnosed with AD (N=32) or MCI (N=27) and cognitively normal older adults (CG, N=28), were submitted to [18F]FDG-PET and MRS to analyze the PCC. The two methods were compared and possible correlations between the modalities were investigated. RESULTS The AD group exhibited rBGM reduction in the PCC when compared to the CG but not in the MCI group. MRS revealed lower NAA/mI values in the AD group compared to the CG but not in the MCI group. A positive correlation between rBGM and NAA/mI in the PCC was found. NAA/mI reduction in the PCC differentiated AD patients from control subjects with an area under the ROC curve of 0.70, while [18F]FDG-PET yielded a value of 0.93. CONCLUSION rBGM and Naa/mI in the PCC were positively correlated in patients with MCI and AD. [18F]FDG-PET had greater accuracy than MRS for discriminating AD patients from controls.

https://doi.org/10.1590/1980-57642015DN94000385 1790 downloads

11.

Antimicrobial activity of complete denture cleanser solutions based on sodium hypochlorite and Ricinus communis – a randomized clinical study
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SALLES, Marcela Moreira

; BADARÓ, Maurício Malheiros

; ARRUDA, Carolina Noronha Ferraz de

; LEITE, Vanessa Maria Fagundes

; SILVA, Cláudia Helena Lovato da

; WATANABE, Evandro

; OLIVEIRA, Viviane de Cássia

; PARANHOS, Helena de Freitas Oliveira

Journal of Applied Oral Science

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dec 2015, Volume 23 N. 6 Pages 637 - 642

Abstract: En | Text: En | PDF: En

ABSTRACT To preserve oral health and to maintain the prosthetic devices, it is important not only to improve the properties of commonly known hygiene products, but also to investigate new materials with antimicrobial action. Objectives This study evaluated the antimicrobial activity of sodium hypochlorite (0.25% and 0.50%) and 10% Ricinus communis’ solutions against specific microorganisms. Material and Methods Sixty four maxillary complete denture wearers were instructed to brush their dentures three times a day and to soak them (20 min/day) in the solutions: SH1: 0.25% sodium hypochlorite; SH2: 0.5% sodium hypochlorite; RC: 10% R. communis oil; and C: 0.85% saline (control). The solutions were used for 7 days in a randomized sequence. Following each period of use, there was a 1-week washout period. Antimicrobial activity was determined by Colony Forming Units (CFU) counts of Streptococcus mutans, Candida spp., and gram-negative microorganisms. For collecting biofilm, the internal surface of maxillary dentures was brushed with saline solution, and biofilm suspension obtained. After dilutions (100 - 10-3), aliquots were seeded in Mitis salivarius, CHROMagar Candida®, and MacConkey agar for detecting S. mutans, Candida spp., or gram-negative microorganisms, respectively. After incubation, colonies were counted, and CFU/mL values were calculated. Then, transformation - log10 (CFU+1) - data were analyzed using the Friedman test (α=0.05). Results showed significant differences between the solutions (p<0.001). Results All three solutions showed antimicrobial activity against S. mutans. Against Candida spp., RC and SH1 solutions showed similar effect while SH2 showed superior activity. SH1 and SH2 solutions showed antimicrobial action against gram-negative microorganisms. The Candida species most frequently isolated was C. albicans, followed by C. tropicalis and C. glabrata. Conclusions The 0.5% sodium hypochlorite solution was the most effective and might be used to control denture biofilm. C. albicans was the most frequently isolated Candida sp.

https://doi.org/10.1590/1678-775720150204 2913 downloads

12.

Anthelmintic activity of Cymbopogon citratus against Haemonchus contortus
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Macedo, Iara Tersia Freitas

; Oliveira, Lorena Mayana Beserra de

; Ribeiro, Wesley Lyeverton Correia

; Santos, Jessica Maria Leite dos

; Silva, Kaline das Chagas

; Araújo Filho, José Vilemar de

; Camurça-Vasconcelos, Ana Lourdes Fernandes

; Bevilaqua, Claudia Maria Leal

Revista Brasileira de Parasitologia Veterinária

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sep 2015, Volume 24 N. 3 Pages 268 - 275

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

O parasitismo por nematoides tem grande importância econômica no rebanho. Uma alternativa para o controle de parasitas é a fitoterapia. Este estudo avaliou a eficácia do decocto de Cymbopogon citratus (DCc), do óleo essencial de C. citratus (OECc) e do citral contra Haemonchus contortus utilizando o teste in vitro de eclosão dos ovos (TEO) e o teste de desenvolvimento larval (TDL) e um teste in vivo com modelo Meriones unguiculatus (gerbil). O efeito de 800 mg/kg de OECc foi avaliado em gerbils infectados artificialmente com 5000 larvas de terceira fase de H. contortus. As concentrações efetivas necessárias para inibir 50% (CE50) da eclosão dos ovos foram 0,46; 0,14 e 0,13 mg/mL para DCc, OECc e citral, respectivamente. Os valores da CE50 no TDL foram de 5,04; 1,92 e 1,37 mg/mL para DCc, OECc e citral, respectivamente. No grupo tratado com óleo de C. citratus a população H. contortus foi reduzida em 38,5% (P < 0,05) em comparação com o grupo controle. Estes resultados sugerem que pode ser possível a utilização de óleo essencial de C. citratus para controle de H. contortus, parasita de pequenos ruminantes.

Parasitic nematodes are of major economic importance in livestock. An alternative for the control of parasites is phytotherapy. This study evaluated the efficacy of Cymbopogon citratus decoction (CcD), C. citratus essential oil (CcEo) and citral against Haemonchus contortus using in vitro egg hatch test (EHT) and larval development test (LDT) and an in vivo test using a Meriones unguiculatus (gerbil) model. The effect of 800 mg/kg CcEo was evaluated in gerbils that had been artificially infected with 5,000 third-stage H. contortus larvae. The effective concentrations required to inhibit 50% (EC50) of egg hatching were 0.46, 0.14 and 0.13 mg/mL for CcD, CcEo and citral, respectively. The EC50 values in the LDT were 5.04, 1.92 and 1.37 mg/mL for CcD, CcEo and citral, respectively. H. contortus population in the group treated with C. citratus essential oil was reduced by 38.5% (P< 0.05) in comparison to the control group. These results suggest that it may be possible to use C. citratusessential oil to control of H. contortus parasite of small ruminant.

https://doi.org/10.1590/S1984-29612015059 4329 downloads

13.

Association between adiposity indicators, metabolic parameters and inflammatory markers in a sample of female adolescents
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Coutinho, Priscilla Rizental

; Leite, Neiva

; Lopes, Wendell Arthur

; Silva, Larissa Rosa da

; Consentino, Cássio M.

; Araújo, Cristiane T.

; Moraes Jr., Frederico B.

; Jesus, Incare C.

; Cavaglieri, Cláudia Regina

; Radominski, Rosana Bento

Archives of Endocrinology and Metabolism

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aug 2015, Volume 59 N. 4 Pages 325 - 334

Abstract: En | Text: En | PDF: En

Objective The aim of this study was to investigate the association between total and abdominal adiposity with metabolic parameters and inflammatory markers, in female adolescents.Subjects and methods The sample consisted of 53 adolescents aged 13 to 17 years from a public school in Curitiba, Brazil. The adiposity indicators studied were body mass index (BMI), waist circumference (WC), trunk fat mass (TKFM), total fat mass (TFM) and body fat percentage (BF%) measured by dual-energy X-ray absorptiometry. The metabolic and inflammatory parameters studied were systolic blood pressure (SBP), diastolic blood pressure (DBP), glucose, insulin, homeostasis model assessment index for insulin resistance (HOMA-IR), lipids, C-reactive protein (CRP), interleukin-6 (IL-6), tumor necrosis factor alpha (TNF-α), leptin, adiponectin and resistin.Results Eighty percent of WC variation, 87% of TKFM and TFM, and 73% of BF% were predicted by BMI variation. There was a significant positive correlation between all indicators of adiposity with SBP, DBP, insulin, HOMA-IR, CRP and leptin. Triglycerides were positively correlated with BMI and WC, and adiponectin correlated negatively with BMI. TNF-α, IL-6, glucose, total cholesterol, and high- and low-density lipoprotein cholesterol did not correlate to the studied variables.Conclusion BMI showed a significant association with most of the parameters studied, and WC was slightly better than BMI to predict insulin resistance in this specific population.

https://doi.org/10.1590/2359-3997000000070 2355 downloads

14.

Avaliação audiológica comportamental e eletrofisiológica no transtorno do espectro do autismo
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Romero, Ana Carla Leite

; Gução, Ana Cláudia Bianco

; Delecrode, Camila Ribas

; Cardoso, Ana Cláudia Vieira

; Misquiatti, Andréa Regina Nunes

; Frizzo, Ana Claudia Figueiredo

Revista CEFAC

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jun 2014, Volume 16 N. 3 Pages 707 - 714

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

Objetivo descrever os achados das avaliações audiológicas comportamentais e eletrofisiológicas de pacientes com diagnóstico de transtorno do espectro do autismo. Métodos estudo descritivo, de coorte contemporânea com corte transversal, composto por nove pacientes com diagnóstico de transtorno do espectro do autismo, submetidos a avaliação comportamental e eletrofisiológica da audição. Os resultados foram analisados por meio de estatística descritiva. Resultados todos os pacientes avaliados apresentaram limiares audiométricos dentro dos padrões de normalidade. Oito pacientes apresentaram curva timpanométrica do tipo A, e um do tipo C. Observou-se emissões otoacústicas por produto de distorção presentes em todos os pacientes avaliados. Os resultados do potencial evocado auditivo de tronco encefálico demonstraram integridade das vias auditiva. Conclusão a população estudada apresentou resultados compatíveis com a normalidade tanto na avaliação comportamental como na avaliação eletrofisiológica da audição. Pelo fato de não haver consenso, na literatura especializada, quanto aos achados audiológicos nesta população, principalmente no que se refere à avaliação eletrofisiológica do processamento auditivo, sugere-se a realização de novos estudos.

Purpose to describe the audiological and electrophysiological findings of a group of patients with autistic spectrum disorder. Methods this is a cross-sectional descriptive study. Nine patients with autistic spectrum disorder participated in these study and it was performed the audiological and electrophysiological evaluation. Results were expressed as descriptive statistics. Results all patients presented audiometric threshold within normal standards. Eight patients had type A tympanogram and one had type C. It was observed the presence of distortion product otoacoustic emission responses in all patients. The results of brainstem auditory evoked responses indicated the integrity of auditory pathways. Conclusion the population studied showed results consistent with normality in behavioral and electrophysiological assessment of hearing. Because there is no consensus, in specialty literature, regarding the audiological findings in this population, particularly with regard to electrophysiological assessment of auditory processing, we would like to suggest the performance of new studies.

https://doi.org/10.1590/1982-021620140313 7493 downloads

15.

Endothelial wall thickness, cardiorespiratory fitness and inflammatory markers in obese and non-obese adolescents
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Silva, Larissa R.

; Cavaglieri, Cláudia

; Lopes, Wendell A.

; Pizzi, Juliana

; Coelho-e-Silva, Manuel J. C.

; Leite, Neiva

Brazilian Journal of Physical Therapy

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mar 2014, Volume 18 N. 1 Pages 47 - 55

Abstract: En | Text: En | PDF: En

Background: Increased carotid intima-media thickness (c-IMT) is considered a marker of early-onset atherosclerosis and it has been found in obese children and adolescents, but the risk factors associated with this population remain to be elucidated. Objective : To compare and verify the relationship between c-IMT, metabolic profile, inflammatory markers, and cardiorespiratory fitness in obese and non-obese children and adolescents. Method : Thirty-five obese subjects (19 boys) and 18 non-obese subjects (9 boys), aged 10-16 years, were included. Anthropometry, body composition, blood pressure, maximal oxygen consumption (VO2max), and basal metabolic rate were evaluated. Serum glucose, insulin, homeostasis model assessment of insulin resistance (HOMA-IR), blood lipids, C-reactive protein (CRP), and adiponectin were assessed. c-IMT was measured by ultrasound. Results: The results showed that c-IMT, triglycerides, insulin, HOMA-IR, and CRP values were significantly higher in the obese group than in the non-obese group, and high-density lipoprotein cholesterol (HDL-c), adiponectin, and VO2max values were significantly lower in the obese group than in the non-obese group. The c-IMT was directly correlated with body weight, waist circumference, % body fat, and HOMA-IR and inversely correlated with % free fat mass, HDL-c, and VO2max. Conclusions : Our findings show that c-IMT correlates not only with body composition, lipids, insulin resistance, and inflammation but also with low VO2max values in children and adolescents.

https://doi.org/10.1590/S1413-35552012005000133 2174 downloads

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