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[SciELO Preprints] - Guidelines on the Diagnosis and Treatment of Hypertrophic Cardiomyopathy – 2024
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Fernandes, Fabio Simões, Marcus V. Correia, Edileide de Barros Marcondes-Braga, Fabiana G. Coelho-Filho, Otavio Rizzi Mesquita, Cláudio Tinoco Mathias-Junior, Wilson Rochitte, Carlos Eduardo Ramires, Felix José Alvarez Alves, Silvia Marinho Martins Montera, Marcelo Westerlund Lopes, Renato Delascio Oliveira-Junior, Mucio Tavares Scolari, Fernando L. Avila, Walkiria Samuel Canesin, Manoel Fernandes Bacal, Fernando Bocchi, Edimar Alcides Moura, Lídia Ana Zytynski Saad, Eduardo Benchimol Scanavacca, Mauricio I. Valdigem, Bruno Pereira Cano , Manuel Nicolas Abizaid , Alexandre Ribeiro, Henrique Barbosa Lemos-Neto, Pedro Alves Ribeiro, Gustavo Calado de Aguiar Jatene, Fabio Biscegli Dias, Ricardo Ribeiro Beck-da-Silva, Luis Rohde, Luis Eduardo P. Bittencourt, Marcelo Imbroinise Pereira, Alexandre Krieger, José Eduardo Villacorta, Humberto Martins, Wolney de Andrade Figueiredo-Neto, José Albuquerque de Cardoso , Juliano Novaes Pastore, Carlos Alberto Jatene, Ieda Biscegli Tanaka, Ana Cristina Sayuri Hotta, Viviane Tiemi Romano, Minna Moreira Dias Albuquerque, Denilson Campos de Mourilhe-Rocha, Ricardo Hajjar, Ludhmila Abrahão Brito, Fabio Sandoli de Caramelli , Bruno Calderaro, Daniela Farsky, Pedro Silvio Colafranceschi , Alexandre Siciliano Pinto, Ibraim Masciarelli Vieira , Marcelo Luiz Campos Danzmann, Luiz Claudio Barberato , Silvio Henrique Mady, Charles Martinelli-Filho, Martino Torbey , Ana Flavia Malheiros Schwartzmann, Pedro Vellosa Macedo, Ariane Vieira Scarlatelli Ferreira , Silvia Moreira Ayub Schmidt, Andre Melo , Marcelo Dantas Tavares de Lima-Filho, Moysés Oliveira Sposito, Andrei C. Brito, Flavio de Souza Biolo, Andreia Madrini-Junior, Vagner Rizk, Stéphanie Itala Mesquita, Evandro Tinoco

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Data de publicação: 2024-04-08

Resumo: Pt Es En

A cardiomiopatia hipertrófica (CMH) é uma forma de doença do músculo cardíaco de causa genética, caracterizada pela hipertrofia das paredes ventriculares. O diagnóstico requer detecção por métodos de imagem (Ecocardiograma ou Ressonância Magnética Cardíaca) de qualquer segmento da parede do ventrículo esquerdo com espessura > 15 mm, sem outra causa provável. A análise genética permite identificar mutações de genes codificantes de diferentes estruturas do sarcômero responsáveis pelo desenvolvimento da CMH em cerca de 60% dos casos, permitindo o rastreio de familiares e aconselhamento genético, como parte importante do manejo dos pacientes e familiares. Vários conceitos sobre a CMH foram recentemente revistos, incluindo sua prevalência de 1 em 250 indivíduos, não sendo, portanto, uma doença rara, mas subdiagnosticada. A vasta maioria dos pacientes é assintomática. Naqueles sintomáticos, a obstrução do trato de saída do ventrículo esquerdo (OTSVE) é o principal distúrbio responsável pelos sintomas, devendo-se investigar a sua presença em todos os casos. Naqueles em que o ecocardiograma em repouso ou com Manobra de Valsalva não detecta gradiente intraventricular significativo (> 30 mmHg), devem ser submetidos à ecocardiografia com esforço físico para detecção da OTSVE.   Pacientes com sintomas limitantes e grave OTSVE, refratários ao uso de betabloqueadores e verapamil, devem receber terapias de redução septal ou uso de novas drogas inibidoras da miosina cardíaca. Por fim, os pacientes adequadamente identificados com risco aumentado de morta súbita podem receber medida profilática com implante de cardiodesfibrilador implantável (CDI).

La miocardiopatía hipertrófica (MCH) es una forma de enfermedad cardíaca de origen genético, caracterizada por el engrosamiento de las paredes ventriculares. El diagnóstico requiere la detección mediante métodos de imagen (Ecocardiograma o Resonancia Magnética Cardíaca) que muestren algún segmento de la pared ventricular izquierda con un grosor > 15 mm, sin otra causa probable. El análisis genético permite identificar mutaciones en genes que codifican diferentes estructuras del sarcómero responsables del desarrollo de la MCH en aproximadamente el 60% de los casos, lo que permite el tamizaje de familiares y el asesoramiento genético, como parte importante del manejo de pacientes y familiares. Varios conceptos sobre la MCH han sido revisados recientemente, incluida su prevalencia de 1 entre 250 individuos, por lo tanto, no es una enfermedad rara, sino subdiagnosticada. La gran mayoría de los pacientes son asintomáticos. En los casos sintomáticos, la obstrucción del tracto de salida ventricular izquierdo (TSVI) es el trastorno principal responsable de los síntomas, y su presencia debe investigarse en todos los casos. En aquellos en los que el ecocardiograma en reposo o la maniobra de Valsalva no detecta un gradiente intraventricular significativo (> 30 mmHg), deben someterse a ecocardiografía de esfuerzo para detectar la obstrucción del TSVI. Los pacientes con síntomas limitantes y obstrucción grave del TSVI, refractarios al uso de betabloqueantes y verapamilo, deben recibir terapias de reducción septal o usar nuevos medicamentos inhibidores de la miosina cardíaca. Finalmente, los pacientes adecuadamente identificados con un riesgo aumentado de muerte súbita pueden recibir medidas profilácticas con el implante de un cardioversor-desfibrilador implantable (CDI).

Hypertrophic cardiomyopathy (HCM) is a form of genetically caused heart muscle disease, characterized by the thickening of the ventricular walls. Diagnosis requires detection through imaging methods (Echocardiogram or Cardiac Magnetic Resonance) showing any segment of the left ventricular wall with a thickness > 15 mm, without any other probable cause. Genetic analysis allows the identification of mutations in genes encoding different structures of the sarcomere responsible for the development of HCM in about 60% of cases, enabling screening of family members and genetic counseling, as an important part of patient and family management. Several concepts about HCM have recently been reviewed, including its prevalence of 1 in 250 individuals, hence not a rare but rather underdiagnosed disease. The vast majority of patients are asymptomatic. In symptomatic cases, obstruction of the left ventricular outflow tract (LVOT) is the primary disorder responsible for symptoms, and its presence should be investigated in all cases. In those where resting echocardiogram or Valsalva maneuver does not detect significant intraventricular gradient (> 30 mmHg), they should undergo stress echocardiography to detect LVOT obstruction. Patients with limiting symptoms and severe LVOT obstruction, refractory to beta-blockers and verapamil, should receive septal reduction therapies or use new drugs inhibiting cardiac myosin. Finally, appropriately identified patients at increased risk of sudden death may receive prophylactic measure with implantable cardioverter-defibrillator (ICD) implantation.

https://doi.org/10.1590/SciELOPreprints.8394

Enhanced Larvicidal Activity of New 1,2,4-Oxadiazoles against Aedes aegypti Mosquitos: QSAR and Docking Studies
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Silva, Aluízio G. da

; Navarro, Daniela Maria A. F.

; Santos, Geanne K. N.

; Aguiar, Júlio César R. O. F. de

; França, Karla A. de

; Tébéka, Iris Raquel M.

; Anjos, Janaína V. dos

; Silva, João Bosco P. da

; Kanis, Luiz A.

; Srivastava, Rajendra M.

; Neves Filho, Ricardo Antônio W.

; Ramos, Mozart N.

Journal of the Brazilian Chemical Society

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Mar 2023, Volume 34 Nº 3 Páginas 333 - 345

Resumo: En | Texto: En | PDF: En

The worldwide emergence of viral diseases such as Zika, Dengue, Chikungunya, West Nile and Yellow Fever urge the search for solutions to eliminate their common vector, the Aedes aegypti mosquito. This paper describes the quantitative structure-activity relationship (QSAR) and docking studies of a series of nine 3-(3-aryl-1,2,4-oxadiazol-5-yl)propionic acids (AOPA), 1-9, previously published by our group. Additionally, three new 1,2,4-oxadiazoles, 10-12, have also been synthesized, characterized and studied. The QSAR and docking studies of all compounds, 1-12, clearly indicate that larger hydrophobic substituents such as biphenyl groups attached on position 3 in 1,2,4-oxadiazoles improve the larvicidal activity. It is worthwhile to mention that nanocapsulation of compounds 10-12 were necessary to help their dissolution in water and these three new 1,2,4-oxadiazoles also exhibited approximately equal or higher larvicidal activities compared to the former prototypes at stage L4.

https://doi.org/10.21577/0103-5053.20220112

A novel interlamellar oral mucosa graft surgery technique using fibrin glue for the treatment of trichiasis
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Binotti, William W.

; Aguiar, Ana Carla B. de

; Barbosa, Aline A.

; Burnier, Sergio V.

Arquivos Brasileiros de Oftalmologia

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Fev 2023, Volume 86 Nº 1 Páginas 52 - 59

Resumo: En Pt | Texto: En Pt | PDF: En | PDF: Pt

ABSTRACT Purpose: The purpose of this study was to evaluate the long-term outcomes of patients with trichiasis treated with a modified interlamellar oral mucosa graft surgery technique using fibrin glue. Methods: A prospective study was conducted at the Oculoplastic Department of Ouro Verde Hospital Complex. Patients with recurrent trichiasis without entropion who did not respond to conventional therapy, underwent intermarginal lamellar splitting of the eyelid and oral mucous graft insertion with fibrin glue replacing sutures. They were then evaluated at 1-day, 1-week, 1-month, 6-month, and 4-year follow-ups. Graft adherence, symptom resolution, esthetic satisfaction, overall patient satisfaction, and trichiasis recurrence were assessed at 6-month and 4-year follow-ups. Results: Fifteen patients (a total of 19 eyes) were included, of whom 10 (66.7%) were female and 5 (33.3%) were male. The mean age was 75.4 ± 10.5 years (range, 54-98 years). Acquired trichiasis was the main cause. Of the patients with acquired trichiasis, 12 (86.7%) had chronic blepharitis, 2 (13.3%) had an undetermined cause, and one (6.7%) had trachomatous trichiasis. Most cases involved only one eyelid segment (89.4%) and =5 lashes (84.2%; minor trichiasis). No adverse reactions from the fibrin glue were reported and no sutures were required after graft placement. At 6 months, no graft failures occurred, 17 eyes of 13 patients (89.4%) showed good graft adherence, 2 eyes of 2 patients (10.5%) showed partial graft adherence, and 2 eyes of 1 patient (10.5%) had trichiasis recurrence. At 4-year follow-up, no graft failure occurred, 3 patients (3 eyes) were lost to follow-up, and 2 eyes of 2 patients (14.2%) had trichiasis recurrence. The 4-year cumulative success rate was 78.9%. Conclusions: The modified interlamellar surgery with fibrin glue showed a good long-term success rate. This technique reduces surgical time, facilitates smaller graft insertion, and therefore, should be considered for recalcitrant minor trichiasis without entropion.>

RESUMO Objetivo: O objetivo deste estudo foi avaliar os resultados a longo prazo da técnica cirúrgica modificada de enxerto interlamelar de mucosa oral usando cola de fibrina para o tratamento de triquíase. Métodos: Um estudo prospectivo foi realizado no Departamento de Óculo-plástica do Complexo Hospital Ouro Verde. Pacientes com triquíase recorrente sem entrópio, que não responderam à terapia convencional, foram submetidos à cirurgia com separação intermarginal das lamelas das pálpebras e inserção de enxerto de mucosa oral usando cola de fibrina, substituindo a sutura. Pacientes foram avaliados 1 dia, 7 dias, 1 mês, 6 meses e 4 anos após a cirurgia. A aderência do enxerto, resolução dos sintomas, satisfação estética, satisfação geral do paciente e recorrência de triquíase foram avaliados aos 6 meses e aos 4 anos. Resultados: Quinze pacientes (total de 19 olhos) foram incluídos, dos quais 10 (66.7%) eram do sexo feminino e 5 (33.3%) do sexo masculino. A média de idade foi 75.4 ± 10.5 anos (intervalo 54-98 anos). Triquíase adquirida foi a principal causa, da qual 12 pacientes apresentaram blefarite crônica (86.7%), 2 pacientes com causa indeterminada (13.3%) e 1 paciente com triquíase tracomatosa (6.7%). A maioria dos casos envolveu apenas um segmento da pálpebra (89.4%) e com =5 cílios (84.2%; triquíase menor). Nenhuma reação adversa foi reportada com o uso da cola de fibrina e nenhum caso necessitou de sutura após inserção do enxerto. Aos 6 meses, não houve nenhuma falha de enxerto, 17 olhos de 13 pacientes (89.4%) apresentaram boa aderência de enxerto, 2 olhos de 2 pacientes (10.5%) mostraram aderência parcial do enxerto e 2 olhos de 1 paciente (10.5%) apresentaram recorrência da triquíase. Aos 4 anos, não houve nenhuma falha de enxerto, 3 olhos de 3 pacientes tiveram perda de seguimento e 2 olhos de 2 pacientes (14.2%) apresentaram recorrência da triquíase. A taxa de sucesso acumulativa após 4 anos foi de 78.9%. Conclusão: A cirurgia modificada de enxerto interlamelar de mucosa oral usando cola de fibrina mostrou uma boa taxa de sucesso a longo prazo. Esta técnica reduz o tempo cirúrgico, facilita a inserção de enxertos menores e, portanto, deve ser considerada em triquíase menor sem entrópio resistente ao tratamento convencional.

https://doi.org/10.5935/0004-2749.20230010

Predictive factors for the diagnosis of permanent congenital hypothyroidism and its temporal changes in Sergipe, Brazil – A real-life retrospective study
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Gumes-Felix, Hérika M.

; Ramalho, Roberto J. R.

; Melo, Enaldo V.

; Matos, Diana M.

; Menezes, Nelmo V.

; Oliveira, Carla R. P.

; Campos, Viviane C.

; Santos, Elenilde G.

; Marques, Daniela da S.

; Santos, Brenda Vaz dos

; Andrade, Bruna M. R. de

; Aguiar-Oliveira, Manuel H.

Archives of Endocrinology and Metabolism

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2023, Volume 67 Nº 2 Páginas 189 - 196

Resumo: En | Texto: En | PDF: En

ABSTRACT Objectives: Congenital hypothyroidism (CH) can be permanent (PCH) or transient (TCH). While the importance of thyroxine in myelination of the brain is undisputed, the benefits to neurodevelopmental outcomes of TCH treatment are controversial. Our objectives were to determine predictive factors for PCH and verify its prevalence changes over time. Subjects and methods: A total of 165 children were evaluated at 3 years of age to verify the diagnosis of PCH. 130 were submitted to a two-step cluster analysis, with the aim of grouping them into homogeneous clusters. The mean incidence of PCH and TCH was calculated from 2004 to 2010 and 2011 to 2015. Results: Sixty-six children were diagnosed with PCH, and 99 were diagnosed with TCH. Eighty-one percent of PCH children and all TCH children with thyroid imaging had glands in situ. Eighty children (61.5%) were in Cluster 1, 8 children (6.2%) were in Cluster 2 and 42 children (32.3%) were in Cluster 3. No children had PCH in Cluster 1, while 87.5% of children in Cluster 2 and all children in Cluster 3 had PCH. The most important predictor for PCH was the initial serum TSH, which was marginally higher in importance than the blood spot TSH, followed by the initial serum free T4. The mean incidence of PCH (odds ratio: 1.95, 95% CI 1.36 to 2.95, p < 0.0001) and TCH (odds ratio 1.33, 95%, CI 1.02 to 1.77, p = 0,038) increased over time. Conclusions: The most important PCH predictors are the initial serum TSH and the blood spot TSH. The mean incidence of both PCH and TCH in our series increased.

https://doi.org/10.20945/2359-3997000000579

4-amino-2-phenyl-6-(p-fluorophenyl)-5-carbonitrile-pyrimidine-bis-substituted-loaded liposomes as promising system for cancer treatment
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OLIVEIRA, JANICE V.

; ALMEIDA, GLEYBSON C.

; NOGUEIRA, MARIANE C.B.L.

; AGUIAR JÚNIOR, FRANCISCO C.A.

; MELO, AUDENES O.

; SILVA, THIAGO D.S.

; SANTOS, NOEMIA P.S.

; MAGALHÃES, NEREIDE S.S.

; MELO, SEBASTIÃO J.

; FALCÃO, EMERSON P.S.

Anais da Academia Brasileira de Ciências

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2023, Volume 95 Supl. 1 elocation e20211078

Resumo: En | Texto: En | PDF: En

Abstract The aim of the present study was to perform in vitro and in vivo assessments of the antineoplastic action of 4-amino-pyrimidine encapsulated in liposomes. Liposomes were prepared and characterized for particle size and drug encapsulation and submitted to long-term stability tests. Cytotoxicity assays were performed in HeLa cells. Antineoplastic activity was investigated using the experimental sarcoma 180 tumor in Swiss albino mice. Encapsulation efficiency was 82.93 ± 0.04% and no significant changes were found with respect to particle size or pH after centrifugation and mechanical agitation tests. The in vitro results at concentration of 20 μg/mL indicated a considerable reduction in cell viability after treatment with encapsulated pyrimidine (75.91%). The in vivo assays using the compounds in encapsulated and free forms and 5-fluorouracil achieved tumor inhibition rates of 66.47 ± 26.8%, 50.46 ± 16.24% and 14.47 ± 9.22%, respectively. Mitotic counts demonstrated a greater reduction in the number of mitoses in animals treated with liposomal pyrimidine (32.15%) compared to those treated with the pyrimidine free (87.69%) and 5-fluorouracil (71.39%). This study demonstrated that the development of liposome formulations containing 4-amino-pyrimidine is a promising alternative for overcoming limitations related to the toxicity of current cancer treatment, ensuring greater therapeutic efficacy.

https://doi.org/10.1590/0001-3765202320211078

Pandemia por COVID-19: evolución de la enfermedad y mortalidad de pacientes internados en relación a la vacunación
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Marino, Cristian

; Hafner, Maximiliano

; Baldini, Matias

; Díaz Aguiar, Pablo

; Mariño, Gustavo A.

; Carro, Gabriela V.

Medicina (Buenos Aires)

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Dez 2022, Volume 82 Nº 6 Páginas 822 - 829

Resumo: En Es | Texto: En Es | PDF: En | PDF: Es

Abstract Introduction: Different COVID-19 vaccines were developed in a short time after the beginning of pandemics, reducing mortality, especially in high risk population. This was demonstrated in several studies, mostly retrospective or based in mathematical models. The objective was to compare mortality in inpatients with COVID-19 related to vaccination. Methods: Longitudinal, prospective, comparative, observational study. Inpatients with COVID-19 diagnosis were included between 17/12/2021 and 23/02/22, in Hospital Nacional Prof. A Posadas and Hospital Interzonal General de Agudos Eva Perón. Results: Inpatients (245) were analyzed, finding an overall mortality of 25.3%, 16.8% in fully vaccinated patients (two or more doses with less than 150 days since the last dose until the COVID-19 test) and 31.9% in those with incomplete vaccination (unvaccinated, one dose or two or more doses with more than 150 days since the last dose) (p = 0.007), OR 2.31 (IC95; 1.25-4.28) for incomplete vaccination. Mortality was 32.2% in patients who developed pneumonia, 22.2% for fully vaccinated and 38% for incompletely vaccinated (p = 0.048), OR 2.15(IC95; 1.01-4.58). Mortality was associated with older age (70 vs. 59 years; p < 0.001), female sex (54.8% vs. 37.7%; p < 0.02) and oncologic disease (27.4 vs. 14.8%; p = 0.02). PESI score was higher in incompletely vaccinated (102.5 vs. 93, p = 0.05) and SOFA score was lower (2 vs. 3, p = 0.01). The necessary number to treat (NNT) to prevent one death was 7 patients for the overall sample (IC95;4-22) and 6 (IC95;3-106) for pneumonia. Discussion: This study constitutes a starting point for develop ing other investigations and raising awareness of medical community and people about the beneficial effects of vaccination.

Resumen Introducción: Luego del inicio de la pandemia por COVID-19, se desarrollaron diferentes vacunas, disminuyendo la mortalidad según estudios retrospectivos o con modelos de cálculo. El objetivo fue comparar la mortalidad de pacientes internados con diagnóstico de COVID-19 según su vacunación. Métodos: Es tudio comparativo observacional longitudinal. Se incluyeron pacientes internados con COVID-19 del 17/12/21 al 23/02/2022 en el Hospital Nacional Prof. A Posadas y en el Hospital Interzonal General de Agudos Eva Perón. Resultados: Se analizaron 245 pacientes hallando una mortalidad total del 25.3%, 16.8% en aquellos con vacu nación completa (2 dosis o más y menos de 150 días desde la última) y 31.9% con vacunación incompleta (no vacunados, 1 o 2 dosis y más de 150 días desde la última) (p = 0.007), OR 2.31(IC95; 1.25-4.28). En aquellos con neumonía, la mortalidad fue del 32.2%, 22.2% con vacunación completa y 38% con vacunación incompleta (p = 0.048), OR 2.15(IC95; 1.01-4.58. La mortalidad se asoció a mayor edad (70 vs. 59 años; p < 0.001), sexo femenino (54.8% vs. 37.7%; p < 0.02) y enfermedad oncológica (27.4 vs. 14.8%; p = 0.02). El PESI score fue mayor en aquellos con vacunación incompleta (102.5 vs. 93, p = 0.05) y el SOFA score fue menor (2 vs. 3, p = 0.01). El número necesario a tratar (NNT) para evitar una muerte fue de 7 pacientes para el total de la muestra (IC95; 4-22) y 6 (IC95;3-106) para aquellos con neumonía. Discusión: Este trabajo constituye un punto de partida de nuevas investigaciones, contribuyendo a la concientización acerca de los efectos beneficiosos de la vacunación en profesionales y pacientes.

Mercury bioaccumulation, genotoxic and biochemical biomarkers reveal the health status of yellow-spotted Amazon River turtles (Podocnemis unifilis) in an environmental protection area in the Amazon
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BORGES, Ândrocles Oliveira

; ERICKSON, José

; SILVA, Lídia Aguiar da

; FANTIN, Cleiton

; DOMINGOS-MOREIRA, Fabíola X. V.

Acta Amazonica

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Set 2022, Volume 52 Nº 3 Páginas 254 - 263

Resumo: Pt En | Texto: Pt En | PDF: Pt | PDF: En

RESUMO Quelônios são considerados bons bioindicadores da qualidade ambiental. A avaliação do estado de saúde de populações de quelônios na Amazônia também é importante porque estes animais são tradicionalmente consumidos em grandes quantidades em comunidades ribeirinhas e em reservas de uso sustentável. O presente estudo avaliou a saúde de Podocnemis unifilis (Testudines, Podocnemididae) em uma área de proteção ambiental da Amazônia no Brasil. Analisamos lipoperoxidação, carbonilação de proteínas, ocorrência de micronúcleos e anormalidades nucleares eritrocíticas, quantificamos metalotioneínas, e avaliamos a bioacumulação de mercúrio. Geramos dados pioneiros sobre biomarcadores em quelônios de água doce amazônicos silvestres. Todas as respostas aos biomarcadores não variaram significativamente entre os sexos. A ocorrência de danos oxidativos e genotóxicos, bem como as concentrações de metalotioneínas foram baixas em comparação a outros estudos. Adicionalmente, a bioacumulação de mercúrio no músculo dos animais ficou abaixo dos limites recomendados para consumo humano pela Organização Mundial de Saúde. Nossos resultados constituem um conjunto de dados de referência para bioacumulação de mercúrio e respostas de biomarcadores que podem ser úteis para futuras comparações com outros quelônios de água doce. Os dados também fornecem evidências de que a exploração sustentável desses quelônios na área de estudo (Reserva de Desenvolvimento Sustentável Piagaçu-Purus) não apresenta risco às comunidades ribeirinhas locais, já que as concentrações de mercúrio detectadas são seguras para o consumo humano. Nesse sentido, nossos resultados evidenciam a importância das áreas protegidas para a conservação de populações saudáveis de quelônios, concomitantemente assegurando a saúde das populações humanas que os utilizam como fonte alimentar.

ABSTRACT Chelonians are considered good bioindicators of environmental quality. The assessment of the health status of chelonian populations in the Amazon is important because they are traditionally consumed in large numbers in riverine communities and sustainable use reserves. The present study aimed to evaluate the health of Podocnemis unifilis (Testudines, Podocnemididae) in an environmental protection area in the Amazon region in Brazil. We analyzed the biomarkers lipoperoxidation, carbonylation of proteins, occurrence of micronuclei and erythrocytic nuclear abnormalities, quantified metallothioneins, and evaluated mercury bioaccumulation. We generated pioneering data regarding biomarkers in wild Amazonian freshwater turtles. All biomarker responses did not vary significantly between the sexes. The occurrence of oxidative and genotoxic damage, as well as concentrations of metallothioneins was low compared to other studies. In addition, the bioaccumulation of mercury in the muscle of the animals was below the limit recommended for human consumption by the World Health Organization. Our results provide baseline data on mercury bioaccumulation and biomarker responses that can be useful for future comparisons with other freshwater turtles. The data also provide evidence that the sustainable exploitation of these turtles in the study area (Piagaçu-Purus Sustainable Development Reserve) does not pose a risk to local riverine communities, as the detected mercury concentrations are safe for human consumption. In this sense, our results highlight the importance of protected areas for the conservation of healthy turtle populations, at the same time ensuring the health of the human populations that use them as a food resource.

https://doi.org/10.1590/1809-4392202201230

Influencia de la interferencia electromagnetica sobre la señal del AUDIX V
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Díaz Roller, Yenisel

; Aguiar Ramos, Iosvany

; Carvajal de la Osa, Janet

; Pérez Almirall, Ignat

; Castro Fernández, Miguel

; Martínez, María Elena

Ingeniería Energética

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Ago 2022, Volume 43 Nº 2 Páginas 27 - 35

Resumo: En Es | Texto: En Es | PDF: En | PDF: Es

ABSTRACT The electrical network is one of the least detected sources of electromagnetic interference, but it causes adverse effects on the medical equipment that is in its radius of action. The objective of this work is to analyze the effect of the magnetic field on the signal emitted by the Audix V equipment. A magnetic field generator, a gaussmeter, a signal simulator and an Audix equipment were transmitted. The research was carried out, following a methodology developed from different methods found in the literature. Screenshots of the signals emitted by the Audix V with visible influence on the parameters that characterize it were obtained by applying field values even below the 3.77 µT allowed by the IEC. It was concluded that there may be an error in the diagnosis due to the deformation caused by the electromagnetic field on the characteristics of the signal.

RESUMEN La red eléctrica es una de las fuentes de interferencia electromagnética menos detectadas, pero provoca efectos adversos sobre el equipo médico que se encuentre en su radio de acción. El objetivo de este trabajo es analizar el efecto del campo magnético sobre la señal emitida por el equipo Audix V. Se utilizó un generador de campo magnético, un gaussímetro, un simulador de señales y un equipo Audix. La investigación se llevó a cabo, siguiendo una metodología desarrollada a partir de diferentes métodos encontrados en la literatura. Se obtuvieron capturas de pantalla de las señales emitidas por el Audix V con influencia visible en los parámetros que lo caracterizan al aplicar valores de campo incluso por debajo de los 3,77 µT permitidos por la IEC. Se concluyó que puede haber error en el diagnóstico debido a la deformación que provoca el campo electromagnético sobre las características de la señal.

Art and science: impact of semioccluded vocal tract exercises and choral singing on quality of life in subjects with congenital GH deficiency
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Andrade, Bruna M. R. de

; Valença, Eugenia H. O.

; Salvatori, Roberto

; Oliveira Neto, Luiz A.

; Souza, Anita H. O.

; Oliveira, Alaíde H. A.

; Oliveira, Mario C.P.

; Melo, Enaldo V.

; Carvalho, Susana de

; Sales, Neuza J

; Monteiro, Gisane C.

; Lima, José Marcel de

; Annunziato, Marcos Felipe Harder

; Mannis, Guilherme Daniel Breternitz

; Souza, Lucas E. de A.

; Goes, Yasmin D.

; Carvalho, Thayza S.

; Farias, Celiane de

; Santos, Michela P. dos

; Cardoso, Gabriela P. F.

; Sousa, Carla S. Pereira

; Santana, Julia Rodrigues

; Sales, Ester Almeida

; d’Avila, Jeferson Sampaio

; Aguiar-Oliveira, Manuel H.

Archives of Endocrinology and Metabolism

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Abr 2022, Volume 66 Nº 2 Páginas 198 - 205

Resumo: En | Texto: En | PDF: En

ABSTRACT Objectives: Currently, not much is known about the interactions between voice and growth hormone (GH). We have described large kindred with isolated GH deficiency (IGHD) due to a GHRH receptor mutation, resulting in severe short stature and high-pitched voice. These IGHD individuals have little interest in GH treatment, as they consider themselves “short long-lived people”, rather than patients. Interestingly, they report normal general quality of life, but they rate their Voice-Related Quality of Life (V-RQOL) as low. Here, we assessed the social and auditory-perceptual impacts of artistic-intervention voice therapy with semioccluded vocal tract exercises (SOVTE) and choral singing, on their voices. Material and methods: Seventeen GH-naïve adult IGHD individuals were enrolled in a single-arm interventional pre-post study with 13 weekly sessions of choir singing over 90 days. Outcome measures were V-RQOL scores, self-assessment of voice, and auditory-perceptual analysis (GRBAS scale, G: grade of the severity of dysphonia; R: roughness; B: breathiness; A: asthenia; and S: strain). Results: Marked improvements in total (p = 0.0001), physical (p = 0.0002), and socioemotional (p = 0.0001) V-RQOL scores and in self-assessment of voice (p = 0.004) were found. The general grades of vocal deviation (p = 0.0001), roughness (p = 0.0001), breathiness (p = 0.0001) and strain (p = 0.0001) exhibited accentuated reductions. Conclusions: Voice therapy with semioccluded vocal tract exercises and choral training improved social impact and perceptual voice assessments in IGHD subjects and markedly improved their voice-related quality of life. This is particularly important in a setting where GH replacement therapy is not widely accepted.

https://doi.org/10.20945/2359-3997000000449

10.

Postharvest of edible flowers
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Pêgo, Rogério Gomes

; Fiorini, Cibelle Vilela Andrade

; Deco, Thayane Aguiar De

; Coneglian, Regina Celi Cavestré

; Xavier, Mariana Caroline Guimarães

; Ferreira, Wanderley Philippe Cardoso

Pesquisa Agropecuária Brasileira

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2022, Volume 57 elocation e02953

Resumo: Pt En | Texto: Pt En | PDF: Pt | PDF: En

Resumo O objetivo deste trabalho foi avaliar as alterações das propriedades físico-químicas de diferentes espécies de flores comestíveis, no período pós-colheita. Flores de Viola cornuta (de cor clara ou escura), Viola tricolor, Antirrhinum majus, Dianthus chinensis e Tagetes patula foram selecionadas, embaladas e acondicionadas em câmara frigorífica do tipo BOD, a 5±1°C e 90–95% de umidade relativa. A cada dois dias, avaliou-se a perda de massa de matéria fresca, a qualidade visual por escala de notas e a longevidade total. Também avaliou-se o teor de sólidos solúveis (SS) totais, a acidez titulável (AT), a relação SS/AT e o pH, no momento da colheita e ao final da vida póscolheita. Houve aumento significativo nos valores de SS em V. cornuta de cor clara, V. tricolor e D. chinensis. Observou-se a redução da AT de V. cornuta de cor clara, V. tricolor, A. majus e D. chinensis ao final da vida pós-colheita. O valor do pH aumentou significativamente apenas em flores de T. patula. As espécies de flores comestíveis estudadas têm longevidade comercial curta, que varia de 4 a 10 dias, enquanto a longevidade total máxima varia de 6 a 14 dias.

Abstract The objective of this work was to evaluate the changes in the physicochemical properties of different species of edible flowers in the postharvest period. Flowers of Viola cornuta (light or dark colored), Viola tricolor, Antirrhinum majus, Dianthus chinensis, and Tagetes patula were selected, packed, and placed in a cold chamber of the BOD type, at 5±1°C and 90–95% relative humidity. Every two days, fresh weight loss, visual quality using a scale score, and total longevity were evaluated. The total soluble solids (SS) content, titratable acidity (TA), the SS/TA ratio, and pH were also evaluated at the time of harvest and at the end of postharvest life. There was a significant increase in the SS contents of light-colored V. cornuta, V. tricolor, and D. chinensis. A significant reduction in TA was observed in light-colored V. cornuta, V. tricolor, A. majus, and D. chinensis at the end of postharvest life. The pH value increased significantly only in T. patula flowers. The studied species of edible flowers have a short commercial longevity, which varies from 4 to 10 days, while the maximum total longevity varies from 6 to 14 days.

https://doi.org/10.1590/s1678-3921.pab2022.v57.02953

11.

Near-miss materno e violência obstétrica: uma relação possível?
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Aguiar, Cláudia de Azevedo

; Feliciano, Roselane Gonçaves

; Tanaka, Ana Cristina d'Andretta

Sexualidad, Salud y Sociedad (Rio de Janeiro)

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2022, Nº 38 elocation e22208

Resumo: Pt En Es | Texto: Pt En Es | PDF: Pt | PDF: En | PDF: Es

Resumo: Este estudo objetiva analisar a compreensão das mulheres que vivenciaram a morbidade materna aguda grave (near-miss materno) sobre a assistência obstétrica recebida. Trata-se de uma pesquisa de abordagem qualitativa, com referencial metodológico da história oral temática, realizada por meio de entrevistas presenciais. Participaram do estudo doze mulheres de diferentes regiões brasileiras e que vivenciaram o near-miss materno, principalmente, por complicações de síndromes hipertensivas, hemorragias e infecções. Das memórias coletivas emergidas, identificou-se a violência obstétrica na forma de: I. abuso físico; II. intervenções não consentidas ou aceitas com base em informações parciais ou distorcidas; III. cuidado não confidencial ou privativo; IV. tratamento não digno e abuso verbal; e V. abandono, negligência ou recusa de atendimento. Em conclusão, a violência obstétrica pode somar-se aos eventos que culminarão no near-miss materno e, nesse sentido, é potencialmente ameaçadora da vida.

Abstract: This study aims to analyze the understanding of women who experienced the maternal near-miss about obstetric care received. It was a research of a qualitative approach, with a methodological reference of the thematic oral history, carried out through interviews with women who lived maternal near-miss. Twelve women from different Brazilian regions were interviewed and who experienced maternal near-miss, mainly due to complications of hypertensive syndromes, hemorrhages and infections. From the emerged collective memories, obstetric violence was identified in the form of: I. physical abuse; II. interventions not consented or accepted based on partial or distorted information; III. non-confidential or private care; IV. non-dignified care and verbal abuse; and V. abandonment, negligence or refusal of care. In conclusion, that obstetric violence can added to the events that will culminate in maternal near-miss and, in this sense, it is potentially life threatening.

Resumen: Este estudio tiene como objetivo analizar la comprensión de las mujeres que experimentaron morbilidad materna aguda severa (near-miss materno) sobre la atención obstétrica recibida. Se trata de una investigación con enfoque cualitativo, con un marco metodológico de historia oral temática, realizada a través de entrevistas presenciales. Participaron en el estudio 12 mujeres de diferentes regiones brasileñas que experimentaron near-miss materno, principalmente debido a complicaciones de síndromes hipertensivos, hemorragias e infecciones. A partir de las memorias colectivas surgidas, se identificó la violencia obstétrica en forma de: I. maltrato físico; II. intervenciones no consentidas o aceptadas con base en información parcial o distorsionada; III. atención no confidencial o privada; IV. trato indigno y abuso verbal; y V. abandono, negligencia o negativa a asistir. En conclusión, la violencia obstétrica puede se sumar a los eventos que culminarán en un casi accidente materno y, en este sentido, es potencialmente mortal.

https://doi.org/10.1590/1984-6487.sess.2022.38.e22208.a

12.

Post-fire dynamics of tree vegetation in forests with and without a history of selective logging in the Eastern Amazon
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COSTA, DANIELE L. DA

; DIAS, ANDREA N.

; FIGUEIREDO FILHO, AFONSO

; GAMA, JOÃO RICARDO V.

; ANDRADE, DÁRLISON F.C. DE

; AGUIAR, DIEGO R.

; SANTOS, MISAEL F. DOS

Anais da Academia Brasileira de Ciências

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2022, Volume 94 Supl. 4 elocation e20200994

Resumo: En | Texto: En | PDF: En

Abstract Worldwide, forests are susceptible to fire. Forests with fire and selective logging interactions require monitoring and evaluation. This study evaluated the phytosociology and dynamics of tree vegetation in a disturbed forest (DF) and an undisturbed forest (UF) in selective logging areas affected by fire, in the Brazilian East Amazon. All trees with DBH ≥ 5 cm were measured and identified botanically in 93 plots (5 X 50 m) in the DF area and 58 plots (5 X 50 m) in the UF area, in 2010 (before logging), 2011, 2015 and 2017 (two years after the fire). Analysis of species and tree composition, diversity, similarity, mortality and recruitment were carried out. The fire affected the DF and UF areas in a similar proportion in terms of trees loss and basal area, intensifying the mortality rate. In the short term (2 years), the fire did not cause a significant reduction in species diversity, but there was a tendency towards a similarity loss in species composition in the area disturbed by logging. Subsequent assessments are necessary to understand the forest’s recovery mechanisms.

https://doi.org/10.1590/0001-3765202220200994

13.

Detection of Waterborne and Airborne Microorganisms in a Rodent Facility
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SILVA, LUIZ MARCIO DA

; SANTIAGO, MARIANA B.

; AGUIAR, PAULA AUGUSTA F. DE

; RAMOS, SALVADOR B.

; SILVA, MURILO V. DA

; MARTINS, CARLOS HENRIQUE G.

Anais da Academia Brasileira de Ciências

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2022, Volume 94 Supl. 4 elocation e20220150

Resumo: En | Texto: En | PDF: En

Abstract This study aimed to evaluate the air and water contamination level and to identify the microbes isolated from a rodent facility located at the Federal University of Uberlândia, Minas Gerais, Brazil. Colony forming units (CFU) per milliliter was used for monitoring water quantitatively; CFU per cubic meter was used for air monitoring. The isolated colonies were identified for qualitative monitoring. Due to absence of specific parameters for these facilities, the results were analyzed according to Brazilian and international standards, depending on which best suited each sample. The mean total number of microorganisms in water ranged from 0.015 ± 0.02 to 0.999 ± 0.91 CFU/mL. The number of microorganisms in air ranged from 9.1 ± 4.6 to 351.56 ± 158.2 CFU/m³. Forty-one microorganisms identified in the samples obtained from the rodent facility were potentially pathogenic or opportunistic for animals and humans (e.g., Corynebacterium spp.). We concluded that the water and air samples were contaminated with potentially pathogenic or opportunistic microorganisms that can harm rodents and humans. On the basis of our observations, specific sanitary standards suitable for these facilities should be developed for controlling microbial contamination, which will prevent zoonosis and ensure the reliability of scientific results obtained from animal experiments.

https://doi.org/10.1590/0001-3765202220220150

14.

Antimycobacterial and anti-inflammatory activities of fractions and substances from Erythrina verna Vell focusing on dual severe TB treatment approach
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SIMÃO, THATIANA L.B.V.

; AGUIAR, GABRIELA V.

; RAMOS, AMARO C.

; SILVA, GLAUBER P. DA

; MUZITANO, MICHELLE F.

; LASSOUNSKAIA, ELENA

; OLIVEIRA, RODRIGO R. DE

Anais da Academia Brasileira de Ciências

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2022, Volume 94 Nº 3 elocation e20211032

Resumo: En | Texto: En | PDF: En

Abstract Tuberculosis remains a major health problem worldwide. Drug-resistant and hypervirulent Mycobacterium tuberculosis (Mtb) strains can lead to a hyperinflammatory response and necrotic pathology in hyper-reactive individuals that require adjunctive treatment. Plant-derived substances have been investigated for TB treatment, among which flavonoids stand out. We evaluate the anti-Mtb, anti-inflammatory and cytotoxicity activities of fractions and substances 1, 2 and 3 isolated from Erythrina verna through a bioassay guided fractionation. Seven fractions (1, 3-5 and 7-9) obtained from dichloromethane E. verna extract inhibited NO production (IC50 ≤ 15 μg/mL) with none or poor cytotoxic effect, while the fractions 4 and 5 notably reduced TNF-a production. Fractions 4, 6 and 9 suppressed Mycobacterium growth with MIC50 ≤ 20 μg/mL. Fraction 4 was the most potent due to dual biological activities. Erythratidinone and alpinumisoflavone inhibited the growth of Mtb H37Rv and hypervirulent strain in bacterial cultures (MIC50 ≤ 20 μg/mL), with erythratidinone standing out in reducing intracellular growth of Mtb H37Rv (5.8 ± 1.1 μg/mL). Alpinumisoflavone and erythratidinone were capable of inhibiting NO and TNF-α production besides showing significant inhibitory effects against Mycobacterium tuberculosis strains with low toxicity in macrophages. Both substances are promising for further studies focusing on an anti-TB dual treatment approach.

https://doi.org/10.1590/0001-3765202220211032

15.

Determining Methamphetamine in Urine by Molecularly Imprinted Polymer Assisted Paper Spray Ionization Mass Spectrometry
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Brito, Talita P. de

; Aguiar, Deborah V. A. de

; Pereira, Igor

; Vaz, Boniek G.

Journal of the Brazilian Chemical Society

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Fev 2021, Volume 32 Nº 2 Páginas 269 - 276

Resumo: En | Texto: En | PDF: En

The usefulness of molecularly imprinted polymer assisted paper spray ionization mass spectrometry (MIP-PSI-MS) for the determination of methamphetamine in urine has been demonstrated. MIP-PSI-MS is a method in which a MIP is synthesized on the surface of a paper, producing a chemically selective paper surface with molecular recognition sites for a target analyte. The analyte is extracted by the MIP substrate, which is posteriorly used for conventional PSI-MS analysis. As methamphetamine is one of the most widely used drugs of abuse in the world, it was selected to be studied in synthetic urine by the MIP-PSI-MS method. Methamphetamine was detected at higher ion signals compared to other different drugs, such as lysergic acid diethylamide (LSD) and cocaine, suggesting that MIP-PSI-MS has a chemical affinity for methamphetamine. In experiments to validate the method, a linear calibration curve was achieved with R-squared (R2) > 0.99. Limit of detection (LOD) and limit of quantification (LOQ) were determined to be 0.8 and 2.8 µg L-1, respectively. Precision (relative standard deviation) and accuracy (relative error) were less than 10%, and the recoveries were close to 100%. The matrix effect was below 10%. These data demonstrate the possibility of using MIP-PSI-MS as an analytical tool for a specific/selective analysis of methamphetamine in forensic sciences.

https://doi.org/10.21577/0103-5053.20200177 321 downloads

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