52 results on '"da Silva TR"'
Search Results
2. Topiramate added to metformin for obesity control in women with polycystic ovary syndrome: a randomized clinical trial.
- Author
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Marchesan LB, da Silva TR, and Spritzer PM
- Abstract
Context: Polycystic ovary syndrome (PCOS) is often linked with obesity, and weight management can improve endocrine and cardiometabolic features., Objective: To evaluate the effects of adding topiramate (TPM) to metformin (MTF) on weight control, hormonal and metabolic outcomes in women with PCOS., Methods: In a randomized, double-blind, placebo-controlled trial, participants with PCOS and body mass index ≥30 kg/m² or ≥27 kg/m² associated with hypertension, type 2 diabetes, or dyslipidemia followed a 20 kcal/kg diet in addition to 850 mg of MTF or a previous MTF regimen. They were randomized to receive either TPM or placebo (P) alongside MTF. Anthropometric measurements, blood pressure, modified Ferriman-Gallwey score (mFGS), and adverse events were assessed every 4 weeks for 6 months., Main Outcome Measures: The primary endpoint was the percent change in body weight from baseline in both groups. Secondary endpoints included changes in clinical, cardiometabolic, and hormonal parameters and psychosocial features., Results: Thirty-one participants were in the MTF+P group and 30 in the MTF+TPM group. The MTF+TPM group showed greater mean weight loss at 3 months (-3.4% vs. -1.6%, p=0.03) and 6 months (-4.5% vs. -1.4%, p=0.03). Both groups improved androgens, lipids, and psychosocial scores. Participants with ≥3% weight loss at 6 months improved mFGS (8.4 to 6.5, p=0.026). Paresthesia was more common in the MTF+TPM group (23.3% vs. 3.2%, p=0.026)., Conclusions: Combining TPM with MTF and a low-calorie diet may be an effective, low-cost, easy-to-use, and safe strategy for weight management in women with PCOS, with mild adverse effects., (© The Author(s) 2024. Published by Oxford University Press on behalf of the Endocrine Society. All rights reserved. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site—for further information please contact journals.permissions@oup.com. See the journal About page for additional terms.)
- Published
- 2024
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3. Novel putative causal mutations associated with fat traits in Nellore cattle uncovered by eQTLs located in open chromatin regions.
- Author
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Garcia IS, Silva-Vignato B, Cesar ASM, Petrini J, da Silva VH, Morosini NS, Goes CP, Afonso J, da Silva TR, Lima BD, Clemente LG, Regitano LCA, Mourão GB, and Coutinho LL
- Subjects
- Animals, Cattle, Adipose Tissue metabolism, Mutation, Linkage Disequilibrium, Genome-Wide Association Study, Gene Expression Regulation, Lipid Metabolism genetics, Quantitative Trait Loci, Polymorphism, Single Nucleotide, Chromatin genetics, Chromatin metabolism
- Abstract
Intramuscular fat (IMF) and backfat thickness (BFT) are critical economic traits impacting meat quality. However, the genetic variants controlling these traits need to be better understood. To advance knowledge in this area, we integrated RNA-seq and single nucleotide polymorphisms (SNPs) identified in genomic and transcriptomic data to generate a linkage disequilibrium filtered panel of 553,581 variants. Expression quantitative trait loci (eQTL) analysis revealed 36,916 cis-eQTLs and 14,408 trans-eQTLs. Association analysis resulted in three eQTLs associated with BFT and 24 with IMF. Functional enrichment analysis of genes regulated by these 27 eQTLs revealed noteworthy pathways that can play a fundamental role in lipid metabolism and fat deposition, such as immune response, cytoskeleton remodeling, iron transport, and phospholipid metabolism. We next used ATAC-Seq assay to identify and overlap eQTL and open chromatin regions. Six eQTLs were in regulatory regions, four in predicted insulators and possible CCCTC-binding factor DNA binding sites, one in an active enhancer region, and the last in a low signal region. Our results provided novel insights into the transcriptional regulation of IMF and BFT, unraveling putative regulatory variants., (© 2024. The Author(s).)
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- 2024
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4. Identification of types of wound bed tissue as a percentage and total wound area by planimetry in neuropathic and venous ulcers.
- Author
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Alcântara SBC, de Araújo JG, Santos DF, da Silva TR, Goulart IMB, Bernardes da Silva AM, and Antunes DE
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- Humans, Cross-Sectional Studies, Wound Healing, Varicose Ulcer
- Abstract
Background: Neuropathic and venous leg ulcers are chronic wounds associated with devitalized tissue and recurrent infection. Management should be guided by accurate tissue assessment, including the use of planimetry, which provides tissue types as a percentage of the total wound bed surface area., Objective: This innovative study aimed to assess and identify the wound bed tissues, as a percentage, of neuropathic and venous ulcers using digital planimetry, providing support to nurses optimize the management of necrotic tissues and, consequently, to avoid wound infection., Methods: This cross-sectional study enrolled 24 patients with chronic wounds who were assessed from January to March 2021 at the Wound Outpatients Clinic. The wound photographs were analyzed using Image J 1.53e and a smartphone with WoundDoc Plus® 2.8.2 via digital planimetry. Statistical analyses were performed using the binomial test, t-test, and Mann-Whitney., Results: Median wound areas (p=0.3263) did not differ between the group with 2 or 3 risk factors for delayed healing (Md: 31.7) and the group with up to 1 risk factor (Md: 5.3). A low exudate level was associated with the up-to-1-risk-factor-for-delayed-healing group (p=0.0405), while a medium level was associated with the two-or-three-risk-factor group (p=0.0247). A heat map displayed the tissue percentages in the wound bed. In the group with 2 or 3 risk factors for delayed healing, 91.7% (11/12) had less than 70% granulation tissue, which was the primary factor for this group (p<0.0001). Additionally, 66.7% (8/12) of patients with 2 or 3 risk factors for delayed healing exhibited discolored and/or dark red granulation tissue as the primary factor (p=0.0130)., Conclusion: This novel identification of wound area and tissue types as a percentage, using digital planimetry, can play a crucial role in assisting nurses in decision-making related to the appropriate management of devitalized tissues. Furthermore, this measurements may facilitate the conducting of virtual wound consultations and offer valuable support in the development of protocols aimed at preventing infection and biofilm formation in the wound bed., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2023. Published by Elsevier Inc.)
- Published
- 2023
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5. Nutritional, Productive, and Qualitative Characteristics of European Quails Fed with Diets Containing Lipid Sources of Plant and Animal Origin.
- Author
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Valentim JK, Garcia RG, de Castro Burbarelli MF, de Léo RAR, de Sousa Ferreira R, Calderano AA, Lima IL, de Souza Nascimento KMR, da Silva TR, and Albino LFT
- Abstract
The objective of this study was to investigate the impact of alternative lipid sources on nutrient metabolism, performance, carcass characteristics, and meat quality in European quails. Trial 1 determined the energy values and nutrient metabolizability of non-conventional lipid sources. Six treatments (control, soybean oil, conventional corn oil, distilled corn oil, poultry fat, and beef tallow) were randomly assigned with 10 replicates per treatment. Trial 2 evaluated animal performance, carcass characteristics, and meat quality using a randomized design with five treatments and 10 replicates each. Statistical analysis showed no significant difference in apparent metabolizable energy corrected by nitrogen (AMEn) and coefficients of metabolizability (CM%) among the lipid sources. The AMEn values found were 8554 for soybean oil, 7701 for corn, 7937 for distilled corn oil, 7906 for poultry fat, and 7776 for beef tallow (kcal/kg). The CM values were 88.01% for soybean oil, 79.01% for corn oil, 84.10% for distilled corn oil, 81.43% for poultry fat, and 79.28% for beef tallow. The inclusion of lipid sources of plant and animal origin in the diet of 7-35-day old meat quails did not influence performance or carcass and cut characteristics. The inclusion of distilled corn oil increased carcass yield and influenced skin and meat color parameters. AMEn values varied for each lipid source. The inclusion of distilled corn oil positively influenced skin and meat color as well as carcass yield in quails.
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- 2023
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6. "Lysis and Concentration Technique" improves the parasitological diagnosis of Trypanosoma vivax.
- Author
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Da Silva TR, Bomfim SRM, Cavalcanti FBP, Lopes WDZ, Utsonomiya YT, and Cadioli FA
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- Animals, Erythrocytes parasitology, Trypanosomiasis, African diagnosis, Trypanosomiasis, African veterinary, Trypanosomiasis, African parasitology, Parasitemia diagnosis, Parasitemia veterinary, Parasitemia parasitology, Trypanosoma vivax isolation & purification
- Abstract
The "Lysis and Concentration Technique" (LCTe) involves lysing red blood cells and concentrating parasites to increase the chances of visualization in low parasitemia and in scenarios of evaluators with less knowledge. The lysis of red blood cells reduced the time of diagnosis by 21 s, showing that the effect produced by the treatment is comparable to the effect of the experience in parasitological examination. In addition, the concentration of parasites was 39.18% higher for slides with high parasitemia and 131.03% for slides with low parasitemia in relation to the standard slide. LCTe proved to be inexpensive, with a total cost of approximately US$0.07 per slide made, which allows it to be easily implemented in most laboratories., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2023 Elsevier B.V. All rights reserved.)
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- 2023
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7. Synthetic dibenzylideneketones as promising anti-herpes simplex virus type 1 agents.
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Oliveira TZ, Fonseca DP, Dos Santos AH, da Silva TR, Lazarin-Bidóia D, Din ZU, Filho BPD, Nakamura CV, Rodrigues-Filho E, and Ueda-Nakamura T
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- Humans, Herpesvirus 2, Human, Antiviral Agents pharmacology, Antiviral Agents therapeutic use, Herpesvirus 1, Human, Herpes Simplex drug therapy
- Abstract
New antiviral agents for the treatment of herpes simplex virus type 1 (HSV-1) infection, which causes a highly prevalent and incurable disease, are needed. Here, we report for the first time the in vitro anti-HSV-1 activity of two dibenzylideneketone compounds: DBK1 and DBK2. DBK1 demonstrated virucidal activity, and high-resolution scanning electron microscopy showed that it caused morphological changes in the HSV-1 envelope. DBK2 was able to reduce HSV-1 plaque size in vitro. The DBKs are promising anti-HSV-1 candidates, as they exhibit low toxicity and exert an antiviral effect by acting at the early stages of HSV-1-host cell interaction., (© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Austria, part of Springer Nature.)
- Published
- 2023
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8. Unsaturation pattern of phosphatidylglycerols modulating the interaction of lysicamine with cells membrane models at the air-water interface.
- Author
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Machado AC, Cipriano da Silva TR, Raminelli C, and Caseli L
- Subjects
- Surface Properties, Cell Membrane chemistry, 1,2-Dipalmitoylphosphatidylcholine chemistry, Water chemistry, Phosphatidylglycerols
- Abstract
Lysicamine, an alkaloid with tumorigenic activity, was incorporated in cell membrane models made of lipid Langmuir monolayers. Dipalmitoylphosphocholine (DPPC), dioleoylphosphocholine (DOPC), and palmitoyloleoylcholine (POPC) represented non-tumorigenic cell membranes, and dipalmitoylphosphoserine (DPPS), dioleoylphosphoserine (DOPS), and palmitoyloleoylserine (POPS), tumorigenic ones. The monolayers were characterized by tensiometry, infrared spectroscopy, and Brewster Angle Microscopy (BAM). No significant shifts of the isotherms were observed for the saturated lipids (DPPC and DPPS), while for the others (DOPC, POPS, DOPS, and POPS), more significant changes were observed not only in the compression isotherms but also in the surface pressure-time curve for pre-compressed monolayers. The molecular organization, as well as the morphology of the drug-lipid monolayers, could be inferred with infrared spectroscopy and BAM. While the first revealed that the alkyl chain ordering changed upon lysicamine incorporation, the second showed how the drug could distinctly change the state of aggregation of molecular domains at the air-water interface. In conclusion, lysicamine could interact distinctly with each lipid at the air-water interface, showing the dependence not only on the lipid polar groups but also on the level of unsaturation of the alkyl chains., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2022 Elsevier B.V. All rights reserved.)
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- 2023
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9. Not just passengers, but co-pilots! Non-rhizobial nodule-associated bacteria promote cowpea growth and symbiosis with (brady)rhizobia.
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da Silva TR, Rodrigues RT, Jovino RS, Carvalho JRS, Leite J, Hoffman A, Fischer D, Ribeiro PRA, Rouws LFM, Radl V, and Fernandes-Júnior PI
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- Nitrogen Fixation, Phylogeny, RNA, Ribosomal, 16S genetics, Root Nodules, Plant microbiology, Symbiosis genetics, Bradyrhizobium genetics, Rhizobium genetics, Vigna genetics, Vigna microbiology
- Abstract
Aims: To isolate and characterize non-rhizobial nodule-associated bacteria (NAB) from cowpea root-nodules regarding their performance of plant-growth-promoting mechanisms and their ability to enhance cowpea growth and symbiosis when co-inoculated with bradyrhizobia., Methods and Results: Sixteen NAB were isolated, identified, and in vitro evaluated for plant growth promotion traits. The ability to promote cowpea growth was analyzed when co-inoculated with Bradyrhizobium pachyrhizi BR 3262 in sterile and non-sterile substrates. The 16S rRNA gene sequences analysis revealed that NAB belonged to the genera Chryseobacterium (4), Bacillus (3), Microbacterium (3), Agrobacterium (1), Escherichia (1), Delftia (1), Pelomonas (1), Sphingomonas (1), and Staphylococcus (1). All strains produced different amounts of auxin siderophores and formed biofilms. Twelve out of the 16 strains carried the nifH, a gene associated with nitrogen fixation. Co-inoculation of NAB (ESA 424 and ESA 29) with Bradyrhizobium pachyrhizi BR 3262 significantly promoted cowpea growth, especially after simultaneous inoculation with the three strains., Conclusions: NAB are efficient cowpea growth promoters and can improve the efficiency of the symbiosis between cowpea and the N2-fixing microsymbiont B. pachyrhizi BR 3262, mainly under a specific triple microbial association., (The Author(s) 2022. Published by Oxford University Press on behalf of Applied Microbiology International.)
- Published
- 2023
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10. Non-invasive Brain Stimulation Can Reduce Unilateral Spatial Neglect after Stroke: ELETRON Trial.
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da Silva TR, de Carvalho Nunes HR, Martins LG, da Costa RDM, de Souza JT, Winckler FC, Sartor LCA, Modolo GP, Ferreira NC, da Silva Rodrigues JC, Kanda R, Fogarolli MO, Borges GF, Rizzatti GRS, Ribeiro PW, Favoretto DB, Dos Santos LRA, Bazan SGZ, Betting LE, de Oliveira Antunes LC, Pereira VM, Edwards TGS, Pontes-Neto OM, Conforto AB, Bazan R, and Luvizutto GJ
- Subjects
- Brain, Humans, Quality of Life, Treatment Outcome, Perceptual Disorders etiology, Perceptual Disorders therapy, Stroke complications, Stroke therapy, Stroke Rehabilitation, Transcranial Direct Current Stimulation methods
- Abstract
Objective: Rehabilitation top-down techniques based on brain stimulation present variable outcomes in unilateral spatial neglect (USN) after stroke. This study aimed to examine the effects of physical therapy after anodal and cathodal transcranial direct current stimulation (A-tDCS and C-tDCS, respectively) to improve visuospatial and functional impairments in individuals with USN after stroke., Methods: This double-blinded, pilot randomized clinical trial enrolled patients with USN after ischemic stroke. Randomization was stratified according to the Behavior Inattention Test-Conventional (BIT-C) and Catherine Bergego Scale (CBS). Outpatient physical therapy was conducted for 7.5 weeks after 20 minutes of tDCS. The primary outcome was the USN degree evaluated by the BIT-C. Secondary outcomes were the difference in CBS score, stroke severity (National Institutes of Health Stroke Scale [NIHSS]), disability (modified Rankin Scale), autonomy (Barthel Index, Functional Independence Measure), and quality of life (EuroQol Group 5-Dimension Self-Report Questionnaire). Outcomes were analyzed using an analysis of covariance model corrected by age, baseline NIHSS, and baseline BIT-C. Pairwise post hoc comparisons were performed using Bonferroni correction., Results: In the primary outcomes, A-tDCS led to greater improvement in BIT-C after intervention (mean difference [MD] = 18.4, 95% confidence interval [CI] = 3.9-32.8, p = 0.008) compared to sham. However, no significant differences were observed between A-tDCS and C-tDCS (MD = 13.9, 95% CI = -0.3 to 28.1, p = 0.057), or C-tDCS and sham (MD = 4.5, 95% CI = -9.7 to 18.8, p = 0.99). There were no significant differences between groups in terms of secondary outcomes., Interpretation: A-tDCS associated with physical therapy can decrease the severity of USN after stroke. However, these preliminary findings must be confirmed by collecting additional evidence in a larger phase 3 trial. ANN NEUROL 2022;92:400-410., (© 2022 American Neurological Association.)
- Published
- 2022
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11. Elite Bradyrhizobium strains boost biological nitrogen fixation and peanut yield in tropical drylands.
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Jovino RS, da Silva TR, Rodrigues RT, de Sá Carvalho JR, Cunha JBA, de Lima LM, Dos Santos RC, Santos CERES, Ribeiro PRA, de Freitas ADS, Martins LMV, and Fernandes-Júnior PI
- Subjects
- Arachis microbiology, Brazil, Nitrogen Fixation, Symbiosis, Bradyrhizobium genetics, Fabaceae
- Abstract
Peanut (Arachis hypogaea L.) is an important crop for the family-based systems in the tropics, mainly in Brazil. In the Brazilian drylands, peanuts are cropped in low technological systems, and cheap and efficient technologies are needed to improve crop yield and sustainability. Despite this importance, few data are available on selecting efficient peanut rhizobia in experiments under different edaphoclimatic conditions. This work evaluated the agronomic efficiency and the biological nitrogen fixation (BNF) by two elite Bradyrhizobium strains under four different fields in the Brazilian semiarid region. We compared a new efficient strain Bradyrhizobium sp. ESA 123 with the reference strain B. elkanii SEMIA 6144, currently used in peanut rhizobial inoculants in Brazil. Besides the inoculated treatments, two uninoculated controls were assessed (with and without 80 kg ha
-1 of N-urea). The BNF was estimated by the δ15 N approach in three out of four field assays. BNF contribution was improved by inoculation of both Bradyrhizobium strains, ranging from 42 to 51% in Petrolina and 43 to 60% in Nossa Senhora da Glória. Peanuts' yields benefited from the inoculation of both strains and N fertilization in all four assays. Nevertheless, the results showed the efficiency of both strains under different edaphoclimatic conditions, indicating the native strain ESA 123 as a potential bacterium for recommendation as inoculants for peanuts in Brazil, mainly in drylands., (© 2022. The Author(s) under exclusive licence to Sociedade Brasileira de Microbiologia.)- Published
- 2022
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12. Evaluation of the three-dimensional (3D) position of cervical vertebrae in individuals with unilateral posterior crossbite.
- Author
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Cardinal L, da Silva TR, Andujar ALF, Gribel BF, Dominguez GC, and Janakiraman N
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- Cervical Vertebrae diagnostic imaging, Cone-Beam Computed Tomography, Cross-Sectional Studies, Humans, Malocclusion diagnostic imaging, Mandible
- Abstract
Objective: To evaluate the three-dimensional (3D) position of the cervical vertebrae of growing subjects with unilateral posterior crossbite (UPC)., Materials and Methods: In this cross-sectional study, cone beam computed tomography (CBCT) scans of 1455 patients were screened, and ultimately 58 scans (26 patients with UPC and 32 controls with normal occlusion) were included after imposing inclusion/exclusion criteria. Roll, yaw, and deviation of the geometric center of C1, C2, and C3 vertebrae were measured and compared between groups. A correlation between these parameters and different variables on mandibular positioning was also carried out., Results: A statistically significant difference (p < 0.05) was observed between groups for the deviation of pogonium (Pog), mandibular plane roll, and C3 roll, and patients with UPC showed higher cant or deviation. A significant correlation was reported for the roll of C2 and C3 with the deviation of Pog, a roll of the occlusal plane, and roll of the mandibular plane (p < 0.05). The greater the deviation of the Pog to one side, the greater the roll of the vertebrae with this same side up. The same tendency was observed between the roll of the occlusal plane or the mandibular plane with the roll of these cervical vertebrae., Conclusions: There is a positive correlation between transverse occlusal changes and positional deviations of the cervical vertebrae, especially C2 and C3., Clinical Relevance: The study results do not allow us to infer the clinical/functional consequences of these deviations, as well as if malocclusion's treatment would result in an improvement of intervertebral relationships., (© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
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- 2022
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13. Recycled PET Sand for Cementitious Mortar.
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Campanhão AF, Marvila MT, de Azevedo ARG, da Silva TR, Fediuk R, and Vatin N
- Abstract
Cementitious materials cause a great impact on the environment due to the calcination of clinker and the extraction of non-renewable mineral resources. In this work, the replacement of quartz sand from the river by PET sand was evaluated at levels of 10%, 20%, and 30%. Tests were performed in the fresh state through consistency, air retention, density, and incorporated air and in the hardened state for compressive strength, flexural strength, density, capillarity, and water absorption. The results show that PET sand is viable in contents of up to 10%, improving the mechanical properties of the mortar and without compromising its workability and incorporated air properties. Above that level, the loss of properties is very excessive, mainly of workability and incorporated air. The incorporated air of the 30% composition, for example, reaches 24%, an excessive value that impacts the properties of the hardened state, making it impossible to use the material at levels greater than 20%. It is concluded that the use of recycled PET sand is a possibility that contributes to sustainable development, as it reduces the extraction of quartz sand from the river, a non-renewable mineral resource.
- Published
- 2021
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14. Technological Characterization of PET-Polyethylene Terephthalate-Added Soil-Cement Bricks.
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da Silva TR, Cecchin D, de Azevedo ARG, Valadão I, Alexandre J, da Silva FC, Marvila MT, Gunasekaran M, Garcia Filho F, and Monteiro SN
- Abstract
The ever-growing consumption and improper disposal of non-biodegradable plastic wastes is bringing worrisome perspectives on the lack of suitable environmentally correct solutions. Consequently, an increasing interest in the circular economy and sustainable techniques is being raised regarding the management of these wastes. The present work proposes an eco-friendly solution for the huge amount of discarded polyethylene terephthalate (PET) wastes by addition into soil-cement bricks. Room temperature molded 300 × 150 × 70 mm bricks were fabricated with mixtures of clay soil and ordinary Portland cement added with up to 30 wt.% of PET waste particles. Granulometric analysis of soil indicated it as sandy and adequate for brick fabrication. As for the PET particles, they can be considered non-plastic and sandy. The Atterberg consistency limits indicated that addition of 20 wt.% PET waste gives the highest plasticity limit of 17.3%; moreover, with PET waste addition there was an increase in the optimum moisture content for the compaction and decrease in specific weight. Standard tests showed an increase in compressive strength from 0.83 MPa for the plain soil-cement to 1.80 MPa for the 20 wt.% PET-added bricks. As for water absorption, all bricks displayed values between 15% and 16% that attended the standards and might be considered an alternative for non-structural applications, such as wall closures in building construction.
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- 2021
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15. Application of Plastic Wastes in Construction Materials: A Review Using the Concept of Life-Cycle Assessment in the Context of Recent Research for Future Perspectives.
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da Silva TR, de Azevedo ARG, Cecchin D, Marvila MT, Amran M, Fediuk R, Vatin N, Karelina M, Klyuev S, and Szelag M
- Abstract
The urbanization process contributes to the growth of solid waste generation and causes an increase in environmental impacts and failures in the management of solid waste. The number of dumps is a concern due to the limited implementation and safe disposal of this waste. The interest in sustainable techniques has been growing in relation to waste management, which is largely absorbed by the civil construction sector. This work aimed to review plastic waste, especially polyethylene terephthalate (PET), that can be incorporated with construction materials, such as concrete, mortars, asphalt mixtures, and paving. The use of life-cycle assessment (LCA) is related, as a tool that allows the sustainability of products and processes to be enhanced in the long term. After analyzing the recent literature, it was identified that studies related to plastic wastes in construction materials concentrate sustainability around the alternative destination of waste. Since the plastic waste from different production chains are obtained, it was possible to affirm the need for a broader assessment, such as the LCA, providing greater quantification of data making the alternative processes and products more sustainable. The study contributes to enhance sustainability in alternative building materials through LCA.
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- 2021
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16. Co-inoculation of two symbiotically efficient Bradyrhizobium strains improves cowpea development better than a single bacterium application.
- Author
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do Nascimento TR, Sena PTS, Oliveira GS, da Silva TR, Dias MAM, de Freitas ADS, Martins LMV, and Fernandes-Júnior PI
- Abstract
The co-inoculation of Bradyrhizobium with other non-bradyrhizobial strains was already assessed on cowpea, but the co-inoculation of two Bradyrhizobium strains was not tested up to now. This study aimed to evaluate the cowpea growth, N accumulation, and Bradyrhizobium competitiveness of the elite strain B. pachyrhizi BR 3262 when co-inoculated with other efficient Bradyrhizobium from the Brazilian semiarid region. Three potted-plant experiments were carried out. In the first assay, 35 efficient Bradyrhizobium isolates obtained from the semiarid region of Brazil were co-inoculated with the elite strains B. pachyrhizi BR 3262. The experiment was conducted in gnotobiotic conditions. The plant growth, nodulation, N nutritional variables, and nodular occupation were assessed. Under gnotobiotic and non-sterile soil conditions, ten selected bacteria plus the elite strain B. yuanmingense BR 3267 were used at the second and third experiments, respectively. The cowpea was inoculated with the 11 bacteria individually or co-inoculated with BR 3262. The plant growth and N nutritional variables were assessed. A double-layer medium spot method experiment was conducted to evaluate the interaction among the co-inoculated strains in standard and diluted YMA media. The co-inoculation treatments showed the best efficiency when compared to the treatments inoculated solely with BR 3262. This strain occupied a low amount of cowpea nodules ranging from 5 to 67.5%. The treatments with lower BR 3262 nodule occupancy showed the best results for the shoot nitrogen accumulation. The culture experiment showed that four bacteria inhibited the growth of BR 3262. In contrast, seven strains from the soils of Brazilian semiarid region were benefited by the previous inoculation of this strain. In the second and third experiments, the results indicated that all 11 co-inoculated treatments were more efficient than the single inoculation, proofing the best performance of the dual inoculation of Bradyrhizobium on cowpea., Competing Interests: Conflict of interestThe authors declare that they have no conflict of interest., (© King Abdulaziz City for Science and Technology 2020.)
- Published
- 2021
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17. Deep Sequencing Reveals Occult Mansonellosis Coinfections in Residents From the Brazilian Amazon Village of São Gabriel da Cachoeira.
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Crainey JL, Costa CHA, de Oliveira Leles LF, Ribeiro da Silva TR, de Aquino Narzetti LH, Serra Dos Santos YV, Costa Conteville L, Costa Pessoa FA, Carvajal Cortés JJ, Vicente ACP, Rubio Muñoz JM, and Bessa Luz SL
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- Animals, Brazil epidemiology, High-Throughput Nucleotide Sequencing, Humans, Mansonella, Coinfection diagnosis, Coinfection epidemiology, Mansonelliasis
- Abstract
Mansonella ozzardi and Mansonella perstans infections both cause mansonellosis but are usually treated differently. Using a real-time polymerase chain reaction assay and deep sequencing, we reveal the presence of mansonellosis coinfections that were undetectable by standard diagnostic methods. Our results confirm mansonellosis coinfections and have important implications for the disease's treatment and diagnosis., (© The Author(s) 2020. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail: journals.permissions@oup.com.)
- Published
- 2020
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18. Response of chia ( Salvia hispanica ) to sowing times and phosphorus rates over two crop cycles.
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Benetoli da Silva TR, de Melo SC, Nascimento AB, Ambrosano L, Bordin JC, Alves CZ, Secco D, Santos RF, Gonçalves-Jr AC, and da Silva GD
- Abstract
Chia ( Salvia hispanica ) is an annual oilseed crop of high nutritional value. This study aimed to analyze the performance of chia plants sown at different times and grown under different phosphorus rates. The experiment was conducted under field conditions at the Experimental Farm of the State University of Maringá, Umuarama, Brazil. Treatments were arranged in a randomized split-plot design with three replications. Phosphorus fertilizer was applied at the time of sowing at rates of 0, 40, 80, or 120 kg P
2 O5 ha-1 . Seeds were sown on four dates at 14-day intervals, starting on March 21, 2017, for the first crop and March 29, 2018, for the second crop. Plant population density, raceme number, shoot dry matter yield, thousand seed weight, seed yield, and seed oil content were determined. It was observed that the end of March is the borderline for chia cultivation, because the low temperature and rainfall conditions occurring after this period compromise chia growth. The best phosphorous rate for chia growth was 80-120 kg ha-1 , which led to optimum vegetative parameters., (© 2020 The Author(s).)- Published
- 2020
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19. Effects of ∆ 9 -tetrahydrocannabinol on aversive memories and anxiety: a review from human studies.
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Raymundi AM, da Silva TR, Sohn JMB, Bertoglio LJ, and Stern CA
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- Affect, Anxiety drug therapy, Humans, Memory, Cannabidiol therapeutic use, Dronabinol
- Abstract
Background: Posttraumatic stress disorder (PTSD) may stem from the formation of aberrant and enduring aversive memories. Some PTSD patients have recreationally used Cannabis, probably aiming at relieving their symptomatology. However, it is still largely unknown whether and how Cannabis or its psychotomimetic compound Δ
9 -tetrahydrocannabinol (THC) attenuates the aversive/traumatic memory outcomes. Here, we seek to review and discuss the effects of THC on aversive memory extinction and anxiety in healthy humans and PTSD patients., Methods: Medline, PubMed, Cochrane Library, and Central Register for Controlled Trials databases were searched to identify peer-reviewed published studies and randomized controlled trials in humans published in English between 1974 and July 2020, including those using only THC and THC combined with cannabidiol (CBD). The effect size of the experimental intervention under investigation was calculated., Results: At low doses, THC can enhance the extinction rate and reduce anxiety responses. Both effects involve the activation of cannabinoid type-1 receptors in discrete components of the corticolimbic circuitry, which could couterbalance the low "endocannabinoid tonus" reported in PTSD patients. The advantage of associating CBD with THC to attenuate anxiety while minimizing the potential psychotic or anxiogenic effect produced by high doses of THC has been reported. The effects of THC either alone or combined with CBD on aversive memory reconsolidation, however, are still unknown., Conclusions: Current evidence from healthy humans and PTSD patients supports the THC value to suppress anxiety and aversive memory expression without producing significant adverse effects if used in low doses or when associated with CBD. Future studies are guaranteed to address open questions related to their dose ratios, administration routes, pharmacokinetic interactions, sex-dependent differences, and prolonged efficacy.- Published
- 2020
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20. The role of prelimbic and anterior cingulate cortices in fear memory reconsolidation and persistence depends on the memory age.
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da Silva TR, Sohn JMB, Andreatini R, and Stern CA
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- Animals, Behavior, Animal drug effects, Behavior, Animal physiology, Gyrus Cinguli drug effects, Male, Memory Consolidation drug effects, Memory, Long-Term drug effects, Memory, Short-Term drug effects, Mental Recall drug effects, Rats, Rats, Wistar, Selective Estrogen Receptor Modulators pharmacology, Tamoxifen pharmacology, Time Factors, Fear physiology, Gyrus Cinguli physiology, Memory Consolidation physiology, Memory, Long-Term physiology, Memory, Short-Term physiology, Mental Recall physiology
- Abstract
Reconsolidation is a time-limited process under which reactivated memory content can be modified. Works focused on studying reconsolidation mainly restrict intervention to the moments immediately after reactivation and to recently acquired memories. However, the brain areas activated during memory retrieval depend on when it was acquired, and it is relatively unknown how different brain sites contribute to reconsolidation and persistence of reactivated recent and remote fear memories. Here, we sought to investigate the participation of prelimbic (PL) and anterior cingulate cortices (ACC) in recent (1 d old) and remote (21 d old) fear memory reconsolidation and persistence. Male Wistar rats were submitted to the contextual fear conditioning protocol. Tamoxifen (TMX), an estrogen receptor modulator known to inhibit protein kinase C activity was used to interfere with these processes. When infused into the PL cortex, but not into the ACC, TMX administration immediately or 6 h after recent fear memory reactivation impaired memory reconsolidation and persistence, respectively. TMX administered immediately after remote memory reactivation impaired memory reconsolidation when infused into the PL cortex and ACC. However, remote memory persistence was only affected when TMX was infused 6 h after memory reactivation into the ACC and no effect was observed when TMX was infused 6 h after memory reactivation into PL cortex. Together, the findings provide further evidence on the participation of PL cortex and ACC in reconsolidation of recent and remote fear memories and suggest that the persistence of a reactivated fear memory becomes independent on the PL cortex with memory age and dependent on the ACC., (© 2020 da Silva et al.; Published by Cold Spring Harbor Laboratory Press.)
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- 2020
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21. Phytoremediation capacity, growth and physiological responses of Crambe abyssinica Hochst on soil contaminated with Cd and Pb.
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Gonçalves AC Jr, Schwantes D, Braga de Sousa RF, Benetoli da Silva TR, Guimarães VF, Campagnolo MA, Soares de Vasconcelos E, and Zimmermann J
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- Biodegradation, Environmental, Brazil, Cadmium, Lead, Soil, Crambe Plant, Metals, Heavy, Soil Pollutants
- Abstract
The search for vegetal species regarding effectiveness in the phytoremediation of soils is of great importance, mainly in function of the great environmental problems, such as soil contamination with heavy metals, the necessity of producing more food, among others that mankind face today. This work aimed (i) to evaluate phytoremediation capacity of Crambe abyssinica Hochst and its growth in soil artificially contaminated with Cd and Pb, and (ii) to evaluate the possible impacts of crambe cultivation in contaminated soil conditions, in order to evaluate, to test, and to question the Brazilian CONAMA 420, providing important information that can be useful for governmental and environmental purposes. Two simultaneous experiments were developed, one for each metal. The soils were contaminated with salts of CdCl
2 and PbCl2 H2 O in five doses based on the investigation values (IV) of CONAMA Resolution 420, resulting in 0; 1.5; 3; 9 and 30 mg kg-1 for Cd and 33; 90; 180; 540 and 1800 mg kg-1 for Pb. Gaseous exchange, development, nutritional composition and production of plant components, as well as phytoavailability of metals, were evaluated. The contamination with metals reduced photosynthesis, increased breathing as well as leading to a negative effect on the mineral nutrition and productivity in general; Plants cultivated in soil with Cd presented higher phytoavailability when compared to those cultivated in the Pb conditions, being found metals in all parts of the crambe plants from 1.5 mg kg- 1 of Cd in the soil; and Pb was retained only in roots, not being translocated in the plant. Cd showed higher phytoavailability, being found in all parts of the plant and Pb was retained only in the roots. Cd showed a higher phytoavailability when compared to Pb, also being found in all parts of crambe plants from dose 1.5 mg kg-1 of Cd in soil, which is an environmental problem, since in these concentrations the cultivation of crops is allowed by Brazilian legislation CONAMA 420., Competing Interests: Declaration of competing interests The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2020 Elsevier Ltd. All rights reserved.)- Published
- 2020
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22. Role of prelimbic cortex PKC and PKMζ in fear memory reconsolidation and persistence following reactivation.
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da Silva TR, Raymundi AM, Bertoglio LJ, Andreatini R, and Stern CA
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- Animals, Male, Rats, Rats, Wistar, Cerebral Cortex physiology, Conditioning, Psychological, Fear physiology, Memory physiology, Memory Consolidation physiology, Protein Kinase C metabolism
- Abstract
The persistence of newly acquired memories is supported by the activity of PKMζ, an atypical isoform of protein kinase C (PKC). Whether the activity of conventional and atypical PKC isoforms contributes to reactivated memories to persist is still unknown. Similarly, whether memory reactivation is a prerequisite for interventions to be able to change memory persistence is scarcely investigated. Based on the above, we examined the role of conventional and atypical PKC isoforms in the prelimbic cortex in reconsolidation and persistence of a reactivated contextual fear memory in male Wistar rats. It is shown that (i) inhibiting the PKC activity with chelerythrine or the PKMζ activity with ZIP impaired the persistence of a reactivated memory for at least 21 days; (ii) ZIP given immediately after memory reactivation affected neither the reconsolidation nor the persistence process. In contrast, when given 1 h later, it impaired the memory persistence; (iii) chelerythrine given immediately after memory reactivation impaired the reconsolidation; (iv) omitting memory reactivation prevented the chelerythrine- and ZIP-induced effects: (v) the ZIP action is independent of the time elapsed between its administration and the initial memory test. The results indicate that prelimbic cortex PKC and PKMζ are involved in memory reconsolidation and persistence.
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- 2020
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23. Respiratory Function and Grip Strength in the Acute Phase of Stroke Are Associated with Stroke Severity and Disability at Hospital Discharge.
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Sartor LCA, Luvizutto GJ, de Souza JT, Silva Dalle Molle ER, Modolo GP, da Silva TR, Prudente RA, Ribeiro PW, da Costa RDM, de Oliveira Antunes LC, Ferreira NC, Bazan SGZ, Winckler FC, de Carvalho Nunes HR, Minicucci MF, and Bazan R
- Abstract
Introduction . Stroke can lead to musculoskeletal and respiratory dysfunction, chronic deconditioning, and functional limitations, as well as long-term complications., Objective: The aim of this study was to evaluate the association between respiratory function and grip strength in the acute phase of stroke and stroke severity, disability, and autonomy in the long term., Methods: This was a cohort study including 46 patients in the stroke unit. The stroke patients were assessed in the stroke unit at the following moments: at admission by the clinical and haemodynamic stability, demographic and anthropometric data, hand grip strength, stroke severity by National Institutes of Health Stroke Scale (NIHSS) score, and respiratory function using a manovacuometer; during hospitalization by clinical complications and the length of stay; and at hospital discharge and 90 days after discharge by the degrees of functional capacity and dependence using NIHSS, modified Rankin scale (mRs), and Barthel index. Data analysis was performed by multiple linear regression to verify the association between respiratory function and grip strength and the outcomes., Results: The median length of stay in the stroke unit was 7 days. A negative correlation was found between the palmar prehension strength on the unaffected side and mRs at discharge ( β = -0.034, p = 0.049). The NIHSS scores at discharge ( β = -0.034, p = 0.049). The NIHSS scores at discharge ( β = -0.034, p = 0.049). The NIHSS scores at discharge (., Conclusion: It was concluded that a loss of grip strength is associated with a loss of ability and autonomy at discharge and poor respiratory function is associated with stroke severity at discharge., Competing Interests: The authors do not have any conflicts of interest., (Copyright © 2020 Lorena Cristina Alvarez Sartor et al.)
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- 2020
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24. A time-dependent contribution of hippocampal CB 1 , CB 2 and PPARγ receptors to cannabidiol-induced disruption of fear memory consolidation.
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Raymundi AM, da Silva TR, Zampronio AR, Guimarães FS, Bertoglio LJ, and Stern CAJ
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- Animals, Fear, Hippocampus, Male, PPAR gamma, Rats, Rats, Wistar, Receptor, Cannabinoid, CB1, Cannabidiol pharmacology, Memory Consolidation
- Abstract
Background and Purpose: In preclinical studies, cannabidiol (CBD) mitigates fear memories by facilitating their extinction or interfering with their generalization and reconsolidation. The brain regions and mechanisms underlying these effects, and their temporal window, are still poorly understood. Here, we have investigated related questions in the dorsal hippocampus (DH) during contextual fear consolidation., Experimental Approach: Adult male Wistar rats received CBD (10-30 pmol) intra-DH immediately, 1 or 3 hr after fear conditioning. Effects of CBD on consolidation were inferred behaviourally and by analysing expression of the activity-regulated, cytoskeleton-associated (Arc) protein. The contribution of anandamide, CB
1 , CB2 , 5-HT1A , A2A , and PPARγ receptors was also assessed., Key Results: CBD impaired memory consolidation when given immediately or 1 hr after fear conditioning, but not after 3 hr. Expression of Arc protein in DH was reduced by systemic CBD treatment in both cases. Immediately after fear conditioning, CBD effects were abolished by CB1 or CB2 receptor blockade, partly reduced by 5-HT1A or A2A antagonism, and remained unchanged after antagonism of PPARγ receptors. One hour after fear conditioning, CBD effects were prevented only by PPARγ receptor antagonism. Also, inhibition of fatty acid amide hydrolase by URB597, impaired memory consolidation when infused immediately, but not 1 hr after fear conditioning., Conclusions and Implications: CBD disrupts memory consolidation up to 1 hr after fear conditioning, allowing an extended window of opportunity to mitigate aversive memories after their acquisition. Our results suggest time-dependent participation of anandamide, CB1 , CB2 and PPARγ receptors in the DH, during this process., (© 2019 The British Pharmacological Society.)- Published
- 2020
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25. Implementation and Performance of the Gas Chromatography/Combustion/Isotope Ratio Mass Spectrometry-Based Method for the Confirmatory Analysis of Endogenous Anabolic Steroids during the Rio de Janeiro Olympic and Paralympic Games 2016.
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de Oliveira FA, Casilli A, Piper T, da Silva TR, da Silva CA, da Silva RVS, Dal Sasso MA, Salgueiro GRDSG, Padilha MC, Pereira HMG, Thevis M, and de Aquino Neto FR
- Subjects
- Acetylation, Brazil, Chromatography, High Pressure Liquid, Estranes urine, Humans, Liquid-Liquid Extraction, Reproducibility of Results, Solid Phase Extraction, Sports, Testosterone analogs & derivatives, Testosterone urine, Carbon Isotopes urine, Doping in Sports, Gas Chromatography-Mass Spectrometry methods, Testosterone Congeners urine
- Abstract
Carbon isotope ratio (CIR) confirmation is one of the most complex and delicate analyses in the doping control field, due to the nature of the molecules to be confirmed, normally present in urinary samples as a consequence of an endogenous production. The requirements for method validation established by the World Anti-Doping Agency (WADA) have been pushing the accredited laboratories to improve their methods. The choice of the method is always a cost benefit ratio involving a hard-working and time-consuming analysis and the guarantee of reporting of reliable results. This work presents the method fully validated by the Brazilian Doping Control Laboratory as part of the preparation for the Rio de Janeiro Summer Olympic and Paralympic Games 2016. Sample preparation encompassed solid-phase extraction, liquid-liquid extraction, enzymatic hydrolysis, acetylation, and purification by preparative high-performance liquid chromatography, and analyses were performed by gas chromatography/combustion/isotope ratio mass spectrometry. This proved to be a robust method to CIR confirmation in a big event, as demonstrated by the analysis of 179 samples during the Games 2016, from clearly negative results and adverse findings for testosterone (T) and related substances, boldenone and its metabolite, 19-norandrosterone and formestane. Two atypical findings were also reported for T and metabolites.
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- 2019
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26. Effect of ankle-foot orthosis on functional mobility and dynamic balance of patients after stroke: Study protocol for a randomized controlled clinical trial.
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de Paula GV, da Silva TR, de Souza JT, Luvizutto GJ, Bazan SGZ, Modolo GP, Winckler FC, de Oliveira Antunes LC, Martin LC, da Costa RDM, and Bazan R
- Subjects
- Adult, Ankle Joint physiopathology, Biomechanical Phenomena, Equipment Design, Female, Humans, Male, Postural Balance, Range of Motion, Articular, Recovery of Function, Stroke complications, Randomized Controlled Trials as Topic, Ankle physiopathology, Foot Orthoses standards, Gait Disorders, Neurologic etiology, Gait Disorders, Neurologic therapy, Quality of Life, Stroke Rehabilitation instrumentation, Stroke Rehabilitation methods, Stroke Rehabilitation psychology
- Abstract
Introduction: Stroke is the principal cause of impairment in the motor function and gait of adults. One of the resources used in rehabilitation to optimize gait is a prescription of ankle-foot orthosis (AFO), and the most prescribed AFOs are Fixed AFO and Articulated AFO; however, it is not known which of these options is more effective for these individuals. The aim of this study is to evaluate the impact of different types of ankle-foot orthosis functional mobility and dynamic balance in stroke patients., Methods: Prospective randomized controlled clinical trial with 2 parallel groups will be conducted, and the aim is to recruit 50 patients with stroke diagnosis within 1 year, who indicated that they use both types of orthotics, who had a previous Rankin score less than or equal to 3, and who obtained AFO orthosis through the Hospital Clinics at the Botucatu Medical School (HCBMS) São Paulo, Brazil. After a specific evaluation by a physiotherapist, the patient will receive 1 of the AFO types via randomization. After 30 days, the patient will be reevaluated. The primary outcomes will be balance and mobility, which will be evaluated by the Time Up Go Test (TUG) and Tinetti's Scale of Mobility and Balance (TSMB). The secondary outcomes will be quality of life and the levels of anxiety and depression, which will be evaluated with the European (5D) Quality of Life Scale (Euroqol) and Hospital Anxiety and Depression Scale (HADS). Group allocation will be not concealed because the blinding of participants and of therapists that provide intervention is not possible, and all analyses will be based on an intention-to-treat principle. This study was approved by the Human Research Ethics Committee of the São Paulo State University UNESP, number 2.367.953. The results will be published in relevant journal., Discussion: The results of this study will contribute to clinical practice by identifying the type of AFO orthosis that is more suitable for this condition, helping to standardize prescription of these orthoses by professionals, and guiding future research studies on this subject, which is still incompletely defined in the literature., Trial Registration: RBR-6SF2VV (March 5, 2018).
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- 2019
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27. Influence of an exercise program on cardiac remodeling and functional capacity in patients with stroke (CRONuS trial): study protocol for a randomized controlled trial.
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da Silva Rodrigues JC, Luvizutto GJ, da Costa RDM, Prudente RA, da Silva TR, de Souza JT, da Silveira CFDSMP, Rossi DAA, Winckler FC, Modolo GP, Valadão TFC, de Oliveira Antunes LC, Martin LC, Bazan R, and Bazan SGZ
- Subjects
- Activities of Daily Living, Blood Pressure Monitoring, Ambulatory, Echocardiography, Electrocardiography, Female, Humans, Male, Nutritional Status, Outcome Assessment, Health Care, Quality of Life, Atrial Remodeling, Brain Ischemia rehabilitation, Cardiac Rehabilitation methods, Exercise, Randomized Controlled Trials as Topic, Stroke Rehabilitation methods, Ventricular Remodeling
- Abstract
Background: Cardiovascular rehabilitation is one of the treatment options for post-stroke individuals in order to improve functional independence in activities of daily life and reduce energy expenditure. The aim of this trial is to evaluate the effect of an exercise program on the echocardiographic variables, functional capacity, inflammatory response, neurological status, nutritional status, cardiologic evaluation, and quality of life of patients after stroke., Methods/design: This is a randomized controlled trial including patients with ischemic stroke in the chronic phase. The patients will be evaluated at the beginning of the study and after 16 weeks. This will include clinical and physical evaluation, 6-min walk test, neurological assessment, nutritional assessment, ambulatory blood pressure monitoring, transthoracic echocardiography, and assessment of the quality of life. The sample size has been determined as 40 patients, who will be divided into two groups: control group (CG; n = 20) and intervention group (IG; n = 20). The CG will undergo conventional physiotherapy for 45 min, three times a week, up to 16 weeks, while the IG will be put on a cardiovascular rehabilitation program consisting of heating, aerobic exercise, and muscle strengthening for 45 min, three times a week, for 16 weeks. The primary endpoint will be functional capacity following a 6-min walk test (delta maxVO
2 ) and morphofunctional echocardiographic variables (indexed left ventricular mass) before and after the intervention., Discussion: We expect to observe an improvement in cardiac structural and functional abnormalities in the IG, on echocardiography and biochemical examination, and that the improvement of these parameters after cardiovascular rehabilitation will have a favorable impact on the functional capacity and quality of life of patients after stroke., Trial Registration: REBEC, RBR-4wk4b3. Registered on 19 September 2016.- Published
- 2019
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28. Noninvasive measurements of hemodynamic, autonomic and endothelial function as predictors of mortality in sepsis: A prospective cohort study.
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Bonjorno Junior JC, Caruso FR, Mendes RG, da Silva TR, Biazon TMPC, Rangel F, Phillips SA, Arena R, and Borghi-Silva A
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- Adult, Age Factors, Aged, Brachial Artery physiopathology, Case-Control Studies, Electrocardiography, Female, Heart Rate, Humans, Intensive Care Units, Kaplan-Meier Estimate, Male, Middle Aged, Prospective Studies, Regression Analysis, Risk Factors, Sepsis pathology, Severity of Illness Index, Stroke Volume, Hemodynamics physiology, Sepsis mortality
- Abstract
Background and Aim: Sepsis is associated with marked alterations in hemodynamic responses, autonomic dysfunction and impaired vascular function. However, to our knowledge, analysis of noninvasive markers to identify greater risk of death has not yet been investigated. Thus, our aim was to explore the prognostic utility of cardiac output (CO), stroke volume (SV), indices of vagal modulation (RMSSD and SD1), total heart rate variability (HRV) indices and FMD of brachial artery (%FMD), all measured noninvasively, in the first 24 hours of the diagnosis of sepsis., Methods: 60 patients were recruited at ICU between 2015 and 2017 and followed by 28 days. CO, SV, RR intervals were measurement. Doppler ultrasound was used to assess brachial artery FMD and the hyperemic response were obtained (%FMD). Patients were divided by survivors (SG) and nonsurvivors groups (NSG)., Results: A total of 60 patients were analysed (SG = 21 and NSG = 39). Survivors were younger (41±15 years vs. 55±11 years) and used less vasoactive drugs. As expected, APACHE and SOFA scores were lower in NSG compared to SG. In addition, higher SD1, triangular index, % FMD, velocity baseline and hyperemia flow velocity as well as lower HR values were observed in the SG, compared to NSG (P<0.05). Interestingly, RMSSD and SD1 indices were independent predictors of %FMD, ΔFMD and FMDpeak. RMSSD threshold of 10.8ms and %FMD threshold of -1 were optimal at discriminatomg survivors and nonsurvivors., Conclusion: Noninvasive measurements of autonomic and endotelial function may be important markers of sepsis mortality, which can be easily obtained in the early stages of sepsis at the bedside., Competing Interests: The authors have declared that no competing interests exist.
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- 2019
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29. Validation of the Catherine Bergego Scale in patients with unilateral spatial neglect after stroke.
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Marques CLS, de Souza JT, Gonçalves MG, da Silva TR, da Costa RDM, Modolo GP, Corrente JE, Bazan R, and Luvizutto GJ
- Abstract
The Catherine Bergego Scale (CBS) is a scale to evaluates the impact of unilateral spatial neglect (USN) on everyday life of patients after stroke., Objective: The aim of this study was to evaluate the reliability and comprehension of the Portuguese version of the CBS for patients with USN after stroke., Methods: This was a cross-sectional study in patients with stroke and USN. The CBS was translated, culturally adapted and applied by two independent investigators. The patients were also evaluated by the Behavioural Inattention Test (BIT), NIHSS, mRS and Barthel scale to assess USN severity, neurological function, disability and autonomy consecutively. Consistency and coherence were analysed using Cronbach's α, inter-observer reliability by Kappa, and the correlation between the CBS, BIT, NIHSS, mRS, and Barthel was determined using Pearson correlation., Results: Twenty-two patients were evaluated and the observed Cronbach's α=0.913. For intra-observer reproducibility, the 10 items showed a reasonable and high reliability between evaluators. The CBS showed a negative correlation with the BIT. There was a low correlation between the BIT and NIHSS, mRS and Barthel index., Conclusion: The CBS is an adequate and validated scale for assessing patients with USN after stroke in a Brazilian population., Competing Interests: Disclosure: The authors report no conflicts of interest.
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- 2019
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30. Screening of plant growth promotion ability among bacteria isolated from field-grown sorghum under different managements in Brazilian drylands.
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da Silva JF, da Silva TR, Escobar IEC, Fraiz ACR, Dos Santos JWM, do Nascimento TR, Dos Santos JMR, Peters SJW, de Melo RF, Signor D, and Fernandes-Júnior PI
- Subjects
- Azospirillum brasilense classification, Azospirillum brasilense genetics, Azospirillum brasilense isolation & purification, Azospirillum brasilense metabolism, Bacteria genetics, Bacterial Physiological Phenomena, Brazil, Calcium metabolism, Enterobacter classification, Enterobacter genetics, Enterobacter isolation & purification, Enterobacter metabolism, Indoleacetic Acids metabolism, Nitrogen metabolism, Nitrogen Fixation, Oxidoreductases genetics, Phosphates metabolism, Phylogeny, Plant Growth Regulators metabolism, Plant Shoots microbiology, RNA, Ribosomal, 16S genetics, Rhizosphere, Siderophores metabolism, Bacteria classification, Bacteria isolation & purification, Bacteria metabolism, Plant Development, Plant Roots microbiology, Sorghum growth & development, Sorghum microbiology
- Abstract
Sorghum [Sorghum bicolor (L.) Moench] is a multipurpose grass cultivated in drylands due to its adaptation to drought. However the characteristics of sorghum-associated bacteria are not known in the Brazilian drylands. The aim of this study was to isolate and evaluate the plant growth promotion potential bacteria from field-grown sorghum under two irrigation and manure application levels in a Brazilian semi-arid reagion. Sorghum was irrigated with 3 or 1 mm day
-1 and fertilized or not with liquid goat manure. Bacteria were obtained from surface-disinfected roots applying two nitrogen-free semi-solid media. The bacteria were evaluated for the presence of nifH gene, 16S rRNA sequences, calcium-phosphate solubilization, production of auxins and siderophores and for sorghum growth promotion. We obtained 20 out of 24 positive bacteria for nifH. The isolates were classified as in six different genera. All isolates produced auxins "in vitro", six bacteria produced siderophores and three Enterobacteriaceae solubilized calcium-phosphate. At least ten bacteria resulted in the increased total N content in the sorghum shoots, comparable to fertilization with 50 mg N plant-1 week-1 and to inoculation with Azospirillum brasilense Ab-V5. Enterobacter sp. ESA 57 was the best sorghum plant-growth promoting bacteria isolated in this study.- Published
- 2018
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31. Noninvasive Brain Stimulations for Unilateral Spatial Neglect after Stroke: A Systematic Review and Meta-Analysis of Randomized and Nonrandomized Controlled Trials.
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Kashiwagi FT, El Dib R, Gomaa H, Gawish N, Suzumura EA, da Silva TR, Winckler FC, de Souza JT, Conforto AB, Luvizutto GJ, and Bazan R
- Subjects
- Humans, Perceptual Disorders diagnosis, Perceptual Disorders physiopathology, Perceptual Disorders therapy, Randomized Controlled Trials as Topic methods, Stroke Rehabilitation methods, Transcranial Direct Current Stimulation methods, Transcranial Magnetic Stimulation methods
- Abstract
Background: Unilateral spatial neglect (USN) is the most frequent perceptual disorder after stroke. Noninvasive brain stimulation (NIBS) is a tool that has been used in the rehabilitation process to modify cortical excitability and improve perception and functional capacity., Objective: To assess the impact of NIBS on USN after stroke., Methods: An extensive search was conducted up to July 2016. Studies were selected if they were controlled and noncontrolled trials examining transcranial direct current stimulation (tDCS), repetitive transcranial magnetic stimulation (rTMS), and theta burst stimulation (TBS) in USN after stroke, with outcomes measured by standardized USN and functional tests., Results: Twelve RCTs (273 participants) and 4 non-RCTs (94 participants) proved eligible. We observed a benefit in overall USN measured by the line bisection test with NIBS in comparison to sham (SMD -2.35, 95% CI -3.72, -0.98; p = 0.0001); the rTMS yielded results that were consistent with the overall meta-analysis (SMD -2.82, 95% CI -3.66, -1.98; p = 0.09). The rTMS compared with sham also suggested a benefit in overall USN measured by Motor-Free Visual Perception Test at both 1 Hz (SMD 1.46, 95% CI 0.73, 2.20; p < 0.0001) and 10 Hz (SMD 1.19, 95% CI 0.48, 1.89; p = 0.54). There was also a benefit in overall USN measured by Albert's test and the line crossing test with 1 Hz rTMS compared to sham (SMD 2.04, 95% CI 1.14, 2.95; p < 0.0001)., Conclusions: The results suggest a benefit of NIBS on overall USN, and we conclude that rTMS is more efficacious compared to sham for USN after stroke.
- Published
- 2018
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32. Cannabidiol disrupts the consolidation of specific and generalized fear memories via dorsal hippocampus CB 1 and CB 2 receptors.
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Stern CAJ, da Silva TR, Raymundi AM, de Souza CP, Hiroaki-Sato VA, Kato L, Guimarães FS, Andreatini R, Takahashi RN, and Bertoglio LJ
- Subjects
- Amidohydrolases antagonists & inhibitors, Amidohydrolases metabolism, Animals, Arachidonic Acids metabolism, Benzamides pharmacology, Carbamates pharmacology, Endocannabinoids metabolism, Enzyme Inhibitors pharmacology, Fear physiology, Hippocampus metabolism, Indoles pharmacology, Male, Memory Consolidation physiology, Memory, Short-Term drug effects, Memory, Short-Term physiology, Piperidines pharmacology, Polyunsaturated Alkamides metabolism, Pyrazoles pharmacology, Random Allocation, Rats, Wistar, Receptor, Cannabinoid, CB1 antagonists & inhibitors, Receptor, Cannabinoid, CB1 metabolism, Receptor, Cannabinoid, CB2 antagonists & inhibitors, Receptor, Cannabinoid, CB2 metabolism, Cannabidiol pharmacology, Cannabinoid Receptor Modulators pharmacology, Fear drug effects, Hippocampus drug effects, Memory Consolidation drug effects, Psychotropic Drugs pharmacology
- Abstract
Pharmacological interventions able to modulate a fear memory while it is consolidated could have therapeutic value in tempering those maladaptively overconsolidated. Animal and human studies have shown the intensity of unconditioned stimulus delivered during fear conditioning influences qualitative and quantitative aspects of the memory to be established. By varying the shock intensity used for contextual pairing in rats, here we induced specific and more generalized long-term fear memories to investigate whether, how and where in the brain the cannabidiol (CBD; 3.0-30 mg/kg i.p.) could impair their consolidation and related outcomes. When given immediately after their acquisition, it reduced respectively the conditioned fear expression, and fear generalization, ultrasonic vocalizations at 22-kHz and the relative resistance to extinction. CBD had no effects on short-term fear memory, and its delayed treatment no longer affected the consolidation process. As the dorsal hippocampus (DH) modulates fear memory specificity and generalization, and cannabinoid type-1 (CB
1 ) and type-2 (CB2 ) receptors contribute to consolidation, we investigated their involvement in CBD effects. Both systemic and intra-DH treatment with the CB1 receptor antagonist/inverse agonist AM251 or the CB2 receptor antagonist/inverse agonist AM630 prevented the disrupting CBD effects on consolidation. Since the CBD effects on the endocannabinoid transmission are probably indirect, we investigated and demonstrated the FAAH inhibitor URB597 induced effects similar to those of CBD when given systemically or intra-DH. Altogether, the present results suggest the CBD disrupts the consolidation of different fear memories via anandamide-mediated activation of DH CB1 and CB2 receptors., (Copyright © 2017 Elsevier Ltd. All rights reserved.)- Published
- 2017
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33. Molecular Verification of New World Mansonella perstans Parasitemias.
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Tavares da Silva LB, Crainey JL, Ribeiro da Silva TR, Suwa UF, Vicente AC, Fernandes de Medeiros J, Pessoa FA, and Luz SL
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- Animals, DNA, Protozoan genetics, DNA, Ribosomal Spacer genetics, Humans, Mansonelliasis parasitology, Parasitemia epidemiology, Phylogeny, Mansonella genetics, Mansonella isolation & purification, Mansonelliasis blood, Mansonelliasis epidemiology, Parasitemia parasitology
- Abstract
We obtained ribosomal and mitochondrial DNA sequences from residents of Amazonas state, Brazil, with Mansonella parasitemias. Phylogenetic analysis of these sequences confirm that M. ozzardi and M. perstans parasites occur in sympatry and reveal the close relationship between M. perstans in Africa and Brazil, providing insights into the parasite's New World origins.
- Published
- 2017
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34. Evidence for an expanded time-window to mitigate a reactivated fear memory by tamoxifen.
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da Silva TR, Takahashi RN, Bertoglio LJ, Andreatini R, and Stern CA
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- Animals, Conditioning, Psychological drug effects, Estrous Cycle physiology, Female, Male, Memory drug effects, Mental Recall drug effects, Protein Kinase C antagonists & inhibitors, Rats, Rats, Wistar, Sex Characteristics, Time Factors, Antineoplastic Agents, Hormonal adverse effects, Fear psychology, Tamoxifen adverse effects
- Abstract
The mechanisms underpinning the persistence of emotional memories are inaccurately understood. Advancing the current level of understanding with regards to this aspect is of potential translational value for the treatment of post-traumatic stress disorder (PTSD), which stems from an abnormal aversive memory formation. Tamoxifen (TMX) is a drug used in chemotherapy for breast cancer and associated with poor cognitive performances. The present study investigated whether the systemic administration of TMX (1.0-50mg/kg) during and/or beyond the reconsolidation time-window could attenuate a reactivated contextual fear memory in laboratory animals. When administered 0, 6 or 9h (but not 12h) post-memory retrieval and reactivation, TMX (50mg/kg) reduced the freezing behavior in male rats re-exposed to the paired context on day 7, but not on day 1, suggesting a specific impairing effect on memory persistence. Importantly, this effect lasts up to 21 days, but it is prevented by omitting the memory retrieval or memory reactivation. When female rats in the diestrous or proestrous phase were used, the administration of TMX 6h after retrieving and reactivating the fear memory also impaired its persistence. Altogether, regardless of the gender, the present results indicate that the TMX is able to disrupt the persistence of reactivated fear memories in an expanded time-window, which could shed light on a new promising therapeutic strategy for PTSD., (Copyright © 2016 Elsevier B.V. and ECNP. All rights reserved.)
- Published
- 2016
- Full Text
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35. Five second photoactivation? A microhardness and marginal adaptation in vitro study in composite resin restorations.
- Author
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Shimokawa CA, Carneiro PM, Lobo TR, Arana-Chavez VE, Youssef MN, and Turbino ML
- Subjects
- Animals, Cattle, Composite Resins chemistry, Curing Lights, Dental, Hardness, Materials Testing, Microscopy, Electron, Scanning, Photochemical Processes, Polymerization radiation effects, Composite Resins radiation effects, Dental Restoration, Permanent, Light-Curing of Dental Adhesives
- Abstract
Introduction: Studies defining the characteristics of light curing units and photoactivation methods are necessary to allow the correct choices to be made in daily practice. This study aimed to determine whether different photoactivation protocols for composite resins [periodic level shifting (PLS) - 5 second and soft-start] are able to maintain or enhance the mechanical properties and marginal adaptation of restorations., Methods: Restorations were placed in bovine teeth using the following photoactivation methods: continuous light for 20 seconds (control group); PLS technology (PLS - 5 second group); and continuous light and a light guide tip distance of 6 mm after which the tip was placed at the surface of the restoration (soft-start group). The teeth were transversely sectioned in the incisal-cervical direction. Thirty halves were randomly selected for Knoop microhardness testing (n = 10). The other 30 halves were subjected to scanning electron microscopy analysis. The images obtained were measured to identify the highest marginal gap, and statistical tests for variance analysis were conducted., Results: Microhardness tests showed no statistically significant difference between the photoactivation methods analysed (P ≥ 0.01). The tests showed a difference among depths (P < 0.01), with the deeper layers being the hardest. In analysing marginal adaptation, no significant difference was identified between the higher marginal gap values in the continuous (mean = 10.36) and PLS - 5 second (mean = 10.62) groups, and the soft-start group (mean = 5.83) presented the lowest values (P < 0.01)., Conclusions: The PLS - 5 second and soft-start protocols did not alter the hardness of the restorations. Moreover, the PLS - 5 second protocol did not alter the marginal adaptation, whereas the soft-start protocol improved marginal adaptation., (© 2016 FDI World Dental Federation.)
- Published
- 2016
- Full Text
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36. Influence of Cysteine and Tryptophan Substitution on DNA-Binding Activity on Maize α-Hairpinin Antimicrobial Peptide.
- Author
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Sousa DA, Porto WF, Silva MZ, da Silva TR, and Franco OL
- Subjects
- Amino Acid Substitution, Antimicrobial Cationic Peptides chemical synthesis, Models, Molecular, Molecular Conformation, Structure-Activity Relationship, Antimicrobial Cationic Peptides chemistry, Antimicrobial Cationic Peptides metabolism, Cysteine chemistry, DNA chemistry, DNA metabolism, Tryptophan chemistry, Zea mays chemistry
- Abstract
For almost four decades, antimicrobial peptides have been studied, and new classes are being discovered. However, for therapeutic use of these molecules, issues related to the mechanism of action must be answered. In this work, the antimicrobial activity of the hairpinin MBP-1 was studied by the synthesis of two variants, one replacing cysteines and one tryptophan with alanine. Antibacterial activity was abolished in both variants. No membrane disturbance, even in concentrations higher than those required to inhibit the bacteria, was observed in SEM microscopy. The gel retardation assay showed that MBP-1 possesses a higher DNA-binding ability than variants. Finally, molecular modelling showed that the lack of cysteines resulted in structure destabilization and lack of tryptophan resulted in a less flexible peptide, with less solvent assessable surface area, both characteristics that could contribute to absence of activity. In summary, the data here reported add more information about the multiple mechanisms of action of α-hairpinins.
- Published
- 2016
- Full Text
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37. Historic accounts of Mansonella parasitaemias in the South Pacific and their relevance to lymphatic filariasis elimination efforts today.
- Author
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Crainey JL, Ribeiro da Silva TR, and Luz SL
- Abstract
There are two species of filarial parasites with sheathless microfilariae known to commonly cause parasitaemias in humans: Mansonella perstans and Mansonella ozzardi. In most contemporary accounts of the distribution of these parasites, neither is usually considered to occur anywhere in the Eastern Hemisphere. However, Sir Patrick Manson, who first described both parasite species, recorded the existence of sheathless sharp-tailed Mansonella ozzardi-like parasites occurring in the blood of natives from New Guinea in each and every version of his manual for tropical disease that he wrote before his death in 1922. Manson's reports were based on his own identifications and were made from at least two independent blood sample collections that were taken from the island. Pacific region Mansonella perstans parasitaemias were also later (in 1923) reported to occur in New Guinea and once before this (in 1905) in Fiji. Although Mansonella-parasitaemias are generally regarded as benign, they are thought to be of public health importance because they can affect the epidemiological monitoring of other filarial diseases. In this article, we reviewed the historic literature concerning Pacific-origin Mansonella-parasitaemias in an attempt to explain how, despite repeated reports of Pacific-region Mansonella-parasitaemias, by as early as the 1970s, the WHO had arrived at the present-day view that Wuchereria bancrofti is the only cause of filarial parasitaemias in Papua New Guinea. We have also evaluated the evidence supporting the contemporary existence of Pacific-area parasitaemia-causing Mansonella parasites and assessed the relevance such parasites could have for present-day lymphatic filariasis elimination efforts in the region., (Copyright © 2016 Hainan Medical College. Production and hosting by Elsevier B.V. All rights reserved.)
- Published
- 2016
- Full Text
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38. Subclinical cardiovascular disease in postmenopausal women with low/medium cardiovascular risk by the Framingham risk score.
- Author
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Maturana MA, Franz RF, Metzdorf M, da Silva TR, and Spritzer PM
- Subjects
- Aged, Atherosclerosis blood, Atherosclerosis diagnostic imaging, Atherosclerosis physiopathology, Blood Pressure, Brazil epidemiology, Cardiovascular Diseases blood, Cardiovascular Diseases diagnostic imaging, Cardiovascular Diseases physiopathology, Carotid Intima-Media Thickness, Cholesterol, LDL blood, Cross-Sectional Studies, Estradiol blood, Female, Humans, Middle Aged, Postmenopause, Prevalence, Risk, Risk Factors, Tomography, X-Ray Computed, Atherosclerosis epidemiology, Cardiovascular Diseases epidemiology
- Abstract
Objectives: To evaluate the prevalence of subclinical cardiovascular disease (CVD) and its association with clinical and hormone variables in postmenopausal women from Southern Brazil., Study Design: Cross-sectional study., Main Outcome Measures: Coronary artery calcification (CAC) assessed by electron-beam computed tomography. Carotid intima-media thickness (IMT) and atheromatous plaques assessed using B-mode ultrasound. IMT was measured at three segments. Subclinical CVD was defined as the presence of plaque and/or IMT >0.9 mm., Results: Ninety-seven postmenopausal women (mean age 55 ± 5 years, median duration of menopause 5.8 [3-10] years) were studied. A low/medium Framingham risk score (FRS) was present in 97.9% of participants; 35.1% had subclinical CVD on carotid ultrasound, and 24.7% had the presence of plaque. Seven women had a CAC score ≥ 100, and two had a score ≥ 200. CAC score (p<0.001) and FRS (p=0.013) were higher in patients with subclinical atherosclerosis. Positive correlations were found between IMT and age (rs=0.293 p=0.004), duration of menopause (rs=0.237, p=0.020), and CAC score (rs=0.468, p<0.001). Common carotid IMT (IMT-CC) was negatively associated with estradiol levels (β=-0.237, p=0.018) and positively with age (β=0.210, p=0.033), and BMI (β=0.260, p=0.010). However, correlations with estradiol and age did not remain significant when adjusted for systolic blood pressure and LDL-cholesterol levels., Conclusion: A high prevalence of subclinical atherosclerosis was detected in this sample of postmenopausal women with low/medium CV risk by the FRS. The association between IMT-CC and age or endogenous estrogen levels was dependent of blood pressure and LDL-cholesterol in these postmenopausal women from Southern Brazil., (Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.)
- Published
- 2015
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39. Analysis of single-nucleotide polymorphisms in the APOBEC3H gene of domestic cats (Felis catus) and their association with the susceptibility to feline immunodeficiency virus and feline leukemia virus infections.
- Author
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de Castro FL, Junqueira DM, de Medeiros RM, da Silva TR, Costenaro JG, Knak MB, de Matos Almeida SE, Campos FS, Roehe PM, and Franco AC
- Subjects
- Alleles, Animals, Cats, Gene Frequency, Gene Order, Genotype, Haplotypes, Aminohydrolases genetics, Cat Diseases genetics, Cat Diseases virology, Genetic Predisposition to Disease, Immunodeficiency Virus, Feline, Leukemia Virus, Feline, Polymorphism, Single Nucleotide, Retroviridae Infections veterinary
- Abstract
Feline immunodeficiency virus (FIV) and feline leukemia virus (FeLV) are widely distributed retroviruses that infect domestic cats (Felis catus). Restriction factors are proteins that have the ability to hamper retroviruses' replication and are part of the conserved mechanisms of anti-viral immunity of mammals. The APOBEC3 protein family is the most studied class of restriction factors; they are cytidine deaminases that generate hypermutations in provirus DNA during reverse transcription, thus causing hypermutations in the viral genome, hindering virus replication. One of the feline APOBEC3 genes, named APOBEC3H, encodes two proteins (APOBEC3H and APOBEC3CH). In other mammals, APOBEC3H single-nucleotide polymorphisms (SNPs) can alter the stability and cellular localization of the encoded protein, thus influencing its subcellular localization and reducing its anti-viral effect. In cats, the association of APOBEC3H SNPs with susceptibility to retroviral infections was not yet demonstrated. Therefore, this study aimed the investigation on the variability of APOBEC3H and the possible association with FIV/FeLV infections. DNA obtained from whole blood of fifty FIV- and/or FeLV-infected cats and fifty-nine FIV- and/or FeLV-uninfected cats were used as templates to amplify two different regions of the APOBEC3H, with subsequent sequencing and analysis. The first region was highly conserved among all samples, while in the second, six single-nucleotide variation points were identified. One of the SNPs, A65S (A65I), was significantly correlated with the susceptibility to FIV and/or FeLV infections. On the other hand, the haplotype analysis showed that the combination "GGGGCC" was positively correlated with the lack of FIV and/or FeLV infections. Our results indicate that, as previously shown in other mammals, variability of restriction factors may contribute to susceptibility of domestic cats to retroviral infections; however, these results should be confirmed by more extensive analysis and in vitro experiments., (Copyright © 2014 Elsevier B.V. All rights reserved.)
- Published
- 2014
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40. The role of US in the evaluation of clinically suspected ulnar collateral ligament injuries of the thumb: spectrum of findings and differential diagnosis.
- Author
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Arend CF and da Silva TR
- Subjects
- Diagnosis, Differential, Humans, Ligaments, Articular diagnostic imaging, Ligaments, Articular injuries, Thumb diagnostic imaging, Thumb injuries, Ulna diagnostic imaging, Ulna injuries, Ultrasonography methods
- Abstract
Injury to the ulnar collateral ligament (UCL) complex of the thumb is a common traumatic lesion that requires prompt imaging evaluation for adequate treatment. In this article, we review the role of ultrasound in diagnosis and illustrate the spectrum of both static and dynamic findings related to the UCL injuries. We also describe a number of alternative diagnoses in the vicinity of the first metacarpophalangeal joint that may present clinically as pseudoligamentous lesions in a trauma setting., (© The Foundation Acta Radiologica 2013 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.)
- Published
- 2014
- Full Text
- View/download PDF
41. Diagnostic value of tendon thickness and structure in the sonographic diagnosis of supraspinatus tendinopathy: room for a two-step approach.
- Author
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Arend CF, Arend AA, and da Silva TR
- Subjects
- Adolescent, Adult, Aged, Aged, 80 and over, Female, Humans, Image Enhancement methods, Male, Middle Aged, Organ Size, Reproducibility of Results, Sensitivity and Specificity, Ultrasonography, Young Adult, Algorithms, Image Interpretation, Computer-Assisted methods, Imaging, Three-Dimensional methods, Magnetic Resonance Imaging, Rotator Cuff diagnostic imaging, Tendinopathy diagnostic imaging, Tendons diagnostic imaging
- Abstract
Objective: The aim of our study was to systematically compare different methodologies to establish an evidence-based approach based on tendon thickness and structure for sonographic diagnosis of supraspinatus tendinopathy when compared to MRI., Methods: US was obtained from 164 symptomatic patients with supraspinatus tendinopathy detected at MRI and 42 asymptomatic controls with normal MRI. Diagnostic yield was calculated for either maximal supraspinatus tendon thickness (MSTT) and tendon structure as isolated criteria and using different combinations of parallel and sequential testing at US. Chi-squared tests were performed to assess sensitivity, specificity, and accuracy of different diagnostic approaches., Results: Mean MSTT was 6.68 mm in symptomatic patients and 5.61 mm in asymptomatic controls (P<.05). When used as an isolated criterion, MSTT>6.0mm provided best results for accuracy (93.7%) when compared to other measurements of tendon thickness. Also as an isolated criterion, abnormal tendon structure (ATS) yielded 93.2% accuracy for diagnosis. The best overall yield was obtained by both parallel and sequential testing using either MSTT>6.0mm or ATS as diagnostic criteria at no particular order, which provided 99.0% accuracy, 100% sensitivity, and 95.2% specificity. Among these parallel and sequential tests that provided best overall yield, additional analysis revealed that sequential testing first evaluating tendon structure required assessment of 258 criteria (vs. 261 for sequential testing first evaluating tendon thickness and 412 for parallel testing) and demanded a mean of 16.1s to assess diagnostic criteria and reach the diagnosis (vs. 43.3s for sequential testing first evaluating tendon thickness and 47.4s for parallel testing)., Conclusions: We found that using either MSTT>6.0mm or ATS as diagnostic criteria for both parallel and sequential testing provides the best overall yield for sonographic diagnosis of supraspinatus tendinopathy when compared to MRI. Among these strategies, a two-step sequential approach first assessing tendon structure was advantageous because it required a lower number of criteria to be assessed and demanded less time to assess diagnostic criteria and reach the diagnosis., (Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.)
- Published
- 2014
- Full Text
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42. Poisoning by Talisia esculenta (A. St.-Hil.) Radlk in sheep and cattle.
- Author
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Riet-Correa F, Bezerra CW, Medeiros MA, da Silva TR, Neto EG, and Medeiros RM
- Abstract
Talisia esculenta is a tree that produces pitomba, a fruit consumed by human beings in several regions of Brazil. The current study reports 3 outbreaks of poisoning by leaves and fruits of T. esculenta affecting sheep and cattle and the experimental reproduction of the disease in sheep. In the first investigated outbreak, sheep ingested the leaves of the plant; another outbreak affected cattle and sheep that ingested leaves and fruits; and in a third outbreak, sheep ingested only the fruits. The animals developed severe nervous signs, but most recovered. Poisoning was reproduced experimentally in 5 sheep by the administration of 30-60 g of leaves/kg body weight and in 2 sheep with doses of 5 and 10 g of seeds/kg body weight, respectively. No significant necropsy or histologic lesions were found., (© 2014 The Author(s).)
- Published
- 2014
- Full Text
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43. 16S rRNA gene-based identification of microbiota associated with the parthenogenetic troglobiont sand fly Deanemyia maruaga (Diptera, Psychodidae) from central Amazon, Brazil.
- Author
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de Sousa KB, da Silva TR, Alencar RB, Baton LA, Naveca FG, and Shimabukuro PH
- Abstract
Bacteria associated with the parthenogenetic troglobiont sand fly Deanemyia maruaga were characterized by sequencing cloned 16S rDNA PCR products. Eleven novel partial 16S rDNA sequences, with varying degrees of similarity to Actinobacteria, were identified. None of the sequences identified had homology to those known from parthenogenesis-inducing bacteria.
- Published
- 2013
- Full Text
- View/download PDF
44. Characterization of protective immune responses induced by pneumococcal surface protein A in fusion with pneumolysin derivatives.
- Author
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Goulart C, da Silva TR, Rodriguez D, Politano WR, Leite LC, and Darrieux M
- Subjects
- Animals, Bacterial Proteins genetics, Female, Mice, Mice, Inbred BALB C, Pneumococcal Vaccines genetics, Recombinant Fusion Proteins genetics, Streptolysins genetics, Bacterial Proteins immunology, Bacterial Proteins metabolism, Pneumococcal Vaccines immunology, Pneumococcal Vaccines metabolism, Recombinant Fusion Proteins immunology, Recombinant Fusion Proteins metabolism, Streptolysins immunology, Streptolysins metabolism
- Abstract
Pneumococcal surface protein A (PspA) and Pneumolysin derivatives (Pds) are important vaccine candidates, which can confer protection in different models of pneumococcal infection. Furthermore, the combination of these two proteins was able to increase protection against pneumococcal sepsis in mice. The present study investigated the potential of hybrid proteins generated by genetic fusion of PspA fragments to Pds to increase cross-protection against fatal pneumococcal infection. Pneumolisoids were fused to the N-terminus of clade 1 or clade 2 pspA gene fragments. Mouse immunization with the fusion proteins induced high levels of antibodies against PspA and Pds, able to bind to intact pneumococci expressing a homologous PspA with the same intensity as antibodies to rPspA alone or the co-administered proteins. However, when antibody binding to pneumococci with heterologous PspAs was examined, antisera to the PspA-Pds fusion molecules showed stronger antibody binding and C3 deposition than antisera to co-administered proteins. In agreement with these results, antisera against the hybrid proteins were more effective in promoting the phagocytosis of bacteria bearing heterologous PspAs in vitro, leading to a significant reduction in the number of bacteria when compared to co-administered proteins. The respective antisera were also capable of neutralizing the lytic activity of Pneumolysin on sheep red blood cells. Finally, mice immunized with fusion proteins were protected against fatal challenge with pneumococcal strains expressing heterologous PspAs. Taken together, the results suggest that PspA-Pd fusion proteins comprise a promising vaccine strategy, able to increase the immune response mediated by cross-reactive antibodies and complement deposition to heterologous strains, and to confer protection against fatal challenge.
- Published
- 2013
- Full Text
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45. Nonbiological maternal risk factor for low birth weight on Latin America: a systematic review of literature with meta-analysis.
- Author
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da Silva TR
- Subjects
- Female, Humans, Infant, Newborn, Latin America epidemiology, Maternal Age, Risk Factors, Infant, Low Birth Weight
- Abstract
Objective: To identify non-biological maternal risk factors to low birth weight in Latin America., Methods: Systematic review of literature through meta-analysis. The tool for methodological evaluation was the Strengthening the Reporting of Observational Studies in Epidemiology Statement. Studies in non-pathological maternal risk factors to low-birth weight and those evaluated by a Strengthening the Reporting of Observational Studies in Epidemiology Statement method under C grade were excluded., Results: From seven studies, five pointed out the influence of maternal age under 20. In four studies maternal age above 35 years old was relevant to low birth weight. Other factors were present in only one or two studies., Conclusion: According to this study the maternal age under 20 and above 35 years old is a relevant factor to low birth weight. There are few studies with universal and solid methodology, which difficult a systematic review of literature though meta-analysis.
- Published
- 2012
- Full Text
- View/download PDF
46. [Intersectoral practices that promote an integral care in psychosocial care centers].
- Author
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de Azevedo EB, Ferreira FM, Silva PM, da Silva VC, and Dantas TR
- Subjects
- Brazil, Humans, Mental Health Services, Work, Workplace, Comprehensive Health Care, Qualitative Research
- Abstract
This research aimed to describe two experiences of inclusion in the work developed by users and providers of a Psychosocial Care Center of the city of Campina Grande, state of Paratba, Brazil. This was a descriptive, interpretative and qualitative research, with 19 professionals. The experiment described here was reported by a professional. The empirical material was collected in June and July, 2010. The analysis was based on content analysis, and enabled the construction of the category: art as a way of inclusion in the workplace. Results show that the painting on canvas course and the itinerant cultural project favored the inclusion of users in the labor market, improving their self-esteem, social inclusion, interaction with other services and users, and encouraging intersectoral and comprehensive care.
- Published
- 2012
- Full Text
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47. Geographical distribution of American cutaneous leishmaniasis and its phlebotomine vectors (Diptera: Psychodidae) in the state of São Paulo, Brazil.
- Author
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Shimabukuro PH, da Silva TR, Ribeiro FO, Baton LA, and Galati EA
- Abstract
Background: American cutaneous leishmaniasis (ACL) is a re-emerging disease in the state of São Paulo, Brazil. It is important to understand both the vector and disease distribution to help design control strategies. As an initial step in applying geographic information systems (GIS) and remote sensing (RS) tools to map disease-risk, the objectives of the present work were to: (i) produce a single database of species distributions of the sand fly vectors in the state of São Paulo, (ii) create combined distributional maps of both the incidence of ACL and its sand fly vectors, and (iii) thereby provide individual municipalities with a source of reference material for work carried out in their area., Results: A database containing 910 individual records of sand fly occurrence in the state of São Paulo, from 37 different sources, was compiled. These records date from between 1943 to 2009, and describe the presence of at least one of the six incriminated or suspected sand fly vector species in 183/645 (28.4%) municipalities. For the remaining 462 (71.6%) municipalities, we were unable to locate records of any of the six incriminated or suspected sand fly vector species (Nyssomyia intermedia, N. neivai, N. whitmani, Pintomyia fischeri, P. pessoai and Migonemyia migonei). The distribution of each of the six incriminated or suspected vector species of ACL in the state of São Paulo were individually mapped and overlaid on the incidence of ACL for the period 1993 to 1995 and 1998 to 2007. Overall, the maps reveal that the six sand fly vector species analyzed have unique and heterogeneous, although often overlapping, distributions. Several sand fly species - Nyssomyia intermedia and N. neivai - are highly localized, while the other sand fly species - N. whitmani, M. migonei, P. fischeri and P. pessoai - are much more broadly distributed. ACL has been reported in 160/183 (87.4%) of the municipalities with records for at least one of the six incriminated or suspected sand fly vector species, while there are no records of any of these sand fly species in 318/478 (66.5%) municipalities with ACL., Conclusions: The maps produced in this work provide basic data on the distribution of the six incriminated or suspected sand fly vectors of ACL in the state of São Paulo, and highlight the complex and geographically heterogeneous pattern of ACL transmission in the region. Further studies are required to clarify the role of each of the six suspected sand fly vector species in different regions of the state of São Paulo, especially in the majority of municipalities where ACL is present but sand fly vectors have not yet been identified.
- Published
- 2010
- Full Text
- View/download PDF
48. Comparison between exclusively long-axis and multiple-axis sonographic protocols for screening of rotator cuff lesions in symptomatic shoulders.
- Author
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Arend CF and da Silva TR
- Subjects
- Humans, Magnetic Resonance Imaging, Middle Aged, Predictive Value of Tests, Rupture, Rotator Cuff diagnostic imaging, Rotator Cuff Injuries, Ultrasonography methods
- Abstract
Objective: The purpose of this study was to determine whether exclusively long-axis sonography differs from a multiple-axis scanning protocol as a screening tool for rotator cuff lesions in symptomatic shoulders when compared with magnetic resonance imaging (MRI)., Methods: A total of 509 consecutive patients (mean age, 52.8 years) referred for MRI were also routinely evaluated by sonography. We initially performed exclusively long-axis sonography and graded the rotator cuff as normal or abnormal. Patients subsequently underwent a full sonographic protocol using multiple-axis views. Magnetic resonance imaging findings were compared with sonographic findings for both techniques., Results: The overall accuracy of sonography was greater than 90%. We found divergent results from different sonographic techniques in 34 patients. Of these, 8 were multiple-axis false-negative; 14 were exclusively long-axis false-negative; 6 were exclusively long-axis false-positive; and 6 were multiple-axis false-positive. All cases with divergent false-negative findings on multiple-axis sonography showed tendinosis on MRI. Causes for false-negative findings on exclusively long-axis sonography included tendinosis and partial-thickness tears of the supraspinatus. No statistically significant difference was seen between both sonographic techniques compared with MRI in terms of accuracy, sensitivity, specificity, positive predictive value, and negative predictive value (P > .05)., Conclusions: Sonography is reliable for detecting rotator cuff abnormalities. Exclusively long-axis sonography seems appropriate as a screening tool for rotator cuff lesions in symptomatic shoulders.
- Published
- 2010
- Full Text
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49. [Accidents with cutting and piercing materials among nursing professionals at a university hospital].
- Author
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da Silva TR, Rocha SA, Ayres JA, and Juliani CM
- Subjects
- Adult, Female, Hospitals, University, Humans, Male, Needlestick Injuries epidemiology, Retrospective Studies, Young Adult, Accidents, Occupational statistics & numerical data, Nursing, Wounds, Stab epidemiology
- Abstract
The occupational hazards to which nursing professionals are subject while performing their duties are considerable. This study aims to analyze accidents with cutting and piercing instruments involving the nursing team of a university hospital that occurred between 2002 and 2006 in order to understand the context in which they happened. The use of such information can be a prevention tool. This is a descriptive, retrospective, quantitative and qualitative study. Descriptive statistics were used for quantitative analysis and collective subject discourse was used for qualitative observation. By using report forms from the hospital's Epidemiological Surveillance Center, it was possible to identify a typology of accidents occurred in the studied period. Interviews were targeted at accident victims who had patients with the Acquired Immunodeficiency Syndrome/the Human Immunodeficiency Virus, Hepatitis B and C as source patients. The findings show that a significant lack of knowledge and banalization of accidents still persist among health care professionals.
- Published
- 2010
- Full Text
- View/download PDF
50. Cerebral vasculitis caused by Aspergillus simulating ischemic stroke in an immunocompetent patient.
- Author
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Martins HS, da Silva TR, Scalabrini-Neto A, and Velasco IT
- Subjects
- Aspergillosis complications, Diagnosis, Differential, Fatal Outcome, Female, Humans, Immunocompetence, Magnetic Resonance Imaging, Middle Aged, Stroke diagnosis, Vasculitis, Central Nervous System microbiology, Aspergillosis diagnosis, Paresis etiology, Vasculitis, Central Nervous System complications, Vasculitis, Central Nervous System diagnosis
- Abstract
Although Aspergillus is widespread, clinically significant disease is rare in immunocompetent patients. We present a case of an otherwise healthy individual who developed cerebral vasculitis and stroke symptoms from Aspergillus, to raise awareness of this entity., (Copyright 2010 Elsevier Inc. All rights reserved.)
- Published
- 2010
- Full Text
- View/download PDF
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