110 resultados para TB-3

em Scielo Saúde Pública - SP


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We are working in a new multi-doped glassy material to generate simultaneously the three primary light color (by addition) of the visible spectrum, with the control of the intensity of each one, allowing the simulation of any color: a full-color generator device. Tm+3, Tb+3 and Eu+3 ions were used (0.01 to 5,0 mol%) as blue, green and red narrow line emitters. A wide color gamut was obtained under ultraviolet excitation by varying the material composition. The chromaticity diagram is covered, including the white simulation.

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OBJETIVO: Identificar reas de vulnerabilidade para os casos novos de co-infeco HIV/tuberculose (TB). MTODOS: Estudo descritivo ecolgico realizado por meio do georreferenciamento dos casos novos de HIV/TB notificados em Ribeiro Preto, SP, em 2006. Os dados foram obtidos do sistema de informao estadual paulista de notificao de TB. Os casos novos de co-infeco HIV/TB foram analisados conforme caractersticas sociodemogrficas e clnicas e, posteriormente, georreferenciados na base cartogrfica do municpio segundo endereo residencial. Os setores do municpio foram categorizados em trs nveis socioeconmicos: inferior, intermedirio e superior, com base na anlise de componentes principais das variveis do censo demogrfico de 2000 (renda, instruo e percentagem de domiclios com cinco ou mais moradores). Foi calculada a incidncia da co-infeco HIV/TB para cada nvel socioeconmico. RESULTADOS: A co-infeco HIV/TB acometeu mais adultos do sexo masculino em idade economicamente ativa e a forma pulmonar da TB foi a mais comum. A distribuio espacial mostrou que as incidncias nas reas com nveis socioeconmicos intermedirios e inferiores (8,3 e 11,5 casos por 100 mil habitantes, respectivamente) foram superiores quela (4,8 casos por 100 mil habitantes) de nvel socioeconmico superior. CONCLUSES: A taxa de incidncia de co-infeco HIV/TB analisada por nveis socioeconmicos mostrou padrao espacial de distribuiao no homogneo e apresentou valores mais altos em reas de maior vulnerabilidade social. O estudo diagnosticou areas geograficas prioritarias para o controle da co-infeco e a tecnologia do sistema de informao geogrfica pode ser empregada no planejamento das aes em sade pelos gestores municipais.

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The effect of the human immunodeficiency virus (HIV) infection on IgG production against purified protein derivative (PPD) and 2,3-diacil-trehalose (SL-IV) was investigated by an enzyme-linked immunosorbent assay (ELISA) test. Comparison between the antigens showed that immunocompetent patients produce preferentially antibodies to SL-IV than to PPD (73.3% versus 63.3%). Combination of these results showed an increase of the sensitivity to 80%, which decreased over the spectrum of immunodepression caused by HIV. In the tuberculous HIV seropositive group the sensitivities of SL-IV and PPD were 36.4% versus 40% and 0% versus 22.2% in the tuberculosis/acquired immunodeficiency syndrome (TB/AIDS) group. Combination of these results gave respectively 54.5% and 20%, showing that serological tests have limited value for diagnosis of tuberculosis in HIV infected patients. High antibody levels were observed in HIV seropositive asymptomatic group, but only two individuals were positive for both antigens. In the follow up, one of them developed tuberculous lymphadenitis, indicating that further work is needed to access the value of serological tests in predicting tuberculosis in HIV infected individuals.

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During an epidemiological survey of acute respiratory infection in Rio de Janeiro, among 208 adenovirus isolates, we found two strains that we were not able, by a standard neutralization procedure, to distinguish between type 3 or 7. However, DNA restriction pattern for the two strains with different enzymes were analyzed and showed a typical Ad3h profile. Using a cross-neutralization test in which both Ad3p and Ad7p antisera were used in different concentration against 100 TCID50 of each adenovirus standard and both isolates, we were able to confirm that the two isolates belong to serotype 3. An hemagglutination inhibition test also corroborated the identification of both strains as adenovirus type 3. Comparing Ad3h and Ad3p genome, we observed 16 different restriction enzyme sites, three of which were located in genomic regions encoding polypeptides involved in neutralization sites

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Human pulmonary tuberculosis (TB) is a worldwide public health problem. In resistant individuals, control of the infection mainly requires development of a Th1 cell immune response with production of cytokines, of which interferon-gamma (IFN-gamma)plays an important role. Several antigens from Mycobacterium tuberculosis complex has been described for use in vaccine development or for diagnostic purposes, however little evaluation has been done in endemic area for TB. The proliferative and IFN-gamma human T cell immune responses, to four recombinant proteins (MBP-3, NarL, MT-10.3, 16 kDa) and PPD, of 38 Brazilian TB patients (6 untreated and 32 treated) and 67 controls (38 positive and 29 negative tuberculin skin test - TST) were compared. The highest reactivity mean rate was obtained with PPD followed by 16 kDa in TB patients. While most of the patients (87%) and controls (> 64%) respond to the PPD, 16kDa was more specifically recognized (> 21%) although less sensitive (54%). When TB patients were divided according to treatment status, opposite to PPD, higher average level of IFN-gamma was induced by 16kDa in untreated (505 pg/ml) compared to treated TB patients and TST+ (269.8 pg/ml x 221.6pg/ml, respectively), although the difference was not significant. These data show that in contrast with the other recombinant proteins, the stimulatory potency of 16kDa to induce proliferative and INF-gamma response was more effective and is more recognized by active TB untreated patients, eliciting in control individuals a more selective immune response than PPD.

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To evaluate commercial Lionex TB together with four antigens of Mycobacterium tuberculosis (MPT-64, MT10.3, 16 kDa and 38 kDa) for IgG and IgA cerebrospinal fluid (CSF) detection in the diagnosis of tuberculosis meningitis (TBM) with CSF negative acid-fast bacilli staining, 19 cases of TBM, 64 cases of other infectious meningoencephalitis and 73 cases of other neurological disorders were tested by enzyme linked immunosorbent assay. IgA-MPT-64 and IgG Lionex showed the highest sensitivities, specificities, positive predictive value and negative predictive value (63.2%, 47.4%; 95%, 93.7%; 40%, 98% and 28.4%, 97.1%, respectively). However, while grey zone was 12.7% and 6%, respectively, lowering sensitivity but maintains high specificity (> 95%). High protein concentration in CSF was associated with antibody positivity CSF/HIV+ which did not influence the sensitivity of both tests. To our knowledge, this is the first description of IgA-MPT-64 and IgG Lionex antibodies in CSF-TBM and, although there is good specificity, adjustments are needed based on antigen composition to enhance sensitivity.

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Isoniazid (INH), one of the most important drugs used in antituberculosis (anti-TB) treatment, is also the major drug involved in hepatotoxicity. Differences in INH-induced toxicity have been attributed to genetic variability at several loci, such as NAT2, CYP2E1, GSTM1 and GSTT1, that code for drug-metabolising enzymes. Our goal was to examine the polymorphisms in these enzymes as susceptibility factors to anti-TB drug-induced hepatitis in Brazilian individuals. In a case-control design, 167 unrelated active tuberculosis patients from the University Hospital of the Federal University of Rio de Janeiro, Brazil, were enrolled in this study. Patients with a history of anti-TB drug-induced acute hepatitis (cases with an increase to 3 times the upper limit of normal serum transaminases and symptoms of hepatitis) and patients with no evidence of anti-TB hepatic side effects (controls) were genotyped for NAT2, CYP2E1, GSTM1 and GSTT1 polymorphisms. Slow acetylators had a higher incidence of hepatitis than intermediate/rapid acetylators [22% (18/82) vs. 9.8% (6/61), odds ratio (OR), 2.86, 95% confidence interval (CI), 1.06-7.68, p = 0.04). Logistic regression showed that slow acetylation status was the only independent risk factor (OR 3.59, 95% CI, 2.53-4.64, p = 0.02) for the occurrence of anti-TB drug-induced hepatitis during anti-TB treatment with INH-containing schemes in Brazilian individuals.

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A cohort of 123 adult contacts was followed for 18&#8208;24 months (86 completed the follow-up) to compare conversion and reversion rates based on two serial measures of QuantiFERON (QFT) and tuberculin skin test (TST) (PPD from TUBERSOL, Aventis Pasteur, Canada) for diagnosing latent tuberculosis (TB) in household contacts of TB patients using conventional (C) and borderline zone (BZ) definitions. Questionnaires were used to obtain information regarding TB exposure, TB risk factors and socio-demographic data. QFT (IU/mL) conversion was defined as <0.35 to &#8805;0.35 (C) or <0.35 to >0.70 (BZ) and reversion was defined as &#8805;0.35 to <0.35 (C) or &#8805;0.35 to <0.20 (BZ); TST (mm) conversion was defined as <5 to &#8805;5 (C) or <5 to >10 (BZ) and reversion was defined as &#8805;5 to <5 (C). The QFT conversion and reversion rates were 10.5% and 7% with C and 8.1% and 4.7% with the BZ definitions, respectively. The TST rates were higher compared with QFT, especially with the C definitions (conversion 23.3%, reversion 9.3%). The QFT conversion and reversion rates were higher for TST &#8805;5; for TST, both rates were lower for QFT <0.35. No risk factors were associated with the probability of converting or reverting. The inconsistency and apparent randomness of serial testing is confusing and adds to the limitations of these tests and definitions to follow-up close TB contacts.

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This work reports on the synthesis, characterization (infrared and hidrogen nmr spectra) and photophysical properties (luminescence spectra and emission quantum yield) of the lanthanide cryptates [Ln<FONT FACE=Symbol></FONT>(bipy)2py(CO2Et) 2]3+ with Ln = Eu3+, Tb3+ or Gd3+, which can be applied as efficient Light-Conversion-Molecular-Devices. From emission spectra of [Eu<FONT FACE=Symbol></FONT>(bipy)2py(CO2Et) 2]3+ it was possible to assign C3 symmetry to the metal ion. The spectroscopic studies show a higher emission quantum yield (q=25%) for [Tb<FONT FACE=Symbol></FONT>(bipy)2py(CO2Et) 2]3+ in aqueous solution, whereas the europium cryptate presents q=14%. This is justified by a more efficient energy transfer between triplet and emission levels of terbium (T->5D4).

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This paper presents the synthesis of the coordination polymers &#8734;[Ln(DPA)(HDPA)] (DPA=2,6-pyridinedicarboxylate; Ln= Tb and Gd), their structural and spectroscopic properties. The structural study reveals that the &#8734;[Ln(DPA)(HDPA)] has a single Ln+3 ion coordinated with two H2DPA ligands in tridentade coordination mode, while two others H2DPA establish a syn-bridge with a symmetry-related Ln3+, forming a two-dimensional structure. The spectroscopic studies show that &#8734;[Tb(DPA)(HDPA)] compound has high quantum yield (q x&#8776; 50.0%), due to the large contribution of radiative decay rate. Moreover triplet level is localized sufficiently over the emitter level 5D4 of theTb3+ ion, avoiding a retrotransference process between these states.

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O objetivo deste trabalho consiste em relatar trs casos de linfoma no-Hodgkin (LNH) com acometimento de tonsilas palatinas acompanhados no Hospital Universitrio Clementino Fraga Filho (HUCFF) da Universidade Federal do Rio de Janeiro (UFRJ), com pequena reviso de literatura. Os LNH acometem stios extra-nodais em 25-30% dos casos. Dos casos extra-nodais, 10-30% acometem cabea e pescoo. Destes casos de LNH em cabea e pescoo, 60-70% esto presentes no anel de Waldeyer, e deste grupo, algumas sries relatam que 80% encontram-se na tonsila palatina. Conclumos, portanto, que o acometimento das tonsilas pelo LNH constitui uma apresentao incomum desta malignidade hematolgica, que merece ateno e destaque para que seja feito diagnstico precoce, seguido de tratamento e acompanhamento corretos.

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A Sndrome do Aqueduto Vestibular Alargado (SAVA) caracterizada por um alargamento do aqueduto vestibular associado a uma perda auditiva neurossensorial, algumas vezes mista, que pode ser congnita ou adquirida na infncia. A disacusia pode ser dividida em leve, moderada ou profunda, associada com perodos de melhora ou de piora sbita. O alargamento do aqueduto vestibular a anomalia da orelha interna mais comum. A SAVA admitida como resultado de uma anormalidade gentica no desenvolvimento do aqueduto vestibular anterior quinta semana de gestao. A incidncia de SAVA est entre 1% e 1,3%, podendo chegar a 7% dependendo da populao examinada. O objetivo deste estudo relatar 3 casos de SAVA atendidos no Ncleo de Otorrinolaringologia e Cirurgia de Cabea e Pescoo de So Paulo e no servio de Radiologia do Hospital So Camilo - So Paulo, sendo que dois pacientes so irmos somente por parte materna. Dois pacientes eram do sexo feminino, um do sexo masculino e a idade variou de 9 a 30 anos. O mtodo diagnstico de eleio a TC de osso temporais. A conduta para os casos foi o tratamento conservador com ressalva a cuidados como traumatismos cranianos, barotraumas e, quando necessrio, uso de prteses auditivas.

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Passiflora mucronata Lam. apresenta como caractersticas ser ornamental, medicinal e resistente bacteriose nas folhas, alm de ser altamente resistente antracnose nos frutos e ramos. Objetivou-se, com este trabalho, avaliar a forma de veiculao, lquida ou slida, e as concentraes do cido indol-3-butrico (AIB) no enraizamento adventcio de estacas de P. mucronata. O experimento foi conduzido no delineamento de blocos ao acaso, em esquema fatorial 2x5 (formas de veiculao do AIB: lquida e slida x concentraes de AIB: 0; 250; 500; 750 e 1000 mg L-1, se lquido, ou mg Kg-1, se slido), com quatro repeties, de 16 estacas cada. As caractersticas avaliadas foram enraizamento (%), nmero de raiz, comprimento da maior raiz (cm), volume de raiz (cm) e massa de matria seca de raiz (g). Verificou-se que o enraizamento de estacas de P. mucronata Lam. independe da forma como veiculado o AIB, se slida ou lquida, porm a qualidade do sistema radicular, avaliada por meio do nmero, volume e massa de matria seca de razes, foi superior obtida ao se empregar o AIB slido. O comportamento do enraizamento, do nmero e do comprimento de razes foi linear crescente, at a mxima concentrao de AIB (1000 mg L-1 ou mg Kg-1).

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