Antimicrobial Photodynamic Therapy in the Treatment of Oral Candidiasis in HIV-Infected Patients

Objective: Antimicrobial photodynamic therapy (aPDT) has been used to combat local infections, and it consists of the combination of a photosensitizer, a light source, and reactive oxygen species (ROS) to kill microbial cells. In this study, we evaluated the effectiveness of aPDT in the treatment of candidiasis in HIV-infected patients. Methods: Twenty-one patients were divided into three groups. Control group (CG) was treated with the conventional medication for candidiasis (fluconazole 100 mg/day during 14 days). Laser group (LG) was subjected to low-level laser therapy (LLLT), wavelength 660 nm, power of 30 mW, and fluence of 7.5 J/cm(2), in contact with mucosa during 10 sec on the affected point. An aPDT group (aPDTG) was treated with aPDT, that is, combination of a low-power laser and methylene blue 450 mu g/mL. Pre-irradiation time was 1 min. Parameters of irradiation were the same ones as for the LG, and patients were single irradiated. Patients were clinically evaluated and culture analysis was performed before, immediately after, and 7, 15, and 30 days after the treatment. Results: Our results showed that fluconazole was effective; however, it did not prevent the return of the candidiasis in short-term. LLLT per se did not show any reduction on Candida spp. aPDT eradicated 100% of the colonies of this fungus and the patients did not show recurrence of candidiasis up to 30 days after the irradiation. Conclusions: These findings suggest that aPDT is a potential approach to oral candidiasis treatment in HIV-infected patients.

Insertional translocation of 15q25-q26 into 11p13 and duplication at 8p23.1 characterized by high resolution arrays in a boy with congenital malformations and aniridia

We report on a boy presenting submucous cleft palate, hydronephrosis, ventriculoseptal defect, aniridia, and developmental delay. Additional material on 11p13 was cytogenetically visible and array analyses identified a duplicated segment on 15q25-26 chromosome region; further, array analyses revealed a small deletion (49?kb) at 11p13 region involving the ELP4 gene and a duplication at 8p23.1. Results were confirmed with both molecular and molecular cytogenetics techniques. Possibilities for etiological basis of clinical phenotype are discussed. (c) 2012 Wiley Periodicals, Inc.

Understanding the mechanical and biodegradation behaviour of poly(hydroxybutyrate)/rubber blends in relation to their morphology

In this work poly(hydroxybutyrate/poly(vinyl butyral)- co-(vinyl alcohol)-co(vinyl acetate) (or ethylene propylene diene monomer rubber) blends were prepared by conventional processing techniques (extrusion and injection moulding). A droplet type morphology was obtained for P(3HB)/PVB blends whereas P(3HB)/EPDM blends presented some extent of co-continuous morphology. In addition, rubbery domains were much smaller in the case of PVB. These differences in morphology are discussed taking into account solubility parameters and rheological behaviours of each component. For both blends, the increase of elastomer ratio led to a decrease of Young's modulus but an increase in elongation at break and impact strength. The latter increased more in the case of P(3HB)/EPDM blends although the rubbery domains were larger. These results are explained in the light of the glass transition of the rubber and the presence of plasticizer in the case of PVB. The addition of elastomer also resulted in an increase of P(3HB) biodegradation rate, especially in the case of EPDM. It is assumed that, in this case, the size and morphology of the rubbery domains induce a geometrical modification of the erosion front which leads to an increase of the interface between P(3HB) phase and the degradation medium and consequently to an apparently faster biodegradation kinetics of PHB/rubber blends. Copyright (C) 2011 Society of Chemical Industry

Use of passive diffusion sampling method for defining NO2 concentrations gradient in São Paulo, Brazil

Abstract Background Air pollution in São Paulo is constantly being measured by the State of Sao Paulo Environmental Agency, however there is no information on the variation between places with different traffic densities. This study was intended to identify a gradient of exposure to traffic-related air pollution within different areas in São Paulo to provide information for future epidemiological studies. Methods We measured NO2 using Palmes' diffusion tubes in 36 sites on streets chosen to be representative of different road types and traffic densities in São Paulo in two one-week periods (July and August 2000). In each study period, two tubes were installed in each site, and two additional tubes were installed in 10 control sites. Results Average NO2 concentrations were related to traffic density, observed on the spot, to number of vehicles counted, and to traffic density strata defined by the city Traffic Engineering Company (CET). Average NO2concentrations were 63μg/m3 and 49μg/m3 in the first and second periods, respectively. Dividing the sites by the observed traffic density, we found: heavy traffic (n = 17): 64μg/m3 (95% CI: 59μg/m3 – 68μg/m3); local traffic (n = 16): 48μg/m3 (95% CI: 44μg/m3 – 52μg/m3) (p < 0.001). Conclusion The differences in NO2 levels between heavy and local traffic sites are large enough to suggest the use of a more refined classification of exposure in epidemiological studies in the city. Number of vehicles counted, traffic density observed on the spot and traffic density strata defined by the CET might be used as a proxy for traffic exposure in São Paulo when more accurate measurements are not available.

Território e serviço comunitário de saúde mental: as concepções presentes nos discursos dos atores do processo da reforma psiquiátrica brasileira

Uma das proposições dos Centros de Atenção Psicossocial (CAPS), serviços substitutivos de assistência à saúde mental de base comunitária e territorial, , é a intervenção no contexto de vida dos usuários, buscando explorar os recursos existentes para a viabilização dos projetos terapêuticos, os quais devem possibilitar transformações concretas no cotidiano. Nesse contexto, foi desenvolvida a pesquisa que tem como referencial metodológico a teoria da vida cotidiana, proposta por Agnes Heller, e as categorias analíticas, território e reabilitação psicossocial. Trata-se de um estudo de caso com a finalidade de identificar e discutir as possibilidades das práticas territoriais na produção de mudanças no cotidiano dos usuários. Nesse artigo, buscamos discutir um dos objetivos delineados no estudo: compreender a representação que a equipe multiprofissional tem sobre "território" e "serviço de saúde mental de base territorial". O campo do estudo constituiu-se em um dos CAPS III da cidade de Campinas/SP e os colaboradores desta pesquisa foram os trabalhadores de saúde mental, os usuários e não usuários do serviço. Os dados foram coletados por meio de entrevistas semiestruturadas e sessões de grupo focal. Na análise dos dados, sob o enfoque da Análise do Discurso, obteve-se como resultado o reconhecimento de três categorias empíricas, dentre as quais o território. As ações no território é que dão significado para o cotidiano do serviço e nisso reside a importância dessas intervenções, as quais diferenciam um hospital psiquiátrico de um serviço comunitário.

Healthy maternal bonding as a resilience factor for depressive disorder

INTRODUCTION: Depressive disorders (DDs) are very prevalent disorders particularly in women, a high-risk gender group. Determining the risk and protective factors associated with the development of DDs is fundamental to planning preventive and therapeutic strategies. In this study, we evaluated the correlations between healthy maternal attachment and the development of DDs in adulthood. METHODS: We evaluated 52 women at 6 months to 1 year after premature childbirth at Maternidade Vila Nova Cachoeirinha. They were evaluated using the following instruments: Brazilian Criteria of Economic Classification,Parental Bonding Inventory (PBI),Center for Epidemiologic Studies Depression Scale (CES-D), and Edinburgh Postnatal Depression Scale (EPDS). Cut-off scores on the CES-D and EPDS were used to classifythe subjects as currently having a DD or having probable postpartum disorder (PPD) after childbirth. Multiple logistic regression was used to evaluate the risk factors associated with DDs. RESULTS: We found that 49.1% of the sample had a current depressive episode, and 73.6% had probable PPD. Based on logistic regression, current depression (odds ratio = 1.092 [confidence interval: 1.005; 1.186]), and a PPD (odds ratio = 1.108 [confidence interval: 1.011; 1.21]) were negatively correlated with affective maternal relationships. CONCLUSIONS: Women who reported healthy attachment with their mothers did not develop DDs when faced with stressful situations such as premature childbirth.

Partis politiques et stratégies électorales à Parakou /// Arbeitspapiere / Institut für Ethnologie und Afrikastudien ; 22

partis politiques, acteurs politiques, périodes électorales, popularité, stratégies, pouvoir local

Speleogenesis and secondary cave minerals in quartz-sandstone and quartzite environment

The main objective of this research is to improve the comprehension of the processes controlling the formation of caves and karst-like morphologies in quartz-rich lithologies (more than 90% quartz), like quartz-sandstones and metamorphic quartzites. In the scientific community the processes actually most retained to be responsible of these formations are explained in the “Arenisation Theory”. This implies a slow but pervasive dissolution of the quartz grain/mineral boundaries increasing the general porosity until the rock becomes incohesive and can be easily eroded by running waters. The loose sands produced by the weathering processes are then evacuated to the surface through processes of piping due to the infiltration of waters from the fracture network or the bedding planes. To deal with these problems we adopted a multidisciplinary approach through the exploration and the study of several cave systems in different tepuis. The first step was to build a theoretical model of the arenisation process, considering the most recent knowledge about the dissolution kinetics of quartz, the intergranular/grain boundaries diffusion processes, the primary diffusion porosity, in the simplified conditions of an open fracture crossed by a continuous flow of undersatured water. The results of the model were then compared with the world’s widest dataset (more than 150 analyses) of water geochemistry collected till now on the tepui, in superficial and cave settings. All these studies allowed verifying the importance and the effectiveness of the arenisation process that is confirmed to be the main process responsible of the primary formation of these caves and of the karst-like superficial morphologies. The numerical modelling and the field observations allowed evaluating a possible age of the cave systems around 20-30 million of years.

Morfometria di forme carsiche in un possibile "landing site" marziano

Starting from some satellite photos, we try to understand if someone of the many negatives roundish shapes recognized into a complex of two impacts craters could verify the karst phenomenon on Mars. This fact if confirmed could be extremely important to find microbiological life living underground in an area of contact between water and sulfates, shielded from cosmic radiation. In order to verify if these negatives shapes have a karst origin or an impact one, we made several morphometric measurements with particular attention to the length of the axes and to the depth of these depressions. We also studied some other forms (such jagged ridges) as another possible witness of the karst.

Studio geomorfologico dell'area carsica attorno alla Grotta Palombara (Melilli, Siracusa)

The following thesis attempts to study and analyse the geomorphological evolution of a relatively small coastal area located to the North of Syracuse (Southeastern Sicily). The presently inactive Palombara Cave is located in this area. The 800 metres of passages in this cave show an evolution in some way linked to the local topographic and environmental changes. This portion of coastline was affected more or less constantly by the tectonic uplift during the Pleistocene, which simultaneously to the eustatic variations have played a key role in the genesis of the marine terraces and the cave. Starting from a DTM made from Lidar data, using a GIS procedure several marine terraces have been mapped. These informations combinated with a geomorphological study of the area, allowed to identify and recognise the different orders of the Middle Pleistocene terraced surfaces. Four orders of terraces between 180-75 m a.s.l have been observed, illustrated and described. Furthermore, two other supposed terrace edges located respectively at 60 and 35 m, which would indicate the presence of two more orders, have been recognised. All these marine terraces appear to have formed in the last million years. The morphological data of the Palombara cave, highlights a genesis related to the rising of CO2 rich waters coming from the depths through the fractures of the rock mass, that ranks it as a hypogenic cave. The development has been influenced by the changes in the water table, in turn determined by the fluctuations in the sea level. In fact, the cave shows a speleogenetic evolution characterised by phases of karstification in phreatic and epiphreatic environment and fossilization stages of the upper branches in vadose conditions. These observations indicate that the cave probably started forming around 600 Ky ago, contemporary to the start of volcanic processes in the area.

Morfometria della Grotta dell'Orso (Ponte di Veja, Monti Lessini) mediante laserscanner

Un rilievo laserscanner della Grotta dell'Orso, vicino al Ponte di Veja (Monti Lessini) ha consentito di descrivere in dettaglio questo sistema carsico e trarre alcune conclusioni dal punto di vista morfometrico e speleogenetico.

Rilevamento geomorfologico e ipotesi speleogenetiche sulle grotte del Ponte di Veja (Parco Regionale dei Monti Lessini)

Lo scopo del lavoro è stato quello di ipotizzare e comprendere la speleogenesi del sistema carsico del Ponte di Veja, nel Parco Regionale dei Monti Lessini. È stato eseguito un primo rilevamento geomorfologico dell'intero sistema carsico con annessi campionamenti. Il sito è caratterizzato dalla struttura principale dell'arco e dal connesso sistema di grotte. L'arco rappresenta il resto di un antico soffitto della grotta più grande crollato probabilmente durante il Pleistocene, che forma attualmente una dolina. La grotta su cui si basa la gran parte delle ipotesi è la Grotta dell'Orso (grotta A) che è attraversata in parte da un dicco basaltico.

Analisi idrogeologica dell'area carsica dei Monti Alburni (Salerno, Campania)

The Alburni Massif is the most important karstic area in southern Italy and It contains about 250 caves. Most of these caves are located on the plateau, between 1500 m a.s.l. and 700 m a.s.l., and only a few reach the underground streams that feed the springs and the deep aquifer. The main springs are Grotta di Pertosa-Auletta (CP1) and Auso spring (CP31), both located at 280 m a.s.l., the first on the south-eastern margin whereas the second on south-west margin, and the springs present in Castelcivita area, the Castelcivita-Ausino system (CP2) and Mulino di Castelcivita spring (CP865), located at 60 m a.s.l.. Some other secondary springs are present too. We have monitored Pertosa-Auletta’s spring with a multiparameter logger. This logger has registered data from November 2014 to December 2015 regarding water level, electric conductivity and temperature. The hydrodynamic monitoring has been supported by a sampling campaign in order to obtain chemical water analyses. The work was done from August 2014 to December 2015, not only at Pertosa but also at all the other main springs, and in some caves. It was possible to clarify the behavior of Pertosa-Auletta’s spring, almost exclusively fed by full charge conduits, only marginally affected by seasonal rains. Pertosa-Auletta showed a characteristic Mg/Ca ratio and Mg2+ enrichment, as demonstrated by its saturation index that always showed a dolomite saturation. All other spring have characteristic waters from a chemical point of view. In particular, it highlights the great balance between the components dissolved in the waters of Mulino’ spring opposed to the variability of the nearby Castelcivita-Ausino spring. Regarding the Auso spring the variable behavior in terms of discharge and chemistry is confirmed, greatly influenced by rainfall and, during drought periods, by full charge conduits. Rare element concentrations were also analyzed and allowed to characterize further the different waters. Based on all these data an updated hydrogeological map of the Alburni massif has been drawn, that defines in greater detail the hydrogeological complexes on the basis of lithologies, and therefore of their chemical characteristics.

Geomorfologia del giacimento di orso delle caverne nella grotta di Govjestica, Valle di Praca, Bosnia-Ercegovina

In 2011 the GSB/USB caving group of Bologna has discovered, in the southern fossil branches of Govjestica cave (Valle di Praça, Bosnia) a fossil deposit of vertebrates containing bones of Ursus spelaeus, Capra ibex, Cricetulus migratorius and Microtus. On the basis of the U/Th ages of the bones, teeth and carbonate flowstone covering the fossils (60 ka), datings carried out in the laboratories of U-Series at Bologna, and on the disposition of the bones, a past connection between Govjestica and the nearby Banja Stjena cave is hypothesised. The closure of this passage has occurred suddenly through a collapse that has forced the last cave bears awakened from their winter sleep to stay blocked in Govjestica, and die. The connecting passage has later been covered with calcite flowstones and is no longer visible. This hypothesis is sustained by the rather scarce number of skeletons of cave bears found in Govjestica (a dozen of skulls against the often large amounts of cave bears found in similar caves): Govjestica cave, and especially the Room of the Bones in its southern part, has been used by cave bears only for a couple of centuries before these parts became inaccessible. Furthermore, the entrance of Banja Stjena cave was probably located close to or at the level of the Praça river, that has excavated its thalweg for around 20 metres in the last 60 ka.

Agonist-biased signaling at the sst2A receptor: the multi-somatostatin analogs KE108 and SOM230 activate and antagonize distinct signaling pathways

Somatostatin analogs that activate the somatostatin subtype 2A (sst2A) receptor are used to treat neuroendocrine cancers because they inhibit tumor secretion and growth. Recently, new analogs capable of activating multiple somatostatin receptor subtypes have been developed to increase tumor responsiveness. We tested two such multi-somatostatin analogs for functional selectivity at the sst2A receptor: SOM230, which activates sst1, sst2, sst3, and sst5 receptors, and KE108, which activates all sst receptor subtypes. Both compounds are reported to act as full agonists at their target sst receptors. In sst2A-expressing HEK293 cells, somatostatin inhibited cAMP production, stimulated intracellular calcium accumulation, and increased ERK phosphorylation. SOM230 and KE108 were also potent inhibitors of cAMP accumulation, as expected. However, they antagonized somatostatin stimulation of intracellular calcium and behaved as partial agonists/antagonists for ERK phosphorylation. In pancreatic AR42J cells, which express sst2A receptors endogenously, SOM230 and KE108 were both full agonists for cAMP inhibition. However, although somatostatin increased intracellular calcium and ERK phosphorylation, SOM230 and KE108 again antagonized these effects. Distinct mechanisms were involved in sst2A receptor signaling in AR42J cells; pertussis toxin pretreatment blocked somatostatin inhibition of cAMP accumulation but not the stimulation of intracellular calcium and ERK phosphorylation. Our results demonstrate that SOM230 and KE108 behave as agonists for inhibition of adenylyl cyclase but antagonize somatostatin's actions on intracellular calcium and ERK phosphorylation. Thus, SOM230 and KE108 are not somatostatin mimics, and their functional selectivity at sst2A receptors must be considered in clinical applications where it may have important consequences for therapy.