Avaliação da expressão do gene MDR1 (Glicoproteína-P) e atividade de efluxo em células do sangue periférico de pacientes sob tratamento da tuberculose multirresistente

O regime de tratamento com múltiplas drogas é correspondente a uma interação de drogas que pode causar efeitos adversos e falha no tratamento. Essa interação pode gerar modificações funcionais dos transportadores de membrana e por consequência a biodisponibilidade das drogas durante o tratamento. Dentre os transportadores de drogas transmembranares está a glicoproteína-P (P-gp), uma proteína de 170KD, produto do gene MDR1, caracterizada como uma \201CATP Binding cassete\201D (ABC). Seu papel está muito bem definido nas células neoplásicas multirresistentes a drogas, assim como sua relação com as drogas para o tratamento da infecção pelo HIV. Entretanto, pouco tem sido estudado sobre esta bomba de efluxo na tuberculose multirresistente (TBMR). Neste estudo analisamos por citometria de fluxo sua expressão e atividade de efluxo nos monócitos, principal célula relacionada com a tuberculose e também em linfócitos e granulócitos do sangue periférico por meio da citometria de fluxo. A taxa de efluxo foi medida através do uso da Rodamina 123 (Rho123) e a expressão da P-gp através do anticorpo monoclonal anti-CD243 (clone UIC2). A utilização direta do sangue total para a determinação da atividade de efluxo por citometria de fluxo caracterizou a implantação de uma nova ferramenta de análise para a pesquisa A análise contemplou 52% do total de pacientes em tratamento de TBMR no ambulatório do Laboratório de Pesquisa em Micobacterioses do Instituto de Pesquisa Clínica Evandro Chagas (IPEC). Para as análises foram levadas em consideração a idade, cor da pele, o tempo de tratamento e a quantidade de drogas administradas. O estudo revelou que há correlação entre a expressão da P-gp nos monócitos e a idade dos pacientes (P<0,01). Diferenças entre pacientes brancos e não brancos também foram observadas. Em linfócitos a expressão de P-gp quando aumentada foi diretamente proporcional à atividade de efluxo observada nos monócitos (P< 0,05). Além disso, pacientes submetidos ao tratamento para TBMR por até seis meses apresentaram uma maior expressão de P-gp e, linfócitos quando comparados àqueles que receberam o tratamento por mais de seis meses (P<0,01)

A Community-based Survey of Human Toxoplasmosis in Rural Amazonia: Seroprevalence, Seroconversion Rate, and Associated Risk Factors

IgG antibodies to Toxoplasma gondii were detected in, March-April 2004, in 65.8% (95% confidence interval, 60.8-70.8%) of 342 systematically sampled subjects 5-90 years of age (87.5% of the eligible) living in a rural settlement in Amazonia, with a seroconversion rate of 9% over I year of follow-up of 99 seronegative subjects. Multiple logistic regression analysis identified age as the only significant independent predictor of seropositivity at the baseline. Each additional year of age increases the odds of being seropositive by 6%, and 76.8% of the subjects are expected to be seropositive at 30 years of age. A single high-prevalence spatial cluster, comprising 11.9% of the seropositive subjects, was detected in the area; households in the cluster were less likely to have dogs as pets and their heads had a lower education level, when compared with households located outside the cluster. The challenges for preventing human toxoplasmosis in tropical rural settings are discussed.

Análise de diagramas cor-magnitude de 5 aglomerados ricos da LMC

Apresentamos a análise de diagramas cor-magnitude (CMDs) profundos para 5 aglomerados ricos da Grande Nuvem de Magalhães (LMC). Os dados fazem parte do projeto HST G07307, entitulado "Formação e Evolução de Aglomerados Estelares Ricos da LMC", e foram obtidos através do HST/WFPC2 nos filtros F555W (~ V) e F814W (~ I), alcançando V555~25. A amostra de aglomerados é composta por NGC 1805 e NGC 1818, os mais jovens (r < 100 Myr), NGC 1831e NGC 1868,de idades intermediárias (400 < r < 1000Myr), e Hodge 14, o mais velho (r > 1200Myr). Discutimos e apresentamos um método de correção dos CMDs para incompleteza da amostra e contaminação por estrelas de campo. O uso eficiente das informações contidas nos CMDs foi feito por meio de comparações entre os CMDs observados e CMDs modelados. O processo de modelamento de CMDs gera uma Seqüência Principal (MS) sintética, que utiliza como entrada do modelo a informação sobre idade (r), metalicidade (Z), Função de Massa do Presente (PDMF), fração de binárias não resolvidas, distância e extinção da luz. As incertezas fotométricas foram empiricamente determinadas a partir dos dados e incorporadas no modelamento. Técnicas estatísticas de comparação entre CMDs em 1D e 2D são apresentadas e aplicadas como métodos objetivos capazes de determinar a compatibilidade entre modelo e observação. Modelando os CMDs da região central dos aglomerados podemos inferir a metalicidade (Z), o módulo de distância intrínseco ((V - Mv)o) e o avermelhamento (E(B-V)) para cada aglomerado. Também determinamos as idades para os 3 aglomerados mais velhos de nossa amostra. Continuação) Através da comparação em 2D os valores encontrados foram os seguintes: para NGC 1805, Z = 0.007:1+-0.003, (V - Mv)o = 18.50:1+- 0.10, E(B - V) = 0.03:1+-0.01; para NGC 1818,Z = 0.005:1+-0.002, (V - Mv)o = 18.50:1+-0.15, E(B - V)~0.00; para NGC 1831, Z = 0.012:1+-0.002, log(r /yr) = 8.70 :I+-0.05, (V - Mv)o = 18.70:1+- 0.05, E(B - V)~ 0.00; para NGC 1868, Z = 0.008:1+-0.002,log(r/yr) =8.95:1+-0.05, (V - Mv)o = 18.70:1+- 0.05, E(B - V) ~0.00; para Hodge 14, Z = 0.008+-0.004, log(r/yr) = 9.23+-0.10, (V - Mv)o = 18.50+-0.15, E(B - V) = 0.02+- 0.02. Estes valores estão de acordo, dentro das incertezas, com os valores obtidos através da análise de linhas fiduciais (lD), o que agrega confiabilidade a estas determinações. Através da análise de CMDs em regiões concêntricas determinamos a dependência espacial da inclinação da PDMF (a) nos aglomerados mais ricos. Para tanto empregamos duas abordagens distintas para a determinação de a: 1) método tradicional em 1D via conversão direta de V555em massa; 2) método em 2D via modelmento de CMDs. Independente do método de análise, todos os aglomerados analisados demonstram claramente o efeito de segregação em massa. Além disso, NGC 1818, NGC 1831 e NGC 1868 apresentam uma possível perda seletiva de estrelas de baixa massa nas suas regiões mais externas.

Distúrbios do sono em pacientes com transtorno depressivo

To evaluate sleep disorder complaints in outpatients with depressive disorder from a general hospital. Methods: An observational, cross-sectional study was carried out with a study sample composed of 70 patients (44 women and 26 men) with diagnosis of depressive disorder, according to the DSM-IV criteria. The patients were interviewed and evaluated by the Identification Questionnaire, the Sleep Habits Questionnaire and the Beck Depression Inventory (BDI). Results: In this study, 50 (71.3%) patients had recurrence of sleep disorder complaints. Mean BDI score was 35.83+8.85, with significant differences between patients with (38.50+8.70) and without (29.60+7.80) recurrence (p<0.05) and among patients with 1, 2, 3 and >3 episodes (p<0.05). In this study, 49 (70%) patients had insomnia and 21 (30%) had subjective excessive sleepiness. Significant differences were observed between the mean duration in months of the sleep disorders (7.16+2.10) and the depressive disorder (6.12+1.90) (p<0.05). Discussion: In the study sample, recurrence of sleep disorder complaints was high and significantly associated with severe depression. Insomnia was prevalent and the mean duration of sleep disorders was higher in relation to depressive disorder

Effect of timing of estradiol benzoate administration upon synchronization of ovulation in suckling Nelore cows (Bos indicus) treated with a progesterone-releasing intravaginal device

The present study investigated how the timing of the administration of estradiol benzoate (EB) impacted the synchronization of ovulation in fixed-time artificial insemination protocols of cattle. To accomplish this, two experiments were conducted, with EB injection occurring at different times: at withdrawal of the progesterone-releasing (N) intravaginal device or 24 h later. The effectiveness of these times was compared by examining ovarian follicular dynamics (Experiment 1, n = 30) and conception rates (Experiment 2, n = 504). In Experiment 1, follicular dynamics was performed in 30 Nelore cows (Bos indicus) allocated into two groups. on a random day of the estrous cycle (Day 0), both groups received 2 mg of EB i.m. and a P4-releasing intravaginal device, which was removed on Day 8, when 400 IU of eCG and 150 mu g of PGF were administered. The control group (G-EB9; n = 15) received 1 mg of EB on Day 9, while Group EB8 (G-EB8; n = 15) received the same dose a day earlier. Ovarian ultrasonographic evaluations were performed every 8 h after device removal until ovulation. The timing of EB administration (Day 8 compared with Day 9) did affect the interval between P4 device removal to ovulation (59.4 +/- 2.0 h compared with 69.3 +/- 1.7 h) and maximum diameter of dominant (1.54 +/- 0.06 a cm compared with 1.71 +/- 0.05 b cm, P = 0.03) and ovulatory (1.46 +/- 0.05 a cm compared with 1.58 +/- 0.04 b cm, P < 0.01) follicles. In Experiment 2,504 suckling cows received the same treatment described in Experiment 1, but insemination was performed as follows: Group EB8-AI48h (G-EB8-AI48h; n = 119) and Group EB8-AI54h (G-EB8-AI54h; n = 134) received 1 mg of EB on Day 8 and FrAI was performed, respectively, 48 or 54 h after P4 device removal. Group EB9-AI48h (G-EB9-AI48h; n = 126) and Group EB9-AI54h (G-EB9-AI54h n = 125) received the same treatments and underwent the same FTAI protocols as G-EB8-AI48h and G-EB8-AI54h, respectively; however, EB was administered on Day 9. Conception rates were greater (P < 0.05) in G-EB9-AI54h 163.2% (79/125) a], G-EB9-AI48h [58.7% (74/126) a] and G-EB8-AI48h [58.8% (70/119) a] than in G-EB8-AI54h [34.3% (46/134) b]. We concluded that when EB administration occurred at device withdrawal (D8), the interval to ovulation shortened and dominant and ovulatory follicle diameters decreased. Furthermore, when EB treatment was performed 24 h after device removal, FTAI conducted at either 48 or 54 h resulted in similar conception rates. However, EB treatment on the same day as device withdrawal resulted in a lesser conception rate when FTAI was conducted 54 h after device removal. (C) 2007 Elsevier B.V. All rights reserved.

A Novel Diagnostic Target in the Hepatitis C Virus Genome

BackgroundDetection and quantification of hepatitis C virus (HCV) RNA is integral to diagnostic and therapeutic regimens. All molecular assays target the viral 5'-noncoding region (59-NCR), and all show genotype-dependent variation of sensitivities and viral load results. Non-western HCV genotypes have been under-represented in evaluation studies. An alternative diagnostic target region within the HCV genome could facilitate a new generation of assays.Methods and FindingsIn this study we determined by de novo sequencing that the 3'-X-tail element, characterized significantly later than the rest of the genome, is highly conserved across genotypes. To prove its clinical utility as a molecular diagnostic target, a prototype qualitative and quantitative test was developed and evaluated multicentrically on a large and complete panel of 725 clinical plasma samples, covering HCV genotypes 1-6, from four continents (Germany, UK, Brazil, South Africa, Singapore). To our knowledge, this is the most diversified and comprehensive panel of clinical and genotype specimens used in HCV nucleic acid testing (NAT) validation to date. The lower limit of detection (LOD) was 18.4 IU/ml (95% confidence interval, 15.3-24.1 IU/ml), suggesting applicability in donor blood screening. The upper LOD exceeded 10(-9) IU/ml, facilitating viral load monitoring within a wide dynamic range. In 598 genotyped samples, quantified by Bayer VERSANT 3.0 branched DNA (bDNA), X-tail-based viral loads were highly concordant with bDNA for all genotypes. Correlation coefficients between bDNA and X-tail NAT, for genotypes 1-6, were: 0.92, 0.85, 0.95, 0.91, 0.95, and 0.96, respectively; X-tail-based viral loads deviated by more than 0.5 log10 from 5'-NCR-based viral loads in only 12% of samples (maximum deviation, 0.85 log10). The successful introduction of X-tail NAT in a Brazilian laboratory confirmed the practical stability and robustness of the X-tail-based protocol. The assay was implemented at low reaction costs (US$8.70 per sample), short turnover times (2.5 h for up to 96 samples), and without technical difficulties.ConclusionThis study indicates a way to fundamentally improve HCV viral load monitoring and infection screening. Our prototype assay can serve as a template for a new generation of viral load assays. Additionally, to our knowledge this study provides the first open protocol to permit industry-grade HCV detection and quantification in resource-limited settings.

Calcium intake and its relationship with risk of overweight and obesity in adolescents

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Prediction and probability of neonatal outcome in isolated congenital diaphragmatic hernia using multiple ultrasound parameters

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Susceptibility of the cattle tick Boophilus microplus (Acari: Ixodidae) to isolates of the fungus Beauveria bassiana

The susceptibility of the tick Boophilus microplus to Beauveria bassiana was evaluated by inoculating eggs, larvae and engorged females of the tick with five fungal isolates at concentrations of 106, 107 and 108 conidia/ml. Tick eggs (0.25 g) were immersed in 1 ml of a suspension of the different conidial concentrations for 1 min. Similar exposure was performed by immersion of 2000 larvae and homogeneous groups of nine engorged females in 2 and 20 ml of conidial suspension, respectively. Treated eggs, larvae and adults were placed in an incubator at 27 ± 1 °C and relative humidity above 80% for evaluation of the fungal action. All fungal isolates applied at all conidial concentrations reduced the hatching rate of larvae from treated eggs by 1.36-65.58% and increased the mortality rate of inoculated larvae by 0.8-70.49%. In the bioassay with engorged females, oviposition period was reduced by 9.69-47.80%, egg mass weight by 4.71-53.87%, estimated reproduction by 8.3-60.62%, egg production index by 5.03-54.20%, percent larval hatching by 0.27-13.96%, and the mortality rate of treated females was increased by 96.60-100%. The reduction of the estimated reproduction obtained for the treated groups ranged from 8.37 to 64.52%. The sporulation of the pathogen on dead females ranged from 3.70 to 88.88% depending on the isolate and concentration used. Isolates AM 09, CB 7 and JAB 07 were the most effective and effectiveness increased with increasing concentrations of conidia in the suspensions.

Expenditures, investment and financing for sustainable development in Trinidad and Tobago

Includes bibliography

Qualidade microbiológica e ocorrência de leveduras em leite pasteurizado tipos A, B e C

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Efeito da fadiga cíclica na resistência, crescimento subcrítico de trincas e tempo de vida de cerâmicas a base de alumina infiltradas por vidro

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Impacto dos problemas de saúde bucal na qualidade de vida de gestantes

Objectives: 1) to evaluate the impact of oral health problems on the quality of life of pregnant women by the simplified Oral Health Impact Profile (OHIP-14) questionnaire as well by the presence of dental caries, periodontal disease and denture use/need; 2) to correlate the sociodemographic variables and the oral health conditions revealed in the clinical examinations with the OHIP-14. Method: In addition to the application of the OHIP-14 questionnaire, clinical examination of the oral conditions (CPI - community periodontal index, DMFT and prosthetic evaluation) was performed on 51 pregnant women, who sought dental treatment between April 2008 and August 2010 at the Preventive Dentistry Clinic. Descriptive analyses were made for sample characterization, bivariate analysis (chi-square or Fisher’s exact tests) and multiple logistic regressions at a 5% significance level to assess the correlation between the impact of oral health on the quality of life of pregnant women and the socio-demographic and clinical variables. Results: The OHIP-14 data showed a lesser impact of oral health on the women’s quality of life. The mean DMFT was 12.8; 70.6% of the pregnant women presented dental calculus and 58.8% needed prostheses. The association between OHIP-14 data and last dental visit and DMFT remained in the final regression model (p<0.05). Conclusion: Caries experience of the pregnant women was considered high. Most of them needed prostheses and presented dental calculus. The OHIP-14 presented a low impact on this population and was significantly influenced by the last dental visit and the DMFT index.

Removal of glyphosate herbicide from water using biopolymer membranes

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Early and One-Year Stroke Case Fatality in Sao Paulo, Brazil: Applying the World Health Organization's Stroke STEPS

Case fatality rate is considered a main determinant of stroke mortality trends. We applied the World Health Organization's Stroke STEPS to identify case fatality rates in a community hospital in Brazil. We evaluated all patients with first-ever stroke seeking acute care at the hospital's emergency ward between April 2006 and December 2008 to verify early and late case fatality according to stroke subtype. We used years of formal education as a surrogate for socioeconomic status. Of 430 first-ever stroke events, 365 (84.9%) were ischemic and 65 (15.1%) were intracerebral hemorrhage. After 1 year, we adjudicated 108 deaths (86 ischemic; 22 hemorrhagic). Age-adjusted case fatality rates for ischemic stroke and intracerebral hemorrhage were 6.0% v 19.8% at 10 days, 10.6% v 22.1% at 28 days, 17.6% v 29.1% at 6 months, and 21.0% v 31.5% at 1 year. Illiteracy or no formal education was a predictor of death at 6 months (odds ratio [OR], 4.31; 95% confidence interval [CI] 1.34-13.91) and 1 year (OR, 4.21; 95% CI, 1.45-12.28) in patients with ischemic stroke, as well as at 6 months (OR, 3.19; 95% CI, 1.17-8.70) and 1 year (OR, 3.30; 95% CI, 1.30-8.45) for all stroke patients. Other variables, including previous cardiovascular risk factors and acute medical care, did not change this association to a statistically significant degree. In conclusion, case fatality, particularly up to 6 months, was higher in hemorrhagic stroke, and lack of formal education was associated with increased stroke mortality.