976 resultados para Pneumonia lipídica
Resumo:
Biótipos de buva resistentes aos herbicidas podem apresentar menor habilidade competitiva, comparado com o biótipo suscetível, quando em convivência com a cultura da soja. Os objetivos deste trabalho foram avaliar a habilidade competitiva de soja com biótipos de buva, resistente e suscetível ao herbicida glyphosate, e identificar as alterações no metabolismo secundário e danos celulares em função da competição. Foram realizados três experimentos em casa de vegetação, em delineamento inteiramente casualizado com quatro repetições, sendo o primeiro conduzido em série aditiva e os demais em série de substituição, com população de 315 plantas m-2. As variáveis avaliadas foram estatura, área foliar, massa seca, fenóis totais, peroxidação lipídica e extravasamento eletrolítico. A análise da competitividade foi feita por aplicação de diagramas e interpretações dos índices de competitividade. Os biótipos de buva resistente e suscetível ao glyphosate apresentam maior habilidade competitiva que o cultivar de soja CD 226 RR, ao passo que os biótipos de buva possuem similar capacidade em competir com a cultura. A interferência interespecífica causa maiores danos à cultura da soja, enquanto a interespecífica é mais prejudicial aos biótipos de buva. A cultura sofre alterações no seu metabolismo secundário em razão da competição com ambos os biótipos de buva.
Resumo:
Várias espécies herbáceas do cerrado apresentam sistema subterrâneo espessado, esses podem ser de natureza radicular, caulinar ou mista. Esses sistemas muitas vezes possuem potencial gemífero, promovendo o rebrotamento de ramos aéreos após um período desfavorável do ambiente, como uma seca prolongada ou uma queimada. A verificação da natureza dos sistemas subterrâneos é de extrema importância para utilização correta da terminologia dos mesmos. O objetivo desse trabalho foi fornecer informações sobre a morfo-anatomia dos sistemas subterrâneos de Calea verticillata e Isostigma megapotamicum, com ênfase na formação de gemas caulinares. Os sistemas subterrâneos foram coletados em áreas do cerrado do Estado de São Paulo. As espécies apresentam sistema subterrâneo bastante complexo, com estrutura anatômica mista, lignificada, auto-enxertias de ramos e raízes e elevada capacidade gemífera, ambas espécies são providas de xilopódios e as gemas têm origem cambial. Foi verificada a presença de canais secretores em C. verticillata e em I. megapotamicum, originados a partir de células derivadas do câmbio vascular. O teste microquímico realizado com Sudan black B confirmou a natureza lipídica da secreção. Em I. megapotamicum foi verificada a presença de cristais de inulina sob luz polarizada. Os sistemas subterrâneos aumentam as chances de sobrevivência das duas espécies estudadas às condições adversas do cerrado, pois apresentam alto potencial gemífero, promovendo o rebrotamento de ramos aéreos durante a estação favorável.
Resumo:
Resistance of Streptococcus pneumoniae is a worldwide, growing problem. Studies of factors associated with resistance to penicillin have not been conducted in Brazil. The objective of the present study was to evaluate factors associated with infection by S. pneumoniae not susceptible to penicillin. A prevalence study was conducted including all patients with a positive culture for S. pneumoniae in a hospital from July 1991 to December 1992 and the year 1994. Of 165 patients identified, 139 were considered to have clinically relevant infections and 88% of them had invasive infections. All infections were community acquired and consisted of pneumonia (44%) and of central nervous system (19%), pelvic or abdominal (12%), upper airway or ocular (12%), primary bloodstream (9%) and skin and soft tissue (5%) infections. Mortality was 25%. Susceptibility to penicillin was present in 77.6% of the isolates; 21.8% were relatively resistant, and one isolate was resistant (minimal inhibitory concentration = 4 µg/ml). Multivariate analysis showed that age below 4 years (odds ratio (OR): 3.53, 95% confidence interval (95%CI): 1.39-8.96) and renal failure (OR: 5.50, 95%CI: 1.07-28.36) were associated with lack of susceptibility to penicillin. Bacteremia occurred significantly less frequently in penicillin-nonsusceptible infections (OR: 0.34, 95%CI: 0.14-0.84), possibly suggesting that lack of penicillin susceptibility is associated with lower virulence in S. pneumoniae.
Resumo:
Lasten influenssaepidemiat ajoittuvat keskitalvelle, jolloin myös muut hengitysteiden virusinfektiot ovat yleisiä. Lisäksi lasten influenssan kliininen kuva vaihtelee voimakkaasti, mikä aiheuttaa ongelmia erotusdiagnostiikassa. Influenssan diagnostiikka perustuu esitietoihin, kliiniseen kuvaan, tietoon epidemiologisesta tilanteesta ja virologiseen diagnostiikkaan. Kliinisen diagnostiikan osuvuus on kuitenkin lapsilla heikko. Influenssa olisi hyvä erottaa muista virusinfektioista, koska aikainen viruslääkitys lyhentää taudin kestoa. Tutkimukseni tarkoituksena oli selvittää mariPOC-viruspikadiagnostiikalla todettujen lasten A- ja B-influenssavirustartuntojen epidemiologia Tyksin lasten ja nuorten poliklinikalla influenssakausina 2011−2012 ja 2012−2013. Lisäksi selvitettiin lasten influenssan tyypillinen oirekuva ja komplikaatioiden esiintyvyys. Hoitoon liittyen tilastoitiin jatkohoitopaikat ja käytetyt antimikrobilääkitykset. Saatuja tuloksia verrattiin aiempaan kirjallisuuteen. Tutkimusta varten käytössäni oli mariPOC-viruspikadiagnostiikkalaitteen näytetiedot marraskuun 2011 alusta joulukuun 2013 loppuun. Näytteet on voitu alun perin ottaa myös muiden virusten kuin influenssan diagnosoimiseksi. Epidemiologisessa analyysissä huomioitiin kaikki otetut influenssanäytteet. Tutkimusjoukkoon valikoitui yhteensä 113 influenssaan sairastunutta lasta. Tämän tutkimusjoukon influenssanäytteet voitiin yhdistää luotettavasti sairauskertomustietoihin, joita tarkasteltiin retrospektiivisesti. Viruspikadiagnostiikalla varmennettujen influenssakausien aikana noin 10 % kaikista näytteistä oli influenssapositiivisia. Suurin tautitaakka Tyksin lasten ja nuorten poliklinikalla kohdistuu alle 4-vuotisiin lapsiin, joiden osuus oli yli puolet kaikista influenssatapauksista (52 %). Suurin osa sairastuneista lapsista oli aiemmin terveitä (67 %). Yleisimmät krooniset sairaudet potilasjoukossa olivat astma (11 %) ja jokin neurologinen sairaus (9 %). Kolme yleisintä oiretta olivat korkea kuume (89 %), yskä (64 %) ja nuha (52 %). Myös muita influenssan tyyppioireita esiintyi usein. Komplikaatioista yleisimmät olivat otiitti (17 %), kuumekouristus (7 %), pneumonia (6 %) ja laryngiitti (4 %). Vakaviakin komplikaatioita todettiin osalla. Alle neljävuotiaat saivat komplikaatioita enemmän (p=0,02), lisäten pienten lasten tautitaakkaa. Influenssadiagnoosin varmentumisen jälkeen viruslääkitystä sai 61 %, ja vastaavasti antibioottia 30 % lapsista. Neljännes sairastuneista lapsista tarvitsi sairaalahoitoa. Influenssan lapsille aiheuttama tautitaakka on yhä varsin merkittävä. Viruspikadiagnostiikka voi toimia hyödyllisenä erotusdiagnostisena apuvälineenä epäiltäessä influenssaa lapsilla, mutta sen tueksi tarvitaan myös muita laboratoriotutkimuksia vakavien sairauksien tunnistamiseksi. Paremmalla rokotuskattavuudella influenssan lapsille aiheuttamaa tautitaakkaa olisi mahdollista keventää.
Resumo:
Nasopharyngeal bacteria can asymptomatically colonize the nasopharynx of infants and young children but are also associated with the development of respiratory infections and diseases. Such nasopharyngeal bacteria include Streptococcus pneumoniae, Moraxella catarrhalis, Haemophilus influenzae and Staphylococcus aureus. The host defense against invading pathogens is largely relies germline-encoded pattern recognition receptors (PRR), which are expressed on the cells of innate immunity, and different cytokines. These include toll-like receptors (TLR), mannose-binding lectin (MBL) and different cytokines such as IL-17A. Single nucleotide polymorphisms (SNP) in these receptors and cytokines have been reported. The aim of this study was to investigate genetic polymorphisms in the genes for TLR2, 3 and 4, MBL as well as for IL-17A and their associations with nasopharyngeal pathogenic bacterial colonization during a two-year follow-up. The study revealed that polymorphisms in TLRs, MBL2 and IL17A are associated with the nasopharyngeal bacterial colonization in young children. Healthy young (2.6 months of age) children with variant types of MBL2, TLR2 R753Q or TLR4 D299G had an increased risk to be colonized by S. pneumonia, S. aureus or M. catarrhalis, respectively. Moreover, variant types of MBL2 in healthy children with might facilitate human rhinovirus (HRV)-induced S. pneumoniae colonization at 2.6 months of age. The polymorphism of TLR4 D299G was shown to be associated with M. catarrhalis colonization throughout the whole two-year follow-up (2.6, 13 and 24 months of age) and also with the bacterial load of this pathogen. Also, the polymorphism of IL17A G152A was shown to be associated with increased risk to be colonized by S. pneumoniae at 13 and 24 months of age. Furthermore, the results suggest that IL17A G152A has an effect on production of serum IL-17A already at young age. In conclusion, the results of this study indicate that polymorphisms in the key PRRs and IL17A seem to play an important role to colonization of S. pneumoniae, M. catarrhalis, and S. aureus in healthy young Finnish children. The nasopharyngeal colonization by these pathogenic bacteria may further promote the development of respiratory infections and may be related to development of asthma and allergy in the later life of children. These findings offer a possible explanation why some children have more respiratory infections than other children and provide a rational basis for future studies in this field.
Resumo:
In order to assess the effect of air pollution on pediatric respiratory morbidity, we carried out a time series study using daily levels of PM10, SO2, NO2, ozone, and CO and daily numbers of pediatric respiratory emergency room visits and hospital admissions at the Children's Institute of the University of São Paulo Medical School, from August 1996 to August 1997. In this period there were 43,635 hospital emergency room visits, 4534 of which were due to lower respiratory tract disease. The total number of hospital admissions was 6785, 1021 of which were due to lower respiratory tract infectious and/or obstructive diseases. The three health end-points under investigation were the daily number of emergency room visits due to lower respiratory tract diseases, hospital admissions due to pneumonia, and hospital admissions due to asthma or bronchiolitis. Generalized additive Poisson regression models were fitted, controlling for smooth functions of time, temperature and humidity, and an indicator of weekdays. NO2 was positively associated with all outcomes. Interquartile range increases (65.04 µg/m³) in NO2 moving averages were associated with an 18.4% increase (95% confidence interval, 95% CI = 12.5-24.3) in emergency room visits due to lower respiratory tract diseases (4-day moving average), a 17.6% increase (95% CI = 3.3-32.7) in hospital admissions due to pneumonia or bronchopneumonia (3-day moving average), and a 31.4% increase (95% CI = 7.2-55.7) in hospital admissions due to asthma or bronchiolitis (2-day moving average). The study showed that air pollution considerably affects children's respiratory morbidity, deserving attention from the health authorities.
Resumo:
Shock and resuscitation render patients more susceptible to acute lung injury due to an exacerbated immune response to subsequent inflammatory stimuli. To study the role of innate immunity in this situation, we investigated acute lung injury in an experimental model of ischemia-reperfusion (I-R) followed by an early challenge with live bacteria. Conscious rats (N = 8 in each group) were submitted to controlled hemorrhage and resuscitated with isotonic saline (SS, 0.9% NaCl) or hypertonic saline (HS, 7.5% NaCl) solution, followed by intratracheal or intraperitoneal inoculation of Escherichia coli. After infection, toll-like receptor (TLR) 2 and 4 mRNA expression was monitored by RT-PCR in infected tissues. Plasma levels of tumor necrosis factor α and interleukins 6 and 10 were determined by ELISA. All animals showed similar hemodynamic variables, with mean arterial pressure decreasing to nearly 40 mmHg after bleeding. HS or SS used as resuscitation fluid yielded equal hemodynamic results. Intratracheal E. coli inoculation per se induced a marked neutrophil infiltration in septa and inside the alveoli, while intraperitoneal inoculation-associated neutrophils and edema were restricted to the interseptal space. Previous I-R enhanced lung neutrophil infiltration upon bacterial challenge when SS was used as reperfusion fluid, whereas neutrophil influx was unchanged in HS-treated animals. No difference in TLR expression or cytokine secretion was detected between groups receiving HS or SS. We conclude that HS is effective in reducing the early inflammatory response to infection after I-R, and that this phenomenon is achieved by modulation of factors other than expression of innate immunity components.
Resumo:
Patients undergoing neurosurgery are predisposed to a variety of complications related to mechanical ventilation (MV). There is an increased incidence of extubation failure, pneumonia, and prolonged MV among such patients. The aim of the present study was to assess the influence of extubation failure and prolonged MV on the following variables: postoperative pulmonary complications (PPC), mortality, reoperation, tracheostomy, and duration of postoperative hospitalization following elective intra-cranial surgery. The study involved a prospective observational cohort of 317 patients submitted to elective intracranial surgery for tumors, aneurysms and arteriovenous malformation. Preoperative assessment was performed and patients were followed up for the determination of extubation failure and prolonged MV (>48 h) until discharge from the hospital or death. The occurrence of PPC, incidence of death, the need for reoperation and tracheostomy, and the length of hospitalization were assessed during the postoperative period. Twenty-six patients (8.2%) experienced extubation failure and 30 (9.5%) needed prolonged MV after surgery. Multivariate analysis showed that extubation failure was significant for the occurrence of death (OR = 8.05 [1.88; 34.36]), PPC (OR = 11.18 [2.27; 55.02]) and tracheostomy (OR = 7.8 [1.12; 55.07]). Prolonged MV was significant only for the occurrence of PPC (OR = 4.87 [1.3; 18.18]). Elective intracranial surgery patients who experienced extubation failure or required prolonged MV had a higher incidence of PPC, reoperation and tracheostomy and required a longer period of time in the ICU. Level of consciousness and extubation failure were associated with death and PPC. Patients who required prolonged MV had a higher incidence of extubation failure.
Resumo:
In this study, we demonstrated the importance of telomerase protein expression and determined the relationships among telomerase, endothelin-1 (ET-1) and myofibroblasts during early and late remodeling of parenchymal and vascular areas in usual interstitial pneumonia (UIP) using 27 surgical lung biopsies from patients with idiopathic pulmonary fibrosis (IPF). Telomerase+, myofibroblasts α-SMA+, smooth muscle cells caldesmon+, endothelium ET-1+ cellularity, and fibrosis severity were evaluated in 30 fields covering normal lung parenchyma, minimal fibrosis (fibroblastic foci), severe (mural) fibrosis, and vascular areas of UIP by the point-counting technique and a semiquantitative score. The impact of these markers was determined in pulmonary functional tests and follow-up until death from IPF. Telomerase and ET-1 expression was significantly increased in normal and vascular areas compared to areas of fibroblast foci. Telomerase and ET-1 expression was inversely correlated with minimal fibrosis in areas of fibroblast foci and directly associated with severe fibrosis in vascular areas. Telomerase activity in minimal fibrosis areas was directly associated with diffusing capacity of the lung for oxygen/alveolar volume and ET-1 expression and indirectly associated with diffusing capacity of the lungs for carbon monoxide and severe fibrosis in vascular areas. Cox proportional hazards regression revealed a low risk of death for females with minimal fibrosis displaying high telomerase and ET-1 expression in normal areas. Vascular dysfunction by telomerase/ET-1 expression was found earlier than vascular remodeling by myofibroblast activation in UIP with impact on IPF evolution, suggesting that strategies aimed at preventing the effect of these mediators may have a greater impact on patient outcome.
Resumo:
Because histopathological changes in the lungs of patients with systemic sclerosis (SSc) are consistent with alveolar and vessel cell damage, we presume that this interaction can be characterized by analyzing the expression of proteins regulating nitric oxide (NO) and plasminogen activator inhibitor-1 (PAI-1) synthesis. To validate the importance of alveolar-vascular interactions and to explore the quantitative relationship between these factors and other clinical data, we studied these markers in 23 cases of SSc nonspecific interstitial pneumonia (SSc-NSIP). We used immunohistochemistry and morphometry to evaluate the amount of cells in alveolar septa and vessels staining for NO synthase (NOS) and PAI-1, and the outcomes of our study were cellular and fibrotic NSIP, pulmonary function tests, and survival time until death. General linear model analysis demonstrated that staining for septal inducible NOS (iNOS) related significantly to staining of septal cells for interleukin (IL)-4 and to septal IL-13. In univariate analysis, higher levels of septal and vascular cells staining for iNOS were associated with a smaller percentage of septal and vascular cells expressing fibroblast growth factor and myofibroblast proliferation, respectively. Multivariate Cox model analysis demonstrated that, after controlling for SSc-NSIP histological patterns, just three variables were significantly associated with survival time: septal iNOS (P=0.04), septal IL-13 (P=0.03), and septal basic fibroblast growth factor (bFGF; P=0.02). Augmented NOS, IL-13, and bFGF in SSc-NSIP histological patterns suggest a possible functional role for iNOS in SSc. In addition, the extent of iNOS, PAI-1, and IL-4 staining in alveolar septa and vessels provides a possible independent diagnostic measure for the degree of pulmonary dysfunction and fibrosis with an impact on the survival of patients with SSc.
Resumo:
Our aims were to describe the prevalence of pulmonary hypertension in patients with acute respiratory distress syndrome (ARDS), to characterize their hemodynamic cardiopulmonary profiles, and to correlate these parameters with outcome. All consecutive patients over 16 years of age who were in the intensive care unit with a diagnosis of ARDS and an in situ pulmonary artery catheter for hemodynamic monitoring were studied. Pulmonary hypertension was diagnosed when the mean pulmonary artery pressure was >25 mmHg at rest with a pulmonary artery occlusion pressure or left atrial pressure <15 mmHg. During the study period, 30 of 402 critically ill patients (7.46%) who were admitted to the ICU fulfilled the criteria for ARDS. Of the 30 patients with ARDS, 14 met the criteria for pulmonary hypertension, a prevalence of 46.6% (95% CI; 28-66%). The most common cause of ARDS was pneumonia (56.3%). The overall mortality was 36.6% and was similar in patients with and without pulmonary hypertension. Differences in patients' hemodynamic profiles were influenced by the presence of pulmonary hypertension. The levels of positive end-expiratory pressure and peak pressure were higher in patients with pulmonary hypertension, and the PaCO2 was higher in those who died. The level of airway pressure seemed to influence the onset of pulmonary hypertension. Survival was determined by the severity of organ failure at admission to the intensive care unit.
Resumo:
O sabor e aroma desagradáveis dos derivados da soja, particularmente do extrato hidrossolúvel (leite de soja), são obstáculos a sua aceitação pelos ocidentais que o consideram desagradável. A origem desse "flavor" está na oxidação de ácidos graxos catalisada pelas isoenzimas lipoxigenases quando os tecidos dos grãos sofrem danos na presença de umidade. Já na maceração (embebição) dos grãos, no processo tradicional de produção de leite de soja, células do cotilédone sofrem rupturas, devido ao entumescimento provocado pela rápida absorção de água, permitindo o contato enzima-substrato. O objetivo do presente estudo foi avaliar o nível de oxidação sofrido por grãos de soja macerados em diferentes temperaturas, e depois liofilizados, para a extração e análise espectrofotométrica (232 nm) da fração lipídica. Os métodos de extração e análise empregados permitiram a verificação da ocorrência de oxidação no processo de maceração sendo que o coeficiente de extinção (dienos conjugados) passou de 3,40 [(g/100ml)cm]-1 (grãos não macerados) para 5,88 [(g/100ml)cm]-1 (grãos macerados a 22°C) e o coeficiente de extinção diminuiu com o aumento da temperatura.
Composição química e classes de lipídios em peixe de água doce Curimatã comum, Prochilodus cearensis
Resumo:
O presente trabalho teve como objetivo obter dados quantitativos sobre as classes de lipídios presentes no filé de curimatã, Prochilodus cearensis. Os lipídios totais (LT) foram fracionados em classes de lipídios neutros (LN), gliceroglicolipídios (GL) e glicerofosfolipídios (PL) através de cromatografia em coluna aberta de sílica gel 60 (70-230 mesh). As análises foram realizadas em quatro lotes de amostras contendo cada uma três exemplares, adquiridos em feiras livres de Fortaleza-CE, nos meses de março, maio, junho e julho de 1998. Os LT representaram em média 3,8% em relação ao peso fresco da amostra. A classe lipídica dominante foi de LN com média de 75,1% dos LT ou 2,9g/100g de filé. Os GL e PL contribuíram em média com 1,6% (61mg/100g de filé) e 23,3% (885mg/100g de filé), respectivamente. A composição química centesimal apresentou média de 76,3% de umidade, 18,6% de proteína total e 1,3% de cinza.
Resumo:
A oxidação do colesterol leva à formação de óxidos biologicamente ativos, capazes de desencadear processos citotóxicos, aterogênicos, mutagênicos e cancerígenos. Durante o processamento, os alimentos são expostos, além do calor, ao oxigênio e a outros fatores desencadeadores da oxidação lipídica, inclusive do colesterol. Os crustáceos, além de possuírem níveis elevados de colesterol, apresentam em sua fração lipídica ácidos graxos com alto grau de insaturação, o que favorece a oxidação do referido esterol. O 7-cetocolesterol tem sido utilizado como indicador da oxidação do colesterol, por ser o óxido formado nos estágios iniciais e em maior quantidade que os demais. O objetivo deste trabalho foi avaliar o efeito do cozimento e da fritura sobre a oxidação do colesterol em camarão-rosa (Penaeus brasiliensis e Penaeus paulensis). O processamento do camarão-rosa, de um modo geral, levou à diminuição das concentrações de colesterol e 7-cetocolesterol livres. A redução observada foi bem maior na fritura do que no cozimento, e mais acentuada para o 7-cetocolesterol. Enquanto os níveis de colesterol foram 10,7 e 24,7% menores, a diminuição do 7-cetocolesterol atingiu 41,5 e 61% no camarão cozido e frito, respectivamente, em relação ao controle. A redução de colesterol e 7-cetocolesterol livres em camarão-rosa processado foi relacionada com a eluição destes compostos nos meios de processamento, água de cozimento e óleo de fritura.
Resumo:
Este trabalho foi conduzido para avaliar o efeito da incorporação das globinas bovina extraída pelo método da acetona acidificada (GT) e pelo da carboximetilcelulose (GCMC) e do caseinato de sódio (CA) sobre a composição química e as qualidades microbiológica e sensorial do patê de presunto. Foi, ainda, avaliada a estabilidade do produto durante os 45 dias de estocagem sob refrigeração, por meio das determinações de pH e do grau de oxidação lipídica. De acordo com os resultados obtidos, pôde-se verificar que a adição dessas proteínas elevou o teor protéico das amostras analisadas. Além disso, observou-se que apenas a GT provocou uma queda do pH e uma elevação de substâncias reativas ao ácido 2-tiobarbitúrico (thiobarbiuric acid reactive substances - TBARS). Com relação à qualidade microbiológica dos produtos, não foram observadas alterações após a incorporação das proteínas e, pela análise sensorial, foram identificadas diferenças significativas entre as duas formulações de patê avaliadas (PCA e PGCMC).