973 resultados para Matrice extra-cellulaire
Resumo:
Nel corso degli ultimi anni si è assistito ad un aumento di episodi fraudolenti nel settore alimentare. Ciò è vero anche per il settore oleario: per il suo elevato valore economico, nutrizionale e sensoriale, l’olio extra vergine di oliva è un bersaglio perfetto dei frodatori, che realizzano molteplici tipologie di adulterazione. Questo lavoro di tesi si è focalizzato, in particolare, sull’adulterazione dell’olio extra vergine di oliva con olio di semi di girasole. Su campioni preparati in laboratorio per simulare la frode, a partire da due oli extra vergini di oliva addizionati con percentuali diverse di olio di girasole, sono state effettuate determinazioni analitiche utilizzando un sensore spettrale, basato sulla spettroscopia nel vicino infrarosso, seguite da un’elaborazione chemiometrica dei risultati. Lo strumento portatile è stato sviluppato da una start-up olandese presso cui ho svolto il tirocinio curriculare. Il modello di stima risultante dalle risposte fornite dai 16 pixel del sensore ha mostrato una capacità di rilevazione soddisfacente nei confronti di questa adulterazione, conducendo ad un errore medio nella stima della percentuale di olio di girasole aggiunto intorno al 3%. Tale risultato, se verrà confermato da ulteriori analisi grazie alle quali il modello predittivo potrà essere reso più robusto, potrebbe incoraggiare l’utilizzo di questa metodologia analitica come tecnica rapida di screening, facilmente applicabile anche in un contesto industriale, a supporto delle più laboriose e complesse tecniche analitiche tradizionali, nella rilevazione di adulterazioni di oli extra vergini di oliva con oli di semi di girasole.
Resumo:
Dalla letteratura si evince come, in una gravidanza fisiologica, il parto extra ospedaliero sia un’alternativa sicura, al pari dell’assistenza ospedaliera. In Italia avviene in una bassa percentuale di casi, nonostante sul territorio siano presenti strutture per poter attuare questa scelta. Un piccolo aumento è avvenuto negli ultimi due anni probabilmente dovuto anche alla pandemia da Covid. In particolare in Emilia Romagna, sono state indagate le informazioni e le modalità che i servizi territoriali e ospedalieri offrono alle gestanti in merito ai luoghi del parto. Un secondo obiettivo è stato capire, tramite le testimonianze delle donne, come avessero reperito le informazioni e a chi si fossero rivolte per la pianificazione del parto. Si è posta l’attenzione sull’opinione di Ostetric* del SSN circa il parto extra ospedaliero. Sono state effettuate 8 interviste semi-strutturate, e raccolti 27 questionari tra Ostetriche operanti nei Consultori e nei punti nascita ospedalieri. È stata raccolta, inoltre, l’opinione di 62 donne che hanno partorito in ambiente extra ospedaliero. I dati sono stati utilizzati in forma anonima. Dallo studio emerge la necessità di ampliare gli spazi e i tempi dedicati alla scelta del luogo del parto al fine di offrire alle coppie ogni alternativa possibile; le Ostetriche e le donne coinvolte suggeriscono diversi metodi per facilitare la conoscenza e il contatto con la realtà extra ospedaliera: da una più ampia diffusione di informazioni da parte delle strutture del SSN a momenti di formazione condivisa con chi opera a domicilio o in casa di Maternità. Le donne sottolineano la difficoltà di reperire informazioni dettagliate e di come la scelta sia spesso influenzata da pregiudizi. I consultori dovrebbero fornire informazioni dettagliate su tutti i luoghi del parto a tutte le donne per permettere una scelta libera da opinioni soggettive. Dovrebbero essere presi accordi specifici tra chi pratica l’assistenza in ospedale e chi in altri ambiti.
Resumo:
Questo elaborato prevede la caratterizzazione delle proprietà elettriche di nanocompositi a matrice epossidica additivata con Quantum Dots. Inizialmente sono state presentate le caratteristiche fondamentali dei materiali polimerici con particolare attenzione alle proprietà elettriche. In seguito, sono stati descritti i temi pratici e teorici delle misure che permettono di ottenere i risultati utili alla caratterizzazione, nello specifico: Spettroscopia Dielettrica, metodo Pulsed Electro-Acustic (PEA), Prova di Conducibilità e metodo Thermally Simulated Depolarization Current (TSDC). Le misure sono state effettuate su dei provini di resina epossidica vergine e nanocompositi Epoxy/QDsCS. Sono stati esposti i processi fondamentali che portano alla realizzazione dei diversi provini e di seguito sono stati mostrati i risultati delle misure precedentemente elencate. L’analisi e l’elaborazione dei dati ha portato alla caratterizzazione finale e permette di concludere che l’inserzione di Quantum Dots Core-Shell non provoca variazioni della conducibilità del materiale ma ne modifica le proprietà dielettriche, quali profondità di trappola e carica di spazio.
Resumo:
La tesi presenta la storia e le caratteristiche dei materiali compositi con particolare riguardo ai CFRP, alle resine termoplastiche e ai materiali termoindurenti. Sono, poi, riportati i risultati di alcuni esperimenti condotti su questi materiali con lo scopo di analizzarne le proprietà e capire se possono essere adatti o meno ad un particolare utilizzo. In seguito, si procede con l'analisi del comportamento dei materiali compositi quando vengono soggetti ad impatti a bassa energia, al fine di verificare la variazione subita dalle proprietà dei materiali stessi. Da ultimo, lo studio tratta l'impiego dei CFRP, delle resine termoplastiche e dei materiali termoindurenti nell'industria aerospaziale ed automobilistica.
Resumo:
A imagem descreve o processo de trabalho do cirurgião-dentista no contexto da Estratégia Saúde da Família, no cenário extra-clínica. Descreve os grupos prioritários, como deve ser organizado o acolhimento, menciona as principais atividades clínicas e cita instituições para referência e a contra-referência.
Resumo:
Clozapine displays stronger systemic metabolic side effects than haloperidol and it has been hypothesized that therapeutic antipsychotic and adverse metabolic effects of these drugs are related. Considering that cerebral disconnectivity through oligodendrocyte dysfunction has been implicated in schizophrenia, it is important to determine the effect of these drugs on oligodendrocyte energy metabolism and myelin lipid production. Effects of clozapine and haloperidol on glucose and myelin lipid metabolism were evaluated and compared in cultured OLN-93 oligodendrocytes. First, glycolytic activity was assessed by measurement of extra- and intracellular glucose and lactate levels. Next, the expression of glucose (GLUT) and monocarboxylate (MCT) transporters was determined after 6 and 24 h. And finally mitochondrial respiration, acetyl-CoA carboxylase, free fatty acids, and expression of the myelin lipid galactocerebroside were analyzed. Both drugs altered oligodendrocyte glucose metabolism, but in opposite directions. Clozapine improved the glucose uptake, production and release of lactate, without altering GLUT and MCT. In contrast, haloperidol led to higher extracellular levels of glucose and lower levels of lactate, suggesting reduced glycolysis. Antipsychotics did not alter significantly the number of functionally intact mitochondria, but clozapine enhanced the efficacy of oxidative phosphorylation and expression of galactocerebroside. Our findings support the superior impact of clozapine on white matter integrity in schizophrenia as previously observed, suggesting that this drug improves the energy supply and myelin lipid synthesis in oligodendrocytes. Characterizing the underlying signal transduction pathways may pave the way for novel oligodendrocyte-directed schizophrenia therapies.
Resumo:
Brazilian epidemiological studies on rheumatoid arthritis are scarce, mainly in the northeast; thus many data currently available originate from the international literature. To describe demographic, clinical and serological characteristics of patients with rheumatoid arthritis (RA) followed-up by the same physician, in state of Piauí, Brazil. Data were collected between August 2010 and March 2013, in three health services of Piauí that provided health care in Rheumatology: a university-affiliated hospital, a public outpatient clinic and a private clinic. The numbers represent mean ± SD or percentage: 47.5±11.03 years-old non-Caucasian woman, non-smoker (59.2%), low educational level, mean disease duration of 7.7 years ± 7.6, and major extra-articular manifestations were rheumatoid nodules (19.4%) and sicca syndrome (46.9%). Features of rheumatoid arthritis obtained in this study are similar to those found in some national and international studies, but we observed higher female preponderance and illiteracy rate, in addition to a moderately severe erosive disease on average, with frequent sicca and other extra-articular manifestations.
Resumo:
The objectives of the study were to evaluate the performance of sentinel lymph node biopsy (SLNB) in detecting occult metastases in papillary thyroid carcinoma (PTC) and to correlate their presence to tumor and patient characteristics. Twenty-three clinically node-negative PTC patients (21 females, mean age 48.4 years) were prospectively enrolled. Patients were submitted to sentinel lymph node (SLN) lymphoscintigraphy prior to total thyroidectomy. Ultrasound-guided peritumoral injections of (99m)Tc-phytate (7.4 MBq) were performed. Cervical single-photon emission computed tomography and computed tomography (SPECT/CT) images were acquired 15 min after radiotracer injection and 2 h prior to surgery. Intra-operatively, SLNs were located with a gamma probe and removed along with non-SLNs located in the same neck compartment. Papillary thyroid carcinoma, SLNs and non-SLNs were submitted to histopathology analysis. Sentinel lymph nodes were located in levels: II in 34.7 % of patients; III in 26 %; IV in 30.4 %; V in 4.3 %; VI in 82.6 % and VII in 4.3 %. Metastases in the SLN were noted in seven patients (30.4 %), in non-SLN in three patients (13.1 %), and in the lateral compartments in 20 % of patients. There were significant associations between lymph node (LN) metastases and the presence of angio-lymphatic invasion (p = 0.04), extra-thyroid extension (p = 0.03) and tumor size (p = 0.003). No correlations were noted among LN metastases and patient age, gender, stimulated thyroglobulin levels, positive surgical margins, aggressive histology and multifocal lesions. Sentinel lymph node biopsy can detect occult metastases in PTC. The risk of a metastatic SLN was associated with extra-thyroid extension, larger tumors and angio-lymphatic invasion. This may help guide future neck dissection, patient surveillance and radioiodine therapy doses.
Resumo:
Obesity is increasing worldwide and is triggered, at least in part, by enhanced caloric intake. Food intake is regulated by a complex mechanism involving the hypothalamus and hindbrain circuitries. However, evidences have showing that reward systems are also important in regulating feeding behavior. In this context, amygdala is considered a key extra-hypothalamic area regulating feeding behavior in human beings and rodents. This review focuses on the regulation of food intake by amygdala and the mechanisms of insulin resistance in this brain area. Similar to the hypothalamus the anorexigenic effect of insulin is mediated via PI3K (phosphoinositide 3-kinase)/Akt (protein kinase B) pathway in the amygdala. Insulin decreases NPY (neuropeptide Y) and increases oxytocin mRNA levels in the amygdala. High fat diet and saturated fatty acids induce inflammation, ER (endoplasmic reticulum) stress and the activation of serine kinases such as PKCθ (protein kinase C theta), JNK (c-Jun N-terminal kinase) and IKKβ (inhibitor of nuclear factor kappa-B kinase beta) in the amygdala, which have an important role in insulin resistance in this brain region. Overexpressed PKCθ in the CeA (central nucleus of amygdala) of rats increases weight gain, food intake, insulin resistance and hepatic triglycerides content. The inhibition of ER stress ameliorates insulin action/signaling, increases oxytocin and decreases NPY gene expression in the amygdala of high fat feeding rodents. Those data suggest that PKCθ and ER stress are main mechanisms of insulin resistance in the amygdala of obese rats and play an important role regulating feeding behavior.
Resumo:
To evaluate the sparing of fertility and ovaries in women submitted to surgical treatment for benign adnexal tumors. Between February 2010 and January 2014, 206 patients were included in this observational study as they were submitted to surgical treatment for benign ovarian tumors at CAISM, a tertiary hospital. Fertility sparing surgery was defined as tumorectomy or unilateral salpingoophorectomy without hysterectomy in premenopausal women. Preservation of the ovary occurred when at least one ovary or part of it was mantained. Of the 206 women with benign tumors, 120 (58%) were premenopausal and 86 (42%) were postmenopausal. There were 36 (30%) ovarian germ cell tumors, 31 (26%) epithelial neoplasms and 11 (9%) sex-cord stromal tumors among premenopausal women. In the group of postmenopausal women, 35 (41%) epithelial neoplasms, 27 (31%) sex-cord stromal tumors and 8 (9%) ovarian germ cell tumors were identified. Among 36 women with non-neoplastic ovarian tumors, 21 (58%) had endometriomas and 8 (22%) functional cysts. Among 22 women with extra-ovarian tumors, uterine leiomyomatosis was the most frequent finding (50%). In the group of women who were ≤ 35 years old, 26 (57%) were treated by tumorectomy and 18 (39%) were submitted to unilateral salpingoophorectomy with sparing of the uterus and the contralateral ovary. Women who were ≤ 35 years old were more frequently operated by laparoscopy which was associated with a higher number of fertility sparing procedures when compared to laparotomy (p<0.01). Twenty-six (28%) women submitted to hysterectomy with bilateral salpingoophorectomy were premenopausal. Although there is a trend to perform only tumorectomy in women who are ≤ 35 years old, a significant number of young women is still treated by salpingoophorectomy. Among 36- to 45-year-old women, only 70% had their fertility spared, while 20% had both ovaries removed. However, whenever possible, we must try to preserve the ovaries, mainly in premenopausal women.
Resumo:
Avian Pathogenic Escherichia coli (APEC) strains are extra-intestinal E. coli that infect poultry and cause diseases. Nitrite is a central branch-point in bacterial nitrogen metabolism and is used as a cytotoxin by macrophages. Unlike nitric oxide (NO), nitrite cannot diffuse across bacterial membrane cells. The NirC protein acts as a specific channel to facilitate the transport of nitrite into Salmonella and E. coli cells for nitrogen metabolism and cytoplasmic detoxification. NirC is also required for the pathogenicity of Salmonella by downregulating the production of NO by the host macrophages. Based on an in vitro microarray that revealed the overexpression of the nirC gene in APEC strain SCI-07, we constructed a nirC-deficient SCI-07 strain (ΔnirC) and evaluated its virulence potential using in vivo and in vitro assays. The final cumulative mortalities caused by mutant and wild-type (WT) were similar; while the ΔnirC caused a gradual increase in the mortality rate during the seven days recorded, the WT caused mortality up to 24h post-infection (hpi). Counts of the ΔnirC cells in the spleen, lung and liver were higher than those of the WT after 48 hpi but similar at 24 hpi. Although similar number of ΔnirC and WT cells was observed in macrophages at 3 hpi, there was higher number of ΔnirC cells at 16 hpi. The cell adhesion ability of the ΔnirC strain was about half the WT level in the presence and absence of alpha-D-mannopyranoside. These results indicate that the nirC gene influences the pathogenicity of SCI-07 strain.
Saphenous vein graft bypass in the treatment of giant cavernous sinus aneurysms: report of two cases
Resumo:
Two cases of giant intracavernous aneurysms treated by high flow bypass with saphenous vein graft between the external carotid artery (ECA) and branches of the middle cerebral artery (MCA) are presented. Very often these aneurysms are unclippable because they are fusiform or have a large neck. Occlusion of the internal carotid artery (ICA) is the treatment of choice in many cases. This procedure has however a high risk of brain infarction. Revascularization of the brain by extra-intracranial anastomosis between the superficial temporal artery (STA) and branches of the MCA is frequently performed. This procedure provides however a low flow bypass and brain infarction may occur. We report two cases of giant cavernous sinus aneurysms treated by high flow bypass and endovascular balloon occlusion of the ICA. Immediate high flow revascularization of MCA branches was achieved and the patients showed no ischemic events. Follow-up of 8 and 14 months after operation shows patency of the venous graft and no neurological deficits. Angiographic control examination showed complete aneurysm occlusion in both cases.
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Purpose: To analyze the efficacy and safety of intraope-rative mitomycin C (MMC) in combined procedures (extra-capsular cataract extraction + trabeculectomy). Methods: Twenty-four patients were randomized to either MMC (0.5 mg/ml) (n = 14) or saline solution (n = 10) for 3 minutes during the combined procedure. Results: Twelve months after surgery, mean IOP in the MMC group (13.2 ± 2.9 mmHg) was significantly lower than in the control group (16.3 ± 3.9 mmHg) (p = 0.02). The mean number of medications used during the 12-month follow-up in the control group (1.33 ± 0.5) was significantly higher than in the MMC-treated group (0.5 ± 0.5) (p = 0.005). Life table analysis showed a significantly higher probability of IOP control in the MMC group than in the control group (p < 0.01). Conclusions: Intraoperative MMC is safe and effective in pro-moting a better IOP control and reducing the need for postoperative antiglaucoma medications. We suggest intraope-rative MMC to be routinely employed in combined procedures.
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Paracoccidioidomycosis is the most frequent systemic mycosis in Brazil, but ocular involvement is rare and, if present, often secondary to another site. The authors report a case of paracoccidioidomycosis of eyelid and conjunctiva where no extraocular focus was found. A brief review of the literature is made discussing the importance of diagnostic suspecion in a population at risk and early treatment for a good visual prognosis.
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A case of spinal intramedular cysticercosis in a 13-year-old Brazilian female and a case of spinal leptomeningeal infestation by cysticercosis in a 51 year-old Brazilian female are presented. A review of 95 published cases of medullar cysticercosis since 1856 shows the incidence of this condition. Extramedullar forms are explained by the downward migration of larvae from the cerebral to the spinal subarachnoid space and most larvae are expected to be stopped in the upper portions of the spinal canal due to peculiarities of the anatomy of the spinal cord.