A gauze-pad wrapping of the heart can save a patient's life

Abstract We describe one case of iatrogenic rupture of the left ventricle after mitral valve replacement and myectomy of the outflow tract. The cause and site of the rupture could not be identified, neither from the internal nor from the external examination. After unsuccessful use of hemostatic patches in the surface of the ruptured area, wrapping of the ventricles with a surgical gauze pad controlled the hemorrhage, hence saving the patient's life.

Multivariate relationships among pH, subcutaneous fat thickness, and color in bovine meat using canonical correlation analysis / Relación multivariada entre pH, espesor de grasa subcutánea y color en carne bovina usando el análisis de correlación canónica / Relação multivariada entre pH, espessura de gordura subcutânea e cor em carne bovina usando a análise de correlação canônica

Abstract Background: pH, subcutaneous fat thickness (SFT), and color are fundamental variables to define the organoleptic characteristics of meat. However, multivariate relationships of those traits remain unexplored in bovine meat. Objective: To investigate the multivariate relationships among pH, subcutaneous fat thickness, and color parameters in bovine meat using canonical correlation analysis. Methods: A dataset containing 173 individual records of pH, SFT, and color parameters (a*: intensity of red color, b*: intensity of yellow color, and L*: lightness) from five Brazilian beef cut types (Breed: Nellore; cuts: acém, contrafilé, fraldinha, patinho and picanha) was constructed. Multivariate relationships between color variables (a*, b*, and L*) and chemical variables (pH and SFT) were explored using the CANCORR procedure of SAS. Results: Two canonical correlations between U (a*, b*, and L*; color variables) and V (pH and SFT; chemical variables) variates were significant (p<0.01). First and second canonical correlations were 0.463 and 0.282, respectively. Canonical weights for variates were for U1: a* = 0.707, b* = 0.406, and L* = -0.039; U2: a* = 0.364, b* = -0.898, and L* = 1.234; V1: pH = -0.376 and SFT = 0.935; V2: pH = 0.927 and STF = 0.356. Conclusion: Subcutaneous fat thickness significantly affected intensity of red and yellow colors, whereas pH significantly affected lightness. The results of this study may be useful for a better understanding of the role of muscle metabolism and its implications on the organoleptic characteristics of bovine meat.

Resumen Antecedentes: El pH, espesor de la grasa subcutánea (SFT) y color, son variables importantes que definen las características organolépticas de la carne de rumiantes. Sin embargo, su relación multivariada en carne bovina permanece inexplorada hasta ahora. Objetivo: Investigar la relación multivariada entre el pH, SFT y parámetros de color en carne bovina mediante el análisis de correlación canónica. Métodos: Se construyó una base de datos con 173 registros individuales de pH, SFT y parámetros de color (a*: intensidad de color rojo, b*: intensidad de color amarillo y L*: luminosidad) de cinco tipos de cortes de carne bovina brasileña (Raza: Nellore; cortes: acém, contrafilé, fraldinha, patinho y picanha). La relación multivariada entre las variables de color (a*, b* y L*) y las variables químicas (pH y SFT) se exploró usando el procedimiento CANCORR de SAS. Resultados: Dos correlaciones canónicas entre las variables U (compuesta por a*, b* y L*; variables de color) y V (compuesta por pH y SFT; variables químicas) fueron significativas (p<0,01). La primera y la segunda correlación canónica fueron 0,463 y 0,282, respectivamente. Los pesos canónicos para las variables canónicas fueron para U1: a* = 0,707, b* = 0,406 y L* = -0,039; U2: a* = 0,364, b* = -0,898 y L* = 1,234; V1: pH = -0,376 y SFT = 0,935; V2: pH = 0,927 y SFT = 0,356. Conclusión: El espesor de grasa subcutánea afectó significativamente la intensidad de los colores rojo y amarillo, mientras que el pH afectó significativamente la luminosidad. Los resultados de este estudio pueden ser útiles para comprender el papel del metabolismo muscular y sus implicaciones en las características organolépticas de la carne bovina.

Resumo Antecedentes: O pH, a espessura da gordura subcutânea (SFT) e a cor, são variáveis importantes que definem as características organolépticas da carne de ruminantes. No entanto, sua relação multivariada em carne bovina até o momento permanece inexplorada. Objetivo: Investigar a relação multivariada entre o pH, SFT e os parâmetros de cor em carne bovina, utilizando a análise de correlação canônica. Métodos: Foi construído um banco de dados contendo 173 registros individuais de pH, SFT e parâmetros de cor (a*: intensidade de cor vermelha, b*: intensidade de cor amarela y L*: luminosidade) de cinco tipos de cortes de carne bovina brasileira (Raça: Nellore; cortes: acém, contrafilé, fraldinha, patinho e picanha). A relação multivariada entre variáveis de cor (a *, b * e L*) e variáveis químicas (pH e SFT) foi explorada usando o procedimento CANCORR do SAS. Resultados: Duas correlações canônicas entre as variáveis U (composta de a *, b * e L *, variáveis de cor) e V (composta de pH e SFT, variáveis químicas) foram significativas (p<0,01). A primeira e segunda correlação canônica foram 0,463 e 0,282, respectivamente. Os pesos canônicos para as variáveis canônicas foram para U1: a* = 0,707, b* = 0,406 e L* = -0,039; U2: a* = 0,364, b* = -0,898 e L* = 1,234; V1: pH = -0,376 e SFT = 0,935; V2: pH = 0,927 e SFT = 0,356. Conclusão: A espessura de gordura subcutânea afetou significativamente a intensidade das cores vermelha e amarela, enquanto o pH afetou significativamente a luminosidade, em carne bovina. Os resultados deste estudo podem ser úteis para entender melhor o papel do metabolismo muscular e suas implicações nas características organolépticas da carne bovina.

Antiproliferative potential of solidagenone isolated of Solidago chilensis

ABSTRACT Plants are considered among the main sources of biologically active chemicals. The species Solidago chilensis Meyen, Asteraceae, is native to the southern parts of South America, where the aerial parts of the plant are commonly used for the treatment of inflammatory conditions. However, the effects of S. chilensis on human cancer cells remain to be elucidated. In this study, we evaluated the antiproliferative effects of the hydroalcoholic and dichloromethane extracts of S. chilensis, as well as their chemical constituents quercitrin and solidagenone against the five human tumor cell lines in vitro. The dichloromethane extract showed a promisor antiproliferative effects in vitro, especially against glioma cell line. Besides, the hydroalcoholic extract and quercitrin were inactive. The diterpene solidagenone showed highly potent antiproliferative effects against breast (MCF-7), kidney (786-0), and prostate cancer (PC-3) cells (total growth inhibition: TGI < 6.25 µg/ml). Solidagenone meets the theoretical physico-chemical criteria for bioavailability of drugs, according to the "Rule of Five" and, by theorical studies, the observed biological effects were probably related to the interaction of the molecule with nuclear receptors and as an enzymatic inhibitor. This study contributes to chemical study and to the identification of antiproliferative molecules in S. chilensis.

Surtos consecutivos ocasionados por Eimeria zuernii em bezerros de corte de uma propriedade do estado de São Paulo / Consecutive outbreaks caused by Eimeria zuernii in calves on a rural property located in the municipality of São João da Boa Vista, State of São Paulo, Brazil

O presente trabalho tem como objetivo relatar surtos consecutivos (Agosto de 2015 e 2016) ocasionado por Eimeria zuernii em bezerros de corte, Canchim e Nelore, com aproximadamente 45 dias de vida, em uma propriedade rural localizada no município de São João da Boa Vista, estado de São Paulo. O primeiro surto foi diagnosticado em um lote composto por 78 bezerros, entre 35 e 55 dias de idade. Dos 78 bezerros, 32 eram Nelore e os outros 46 Canchim. Já o segundo, ocorreu em um novo lote de 66 bezerros (sendo 36 Nelore e 47 Canchim), com idade entre 30 e 45 dias. Alguns animais apresentaram diarreia sanguinolenta e desidratação. Colheitas de fezes de todos os animais (vacas e bezerros) foram realizadas para realização de exame coproparasitológico e quantificação de ovos e oocistos por grama (OPG e OoPG) de fezes de parasitos. Com base nos resultados encontrados neste estudo, é possível afirmar que os surtos consecutivos em bezerros de corte entre 30 e 55 dias de idade, na época seca do ano (agosto), foram desencadeados pelo elevado grau de infecção destes animais por E. zuernii. Analisando os dois anos em que os surtos ocorreram, a presença de sinais clínicos (diarreia sanguinolenta) e a mortalidade de bezerros desencadeada pela eimeriose/desidratação, aconteceram em 8,3% 1,4% do rebanho, respectivamente. Estes resultados destacam a importância em se realizar pesquisas de campo, com o objetivo de se melhor entender a dinâmica de parasitismo de E. zuernii e E. bovis em bezerros com idade inferior a três meses, em função dos motivos já discutidos neste estudo. Além disso, é necessário que se investigue as possíveis fontes de infecção, como a água ingerida pelos animais, para que condutas práticas possam ser adotadas/recomendadas aos proprietários, diminuindo desta maneira os prejuízos ocasionados por surtos de Eimeria spp em rebanhos bovinos.(AU)

We report consecutive outbreaks (August 2015 and 2016) of disease caused by Eimeria zuernii in Canchim and Nelore calves about 45 days of age on a rural property in the municipality of São João da Boa Vista, state of São Paulo, Brazil. The first outbreak infected 78 calves (32 Nelore and 46 Canchim) between 35 and 55 days of age. The second outbreak infected 66 calves (36 Nelore and 47 Canchim) between 30 and 45 days of age. Some calves had bloody diarrhea and were dehydrated. Feces were collected from all animals (cows and calves) for coproparasitological examination and quantification of parasite eggs and oocysts per gram. The consecutive outbreaks in the 30 to 55 day-old calves occurred during the dry season (August). These outbreaks were caused by a high degree of infection by E. zuernii. Clinical signs (bloody diarrhea) and mortality of the calves triggered by eimeriosis/dehydration occurred in 8.3 and 1.4% of the herd in 2015 and 2016, respectively. These results highlight the importance of conducting field studies to better understand the parasitic dynamics of E. zuernii in calves younger than three months. Identifying the sources of infection, such as the water ingested by the animals, is also necessary, so that practical husbanddry can be recommended and adopted by the producers, to reduce the damage caused by outbreaks of Eimeria spp. in cattle herds.(AU)

Evaluation of the anti-osteoporotic effect of Ginkgo biloba L. in Wistar rats with glucocorticoid-induced-osteoporosis by bone densitometry using dual-energy x-ray absorptiometry (DEXA) and mechanical testing

ABSTRACT Evaluate the effect of the extract of Ginkgo biloba in the bone alkaline phosphatase, bone mineral density, in the mechanical properties of the tibia in rats with glucocorticoid-induced-osteoporosis. After osteoporosis induction, the rats were divided into five groups: Osteoporosis; EGb1 (28 mg/Kg); EGb2 (56 mg/Kg); alendronate (0.2 mg/animal) and control. The animals were treated during 20 and 30 days. The control group was compared with the osteoporosis's (Student's t-test), while the other were analyzed by ANOVA test followed by Tukey/Dunnett'T3 (p<0.05). In the osteoporosis group the bone alkaline phosphatase, bone mineral density, the bone stiffness, the maximum load and the resilience were reduced. The bone alkaline phosphatase values increased in the EGb1 and EGb2 groups (30 days). In addition, in the EGb2 and alendronate groups (20 and 30 days) the bone mineral density increased. The extract of Ginkgo biloba restored bone alkaline phosphatase and bone mineral density using dual-energy x-ray absorptiometry.

Antiproliferative effects of pinostrobin and 5,6-dehydrokavain isolated from leaves of Alpinia zerumbet

Abstract Natural products are a major source of drugs for the treatment of cancer. The species Alpinia zerumbet (Pers.) B.L. Burtt & R.M. Sm, Zingiberaceae, is widely distributed in Brazil where it is known as "colônia". The leaves are commonly used in the treatment of hypertension and dyspepsia, however, the effects of A. zerumbet extracts and isolated substances on human cancer cells remain to be elucidated. This study was designed to identify the chemical constituents of hydroalcoholic and dichloromethane extracts from A. zerumbet leaves and to investigate their in vitro antiproliferative activity. The isolated phytochemicals included kaempferol, dihydro-5,6-dehydrokavain, 5,6-dehydrokavain, and pinostrobin. The hydroalcoholic extract inhibited cellular proliferation only at high concentrations, while the dichloromethane extract showed a moderate antiproliferative effect against leukemia and lung tumor cell lines. 5,6-Dehydrokavain showed potent cytostatic activity against glioblastoma cells and a moderate effect on all other tumor cell lines. Pinostrobin showed potent activity against leukemia and breast tumor cell lines and moderate cytostatic effect against ovarian cell. Furthermore, this is the first report on the isolation of kaempferol and pinostrobin from A. zerumbet leaves. Moreover, the purification process described in this study was effective. These results suggest that A. zerumbet leaves are a promising source of anticancer compounds.

Adjuvant radiotherapy for the primary treatment of adrenocortical carcinoma: are we offering the best?

ABSTRACT Purpose: To evaluate the role of ARDT after surgical resection of ACC. Materials and Methods: Records of patients from our institutional ACC database were retrospectively assessed. A paired comparison analysis was used to evaluate the oncological outcomes between patients treated with surgery followed by ARDT or surgery only (control). The endpoints were LRFS, RFS, and OS. A systematic review of the literature and meta-analysis was also performed to evaluate local recurrence of ACC when ARDT was used. Results: Ten patients were included in each Group. The median follow-up times were 32 months and 35 months for the ARDT and control Groups, respectively. The results for LRFS (p=0.11), RFS (p=0.92), and OS (p=0.47) were similar among subsets. The mean time to present with local recurrence was significantly longer in the ARDT group compared with the control Group (419±206 days vs. 181±86 days, respectively; p=0.03). ARDT was well tolerated by the patients; there were no reports of late toxicity. The meta-analysis, which included four retrospective series, revealed that ARDT had a protective effect on LRFS (HR=0.4; CI=0.17-0.94). Conclusions: ARDT may reduce the chance and prolong the time to ACC local recurrence. However, there were no benefits for disease recurrence control or overall survival for patients who underwent this complementary therapy.

Influence of P53 on the radiotherapy response of hepatocellular carcinoma

BACKGROUND/AIMS: Hepatocellular carcinoma (HCC) is one of the most common cancers worldwide, and it has a poor prognosis and few therapeutic options. Radiotherapy is one of the most effective forms of cancer treatment, and P53 protein is one of the key molecules determining how a cell responds to radiotherapy. The aim of this study was to determine the therapeutic efficacy of iodine-131 in three human HCC cell lines. METHODS: Western blotting was used to measure P53 expression. The effects of radiotherapy with iodine-131 were assessed by using the clonogenic assay to evaluate cell survival. Flow cytometry was carried out to examine the effects of iodine-131 on cell death, oxidative stress, reduced intracellular glutathione expression, the mitochondrial membrane potential, and the cell cycle. RESULTS: The P53 protein was not expressed in Hep3B2.1-7 cells, was expressed at normal levels in HepG2 cells, and was overexpressed in HuH7 cells. P53 expression in the HuH7 and HepG2 cell lines increased after internal and external irradiation with iodine-131. Irradiation induced a decrease in cell survival and led to a decrease in cell viability in all of the cell lines studied, accompanied by cell death via late apoptosis/necrosis and necrosis. Irradiation with 131-iodine induced mostly cell-cycle arrest in the G0/G1 phase. CONCLUSIONS: These results suggest that P53 plays a key role in the radiotherapy response of HCC.

Antiproliferative activity of methanol extracts of four species of Croton on different human cell lines

Several species of Croton have been described with biological activities, mainly due to diterpenes, alkaloids and/or other secondary metabolites. These activities account for the traditional use of Croton species to treat certain diseases in South America, Asia and Western Africa. The crude methanol extracts obtained from leaves and steam bark of Croton dichrous Müll. Arg., C. erythroxyloides Baill., C. myrianthus Müll. Arg. and C. splendidus Mart. ex Colla were tested for antiproliferative activity against ten human cancer cell lines. Chemical analyses of all extracts were carried out by GC/MS and HPLC/MS/MS. The leaf extract obtained from C. erythroxyloides showed potent activity against PC-3 (prostate) and OVCAR-3 (ovary) cell lines. Lupeol is suggested to be involved in such activity. Tiliroside, an acyl-glycosilated flavonoid ubiquitous in all tested extracts, seems to play an important role in the observed moderate activity of most extracts against the leukemia K562 cell lineage.

Isolation, structural identification and cytotoxic activity of hexanic extract, cyperenoic acid, and jatrophone terpenes from Jatropha ribifolia roots

The cytotoxicity of a hexanic fraction produced from the ethanolic crude extract, obtained from Jatropha ribifolia (Pohl) Baill, Euphorbiaceae, roots was evaluated against ten human cancer cell lines (MCF-7, NCI-ADR/RES, OVCAR-3, PC-3, HT-29, NCI-H460,786-O, UACC-62, K-562, U251) compared with doxorrubicine as positive control. Compounds jatrophone and cyperenoic acid were isolated from the hexanic extract and characterized by spectroscopic techniques (NMR of ¹H, 13C and IR). The in vitro antiproliferative activity of jatrophone showed selectivity in a concentration dependent way with Total Inhibition growth of: glioma 0.57 µg mL-1 (U251), breast cancer 9.2 µg mL-1 (MCF-7), adriamycin-resistant ovarian cancer 0.96 µg mL-1 (NCI-ADR/RES), kidney 4.2 µg mL-1 (786-0), prostate cancer 8.4 µg mL-1 (PC-3), colon cancer 16.1 µg mL-1 (HT29) and leukemia 0.21 µg mL-1 (K-562).

Modified constraint-induced movement therapy and modified forced-use therapy for stroke patients are both effective to promote balance and gait improvements / Terapia de constrição com indução do movimento e terapia de uso forçado modificadas em pacientes pós-acidente vascular encefálico são eficientes em promover melhora do equilíbrio e da marcha

BACKGROUND: Previous studies show that chronic hemiparetic patients after stroke, presents inabilities to perform movements in paretic hemibody. This inability is induced by positive reinforcement of unsuccessful attempts, a concept called learned non-use. Forced use therapy (FUT) and constraint induced movement therapy (CIMT) were developed with the goal of reversing the learned non-use. These approaches have been proposed for the rehabilitation of the paretic upper limb (PUL). It is unknown what would be the possible effects of these approaches in the rehabilitation of gait and balance. OBJECTIVES: To evaluate the effect of Modified FUT (mFUT) and Modified CIMT (mCIMT) on the gait and balance during four weeks of treatment and 3 months follow-up. METHODS: This study included thirty-seven hemiparetic post-stroke subjects that were randomly allocated into two groups based on the treatment protocol. The non-paretic UL was immobilized for a period of 23 hours per day, five days a week. Participants were evaluated at Baseline, 1st, 2nd, 3rd and 4th weeks, and three months after randomization. For the evaluation we used: The Stroke Impact Scale (SIS), Berg Balance Scale (BBS) and Fugl-Meyer Motor Assessment (FM). Gait was analyzed by the 10-meter walk test (T10) and Timed Up & Go test (TUG). RESULTS: Both groups revealed a better health status (SIS), better balance, better use of lower limb (BBS and FM) and greater speed in gait (T10 and TUG), during the weeks of treatment and months of follow-up, compared to the baseline. CONCLUSION: The results show mFUT and mCIMT are effective in the rehabilitation of balance and gait.

CONTEXTUALIZAÇÃO: Pacientes hemiparéticos crônicos, após acidente vascular encefálico (AVE), apresentam incapacidade para executar movimentos no hemicorpo parético. Essa incapacidade é reforçada positivamente por tentativas fracassadas de movimento, conceito chamado desuso aprendido. A terapia de uso forçado (FUT) e a terapia de constrição com indução do movimento (CIMT) foram desenvolvidas objetivando a reversão do desuso aprendido do membro superior parético. Não se encontrou na literatura quais seriam os possíveis efeitos dessas técnicas na reabilitação da marcha e do equilíbrio. OBJETIVOS: Avaliar o efeito da FUT e da CIMT modificadas (mFUT e mCIMT) na marcha e no equilíbrio durante quatro semanas de tratamento e três meses de seguimento. MÉTODOS: Este estudo incluiu 37 sujeitos hemiparéticos pós-AVE, divididos em dois grupos com base no protocolo de tratamento. A imobilização do membro superior não-parético foi feita por 23 horas ao dia, cinco dias por semana. Os sujeitos foram avaliados no início, durante quatro semanas de tratamento e três meses de acompanhamento. Para a avaliação, utilizou-se a Escala de Impacto do AVE (SIS), Berg Balance Scale (BBS) e Fugl-Meyer Motor Assesment (FM). Para a marcha, utilizou-se o teste de caminhada de 10 metros (T10) e Timed Up & Go test (TUG). RESULTADOS: Ambos os grupos revelaram um melhor estado de saúde (SIS), melhor equilíbrio, com melhor utilização dos membros inferiores (BBS e FM) e maior velocidade na marcha (T10 e TUG) durante tratamento e seguimento em comparação com o início. CONCLUSÃO: Os resultados mostram que a mFUT e a mCIMT são eficazes para a reabilitação do equilíbrio e da marcha.

Capacidade antioxidante e triagem farmacológica de extratos brutos de folhas de Byrsonima crassifolia e de Inga edulis / Antioxidant capacity and pharmacologic screening of crude extracts of Byrsonima crassifolia and Inga edulis leaves

Com o objetivo de avaliar o efeito de duas espécies amazônicas em doenças relacionadas aos processos de oxidação, determinou-se a capacidade antioxidante (método Oxygen Radical Absorbance Capacity), o teor de polifenóis totais (método Folin-Ciocalteu - PT), bem como os efeitos farmacológicos in vitro (efeito antiproliferativo) e in vivo (antinociceptivo, antiinflamatório, antiulcerogênico) dos extratos hidroalcoólicos (65:35; v/v; etanol:água) das folhas de Byrsonima crassifolia (BC) e Inga edulis (IE). Os extratos de BC e IE apresentaram elevada capacidade antioxidante (1.422 e 694 µmol de Trolox Equivalente g-1 de folha seca - FS, respectivamente) e um valor relativamente alto de PT (35,93 e 24,50 mg Equivalente ácido gálico g-1 FS, respectivamente). Essa atividade antioxidante não teve relação direta com o teor de compostos fenólicos dos extratos, sugerindo a contribuição de outros grupos químicos nessa atividade. Em cultura de células tumorais humanas (nove linhagens), os extratos não apresentaram atividade antiproliferativa significante, com efeito citotóxico somente na concentração mais elevada. Em modelo de nocicepção induzida pelo calor (placa quente), o extrato de IE apresentou efeito antinociceptivo (P < 0,05) após 30 (250 e 500 mg kg-1) e 60 min (125 e 500 mg kg-1) de sua administração oral. Nos modelos de inflamação houve somente redução do edema para IE na concentração de 500 mg kg-1. Os extratos das duas espécies reduziram as lesões ulcerativas produzidas por etanol em até 84% (P < 0,05), sugerindo uma possível ligação com a atividade antioxidante observada e indicando a necessidade de estudos para a elucidação do mecanismo de ação envolvido.

In order to evaluate the effect of two Amazonian species on chronic diseases linked with the oxidative processes, we performed antioxidant capacity analyses (Oxygen Radical Absorbance Capacity - ORAC and Folin-Ciocalteu - PT assays) and pharmacological effects in vitro (antiproliferative effect) and in vivo (antinociceptive, antiinflammatory, antiulcerogenic effects) for ethanolic extracts (65:35; v/v; ethanol:water) from Byrsonima crassifolia (BC) and Inga edulis (IE) leaves. Both BC and IE extracts showed high ORAC values (1,422 and 694 mmol of Trolox equivalent/g of dry leaf, respectively) and high PT contents (35.93 and 24.50 mg gallic acid equivalent g-1 dry leaf, respectively). The ORAC values had no correlation with PT, suggesting the presence of other chemical groups in the antioxidant activity value. The two extracts did not present significant antiproliferative activity on nine lines of human tumor cells, and cytotoxic effect was detected only at the highest concentration. The antinociceptive effect was investigated using the hot plate test, and IE extract presented a longer latency (P < 0.05) 30 and 60 min after oral administration. The antiinflammatory activity was only observed at the highest concentration, suggesting that the antinociceptive effect observed was not due to the antiinflammatory effect. The extracts of both species reduced the ulcerative lesions produced by ethanol up to 84% (P < 0.05), suggesting a relation with the antioxidant capacity. More studies are necessary to elucidate the mechanisms of action involved on antiulcerative effects.

Cyclosporin safety in a simplified rat brain tumor implantation model / Segurança do tratamento com ciclosporina em um modelo pré-clínico de tumor cerebral experimental em ratos

Brain cancer is the second neurological cause of death. A simplified animal brain tumor model using W256 (carcinoma 256, Walker) cell line was developed to permit the testing of novel treatment modalities. Wistar rats had a cell tumor solution inoculated stereotactically in the basal ganglia (right subfrontal caudate). This model yielded tumor growth in 95 percent of the animals, and showed absence of extracranial metastasis and systemic infection. Survival median was 10 days. Estimated tumor volume was 17.08±6.7 mm³ on the 7th day and 67.25±19.8 mm³ on 9th day post-inoculation. Doubling time was 24.25 h. Tumor growth induced cachexia, but no hematological or biochemical alterations. This model behaved as an undifferentiated tumor and can be promising for studying tumor cell migration in the central nervous system. Dexamethasone 3.0 mg/kg/day diminished significantly survival in this model. Cyclosporine 10 mg/kg/day administration was safely tolerated.

Neoplasias encefálicas constituem a segunda causa neurológica de morte. Foi desenvolvido um modelo animal simplificado de tumor cerebral em ratos utilizando a linhagem celular W256 (carcinoma 256 de Walker) para permitir teste de novos tratamentos. Ratos Wistar foram inoculados nos gânglios da base (caudato subfrontal direito) com uma solução celular tumoral, por via estereotáxica. Este modelo demonstrou crescimento tumoral em 95 por cento dos animais inoculados com sucesso, além de mostrar ausência de metástases extracranianas e infecção sistêmica. A mediana de sobrevida dos animais foi de 10 dias. O volume tumoral estimado foi de 17,08±6,7 mm³ no sétimo dia e de 67,25±19,8 mm³ no nono dia após a inoculação. O tempo de duplicação foi estimado em 24,25 h. O crescimento tumoral induziu a caquexia, mas não houve alterações bioquímicas ou hematológicas. Esse modelo permite fácil reprodução e comporta-se como um tumor indiferenciado, mostrando potencial para estudar migração celular tumoral no sistema nervoso central. Dexametasona 3,0 mg/kg/dia reduziu significantemente a sobrevida dos animais inoculados com tumor nesse modelo. Ciclosporina 10 mg/kg/dia não teve efeito na sobrevida, sendo sua administração bem tolerada.

Constituents and antiproliferative activity of extracts from leaves of Croton macrobothrys

Croton macrobothrys Baill, Euphorbiaceae, is a tree from the Atlantic Forest in Southern Brazil, used in traditional medicine and popularly known as "dragon's blood" and "pau-sangue". Leaf n-hexane, dichloromethane and methanol extracts were analyzed by GC/MS and evaluated for their in vitro antiproliferative activity on cell lines 786-0 (kidney), HT-29 (colon), K562 (leukemia), NCI-ADR/RES (drug resistant ovary), NCI-H460 (lung), MCF-7 (mammary), PC-3 (prostate), OVCAR-3 (ovary), U251 (glioma) and UACC-62 (melanoma). The dicloromethane extract exhibited activity against all cell lines at the concentration 25 µg/mL, in particular on cell lines NCI-H460 (GI50 0.33 μg/mL) and K5662 (GI50 0.91 μg/mL). Relevant constituents in dichloromethane extract are the alkaloids corydine and salutaridine, as well as the diterpenes geranylgeraniol and crotonin-derived clerodanes.

Efeito do extrato de Ginkgo biloba L., Ginkgoaceae, na osteoporose induzida em ratas Wistar / Effect of the aqueous extract of Ginkgo biloba L., Ginkgoaceae, in induced osteoporosis in Wistar rats

Este trabalho investigou os efeitos do tratamento por vinte dias com extrato de Ginkgo biloba (EGb) na osteoporose induzida por glicocorticóides. Foram utilizadas 36 ratas divididas em seis grupos (n=6): Controle, osteoporose, controle positivo, EGb1 (14 mg EGb/mg/kg/dia), EGb2 (28 mg EGb/kg/dia) e EGb3 (56 mg EGb/kg/dia). Os tratamentos foram realizados por vinte dias, após a indução da osteoporose. Após a eutanásia foram removidos o fêmur e a mandíbula de todos os animais. A mandíbula esquerda foi radiografada digitalmente para avaliação da cortical e do suporte ósseo periodontal (SOP). A análise histomorfométrica foi realizada no fêmur e mandíbula direitos. O grupo controle foi comparado ao grupo osteoporose (Teste t de Student) e os demais grupos foram submetidos a ANOVA, seguido do teste post-hoc de Dunnett. Houve redução significava do SOP mesial, percentual ósseo alveolar (POA) mandibular, percentual ósseo trabecular (POT) do fêmur no grupo osteoporose. Houve aumento do SOP mesial no grupo controle positivo, EGb2 e EGb3. O POA da mandíbula e o POT do fêmur aumentaram nos grupos EGb2 e EGb3. O EGb nas doses de 28 mg/kg e 56 mg/kg recuperou de forma significativa o SOP mesial, o POA da mandíbula e o POT do fêmur.

The objective of this study was to investigate the effect of a 20 day treatment with extract of Ginkgo biloba (EGb) in glucocorticoid-induced-osteoporosis. 36 rats were divided into six groups (n=6): control, osteoporosis, positive control, EGb1 (14 mg EGb/kg/day), EGb2 (28 mg EGb/kg/day) and EGb3 (56 mg EGb/kg/day). Treatments were conducted for twenty days, after osteoporosis was induced. Following euthanasia the femur and mandible of all animals were removed. The left mandible was radiographed to evaluate the cortical and the periodontal bone support (PBS). The histomorphometric analysis was performed on the right mandible and the right femur. The control group was compared with the osteoporosis group (Student's t-test). The other groups were analyzed through ANOVA test followed by Dunnett post-hoc test. There was a significantly reduction in the mesial PBS, in the percentage of the alveolar bone (PAB) of the mandible and percentage of the trabecular bone (PTB) of the femur in the osteoporosis group. There was an increase in the mesial PBS in the positive control group, EGb2 and EGb3. The PAB of the mandible and the PTB of the femur increased in the EGb2 and EGb3 groups. The EGb in the 28 mg/kg and 56 mg/kg doses were effective to increase the mesial PBS, the PAB of the mandible and the PTB of the femur.

The effect of different supermarket checkout workstations on trunk kinematics of checkout operators / O efeito de diferentes modelos de checkout na cinemática de operadores de supermercado

OBJECTIVES: This study analyzed the effect of a standard and a modified checkout workstation during a simulated task on trunk postures of a supermarket checkout operator. METHODS: Eight participants performed a task involving grasping, scanning and depositing products, while 3D images of the trunk were collected. RESULTS: A number of kinematic changes were observed in trunk posture. A greater anterior flexion (3.0±1.2º) and lateral bending during grasping (7.1±1.4º) were found in the standard checkout workstation when compared to the modified model (p<0.05). Other variables did not show significant differences (p>0.05). DISCUSSION: The modified checkout workstation provided less lateral bending of the trunk to grasp products (8.1º ± 2.8; p<0.05), which was considered an advantage with respect to the standard model. Changes in the sagittal and transversal planes were not observed (p>0.05), irrespective of the checkout workstations (p>0.05). The modified checkout workstation successfully reduced risk of injury in some aspects, particularly the problems associated with lateral bending of the trunk. Other studies are required to test whether such potential benefits are obtained on a daily basis. CONCLUSIONS: Supermarket checkout operators may be at high risk of occupational injury due to different workstation demands. Modifications to checkout workstation design are an attractive possibility to reduce postural stress and fatigue in checkout operators. Longitudinal studies are required to test whether changes observed in the present study are sustained in the long term.

OBJETIVOS: Analisar o efeito de um modelo padrão e de um modificado de checkout durante uma tarefa simulada de um operador de caixa de supermercado. MÉTODOS: Oito participantes desempenharam uma tarefa envolvendo apanhar, ler e depositar produtos, enquanto imagens 3D do tronco foram coletadas. RESULTADOS: Um número de mudanças cinemáticas foram observadas na postura do tronco. Uma maior flexão anterior (3.0±1.2º) e uma inclinação lateral durante o apanhar (7.1±1.4º) foram encontradas no checkout padrão quando comparadas ao modelo modificado (p<0.05). Outras variáveis não apresentaram mudanças significativas (p>0.05). DISCUSSÃO: O checkout modificado causou menor inclinação lateral do tronco para apanhar produtos (8.1º ± 2.8; p<0.05), o que foi considerado como uma vantagem em relação ao modelo padrão. Mudanças nos planos sagital transverso não foram observadas (p>0.05), independente do modelo do checkout (p>0.05). O modelo modificado se mostrou eficaz paras prover reduções de risco de lesão em alguns aspectos. Especificamente, problemas associados com as inclinações laterais do tronco podem ser reduzidos quando o checkout modificado é empregado. Outros estudos são necessários para testar se tais benefícios potenciais são obtidos em uso de base diária. CONCLUSÕES: Operadores de supermercado podem ter elevado risco de lesões ocupacionais devido a diferenças nas demandas de suas estações de trabalho. Modificações no design do checkout são uma possibilidade atrativa para reduzir o estresse postural ocupacional e a fadiga em operadores de checkout. Requerem-se estudos longitudinais para testar se as mudanças encontradas no presente estudo são sustentadas em longos períodos de uso.

Irradiação contralateral de força para a ativação do músculo tibial anterior em portadores da doença de Charcot-Marie-Tooth: efeitos de um programa de intervenção por FNP / Contralateral force irradiation for the activation of tibialis anterior muscle in carriers of Charcot-Marie-Tooth disease: effect of PNF intervention program

Objetivo: Avaliar a resposta do músculo tibial anterior (TA) após um protocolo de cinco semanas com irradiação contralateral de força através de diagonais de facilitação neuromuscular proprioceptiva (FNP) em pacientes com polineuropatia desmielinizante associada à doença de Charcot-Marie-Tooth do tipo 1A (CMT-1A). MÉTODOS: Participaram deste estudo 12 pacientes, de ambos os sexos. Eles foram tratados em uma frequência de duas vezes por semana, durante cinco semanas. Em cada sessão, foram utilizadas as diagonais de Chopping, extensão-adução com rotação interna (EARI) e flexão-abdução com rotação interna (FARI). As diagonais foram repetidas quatro vezes, em ambos os membros superiores e inferiores; cada diagonal tinha duração média de 6 segundos. Durante as execuções, a resposta muscular do TA foi registrada por um eletromiógrafo de superfície, desprezando-se os 2 segundos iniciais e finais de cada diagonal. A média dos valores de Root Mean Square (RMS) das quatro repetições foi normalizada em porcentagem. Os dados iniciais e finais foram submetidos ao teste em t para amostras pareadas com valores de p significativos <0,05...

Objective: To evaluate the response of the tibialis anterior (TA) muscle following a five-week protocol with contralateral irradiation force through Proprioceptive Neuromuscular Facilitation (PNF) diagonals in patients with demyelinating polyneuropathy associated with Charcot-Marie-Tooth disease type 1A (CMT-1A). METHODS: The study included 12 patients of both sexes. They were treated twice-weekly for 5 weeks. At each session, they performed the following diagonal patterns: chopping, extension-adduction with internal rotation (EAIR) and flexion-abduction with internal rotation (FAIR). The diagonals were repeated four times, in both upper and lower limbs, with each repetition lasting six seconds on average. During execution, the response of the TA muscle was recorded by a surface electromyograph disregarding the initial and final two seconds of each diagonal. The mean RMS values of the four repetitions were normalized in percentage. The initial and final data were analyzed through the t test for paired samples with significant p-values <0.05...

Effect of Artemisia annua L. leaves essential oil and ethanol extract on behavioral assays / Efeito do extrato etanólico bruto e óleo essencial das folhas de Artemisia annua em modelos comportamentais

Artemisia annua has been used as a traditional plant for the treatment of malaria and fever in China because of the presence of its active compound, artemisinin. The present study evaluated the central activity of the essential oil and the crude ethanol extract of A. annua L. in animals as a part of a psychopharmacological screening of this plant. The extract was prepared in ethanol (AEE) and the essential oil (AEO) obtained by hydrodistillation, both with fresh leaves. Induced immobility, the forced swimming test (FST) and the open-field test (OFT) are well-known animal models to study drug-induced depression. The administration of A. annua essential oil or crude ethanol extract increased the immobility time in the FST and decreased other activities (ambulation, exploration, rearing and grooming) in the OFT in animals. Both AEO and AEE prolonged pentobarbital-induced sleep as well, but the essential oil had a marked effect. Observing these results, it is possible to suggest that A. annua crude ethanol extract and essential oil could act as depressors on the Central Nervous System (CNS).

Artemisia annua tem sido utilizada tradicionalmente para o tratamento de malária e febre na China devido à presença do princípio ativo, artemisinina. O presente trabalho avaliou a atividade central de do óleo essencial obtido por hidrodestilação e do extrato etanólico bruto de folhas frescas de A. annua em modelo in vivo como parte de um screening farmacológico dessa espécie. Sono induzido por pentobarbital, nado forçado e o ensaio de campo aberto são modelos de estudo conhecidos para o estudo de fármacos sobre depressão induzida. A administração do óleo essencial ou extrato bruto etanólico de A. annua aumentaram o tempo de imobilidade no teste do nado forçado. Por outro lado, diminuíram outros parâmetros no campo aberto, como ambulação, exploração, o ato de lamber as patas ou se lamber. Ambos produtos aumentaram o tempo de sono induzido por pentobarbital, com o óleo essencial apresentando um efeito superior ao do extrato. Pela análise dos resultados, é possível sugerir que tanto o extrato bem como o óleo essencial podem atuar como depressores do Sistema Nervoso Central (SNC).

Farmacologia e Toxicologia de Peumus boldus e Baccharis genistelloides / Pharmacology and toxicology of Peumus boldus and Baccharis genistelloides

Um grande número de espécies com uso medicinal tradicional ainda continua sem comprovação da eficácia e da segurança de seu uso. Este artigo apresenta uma pequena revisão sobre os trabalhos publicados com boldo (Peumus boldus) e carqueja (Baccharis genistelloides). Os estudos farmacológicos realizados com P. boldus e B. genistelloides comprovam várias das atividades atribuídas popularmente a esses chás, além de correlacionarem esses efeitos a compostos puros, isolados a partir desses extratos. Já os estudos toxicológicos sugerem que o chá de boldo deve ser consumido com moderação e cuidado, principalmente no primeiro trimestre da gravidez (indícios de teratogenia) e no uso por tempo prolongado (indícios de hepatotoxicidade), enquanto o consumo do chá de carqueja deve ser proibido para gestantes (risco comprovado de aborto) e para pacientes que utilizam drogas para tratamento de problemas pressóricos (ação hipotensora). Estes relatos reforçam a necessidade de um maior conhecimento sobre as plantas medicinais utilizadas popularmente, não apenas para a confirmação das atividades descritas pelo uso tradicional, mas também para que o uso seguro seja estabelecido.

There are a great number of medicinal plants without any scientific confirmation about their efficacy and safety. This paper is a short review about two medicinal plants, "boldo do chile" (Peumus boldus) and "carqueja" (Baccharis genistelloides). Pharmacological studies have confirmed several popular indications for P. boldus and B. genistelloides, besides have established a relationship between isolated compounds from these extracts and the pharmacological effects observed. On the other hand, toxicological researches have pointed out that P. boldus tea should not be consumed during a long period (potential hepatotoxicity) and by pregnant, especially during the first three months. Moreover, B. genistelloides tea must be prohibited for pregnant because of confirmed abortive action, and for patients using medicines for blood pressure disorders. These studies point out the continuous necessity of more studies about medicinal plants; only with this knowledge it will be possible a safe and efficient use.