ABSTRACT
PREDICT is a tool designed to estimate the benefits of adjuvant therapy and the overall survival of women with early breast cancer. The model uses clinical, histological, and immunohistochemical variables. This study aimed to evaluate the model's performance in a Brazilian population. We assessed the discrimination and calibration of the PREDICT model to estimate overall survival (OS) in five and ten years of follow-up in a cohort of 873 women with early breast cancer diagnosed from January 2001 to December 2016. A total of 743 patients had estrogen receptor (ER)-positive and 130 had ER-negative tumors. The area under the receiver operating characteristic (ROC) curve (AUC) for discrimination was 0.72 (95%CI: 0.66-0.78) at five years and 0.67 (95%CI: 0.61-0.72) at ten years for women with ER-positive tumors. The AUC was 0.72 (95%CI: 0.62-0.81) at five years and 0.67 (95%CI: 0.54-0.77) at ten years for women with ER-negative tumors. The predicted survival in ER-positive tumors was 91.0% (95%CI: 90.2-91.6%) at five years and 79.3% (95%CI: 77.7-81.0%) at ten years, and the observed survival 90.7% (95%CI: 88.6-92.9%) and 77.2% (95%CI: 73.4-81.4%), respectively. The predicted survival in ER-negative tumors was 84.5% (95%CI: 82.5-86.6%) at five years and 75.0% (95%CI: 71.6-78.5%) at ten years, and the observed survival 76.3% (95%CI: 69.1-84.3%) and 67.9% (95%CI: 58.6-78.6%), respectively. In conclusion, PREDICT was accurate to estimate OS in women with ER-positive tumors and overestimated the OS in women with ER-negative tumors.
ABSTRACT
The present study aimed at investigating the chemical composition of essential oil extracted from Brazilian propolis and the susceptibility of Staphylococcus aureus, Staphylococcus epidermides, Streptococcus pyogenes and Escherichia coli to this substance. The essential oil was obtained by steam distillation of propolis and examined by gas chromatography/mass spectrometry (GC/MS). In addition, the agar diffusion method using filter paper disks was employed. Antibacterial activity was measured as equivalent diameters of inhibition zones (in millimeters) after incubation at 37ºC for 24 hours. From the 26 identified constituents, Beta-caryophyllene (12.7 percent), acetophenone (12.3 percent) and Beta-farnesene (9.2 percent) were found to be major components. New components, namely linalool, methyl hydrocinnamate, ethyl hydrocinnamate, alfa-ylangene, gama-elemene and valencene, are reported for the first time to be present in propolis essential oil. This oil also exhibited antibacterial activity.
Subject(s)
Bees , Oils, Volatile , Propolis/pharmacology , Propolis/chemistry , Escherichia coli , Staphylococcus aureus , Staphylococcus epidermidis , Streptococcus pyogenesABSTRACT
Community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) is an emergent pathogen in Brazil. However, there are no data on the prevalence of CA-MRSA. We report here the first well-characterized case of severe life-threatening CA-MRSA infection in a child living in Rio de Janeiro city. The patient had many complications including hematogenous osteomyelitis and involvement of multiple sites requiring drainage of soft-tissue abscess, and pleural and pericardial empyema. The MRSA isolates recovered were genotyped using PFGE, SCCmec typing and multilocus sequence typing. Disk diffusion tests were performed following Clinical and Laboratory Standards Institute recommendations. In addition, the presence of Panton-Valentine leukocidin (PVL) was assessed by PCR amplification, using specific primers for lukF-pv (encoding for the F subunit of the PVL). The bacterial isolates were related to the ST30-SCCmecIV lineage (Oceania Southwest Pacific clone), a PVL producer CA-MRSA previously detected in Porto Alegre, RS, Brazil. Also, the isolates analyzed were susceptible to all non-â-lactam antibiotics tested. The present report demonstrates that disseminated CA-MRSA disease is also occurring in Rio de Janeiro. Thus, the empirical treatment of moderate or severe infections suspected of being associated with CA-MRSA needs to be reviewed in order to allow prompt initiation of an effective therapy that also covers these microorganisms.
Subject(s)
Child , Female , Humans , Methicillin-Resistant Staphylococcus aureus/isolation & purification , Staphylococcal Infections/microbiology , Bacterial Typing Techniques , Brazil/epidemiology , Community-Acquired Infections/diagnosis , Community-Acquired Infections/microbiology , Microbial Sensitivity Tests , Severity of Illness Index , Staphylococcal Infections/diagnosis , Staphylococcal Infections/epidemiologyABSTRACT
Neste trabalho avaliou-se a atividade antibacteriana e IMAO de extratos de diferentes polaridades de Mikania glomerata. A atividade antibacteriana foi medida frente à cepa multiresistente de Staphylococus aureus PI57, através das técnicas de bioautografia e antibiograma. A atividade IMAO foi medida utilizando uma suspensão de mitocôndrias. Mikania glomerata mostrou conter no extrato hexânico substâncias antimicrobianas. Os extratos hexânico e CH2Cl2 foram ativos frente à MAO-B, sem apresentarem atividade de inibição da MAO-A, enquanto o extrato metanólico apresentou atividade de inibição da MAO-A e MAO-B, sem seletividade.
Antibacterial and IMAO inhibition activities of different polarities extracts of Mikania glomerata were evaluated. The antibacterial activity was assayed against a multiresistant strain of Staphyllococus aureus PI57. The IMAO activity was measured with a suspension of mitochondrion. In the hexanic extract of Mikania glomerata substances with antibacterial activity were detected. Hexanic and CH2Cl2 extracts showed MAO-B inhibition activity while MAO-A inhibition activity was not detected. The methanolic extract showed non-selective inhibition activity of MAO-A and MAO-B.
ABSTRACT
A própolis, também conhecida como "cola de abelhas" possui atividade antimicrobiana, antiinflamatória, anestésica e imunoestimulante. Amostras de diferentes origens geográficas podem apresentar composição química bem diferente, porém continuam sendo responsáveis por atividade antibacteriana, inclusive contra cepas multirresistentes de Staphylococcus aureus. Este trabalho teve por objetivo otimizar o processo de extração visando determinar a melhor alcoolatura para a obtenção de tinturas de própolis com maior atividade antimicrobiana. Amostras de própolis foram extraídas com diferentes misturas hidroalcoólicas, variando o teor de etanol entre 90 por cento a água pura, obtendo assim 11 tinturas diferentes. Todas as tinturas foram aplicadas em discos de papel, secos e colocados sobre a superfície de placas contendo ágar inoculado com cepa multirresistente de S. aureus. As placas foram incubadas e avaliadas no dia seguinte quanto à presença de halos de inibição. Os melhores resultados foram obtidos com extratos contendo 50 a 90 por cento de etanol. O trabalho sugere a utilização da alcoolatura de 70 por cento como a ideal para a obtenção de tinturas de própolis.
Bee glue (propolis) possesses antimicrobial, antiinflammatory, anaesthetic and immunostimulating activities. Propolis composition is extraordinary variable; samples from different geographic origin may posse's entirely different chemical composition. In different propolis samples, various substance combinations are responsible for the antibacterial activity of the bee glue. The aim of the study was to evaluate the best ethanolic extract concentration using Staphylococcus aureus multiresistant. Ethanol extracts from different concentration (10 to 90 percent) were applied on paper disks, dried, and put on the surface of nutrient agar plates with the overlay containing S. aureus. The plates were then incubated and evaluated the next day for the presence of inhibition zones. The best result was verified among 60 to 90 percent of ethanolic extract of propolis. This paper suggests the use of the alcool 70 percent as the ideal for the extration of propolis.
ABSTRACT
Resultante de pesquisa realizada no Centro de Saude de Campos - RJ, Servico de Dermatologia Sanitaria, analisa-se um total de 854 casos de hanseniase, no periodo de agosto de 1937 a dezembro de 1980, em seus principais aspectos clinicos e epidemiologicos