Effect of iodine supplementation in pregnancy on neurocognitive development on offspring in iodine deficiency areas: a systematic review

ABSTRACT Objective: To investigate the effect of iodine supplementation during gestation on the neurocognitive development of children in areas where iodine deficiency is common. Materials and methods: Based on the PRISMA methodology, we conducted the search for articles in the PubMed, LILACS and Scopus databases, between March and April 2020, without limitation of dates. We used descriptors in English, Portuguese, and Spanish, without filters. Four clinical trials and four cohort articles were included in the review. Results: The maximum supplementation was 300 μg of potassium iodide per day. The Bayley scale and Children's Communication Checklist-Short were used to assess neurodevelopment in children. There was no significant improvement in the children's mental development index and behavioural development index in the supplemented group; however, the psychomotor development index (PDI) showed improvement in the poorer gross motor skills. We found differences in the response time to sound in the supplemented group living in mild deficiency areas. Conclusion: Daily supplementation with iodine can improve poor psychomotor development of children living in mild to moderate iodine deficiency areas. Thus, it is necessary to perform further studies to assess the effect of supplementation on neurodevelopment before, during and after gestation in mild to moderate iodine deficiency areas.

Caracterização citogenética para identificação dos níveis de ploidia em cinco espécies do gênero Mentha L / Citogenetic characterization to determination of ploidy level on five Mentha L. species

Neste trabalho foi feita a caracterização citogenética da: microsporogênese, tétrades, estimativa da viabilidade do pólen pelo método de coloração e contagem do número máximo de nucléolos por célula interfásica, para identificação dos níveis de ploidia, em cinco espécies do gênero Mentha L. Foram coletadas inflorescências em 30 plantas de cada espécie, em duas florações sucessivas, nos anos 2006 e 2007. As inflorescências foram tratadas em etanol-ácido acético (3:1), em temperatura ambiente durante seis horas, transferidas para álcool 70% (v/v) e conservadas em geladeira até análise. Nas análises da microsporogênese, tétrades e pólen o corante usado foi carmin propiônico 2% e na identificação dos nucléolos nitrato de prata (AgNO3). Os resultados demonstraram que as cinco espécies são poliplóides. M. crispa heptaplóide (2n=7x=84) com 11 nucléolos, M. spicata tetraplóide (2n=4x=48) com 8 nucléolos, M.x gentilis pentaplóide (2n=5x=60) com 12 nucleólos, M. piperita e M.x piperita ambas hexaplóides (2n=6x=72) com 8 e 9 nucléolos respectivamente. M. spicata e M. crispa mantiveram as mais altas porcentagens de células normais na microsporogênese, na formação de tétrades e na estimativa da viabilidade do pólen por coloração, sugerindo maior estabilidade meiótica quando comparados aos demais poliplóides estudados.

The cytogenetic characterization of five species of Mentha L. genus, including the data: regularity of microsporogenesis and tetrads, and polen viability, using the coloration method and the counting of the maximum number of nucleolus by interphasic cell were carried out in this study to identify the ploid levels. These analyses were performed from inflorescences collected in 30 plants of each species, during two successive florations in 2006 and 2007. Inflorescences were treated in 3:1 ethanol:acetic acid mixture at room temperature during six hours, then transferred to 70%(v/v) ethanol solution and refrigerated until the analysis. For microsporogenis, tetrad and pollen analysis, we used carmine propionic 2% (m/v) and for nucleolus identification, we used AgNO3 solution. It was possible to observe that all five species were polyploids. M. crispa heptaploid (2n=7x=84) with 11 nucleolus, M. spicata tetraploid (2n=4x=48) with 8 nucleolus, M. x gentilis pentaploid (2n=5x=60) with 12 nucleolus, M. piperita and M. x piperita both hexaploid (2n=6x=72) with 8 and 9 nucleolus respectively. M. spicata and M. crispa kept the highest percentual values of normal cells in microsporogenesis as well as in tetrads formation and pollen viability, suggesting a higher meiotic stability when compared to the other polyploids studied.

Aurapten, a coumarin with growth inhibition against Leishmania major promastigotes

Several natural compounds have been identified for the treatment of leishmaniasis. Among them are some alkaloids, chalcones, lactones, tetralones, and saponins. The new compound reported here, 7-geranyloxycoumarin, called aurapten, belongs to the chemical class of the coumarins and has a molecular weight of 298.37. The compund was extracted from the Rutaceae species Esenbeckia febrifuga and was purified from a hexane extract starting from 407.7 g of dried leaves and followed by four silica gel chromatographic fractionation steps using different solvents as the mobile phase. The resulting compound (47 mg) of shows significant growth inhibition with an LD50 of 30 æM against the tropical parasite Leishmania major, which causes severe clinical manifestations in humans and is endemic in the tropical and subtropical regions. In the present study, we investigated the atomic structure of aurapten in order to determine the existence of common structural motifs that might be related to other coumarins and potentially to other identified inhibitors of Leishmania growth and viability. This compound has a comparable inhibitory activity of other isolated molecules. The aurapten is a planar molecule constituted of an aromatic system with electron delocalization. A hydrophobic side chain consisting of ten carbon atoms with two double bonds and negative density has been identified and may be relevant for further compound synthesis.

Regulacao renal da excrecao de sodio na insuficiencia cardiaca experimental: estudo da hemodinamica e da funcao tubular renal / Renal regulation of sodium excretion in experimental heart failure: study of hemodynamics and renal tubular function

O objetivo do presente trabalho foi estudar o papel desempenhado pelo rim na retencao de sodio e agua na insuficiencia cardiaca em caes com fistulas arterio-venosas femorais atraves de medidas de clearance e hemodinamica. Vinte e sete caes foram estudados em hidropenia e em diurese aquosa, 96 horas apos a realizacao de fistulas arterio-venosas femorais bilaterais, em 3 periodos: 1) fistulas abertas; 2) fistulas fechadas e 3) fistulas reabertas. Os animais retinham sal e agua e desenvolveram edema no periodo em que as fistulas estavam abertas. Quando as mesmas foram fechadas ocorreu uma maior diurese, natriurese, com aumento da excrecao urinaria de fosfato e do aporte distal de solutos, sugerindo uma diminuicao da reabsorcao proximal de sodio e agua. Apos a reabertura das fistulas, observou-se um aumento da reabsorcao de sodio pelos segmentos distais do nefron, sugerido pela elevacao da excrecao de agua livre por unidade de aporte de solutos. Estes achados nao foram acompanhados por alteracoes da distribuicao do fluxo sanguineo renal cortical. Em conclusao, a retencao de sodio e agua na insuficiencia cardiaca congestiva produzida por fistulas arterio-venosas se deve a um aumento da reabsorcao de sodio pelos segmentos distais do nefron e nao e devida a uma redistribuicao do fluxo sanguineo renal cortical.

Ma absorcao e ma digestao: fisiopatologia, diagnostico, tratamento. / Malabsorption and maldigestion: physiopathology, diagnosis and treatment

Sao revistos o conceito, fisiopatologia, classificacao, diagnostico e tratamento da sindrome de ma absorcao, apresentados de forma a interessar o clinico geral e procurando, em diversos aspectos, traduzir a experiencia dos autores