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1.
Pediatric Infectious Disease Society of the Philippines Journal ; : 176-244, 2023.
Artigo em Inglês | WPRIM | ID: wpr-984385

RESUMO

Executive Summary@#This Clinical Practice Guideline for the Periodic Health Examination (Pediatric Immunization) is an output from the joint undertaking of the Department of Health and National Institutes of Health-Institute of Clinical Epidemiology. This clinical practice guideline is a systematic synthesis of scientific evidence on immunization for the prevention of human papilloma virus (HPV) infection, influenza, typhoid fever, Japanese encephalitis, poliomyelitis, meningococcal infection, and Hepatitis A in the pediatric population. The CPG provides nine (9) recommendations on prioritized questions regarding the relevant vaccines for preventing these seven (7) diseases. Recommendations are based on the appraisal of the best available evidence on each of the eight identified clinical questions. The CPG is intended to be used by general practitioners and specialists in the primary care setting, policy makers, employers and administrators, allied health practitioners and even patients. The guideline development process followed the widely accepted Grading of Recommendations, Assessment, Development, and Evaluation or the GRADE approach including GRADE Adolopment, a systematic process of adapting evidence summaries and the GRADE Evidence to Decision (EtD) framework. 1,2 It includes 1) identification of critical questions and critical outcomes, 2) retrieval of current evidence, 3) assessment and synthesis of the evidence base for these critical questions, 4) formulation of draft recommendations, 5) convening of a multi-sectoral stakeholder panel to discuss values and preferences and assess the strength of the recommendations, and 6) planning for dissemination, implementation, impact evaluation and updating. The recommendations in this CPG shall hold and will be updated after 3 years or when new evidence arise.

2.
Pediatric Infectious Disease Society of the Philippines Journal ; : 121-175, 2023.
Artigo em Inglês | WPRIM | ID: wpr-984384

RESUMO

Preface@#The Clinical Practice Guidelines (CPG) for the Diagnosis and Management of Pediatric Community-Acquired Pneumonia (PCAP) was initiated by the Philippine Academy of Pediatric Pulmonologists, Inc. (PAPP) and the Pediatric Infectious Disease Society of the Philippines (PIDSP), in cooperation with Philippine Pediatric Society, Inc. (PPS) way back in 2004. Several CPG updates were then undertaken by the PAPP PCAP CPG Task Force from 2008 to 2016. Clinically-relevant research questions were answered with recent and current recommendations based on evidence from local and international data. The 2021 PCAP CPG initiative was envisioned in March 2018 upon the recommendations of the 2018 PAPP Board for the purpose of updating the evidence in the PCAP CPG 2016 clinical questions. This led to the collaboration of PAPP and PIDSP to develop this CPG. Individual members were identified from each society as content experts to form the Steering Committee along with a clinical epidemiologist and technical writer as review experts. The committee identified the scope and target end user of the CPG as well as additional clinical questions to be included in the 2021 update aside from the questions on the previous CPGs. Selected members from the two societies formed the Technical Working Group (TWG) who did the literature search, appraisal of evidences, and formulation of recommendations. These recommendations were then presented to the stakeholders who became part of the consensus panel. There was no identified conflict of interest among the CPG developers, TWG members and stakeholders. A survey to determine potential competing interests were conducted during the development of this CPG. This initiative was fully funded by the PAPP and PIDSP societies. The 2021 PCAP CPG significantly differs from the previous CPGs in several aspects. First, the current guideline is a consensus between two pediatric societies. Second, much of the literature review has been centered on meta-analyses or systematic reviews instead of individual studies. Finally, appraisal of published literature was based on Grading of Recommendations, Assessment, Development and Evaluation (GRADE) criteria. Such methodological differences may provide difficulties in defining evolution of care through the years. As identified in the previous CPG updates, there is lack of local data hence most of the evidences gathered came from international studies. The applicability of such data to the local setting needs to be critically assessed for its value and relevance. Corollary to this, several gaps in knowledge are identified and these may serve as a guide for future research.

3.
Pediatric Infectious Disease Society of the Philippines Journal ; : 70-120, 2023.
Artigo em Inglês | WPRIM | ID: wpr-984383

RESUMO

Executive Summary@#The Coronavirus disease 2019 (COVID-19) pandemic has triggered a global crisis and has affected millions of people worldwide. With the evolution of the different variants of concern, the incidence of COVID- 19 in the pediatric population has risen. The Surveillance and Analysis of COVID-19 in Children Nationwide (SALVACION) Registry, developed by the Pediatric Infectious Disease Society of the Philippines (PIDSP) and the Philippine Pediatric Society (PPS), has reported 3,221 cases as of March 31, 2022, with 90.4% requiring hospitalization and 36.2% with moderate to critical disease severity. Given the magnitude of the impact of COVID-19, with most of the clinical recommendations available designed towards adult patients, there was an urgent need for clinicians, public health officials and the government to also prioritize evidence-based clinical practice guidelines for the pediatric population. Hence, the development of the Philippine Pediatric COVID-19 Living Clinical Practice Guidelines was conceptualized. This independent project, funded and supported by the PPS and PIDSP, aimed to formulate up-to-date, evidence-based recommendations on the treatment, diagnosis, infection prevention and control of COVID-19 in children. Following the standard CPG development process outlined in the DOH Manual for CPG Development and the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) methodology, 15 evidence summaries and 24 recommendations were generated by 12 consensus panelists representing their specific health organizations and institutions.

4.
Journal of the ASEAN Federation of Endocrine Societies ; : 31-40, 2023.
Artigo em Inglês | WPRIM | ID: wpr-984347

RESUMO

Introduction@# Sulfonylureas (SUs) are commonly used drugs for type 2 diabetes mellitus (T2DM) in the Philippines. This study aimed to associate genetic variants with poor response to gliclazide and glimepiride among Filipinos.@*Methodology@#Two independent, dichotomous longitudinal substudies enrolled 139 and 113 participants in the gliclazide and glimepiride substudies, respectively. DNA from blood samples underwent customized genotyping for candidate genes using microarray. Allelic and genotypic features and clinical associations were determined using exact statistical methods.@*Results@#Three months after sulfonylurea monotherapy, 18 (13%) were found to be poorly responsive to gliclazide, while 7 (6%) had poor response to glimepiride. Seven genetic variants were nominally associated (p<0.05) with poor gliclazide response, while three variants were nominally associated with poor glimepiride response. For gliclazide response, carboxypeptidase-associated variants (rs319952 and rs393994 of AGBL4 and rs2229437 of PRCP) had the highest genotypic association; other variants include rs9806699, rs7119, rs6465084 and rs1234315. For glimepiride response, 2 variants were nominally associated: CLCN6-NPPA-MTHFR gene cluster – rs5063 and rs17367504 – and rs2299267 from the PON2 loci.@*Conclusion@#Genetic variants were found to have a nominal association with sulfonylurea response among Filipinos. These findings can guide for future study directions on pharmacotherapeutic applications for sulfonylurea treatment in this population.


Assuntos
Gliclazida
5.
Korean Journal of Anesthesiology ; : 575-585, 2023.
Artigo em Inglês | WPRIM | ID: wpr-1002070

RESUMO

Background@#The pericapsular nerve group (PENG) block, quadratus lumborum block (QLB), and intra-articular (IA) local anesthetic injection have been shown to provide effective analgesia in total hip arthroplasty (THA). This randomized study aimed to compare the analgesic efficacy, motor protection, and quality of recovery associated with the PENG block, QLB, and IA injection. @*Methods@#Eighty-nine patients who underwent a unilateral primary THA under spinal anesthesia were randomly assigned to the PENG (n=30), QLB (n=30), or IA (n=29) group. The primary outcome was the numerical rating scale (NRS) score over the first 48 h postoperatively. The secondary outcomes were postoperative opioid consumption, quadriceps and adductor muscle strength, and quality of recovery (QoR-40). Results: The dynamic (with movement) NRS scores at 3 and 6 h postoperatively were significantly lower in the PENG and QLB groups compared to the IA group (P = 0.002 and P < 0.001, respectively). The time to first opioid analgesia requirement was longer in the PENG and QLB groups than in the IA group (P = 0.009 and P = 0.016, respectively). A provided better preservation was found in the the PENG group than in the QLB group in terms of quadriceps muscle strength at 3 h postoperatively (P = 0.007) and time to mobilization (P = 0.003). No significant differences in the QoR-40 scores were seen. @*Conclusions@#The PENG and QLB groups showed similar analgesic effects and both showed more effective analgesia 6 h postoperatively than the IA group. All the groups showed similar postoperative quality of recovery.

6.
Braz. j. med. biol. res ; 55: e12410, 2022. tab, graf
Artigo em Inglês | LILACS-Express | LILACS | ID: biblio-1420736

RESUMO

In clinical practice, we need to develop new tools to identify the residual cardiovascular risk after acute coronary syndrome (ACS). This study aimed to evaluate whether the monocyte to high-density lipoprotein cholesterol ratio (MHR) variation (ΔMHR) obtained during hospital admission (MHR1) and repeated in the first outpatient evaluation (MHR2) is a predictor of major adverse cardiovascular events (MACE) after ACS. One hundred ninety-one patients admitted for ACS were prospectively included. The ΔMHR was calculated by subtracting MHR1 from MHR2. Patients were followed for 166±38 days in which the occurrence of MACE was observed. The best cutoff for ΔMHR was zero (0), and individuals were divided into two groups: ΔMHR<0 (n=113) and ΔMHR≥0 (n=78). The presence of MACE was higher in the ΔMHR≥0 (22%) than in the ΔMHR<0 (7%), with a hazard ratio (HR) of 3.96 (95% confidence interval [CI]: 1.74-8.99; P=0.0004). After adjusting for confounders, ΔMHR≥0 remained an independent MACE predictor with an adjusted HR of 3.13 (95%CI: 1.35-7.26, P=0.008). In conclusion, our study showed that ΔMHR was an independent MACE predictor after ACS. Thus, ΔMHR is a potential marker of residual cardiovascular risk after ACS.

7.
West Indian med. j ; 69(2): 121-128, 2021. tab, graf
Artigo em Inglês | LILACS | ID: biblio-1341877

RESUMO

ABSTRACT Objective: To examine the effect of body awareness therapy on pain, fatigue and quality of life in women with tension-type headaches (TTH) and migraine. Methods: Socio-demographic features of patients who are included in the study were recorded. Visual analogue scale was used for pain and fatigue severity scale was used for fatigue, Nottingham health profile (NHP) was used for life quality related to health. Following the first evaluation, body awareness therapy (BAT) was applied to patients for six weeks per 60 minutes in three sessions. Results: Among patients with TTH, there was statistical difference between visual analogue scale, fatigue severity scale and total NHP score before and after BAT (p < 0.05). Among patients with migraine, there was statistical difference between total NHP score before and after BAT (p < 0.05). Conclusion: Body awareness therapy is an effective method that can be used in order to increase life quality related to health among female patients with TTH and migraine.


Assuntos
Humanos , Feminino , Adulto , Pessoa de Meia-Idade , Qualidade de Vida , Cefaleia do Tipo Tensional/terapia , Fadiga/etiologia , Manejo da Dor/métodos , Transtornos de Enxaqueca/terapia , Medição da Dor , Cefaleia do Tipo Tensional/complicações , Transtornos de Enxaqueca/complicações
8.
Braz. J. Psychiatry (São Paulo, 1999, Impr.) ; 42(5): 558-567, Sept.-Oct. 2020. tab, graf
Artigo em Inglês | LILACS | ID: biblio-1132124

RESUMO

Objective: Patients with bipolar disorders have a high risk of suicidal behavior. Childhood maltreatment is a well-established risk factor for suicidal behavior. The objective of this study was to examine the association between childhood-maltreatment subtypes and vulnerability to suicide attempts in bipolar disorder using the Childhood Trauma Questionnaire (CTQ). Methods: A literature review was performed using the MEDLINE, Embase, and PsycINFO databases. Thirteen studies met the selection criteria. In the meta-analysis, the Childhood Trauma Questionnaire (CTQ) was used to assess a wide range of childhood maltreatment subtypes, which were analyzed by using a random-effects model to account for the likely variations of true effect sizes between the included studies. Results: In the systematic review, 13 studies met the selection criteria. The CTQ was selected for the meta-analysis to increase the homogeneity of assessment and to encompass a wide range of childhood-maltreatment subtypes. The data were analyzed using a random-effects model. Compared to bipolar non-attempters, bipolar suicide attempters had experienced childhood maltreatment with a significantly higher frequency and had higher total CTQ scores (Hedges' g = -0.38, 95%CI -0.52 to -0.24, z = -5.27, p < 0.001) and CTQ sub-scores (sexual abuse: g = -0.39, 95%CI -0.52 to -0.26, z = -5.97; physical abuse: g = -0.26, 95%CI -0.39 to -0.13, z = -4.00; emotional abuse: g = -0.39, 95%CI -0.65 to -0.13, z = -2.97; physical neglect: g = -0.18, 95%CI -0.31 to -0.05, z = -2.79; emotional neglect: g = -0.27, 95%CI -0.43 to -0.11, z = -3.32). Conclusions: Childhood maltreatment, as assessed by the CTQ, may contribute to an increased risk of suicidal behavior among people with bipolar disorders. Recognizing maltreatment as an etiological risk factor is a crucial step toward furthering science-based preventive psychiatry.


Assuntos
Humanos , Criança , Transtorno Bipolar , Maus-Tratos Infantis , Sobreviventes Adultos de Maus-Tratos Infantis , Tentativa de Suicídio , Inquéritos e Questionários , Ideação Suicida
9.
J Environ Biol ; 2020 May; 41(3): 650-657
Artigo | IMSEAR | ID: sea-214525

RESUMO

Aim: This research aimed to study the ability of microbial consortium from buffalo feces to produce coal bed methane (CBM) in lignite coal through in-vitro technique.Methodology: This study was carried out in 2 stages: In first stage, microbes activated using in-vitro technique, and at second stage volatile fatty acids (VFA) and coal bed methane production were estimated. The nutrition source for inoculum activation was of three types: 100% concentrate: 70% concentrate: 30% grass and 30% concentrate: 70% grass. Biogas digester in laboratory-scale utilized 100 ml serum bottle filled with 70 ml, 98-5 media and 7 g coal. Microbial inoculum was inoculated on digester using a 10 ml syringe and incubated at 39oC. Parameters observed to measure the quality of inoculum were total number of anaerobic microbes, kinetics, and biogas production during fermentation. Complete Randomized Design with two factorial consisted of incubation period as factor A and inoculum dosages as factor B. Results: The activation process of inoculum from buffalo feces was required to produce coal bed methane in anaerobic digestion. During activation process, the microbes from buffalo feces in a mixture of 70% concentrate and 30% grass at 48 hr observation could produce total gas approximately 22.5 ml at 48 hr observation. Addition of activated buffalo feces anaerobic inoculum on the anaerobic digestion as much as 6% produced the highest number of anaerobic bacteria, and VFA accounted for 31 x 1010 CFU ml-1 and 171.7 mM, respectively. Meanwhile, the highest methane production reached 128.61 ml on adding 6% inoculum

10.
J Pharm Biomed Sci ; 2019 Jun; 9(6): 62-70
Artigo | IMSEAR | ID: sea-215726

RESUMO

Background Apocynin, a main component extracted from the root of Picrorhiza kurroa Royle, was a well-knownNADPH oxidase inhibitor and reported to have effect on lung injury, liver injury, diabetes and asthma. AN-1, anitrone derivative of apocynin, was found to exhibit significant effect on treatment of acute lung injury.Aim In order to carry out further preclinical study, it is important to reveal in vivo disposition of AN-1. A simple andrapid high-performance liquid chromatography (HPLC) method was developed to disclose the tissue distributionbehavior of AN-1 in Sprague-Dawley (SD) rats.Methods A HPLC method was developed and validated to measure the concentration of AN-1 in tissue sampleswith carbamazepine as internal standard (IS). The mobile phase consisted of water and methanol (47:53, v/v), theflow rate was 1 mL/min, and an ultraviolet (UV) detector was used at wavelength of 279 nm. The tissue distributionstudy of AN-1 was performed in Sprague-Dawley (SD) rats after a single intravenous dose of 40 mg/kg.Results The developed HPLC-UV method was of good specificity, precision (< 4%), accuracy (90-97%) and recovery(88-104%) for analysis of AN-1 in tissue samples of rats. The linear range was established over a concentrationrange 0.2-50 µg/mL (r2 > 0.998) in tissues including heart, liver, spleen, lung, kidney and brain. After administration,AN-1 was rapidly distributed in tissues and reached peak concentration with time, which showed a high distribution

11.
Artigo | IMSEAR | ID: sea-194866

RESUMO

Background: Systemic lupus erythematosus is a systemic auto immune connective tissue disease that can affect any part of the body. The disease has no direct reference in Ayurvedic texts. Considering the symptomatology, it can be compared with Upadrava of Vatarakta. Methodology: In this study, 3 patients (age group between 15– 60 yrs) diagnosed SLE with the help of ACR criteria after assessing both objective and subjective parameters have undergone the prescribed classical Ayurvedic treatments, in both IP and OP level to evaluate its effect in the functional improvement. The study period was totally 57 days which included 21 days each at inpatient and outpatient basis and 15 days of follow up. Initially Sathaila Shastika Pinda Sweda was done for first 7 days followed by Takradhara for another 7 days. Consecutively Abhyanga with Pinda taila and Thalam with Amalaki were done for next 7 days. Then treatment was done on OP basis with internal medicines. Result: Results shows that the prescribed Ayurvedic treatments helped to control the progressive signs and symptoms. The quality of life and range of movements of the affected joints improved. Major difference showing a good improvement in carrying out the day today life activities was noted. Conclusion: Traditional Ashtavaidyan Ayurveda therapy is found effective in controlling the progressive symptoms of patients and improvement in functional ability of the patients with SLE. More over there was no adverse drug reaction recorded during as well there was significant change observed in liver and renal function tests. This indicates that the therapy is safe without producing any complication or side effects.

12.
Braz. arch. biol. technol ; 62: e19170779, 2019. graf
Artigo em Inglês | LILACS | ID: biblio-989424

RESUMO

Abstract Plants are the main sources of natural antioxidants in the form of phenolic compounds, which help human beings to deal with oxidative stress, caused by free radical damage. For this reason, the present study was carried out to evaluate the antiproliferative, antioxidant and inhibition of oxidative DNA damage activities of n-butanol extract obtained from aerial parts of Limonium bonduelli. The antioxidant potential was determined using 1,1-diphenyl-2-picrylhydrazyl (DPPH) radical scavenging and inhibition of lipid peroxidation assay. Antiproliferative activity was evaluated using xCELLigence RTCA instrument on two tumor cell lines; HT-29 (human colon adenocarcinoma) and HeLa (human cervix carcinoma). DNA damage inhibition was evaluated using photolyzing 46966 plasmid. Also, total phenolic and total flavonoid contents were determined using a spectrophotometric method. Total phenolic (343 ± 0.05 µg/mg) and flavonoid (220.5 ± 0.04 µg/mg) were indicated as gallic acid and quercetin equivalents respectively. The extract exhibited significant IC50 values in lipid peroxidation (IC50= 181.18 ± 0.65 µg/mL) and DPPH radical scavenging assays (IC50= 14.92 ± 0.032 µg/mL). The extract also partially protected 46966 plasmid DNA from free radical-mediated oxidative stress in a DNA damage inhibition assay and showed concentration-dependent antiproliferative effects. n-butanol extract of L. bonduelli is a rich source of natural antioxidants and anticancer agents.


Assuntos
Plumbaginaceae/química , Antioxidantes , Técnicas In Vitro/instrumentação , Estresse Oxidativo
13.
Rev. colomb. menopaus ; 24(3): 48-51, 2018.
Artigo em Espanhol | LILACS, COLNAL | ID: biblio-995657

RESUMO

En todo el mundo, el número de casos nuevos de cáncer se estimó en 2012 en más de 14 millones,1,2 y el cáncer sigue siendo una de las principales causas de mortalidad en Francia. Entre los factores de riesgo ambientales para el cáncer, existen preocupaciones sobre la exposición a diferentes clases de pesticidas, en particular a través de la exposición ocupacional.3 Una revisión reciente4 concluyó que el papel de los pesticidas para el riesgo de cáncer no podía ponerse en duda dado el creciente cuerpo de evidencia que vincula el desarrollo del cáncer a la exposición a plaguicidas. Si bien las respuestas a dosis de tales moléculas o los posibles efectos de coctel no se conocen bien, se ha sugerido un aumento de los efectos tóxicos, incluso a bajas concentraciones de mezclas de pesticidas.5


Worldwide, the number of new cases of cancer was estimated in 2012 at more than 14 million, 1,2 and cancer remains one of the leading causes of death in France. Among the environmental risk factors for cancer, there are concerns about exposure to different kinds of pesticides, particularly through occupational exposure.3 A recent review4 concluded that the role of pesticides in cancer risk could not be put in place. doubt given the growing body of evidence linking the development of cancer to exposure to pesticides. While responses to doses of such molecules or possible cocktail effects are not well known, an increase in toxic effects has been suggested, even at low concentrations of pesticide mixtures.5


Assuntos
Humanos , Dieta Saudável , Dieta , Neoplasias
14.
Asian Pacific Journal of Tropical Medicine ; (12): 729-743, 2017.
Artigo em Chinês | WPRIM | ID: wpr-972584

RESUMO

Traditional treatment of infectious diseases is based on compounds that aim to kill or inhibit bacterial growth. The bacterial resistance against antibiotics is a serious issue for public health. Today, new therapeutic targets other than the bacterial wall were deciphered. Quorum sensing or bacterial pheromones are molecules called auto-inducer secreted by bacteria to regulate some functions such as antibiotic resistance and biofilms formation. This therapeutic target is well-studied worldwide, nevertheless the scientific data are not updated and only recent researches started to look into its potential as a target to fight against infectious diseases. A major concern with this approach is the frequently observed development of resistance to antimicrobial compounds. Therefore, this paper aims to provide a current overview of the quorum sensing system in bacteria by revealing their implication in biofilms formation and the development of antibiotic resistance, and an update on their importance as a potential target for natural substances.

15.
Asian Pacific Journal of Tropical Medicine ; (12): 729-743, 2017.
Artigo em Inglês | WPRIM | ID: wpr-819465

RESUMO

Traditional treatment of infectious diseases is based on compounds that aim to kill or inhibit bacterial growth. The bacterial resistance against antibiotics is a serious issue for public health. Today, new therapeutic targets other than the bacterial wall were deciphered. Quorum sensing or bacterial pheromones are molecules called auto-inducer secreted by bacteria to regulate some functions such as antibiotic resistance and biofilms formation. This therapeutic target is well-studied worldwide, nevertheless the scientific data are not updated and only recent researches started to look into its potential as a target to fight against infectious diseases. A major concern with this approach is the frequently observed development of resistance to antimicrobial compounds. Therefore, this paper aims to provide a current overview of the quorum sensing system in bacteria by revealing their implication in biofilms formation and the development of antibiotic resistance, and an update on their importance as a potential target for natural substances.

16.
J. res. dent ; 4(2): 37-40, mar.-apr2016.
Artigo em Inglês | LILACS-Express | LILACS | ID: biblio-1362960

RESUMO

Aim: The thorough knowledge of tooth morphology and its variations is essential for successful endodontic treatment. Case report: This article reports an unusual root canal configuration that was detected in a maxillary central incisor with two root canals , mandibular canine with two canals and mandibular canine with two roots and root canals. Conclusions: These case reports increase the awareness of clinicians on variations in the root canal anatomy so that complete disinfection and obturation of the root canal system is possible.

17.
Indian J Cancer ; 2016 Apr-June; 53(2): 252-255
Artigo em Inglês | IMSEAR | ID: sea-181628

RESUMO

BACKGROUND: The efficacy of screening for oral, head and neck cancers (HNCs) in adequately identifying high‑risk groups is controversial. OBJECTIVES: This study aims to review our experience with a free oral, HNC‑screening program to determine the sociodemographic characteristics of the participants and the effectiveness of this program to improve future programs. MATERIALS AND METHODS: A prospective cross‑sectional survey of participants in a free oral, HNC screening exercise was performed in the years 2009, 2012, and 2013. RESULTS: In the years of screening, 135 participants presented aged between 21 and 83 years (mean = 47.0; ±15.6) with a male to female ratio of 1.2:1. 32.6% consumed alcohol, and 17.8% were smokers. Smoking (P = 0.04) and alcohol use (P = 0.05) were associated with higher rates of suspicious malignant symptoms. There was no statistical correlation between symptom prevalence and the number of participants requiring immediate consultation for oral, HNC (r = 0.47), and those referred for routine follow‑up (r = 0.34). Premalignant and malignant lesions were diagnosed in 5 males aged 44–72 years. 83.7% found the screening program beneficial in increasing their awareness of the disease. CONCLUSIONS: This hospital‑based screening demonstrates improved awareness among people about oral, HNCs, and survival outcomes on a small scale. A community‑based screening with health education to target a larger high‑risk population is recommended to encourage individuals to modify high‑risk factors and improve outcomes.

18.
Braz. j. med. biol. res ; 48(8): 676-682, 08/2015. graf
Artigo em Inglês | LILACS | ID: lil-753058

RESUMO

The function of the visceral yolk sac (VYS) is critical for embryo organogenesis until final fetal development in rats, and can be affected by conditions such as diabetes. In view of the importance of diabetes during pregnancy for maternal and neonatal health, the objective of this study was to assess fetal weight, VYS cell markers, and viability in female Wistar rats (200-250 g) with induced diabetes (alloxan, 37 mg/kg) on the 8th gestational day (gd 8). At gd 15, rats from control (n=5) and diabetic (n=5) groups were anesthetized and laparotomized to remove the uterine horns for weighing of fetuses and collecting the VYS. Flow cytometry was used for characterizing VYS cells, and for determining mitochondrial activity, cell proliferation, DNA ploidy, cell cycle phases, and caspase-3 activity. Fetal weight was reduced in the diabetic group. Expression of the cell markers CD34, VEGFR1, CD115, CD117, CD14, CCR2, CD90, CD44, STRO-1, OCT3/4, and Nanog was detected in VYS cells in both groups. In the diabetic group, significantly decreased expression of CD34 (P<0.05), CCR2 (P<0.001), and OCT3/4 (P<0.01), and significantly increased expression of CD90 (P<0.05), CD117 (P<0.01), and CD14 (P<0.05) were observed. VYS cells with inactive mitochondria, activated caspase-3, and low proliferation were present in the rats with diabetes. Severe hyperglycemia caused by maternal diabetes had negative effects on pregnancy, VYS cell viability, and the expression of cell markers.


Assuntos
Animais , Masculino , Feminino , Gravidez , Ratos , Diabetes Mellitus Experimental/fisiopatologia , Gravidez em Diabéticas/fisiopatologia , Saco Vitelino/fisiopatologia , Antígenos CD/metabolismo , Biomarcadores/metabolismo , Ciclo Celular/fisiologia , Proliferação de Células , Sobrevivência Celular , Peso Fetal , Ratos Wistar
19.
Braz. j. biol ; 75(3s1): 238-249, Aug. 2015. tab, graf
Artigo em Inglês | LILACS | ID: lil-769576

RESUMO

Abstract Microclimatic conditions of tropical forest favour the high richness of bryophytes, which by being sensitive to environmental changes, are important indicators of habitat conditions. The aim of this study was to determine the richness and species composition of the bryophyte flora in fragments of terra firme forest on the great curve of the Xingu River, Pará state, Brazil. The collections were made in August and September 2012 in 14 fragments, in which were installed two plots per fragment, one at the edge and one inside, measuring 10 × 10 m each. The results showed 77 species in 45 genera and 18 families. Lejeunea setiloba Spruce and Marchesinia brachiata (Sw.) Schiffn. are new records for Pará state. The richness families in this study were the ones typically found in tropical forest surveys. A high richness of rare species in comparison to common ones, a pattern usually observed for plants in tropical forests was not reported in this study, probably due to historical fragmentation and disturbance in the area. The richness and species composition were determined mainly by the physiognomic characteristics of the studied forest fragments.


Resumo As condições microclimáticas das florestas tropicais favorecem elevada riqueza de briófitas, que por serem sensíveis às alterações ambientais, são importantes indicadoras das condições dos habitats. O objetivo deste trabalho foi determinar a riqueza e a composição florística da brioflora de fragmentos florestais de terra firme na região da Volta Grande do Xingu, Pará, Brasil. As coletas foram realizadas em Agosto e Setembro de 2012, em 14 fragmentos e em cada um destes foram plotadas duas parcelas, uma na borda e outra no interior, medindo 10 × 10 m (cada). Foram registradas 77 espécies, distribuídas em 45 gêneros e 18 famílias. Lejeunea setiloba Spruce e Marchesinia brachiata (Sw.) Schiffn. são novos registros para o Pará. As famílias mais ricas neste estudo foram aquelas tipicamente encontradas em levantamentos em florestas tropicais. A elevada riqueza de espécies raras em comparação às comuns, padrão comumente reportado para plantas em florestas tropicais, não foi observada, provavelmente devido ao histórico de fragmentação e distúrbios na área de estudo. A riqueza e a composição de espécies foram determinadas principalmente pelas características fisionômicas dos fragmentos estudados.


Assuntos
Biodiversidade , Briófitas/fisiologia , Florestas , Brasil , Ecossistema , Dispersão Vegetal
20.
Braz. j. biol ; 75(3)Aug. 2015.
Artigo em Inglês | LILACS-Express | LILACS, VETINDEX | ID: biblio-1468283

RESUMO

Abstract Microclimatic conditions of tropical forest favour the high richness of bryophytes, which by being sensitive to environmental changes, are important indicators of habitat conditions. The aim of this study was to determine the richness and species composition of the bryophyte flora in fragments of terra firme forest on the great curve of the Xingu River, Pará state, Brazil. The collections were made in August and September 2012 in 14 fragments, in which were installed two plots per fragment, one at the edge and one inside, measuring 10 × 10 m each. The results showed 77 species in 45 genera and 18 families. Lejeunea setiloba Spruce and Marchesinia brachiata (Sw.) Schiffn. are new records for Pará state. The richness families in this study were the ones typically found in tropical forest surveys. A high richness of rare species in comparison to common ones, a pattern usually observed for plants in tropical forests was not reported in this study, probably due to historical fragmentation and disturbance in the area. The richness and species composition were determined mainly by the physiognomic characteristics of the studied forest fragments.


Resumo As condições microclimáticas das florestas tropicais favorecem elevada riqueza de briófitas, que por serem sensíveis às alterações ambientais, são importantes indicadoras das condições dos habitats. O objetivo deste trabalho foi determinar a riqueza e a composição florística da brioflora de fragmentos florestais de terra firme na região da Volta Grande do Xingu, Pará, Brasil. As coletas foram realizadas em Agosto e Setembro de 2012, em 14 fragmentos e em cada um destes foram plotadas duas parcelas, uma na borda e outra no interior, medindo 10 × 10 m (cada). Foram registradas 77 espécies, distribuídas em 45 gêneros e 18 famílias. Lejeunea setiloba Spruce e Marchesinia brachiata (Sw.) Schiffn. são novos registros para o Pará. As famílias mais ricas neste estudo foram aquelas tipicamente encontradas em levantamentos em florestas tropicais. A elevada riqueza de espécies raras em comparação às comuns, padrão comumente reportado para plantas em florestas tropicais, não foi observada, provavelmente devido ao histórico de fragmentação e distúrbios na área de estudo. A riqueza e a composição de espécies foram determinadas principalmente pelas características fisionômicas dos fragmentos estudados.

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