Características evidenciadas em recém-nascidos de gestantes hipertensas e diabéticas: revisão sistemática da literatura / Characteristics evidenced in newborns of hypertensive and diabetic pregnant women: systematic review of the literature

Objetivo: evidenciar quais são as repercussões no leito vascular e as características dos neonatos de gestantes com Síndromes Hipertensivas Gestacionais e/ou Diabetes Mellitus Gestacional. Método: trata-se de uma revisão sistemática de literatura, as buscas da pesquisa foram realizadas no mês de julho do ano de 2017, nas bases de dados da Literatura Latino-Americana do Caribe em Ciências da Saúde e na National Library of Medicine. Os dados foram tabulados em planilhas do Excel, sendo aplicada a análise de conteúdo. Resultados: os recém-nascidos de mães hipertensas estiveram relacionados a prematuridade e baixo peso para a idade gestacional, enquanto os recém-nascidos de mães diabéticas são relacionados a uma maior idade gestacional ao nascimento e peso considerado grande para a idade gestacional. Considerações finais: salienta-se a importância do acompanhamento através do pré-natal desde os primórdios da gestação, como medida protetiva à saúde materno-infantil.

Objective: investigate the repercussions in the vascular bed and the characteristics of the neonates of pregnant women with Hypertensive Syndromes in Pregnancy and/or Gestational Diabetes Mellitus. Methods: it is a systematic review of the literature, the research searches were carried out in July of the year 2017, in the databases of Latin American Literature of the Caribbean in Health Sciences and National Library of Medicine. Data were tabulated in Excel spreadsheets, and content analysis was applied. Results: newborns of hypertensive mothers were related to prematurity and low birth weight for gestational age, while the newborns of diabetic mothers are related to a higher gestational age at birth and a heaviest for gestational age. Final considerations: importance of follow-up through prenatal care from the earliest stages of gestation, as a protective measure for maternal and child health.

In vivo redox effects of Aspidosperma quebracho-blanco Schltdl., Lantana grisebachii Stuck and Ilex paraguariensis A. St.-Hil. on blood, thymus and spleen of mice.

Argentinian native plants Aspidosperma quebracho-blanco, Lantana grisebachii and Ilex paraguariensis are known to have antiinflammatory and antioxidant properties. We demonstrated it in vivo by the redox changes in murine hemolymphatic tissues after infusive extract intake of these plants as revealed in organic trophism, tissue phenolics, hydroperoxides, superoxide, nitrites and γ-glutamyltranspeptidase in thymus, blood and spleen. A. quebracho-blanco reduced hydroperoxidation in blood and spleen of both sexes, with γ-glutamyltranspeptidase negativization in lymphatic organs and thymic nitrosative up-regulation. Males have shown increased phenolic content in blood after treatment. L. grisebachii and I. paraguariensis treatment exhibited incomplete antioxidation and oxidative induction in the studied tissues. Different results according to sex were found in redox response to phenolics and their kinetics, with males showing antioxidant effects, whereas females showed oxidative susceptibility. A. quebracho-blanco exhibited protection of murine tissues against oxidation in both sexes and modulation of their trophism, supporting its therapeutic uses in inflammatory diseases. Also, gender had significant influence in phenolic biodistribution and redox response.

A bibliometric analysis of research publications funded partially by the Cancer Association of South Africa (CANSA) during a 10-year period (1994-2003)

Background: The aim of this study is to estimate the quantity and quality of research publications output of grant recipients of the Cancer Association of South Africa (CANSA) over a ten-year period (1994-2003). Methods: Peer-reviewed publications; relevant to CANSA grants; in the PubMed database; published between 1994 and 2003 were counted per grantee in 2005 and the mean impact factor of all publications was obtained from the Institute for Scientific Information (ISI) valid for 2005. Results: Over the 10-year period; 129 different researchers from 10 different institutions conducted 192 projects which yielded 570 relevant peer-reviewed publications which are recorded in the PubMed database. CANSA grants totaled R28.2 million and the mean impact factor of all publications was 3.8. The number of publications per grantee; over the period analysed; varied considerably from 0 to 79 with 10of grantees publishing more than 10 (1 per year) while a significant group of 36; did not publish at all. Most studies (64) concerned aspects of cancer biology and therapy while only 26of projects involved prevention; epidemiology and social aspects of cancer. Conclusions: Because grants from CANSA are partial and do not pay for the major components of most research projects; such as salaries; the data obtained here is insufficient to create a benchmark for the cost of an average; peer-reviewed cancer research publication in South Africa. Nevertheless; it can be concluded that on average a contribution of about R50 000 from CANSA (1994 -2003 value); contributed to the appearance of one peer reviewed; cancer research publication with an average impact factor of 3.8 in the period under study. The most popular subjects of research were cancer biology and treatment. In order to bring about more balance in future more attention needs to be focused on prevention; early detection; epidemiology and social aspects of cancer

Bacteriemia por enterobacterias en adultos en un hospital universitario: análisis de cinco años / Bacteremia by enterobacteria in adults from a university hospital: a five year analysis

La bacteriemia sigue siendo una de las causas más importantes de morbilidad y mortalidad en pacientes adultos, a pesar de los numerosos antimicrobianos hoy disponibles y del aumento de las medidas de soporte. El objetivo del presente estudio fue analizar los episodios de bacteriemia por enterobacterias adquiridas en la comunidad y durante la hospitalización registrados durante un período de cinco años, estableciendo la prevalencia de especies, los factores de riesgo y los focos, así como la sensibilidad a los antimicrobianos de los microorganismos involucrados. Entre enero de 2000 y diciembre de 2004 se registraron en el Hospital Nacional de Clínicas de Córdoba 129 episodios de bacteriemias por enterobacterias: 45 correspondientes a pacientes ambulatorios (35%) y 84 a hospitalizados (65%). Los factores de riesgo más frecuentes fueron neoplasia (33,3%) y diabetes (12,4%); y los focos más habituales el urinario (29,5%) y el abdominal (13,9%). La enterobacteria aislada con mayor frecuencia en ambas poblaciones fue E. coli, con una incidencia media del 53,5%, seguida de Klebsiella spp. (21,7%) y Enterobacter spp. (12,4%). Las bacteriemias por Klebsiella spp. fueron más comunes en UTI. Esta especie junto con Enterobacter spp. fueron las bacterias más resistentes a los antimicrobianos ensayados.

Bacteremia continues to be one of the main causes of morbidity and mortality in adult patients despite the existence of numerous antimicrobial agents and an increase in support measures. The aim of this study was to analyze the cases of community and hospital-acquired bacteremia, by evaluating the prevalence of species, risk factors, source of infection and antimicrobial susceptibility of the microorganisms involved. From January 2000 to December 2004, 129 cases of bacteremia due to enterobacteria were detected in 45 outpatients (35%) and 84 inpatients (65%). The most common risk factors were neoplasia (33.3%) and diabetes (12.4%); being urinary (29.5%) and abdominal (13.9%) the most frequently found sources of infection. E. coli was the most common enterobacteria isolated in both populations, followed by Klebsiella spp. (21.7%), and Enterobacter spp. (12.4%). Klebsiella spp. bacteremia was most common in ICU patients and, together with Enterobacter spp., constituted the most antibiotic-resistant microorganisms.