Antimycobacterial activity of some Brazilian indigenous medicinal drinks

Tuberculosis (TB) is a very serious problem worldwide and the increasing number of multiple drugs resistant TB cases makes the search for new anti-TB drugs an urgent need. Indigenous knowledge about the use of native plants to treat illnesses has contributed to the discovery of new medicines. In this study, the antimycobacterial activity ofseven medicinal drinks was assessed: Ananas sativus (hydroalcoholic fruit extract), Aristolochia triangularis(aqueous and hydroalcoholic leaf, root and stem extracts), Bromelia antiacantha (hydroalcoholic fruit extract), Stryphnodendron adstringens (hydroalcoholic bark extract), Tabebuia ovellanedae (hydroalcoholic bark extract), Vernonia polyanthes (hydroalcoholic root extract), all used by the Vanuíre indigenous community in the treatment of respiratory diseases. The activity was evaluated by using a time-to-kill assay, in which Mycobacterium tuberculosis H37Rv was cultured on Lowenstein-Jensen medium, after thirty minutes, one, three, six, twelve and twenty-four hours contact of the bacteria with each drink. Within half to one hour contact, the hydroalcoholic drinks of A. triangularis, S. adstringens, T. ovellanedae and V. polyanthes reduced the bacterial growth by 2 orders of magnitude in CFU/mL, and all bacterial growth was absent after three hours contact. In contrast, no mycobactericidal effect was detected in the aqueous extract of A. triangularis or in the hydroalcoholic beverages of A. sativus and B. antiacantha, even aftertwenty-four hours contact.

Bloqueio átrio-ventricular congênito: características neonatais e evoluçäo / Congenital complete heart block

Säo apresentados 9 casos de RN portadores de bloqueio átrio-ventricular congênito (BAVC) com detecçäo da anomalia no terceiro trimestre de gestaçäo através de ecocardiografia fetal. Todos os RNs foram de termo ou limítrofes e a maioria nasceu de parto cesáreo, em boas condiçöes. Imediatamente após o nascimento, foi realizado avaliaçäo cardiológica completa, através de exame clínico, ECG, Rx de tórax, ecocardiografia e monitorizaçäo de FC pelo Holter contínuo de 24 horas. Cinco RNs apresentaram BAVC com FC basal ao redor de 60 bat/min e, em destes, a sorologia para LES (anti SS-AA/Rô) foi positiva. Os 5 evoluiram bem, tendo recebido alta antes do primeiro mês de vida sem medicaçäo e com acompanhamento ambulatorial. Um RN apresentou BAVC com FC basal ao redor de 50 bat/min, tendo evoluido para ICC ao final do primeiro mês, compensada com o uso de digitálico e diurético. Três casos eram associados com cardiopatia congênita complexa, sendo 2 do tipo átrio-ventricular communis (AVC) e um do tipo transposiçäo corrigida dos grandes vasos da base. Os 2 casos com AVC foram os únicos que descompensaram precocemente (primeira semana de vida). Estes casos mostram que a detecçäo precoce de alteraçöes de ritmo cardíaco no pré-natal, um preparo adequado para a recepçäo do RN ao nascimento, avaliaçäo cardiológica completa, säo fatores decisivos para uma boa evoluçäo pós-natal

Dopplerfluxometria em obstetricia: principios fisicos e dificuldades tecnicas / Dopplerfluxometry in obstetrics: physical and technical dificulties

Sao descritos os principios fisicos basicos necessarios para a compreenssao adequada da tecnica da dopplerfluxometria assim como as dificuldades encontradas na pratica diaria. As vantagens e desvantagens de cada tipo de doppler (pulsatil e continuo) sao discutidas, assim como alguns detalhes tecnicos importantes para a obtencao de tracados corretos. Sabendo-se que a dopplerfluxometria cada vez mais se consolida como tecnica de avaliacao das gestacoes de alto risco, os autores enfatizam a importancia do treinamento adequado dos profissionais na obtencao e interpretacao dos tracados de Doppler.

Tolerance induction and immunological priming initiated by mucosal contacts with protein antigens in inbred strains of mice

We show that mouse strains differ widely in susceptibility to tolerance induction and/or immunization (priming) following contact of protein antigens (ovalbumin, human or bovine gamma globulins) with different mucosal surfaces. 2. When compared to a control group pretreated with saline, mice pretreated by the oral (intragastric) route with antigen became significantly less responsive to subsequent parenteral immunization (i.e., tolerant). This was observed in most, but not all, antigen/strain combinations. 3.Similar, although less prominent changes were induced by pretreatments with antigen by the ocular (conjunctival) route. 4. No significant effects were following pretreatments by the nasal, vaginal, or rectal routes. 5. Genes present in strains selected for multispecific "high" or "low" responsivencess are included among those involved in tolerance induction following mucosal contacts with protein antigens

Genetics of susceptibility to oral tolerance to ovalbumin

Inbred mouse strains vary widely in their susceptibility to the induction of tolerance following oral (intragastric) adminsitation of ovalbumin. Marked differences were found berween strains that form a congenic pair differing at the H-2 complex: C3H/HeJ (H-2K) and C3H.SW(H2b) - which were very susceptible and resitant to tolerance induction, respectively. In comtrast, no significant differences were found betwwwn a/J(H-2a) and A.BY (H-2b) congenics, which were both susceptible, nor among C57BL/10J congenics, which were uniformly resitant to tolerance induction. We conclude that H-2-linked genes determine tolerance susceptibility in conjunction with background genes