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1.
J Dairy Sci ; 106(9): 6041-6059, 2023 Sep.
Article in English | MEDLINE | ID: mdl-37474365

ABSTRACT

This study evaluated the physical effectiveness of whole-plant corn silage (CS) particles stratified with the Penn State Particle Separator, composed of 19- and 8-mm-diameter sieves and a pan, for lactating dairy cows. Eight Holstein cows (27.6 ± 2.8 kg/d of milk, 611 ± 74 kg body weight; 152 ± 83 d in milk) were assigned to two 4 × 4 Latin squares (22-d periods, 16-d adaptation), where one square was formed with rumen-cannulated cows. Three CS particle fractions were manually isolated using the 8- and 19-mm diameter sieves and re-ensiled in 200-L drums. The 4 experimental diets were (% dry matter): (1) CON (control): 17% forage neutral detergent fiber (NDF) from CS (basal roughage), 31.5% starch, and 31.9% NDF; (2) PSPan: 17% forage NDF from CS + 9% NDF from CS particles <8 mm, 25.9% starch, and 37.9% NDF; (3) PS8: 17% forage NDF from CS + 9% NDF from CS particles 8 to 19 mm, 25.5% starch, and 38.3% NDF; and (4) PS19: 17% forage NDF from CS + 9% NDF from CS particles >19 mm, 24.9% starch, and 38.8% NDF. Cows fed PS8 had greater dry matter intake and energy-corrected milk yield (22.4 and 26.9 kg/d, respectively) than cows fed CON (20.8 and 24.7 kg/d) and PS19 (21.2 and 24.8 kg/d), but no difference was detected between PSPan (21.6 and 25.8 kg/d) and other treatments. Milk fat concentration was greater for PS8 than CON, with intermediate values for PSPan and PS19. Milk fat yield was greater for cows fed PS8 than CON and PS19, and cows fed PSPan secreted more fat than CON cows but were not different from cows fed the other 2 diets. Cows fed CON had a lower meal frequency than cows fed PSPan, shorter meal and rumination times than PS8, and greater meal size and lower rates of rumination and chewing than the other 3 diets. Total chewing per unit of NDF was higher for PS8 than PSPan, although neither treatment differed from CON or PS19. Cows fed PS19 had higher refusal of feed particles >19 mm than cows fed CON and PSPan. The refusal of dietary NDF and undigested NDF in favor of starch were all greater for PS19 than on the other treatments. Cows fed PS19 had a greater proportion of the swallowed bolus and rumen digesta with particles >19 mm than the other 3 diets. Cows fed CON had the lowest ruminal pH and greatest lactate concentration relative to the other 3 diets. Plasma lipopolysaccharide was higher for cows fed CON and PSPan than for cows fed PS8 and PS19, and serum d-lactate tended to be lower on PSPan than for CON and PS8. In summary, the inclusion of CS fractions in a low-forage fiber diet (CON) reduced signs of ruminal acidosis. Compared with CS NDF <8 and >19 mm, CS NDF with 8- to 19-mm length promoted better rumen health and performance of dairy cows. These results highlight the importance of adjusting CS harvest and formulating dairy diets based on the proportion of particles retained between the 8- and 19-mm sieves.


Subject(s)
Silage , Zea mays , Female , Cattle , Animals , Silage/analysis , Lactation , Digestion , Rumen/metabolism , Fermentation , Milk , Dietary Fiber/metabolism , Diet/veterinary , Starch/metabolism , Lactic Acid/metabolism
2.
J Dairy Sci ; 104(6): 6792-6802, 2021 Jun.
Article in English | MEDLINE | ID: mdl-33741155

ABSTRACT

Our objective was to compare the performance of dairy heifers fed diets based on whole-plant corn silage stored in bunker silos sealed with either standard polyethylene film (white-on-black, actual thickness 121 ± 3.1 µm) covering the top surface, held in place with rows of tires every 3 m (PE) or an oxygen barrier system comprised of an ethylene-vinyl alcohol film (actual thickness 46.7 ± 2.5 µm) lining side walls and covering the silage, protected with a woven anti-UV cover and gravel bags placed around the edges and every 3 m across the silo (OB). Whole-plant corn was mechanically harvested at 39% dry matter (DM), packed in bunker silos, and sealed with PE or OB covering methods. After 6 mo of storage, silos were opened and fed to 26 Holstein heifers (260 ± 89.1 kg of shrunk body weight) for 60 d. Heifers were blocked by initial weight (13 blocks with 2 heifers each block) and housed in individual pens. Diets contained (on a DM basis) 80% corn silage (PE or OB), 17.5% soybean meal, and 2.5% mineral mix. Dry matter intake was measured daily, whereas shrunk body weight, hip height, heart girth, and body condition score were measured at the beginning and end of the experiment. Feeding behavior was recorded on d 24 and 46, and total-tract digestibility was measured from d 26 to 30 and 48 to 52. Data of intake, feeding behavior, and digestibility were averaged by animal for the whole feeding period before the statistical analysis. Data of animal performance were analyzed as a randomized complete block design. Initial shrunk body weight was used as a covariate for analyses of intake and body measures. During feed-out, silage quality was also assessed at the top (15 cm depth from upper surface) and bottom layer (135 cm depth from upper surface) and analyzed as a split-plot design. Silage stored under the OB sealing system had less yeast, mold, and NH3-N, and more lactic acid and ethanol-soluble carbohydrates. An interaction between sealing strategy and silo layer showed that OB silage had lower values of temperature, pH, anaerobic spores, acetic acid, and DM loss, and greater in vitro DM digestibility and aerobic stability, especially in the top layer. The proportion of inedible silage was lower in OB than in PE treatment (0.82 vs. 4.00% DM). Total-tract digestibility was similar between treatments, but animals that received the OB diet had higher DM intake by approximately 9% (9.39 vs. 10.20 kg/d) due to a faster eating rate and a greater number of meals per day. Therefore, OB treatment increased the digestible energy intake by 8% (26.3 vs. 28.3 Mcal/d) and average daily gain by 12% (1.08 vs. 1.21 kg/d). Body condition score change was similar between treatments, but heifers fed OB had greater heart girth and tended to have higher hip height. In conclusion, replacing a standard PE film with an OB sealing system improved silage conservation and performance of growing dairy heifers.


Subject(s)
Silage , Zea mays , Animal Feed/analysis , Animals , Body Weight , Cattle , Diet/veterinary , Dietary Fiber , Digestion , Energy Intake , Female , Silage/analysis
3.
Plant Cell Rep ; 37(8): 1113-1125, 2018 Aug.
Article in English | MEDLINE | ID: mdl-29796947

ABSTRACT

KEY MESSAGE: Regulatory sequences from the citrus constitutive genes cyclophilin (CsCYP), glyceraldehyde-3-phosphate dehydrogenase C2 (CsGAPC2), and elongation factor 1-alpha (CsEF1) were isolated, fused to the uidA gene, and qualitatively and quantitatively evaluated in transgenic sweet orange plants. The 5' upstream region of a gene (the promoter) is the most important component for the initiation and regulation of gene transcription of both native genes and transgenes in plants. The isolation and characterization of gene regulatory sequences are essential to the development of intragenic or cisgenic genetic manipulation strategies, which imply the use of genetic material from the same species or from closely related species. We describe herein the isolation and evaluation of the promoter sequence from three constitutively expressed citrus genes: cyclophilin (CsCYP), glyceraldehyde-3-phosphate dehydrogenase C2 (CsGAPC2), and elongation factor 1-alpha (CsEF1). The functionality of the promoters was confirmed by a histochemical GUS assay in leaves, stems, and roots of stably transformed citrus plants expressing the promoter-uidA construct. Lower uidA mRNA levels were detected when the transgene was under the control of citrus promoters as compared to the expression under the control of the CaMV35S promoter. The association of the uidA gene with the citrus-derived promoters resulted in mRNA levels of up to 60-41.8% of the value obtained with the construct containing CaMV35S driving the uidA gene. Moreover, a lower inter-individual variability in transgene expression was observed amongst the different transgenic lines, where gene constructs containing citrus-derived promoters were used. In silico analysis of the citrus-derived promoter sequences revealed that their activity may be controlled by several putative cis-regulatory elements. These citrus promoters will expand the availability of regulatory sequences for driving gene expression in citrus gene-modification programs.


Subject(s)
Citrus sinensis/metabolism , Plants, Genetically Modified/metabolism , Citrus sinensis/genetics , Cyclophilins/genetics , Cyclophilins/metabolism , Gene Expression Regulation, Plant/genetics , Gene Expression Regulation, Plant/physiology , Plant Proteins/genetics , Plant Proteins/metabolism , Plants, Genetically Modified/genetics , Promoter Regions, Genetic/genetics , Promoter Regions, Genetic/physiology , RNA, Messenger/genetics
4.
J Ethnopharmacol ; 222: 177-189, 2018 Aug 10.
Article in English | MEDLINE | ID: mdl-29689352

ABSTRACT

ETHNOPHARMACOLOGICAL RELEVANCE: Myracrodruon urundeuva Allemão (Aroeira-do-Sertão), Anacardiaceae, is one of the most used plants in folk medicine in Northeastern Brazil as an anti-inflammatory, healing and antiulcer. This species is threatened with extinction due to anthropogenic exploitation. The importance of this study is to demonstrate the feasibility of a conservationist model of replacement of the M. urundeuva adult tree (inner bark) for its under developing plants (shoots) in order to ensure the preservation of this species, but also to ensure sufficient raw material for pharmaceutical purposes. AIM OF THE STUDY: To characterize chemically and assess the gastroprotective and anti-inflammatory activities of the fluid extracts from M. urundeuva innebark (adult plant) as well as stem and leaves of shoots (young plant). MATERIALS AND METHODS: The fluid extracts were prepared by maceration-percolation with hydroalcoholic solution according to the methodology described in the Brazilian Pharmacopoeia. These extracts were cleaned-up through solid phase extraction (SPE) and chemically characterized by ultra-performance liquid chromatography coupled to mass spectrometry (UPLC-ESI-QTOF MS/MS). Gastroprotective and anti-inflammatory activities of the extracts (700 or 1000 mg/kg) were assessed on ethanol-induced gastric lesions and Croton oil-induced ear edema in rats, respectively. The extracts were evaluated for cytotoxicity in vitro. RESULTS: The UPLC-ESI-QTOF-MS/MS analysis evidenced the presence of chalcones, flavonoids and tannins. Gastroprotective and anti-inflammatory activities achieved with fluid extracts from the stems and leaves was similar to inner bark. The fluid extracts were not toxic. CONCLUSION: It is possible to replace the inner bark of the adult tree for the stems and leaves from the shoots as raw material to be used in the preparation of its the phytotherapeutics. Therefore, this finding may help in the implementation of public policies that ensure the conservation of the species along with its sustainable use for pharmaceutical purposes.


Subject(s)
Anacardiaceae , Anti-Inflammatory Agents/therapeutic use , Anti-Ulcer Agents/therapeutic use , Plant Extracts/therapeutic use , Animals , Anti-Inflammatory Agents/pharmacology , Anti-Ulcer Agents/pharmacology , Cell Survival/drug effects , Edema/chemically induced , Edema/drug therapy , Ethanol , HEK293 Cells , Humans , Mice , Plant Bark , Plant Extracts/pharmacology , Plant Leaves , Plant Stems , Stomach Ulcer/drug therapy
5.
Arq Bras Cardiol ; 102(3 Suppl 1): 1-61, 2014 03.
Article in Portuguese | MEDLINE | ID: mdl-24862929
6.
Arq. bras. med. vet. zootec ; 65(3): 847-856, June 2013. tab
Article in Portuguese | LILACS | ID: lil-679122

ABSTRACT

O objetivo deste trabalho foi avaliar as características bromatológicas e agronômicas dos genótipos de milho para a produção de silagem dos cultivares do Ensaio Centro Superprecoce da Rede Nacional de Genótipos de Milho, bem como avaliar se a base genética (híbridos simples, duplos, tripos, intervarietais e variedades cultivadas) ou a dureza dos grãos (duro, semiduro e dentado mole) alteram a indicação de cultivares de milho para silagem. O experimento foi realizado na área experimental da Universidade Tecnológica Federal do Paraná (campus Dois Vizinhos). Os trinta e dois genótipos avaliados foram colhidos quando os grãos encontravam-se no estádio pastoso a farináceo, ensilados em microssilos de PVC e desensilados após 53 dias. Avaliou-se a relação entre as bases genéticas, a dureza do grão e as características individuais dos genótipos quanto à aptidão para a produção de silagem. Não se verificaram diferenças significativas entre os contrastes formados entre as bases genéticas, bem como a dureza dos grãos, para os caracteres estudados. Porém, foi possível identificar genótipos superiores para a produção de silagem pela produção de matéria seca pelos genótipos AS 1555 YG, AS 1572 YG, 30A37, 30A77, 20A78, Dx 908, Dx 603, 2A550, 2B433, AL2007A, Embrapa 1F640, PRE 22T10, PREXT0109, PRE 22D11, DKB330 YG (Test).


The aim of this study was to evaluate the nutritive value and agronomic characteristics of maize genotypes for the silage production cultivars test center network of Super Early National Corn Genotypes; and to assess whether the genetic background (hybrids simple, doubles, triples, intervarieties and cultivated varieties) or the hardness of the grains (hard, soft flint and dent) may change the indication of maize cultivars for silage. The experiment was conducted at the experimental Federal Technological University of Paraná (Campus Dois Vizinhos). Thirty-two genotypes were harvested when the grains were in the dough soft dough stage, micro-ensiled in PVC silos, silage cutters and after 53 days after silage cutters. We evaluated the characteristics and chemical plant parameters of each genotype. We evaluated the relationship between genetic bases, hardness of the grain and individual characteristics of genotypes related to the production of corn silage. There was no significant difference between the contrast formed between the genetic and hardness of the grains for the characteristics studied. However, it was possible to identify superior genotypes for the production of silage whit bases in dry matter production by genotype YG AS 1555, AS 1572 YG, 30A37, 30A77, 20A78, DX 908, DX 603, 2A550, 2B433, AL2007A, EMBRAPA 1F640, PRE 22T10, PREXT0109, PRE 22D11, DKB330 YG (Test).


Subject(s)
Animals , Agriculture , Genotype , Silage/analysis , Zea mays , Food Analysis/methods
7.
Clin Exp Allergy ; 41(2): 250-9, 2011 Feb.
Article in English | MEDLINE | ID: mdl-20874831

ABSTRACT

BACKGROUND: Inhalation of the local anaesthetic lidocaine has been suggested to be beneficial for asthmatics, but airway anaesthesia is unpleasant and may exacerbate bronchoconstriction. Our previous study showed that inhalation of the lidocaine analogue JMF2-1 can elicit the anti-inflammatory properties of lidocaine without anaesthesia. This prompted further research on the mechanism of action and putative therapeutic application of JMF2-1. OBJECTIVE: We tested the hypothesis that JMF2-1 would prevent allergen-induced lung inflammation and airway hyperresponsiveness (AHR) by modulating T cell function in vivo and in vitro. Methods Local and systemic changes in leucocyte levels, cytokine production and lung mechanics were examined in a murine model of lung inflammation. JMF2-1 (0.05-2%) or saline was aerosolized twice a day during the ovalbumin (OVA)-provocation period (19-21 days post-sensitization). Analyses were performed 24 h after the final challenge. Primary cultured lymph node cells were used to assess the effects of JMF2-1 (100-600 µm) at the cellular level. RESULTS: OVA challenge resulted in lung recruitment of CD4(+) T cells and eosinophils, increased generation of inflammatory cytokines and AHR to inhaled methacholine within 24 h. These changes were prevented by JMF2-1 nebulization, and occurred in parallel with an increase in the number of apoptotic cells in the lung. JMF2-1 treatment did not alter levels of CD4(+) or CD8(+) T cells in the thymus or lymph nodes of naïve mice, although it inhibited OVA-induced IL-13 production and the lymphocyte proliferative response in vitro. It also induced apoptosis of OVA-activated lymphocytes in a mechanism sensitive to z-VAD, indicating that JMF2-1 mediates caspase-dependent apoptosis. CONCLUSION: Inhalation of JMF2-1 prevents the cardinal features of asthma by reducing T(H) 2 cytokine generation and lung eosinophilic inflammatory infiltrates via local inhibition of T cell function and survival. JMF2-1 may represent a novel therapeutic alternative for asthma control with distinct advantages over local anaesthetics.


Subject(s)
Anti-Inflammatory Agents/pharmacology , Bronchial Hyperreactivity/drug therapy , Bronchial Hyperreactivity/immunology , Lidocaine/analogs & derivatives , Ovalbumin/antagonists & inhibitors , Ovalbumin/immunology , T-Lymphocytes/drug effects , Animals , Anti-Inflammatory Agents/chemical synthesis , Anti-Inflammatory Agents/chemistry , Apoptosis/drug effects , Apoptosis/immunology , Bronchial Hyperreactivity/pathology , Cytokines/biosynthesis , Cytokines/immunology , Dexamethasone/pharmacology , Inflammation/immunology , Inflammation/prevention & control , Lidocaine/chemical synthesis , Lidocaine/chemistry , Lidocaine/pharmacology , Mice , Mice, Inbred BALB C , Mice, Transgenic , T-Lymphocytes/immunology
8.
J Hosp Infect ; 76(1): 66-9, 2010 Sep.
Article in English | MEDLINE | ID: mdl-20621392

ABSTRACT

A prospective cohort study was performed in order to study the incidence and risk factors for bacterial colonisation with extended-spectrum producing beta-lactamase (ESBL) Klebsiella spp. in children. The study took place in a paediatric intensive care unit (PICU) in Recife, Brazil over a five-month period in 2008. Rectal swabs were collected during the first 24h of admission and on the 2nd, 5th, 7th and 14th days of PICU stay. ESBL-producing strains of Klebsiella spp. were detected by Kirby-Bauer disc diffusion and confirmed by double disc synergy testing. A total of 186 children were enrolled with a median age of three years. The overall colonisation rate with ESBL-producing Klebsiella spp. was 14%, but 13 (7%) children were already colonised upon admission. The incidence density of colonisation during PICU admission was 14.2 per 1000 patient-days. On multivariable analysis, the use of third generation cephalosporins (P=0.008) was a risk factor for colonisation. Survival analysis revealed an increase in the accumulated risk of colonisation with an increase in length of stay in the PICU. The present study provides baseline information to guide improved practices in similar settings and direct future studies in relation to the magnitude of cross-infection and effectiveness of infection control interventions.


Subject(s)
Carrier State/epidemiology , Klebsiella Infections/epidemiology , Klebsiella/enzymology , Klebsiella/isolation & purification , beta-Lactamases/biosynthesis , Adolescent , Bacterial Proteins/biosynthesis , Brazil , Carrier State/microbiology , Cephalosporins/therapeutic use , Child , Child, Preschool , Cohort Studies , Drug Utilization/statistics & numerical data , Female , Humans , Incidence , Infant , Infant, Newborn , Intensive Care Units , Klebsiella Infections/microbiology , Length of Stay , Male , Microbial Sensitivity Tests/methods , Prospective Studies , Rectum/microbiology , Risk Factors , Survival Analysis
9.
Mem Inst Oswaldo Cruz ; 100 Suppl 1: 127-30, 2005 Mar.
Article in English | MEDLINE | ID: mdl-15962111

ABSTRACT

We previously reported that alloxan-induced diabetes results in reduction in the number and reactivity of mast cells at different body sites. In this study, the influence of diabetes on thymic mast cells was investigated. Thymuses from diabetic rats showed marked alterations including shrinkage, thymocyte depletion, and increase in the extracellular matrix network, as compared to those profiles seen in normal animals. Nevertheless, we noted that the number and reactivity of mast cells remained unchanged. These findings indicate that although diabetes leads to critical alterations in the thymus, the local mast cell population is refractory to its effect. This suggests that thymic mast cells are under a different regulation as compared to those located in other tissues.


Subject(s)
Diabetes Mellitus, Experimental/pathology , Mast Cells/pathology , Thymus Gland/pathology , Alloxan , Animals , Cell Count , Male , Rats , Rats, Wistar
10.
Mem. Inst. Oswaldo Cruz ; 100(supl.1): 127-130, Mar. 2005. ilus, graf
Article in English | LILACS | ID: lil-402188

ABSTRACT

We previously reported that alloxan-induced diabetes results in reduction in the number and reactivity of mast cells at different body sites. In this study, the influence of diabetes on thymic mast cells was investigated. Thymuses from diabetic rats showed marked alterations including shrinkage, thymocyte depletion, and increase in the extracellular matrix network, as compared to those profiles seen in normal animals. Nevertheless, we noted that the number and reactivity of mast cells remained unchanged. These findings indicate that although diabetes leads to critical alterations in the thymus, the local mast cell population is refractory to its effect. This suggests that thymic mast cells are under a different regulation as compared to those located in other tissues.


Subject(s)
Animals , Male , Rats , Diabetes Mellitus, Experimental/pathology , Mast Cells/pathology , Thymus Gland/pathology , Alloxan , Cell Count , Rats, Wistar
12.
Internet resource in Portuguese | LIS -Health Information Locator | ID: lis-10947

ABSTRACT

Questiona a mudança na atitude do homem em relação ao conhecimento na atual sociedade informatizada, a partir da relação entre Filosofia, Epistemologia e Gestão do Conhecimento.


Subject(s)
Organization and Administration , Knowledge Management , Information Management , Knowledge
13.
Plant Cell Rep ; 22(2): 122-8, 2003 Sep.
Article in English | MEDLINE | ID: mdl-12879258

ABSTRACT

A new method for obtaining transgenic sweet orange plants was developed in which positive selection (Positech) based on the Escherichia coli phosphomannose-isomerase (PMI) gene as the selectable marker gene and mannose as the selective agent was used. Epicotyl segments from in vitro-germinated plants of Valencia, Hamlin, Natal and Pera sweet oranges were inoculated with Agrobacterium tumefaciens EHA101-pNOV2116 and subsequently selected on medium supplemented with different concentrations of mannose or with a combination of mannose and sucrose as a carbon source. Genetic transformation was confirmed by PCR and Southern blot. The transgene expression was evaluated using a chlorophenol red assay and isoenzymes. The transformation efficiency rate ranged from 3% to 23.8%, depending on cultivar. This system provides an efficient manner for selecting transgenic sweet orange plants without using antibiotics or herbicides.


Subject(s)
Citrus sinensis/genetics , Mannose-6-Phosphate Isomerase/genetics , Mannose/pharmacology , Plants, Genetically Modified/genetics , Citrus sinensis/drug effects , Citrus sinensis/growth & development , Culture Techniques , Fructose/pharmacology , Gene Expression Regulation, Enzymologic/drug effects , Genetic Markers/genetics , Mannose-6-Phosphate Isomerase/metabolism , Plants, Genetically Modified/drug effects , Plants, Genetically Modified/growth & development , Sucrose/pharmacology
14.
Clin Anat ; 16(4): 309-16, 2003 Jul.
Article in English | MEDLINE | ID: mdl-12794914

ABSTRACT

A detailed anatomic study was carried out on the lateral femoral cutaneous nerve to better understand the etiology and treatment of lateral femoral cutaneous neuralgia. As it passed from the pelvis into the thigh, the lateral femoral cutaneous nerve ran through an "aponeuroticofascial tunnel," beginning at the iliopubic tract and ending at the inguinal ligament; as it passed through the tunnel, an enlargement in its side-to-side diameter was observed, suggesting that the fascial structures proximal to the inguinal ligament may be implicated in the genesis of lateral femoral cutaneous neuralgia. The finding of pseudoneuromas at this location, distant from the inguinal ligament, supports this hypothesis. The anterior superior iliac spine is located approximately 0.7 cm from the lateral femoral cutaneous nerve and serves as the bony landmark for nerve localization. Within the first 3 cm of leaving the pelvis, the lateral femoral cutaneous nerve was observed deep to the fascia lata; therefore, surgical dissection within the subcutaneous fascia may be conducted with relative impunity near the anterior superior iliac spine just inferior to the inguinal ligament. In 36% of cases there was no posterior branch of the nerve, which is correlated to lateral femoral cutaneous neuralgia symptoms often being limited to the anterior branch region. An accessory nerve was found in 30% of cases.


Subject(s)
Femoral Nerve/pathology , Femoral Neuropathy/pathology , Nerve Compression Syndromes/pathology , Neuralgia/pathology , Peripheral Nerves/pathology , Skin/innervation , Adult , Aged , Cadaver , Female , Femoral Neuropathy/etiology , Humans , Male , Middle Aged , Nerve Compression Syndromes/etiology , Neuralgia/etiology , Paresthesia/pathology
15.
Arq Neuropsiquiatr ; 59(1): 71-6, 2001 Mar.
Article in French | MEDLINE | ID: mdl-11299435

ABSTRACT

Tuberculosis still occupies a remarkable place as a worldwide health problem, chiefly in emerging countries, like Brazil. The central nervous system (CNS) involvement by Mycobacterium tuberculosis is one of the most feared features of disease, because of its high morbidity and mortality. This study aimed to describe some epidemiological, clinical and laboratorial aspects of 52 children in a tertiary pediatric hospital with CNS tuberculosis. At diagnosis, the majority of patients showed low age, compromised nutritional status, previous contact with bacillary individuals, delayed or absent immunization, advanced neurological signs and compatible abnormalities in cerebrospinal fluid (CSF) analysis and in radiological findings. The etiologic agent was identified by staining methods or CSF and other fluids culturing in 40% of patients. In most cases, despite of suggestive clinical, epidemiological and laboratorial picture and feasibility of patients access to health care centres, therapy was started late.


Subject(s)
Tuberculosis, Central Nervous System/epidemiology , Adolescent , Brazil/epidemiology , Child , Child, Preschool , Female , Humans , Infant , Male , Mycobacterium tuberculosis/isolation & purification , Retrospective Studies , Tomography, X-Ray Computed , Tuberculosis, Central Nervous System/diagnosis , Tuberculosis, Central Nervous System/microbiology
16.
Arq Neuropsiquiatr ; 59(1): 77-82, 2001 Mar.
Article in French | MEDLINE | ID: mdl-11299436

ABSTRACT

Neurologic damage is usual after central nervous system (CSN) tuberculosis recovery. Treatment is long, difficult and prone to complications. Many factors are enrolled as prognostic determinants. This study aimed to describe the treatment and outcome of 52 children with CNS tuberculosis of a tertiary pediatric hospital. All of them received standard triple drug regimen, and 41 (78.8%) received corticosteroids as adjunctive therapy. Hydrocephalus was common (28 of 41 tested), but only 8 (15.4%) patients underwent ventricular shunt surgery. Hepatotoxicity to anti tuberculosis drugs occurred in 32 (61.5%) cases, but in only 3 (9.4%) drug substitution was necessary. There were 8 (15.4%) deaths and 24 (46.1%) cases developed neurologic damage after therapy. Patients who did not receive steroids during treatment and those with advanced neurological involvement at diagnosis showed a tendency to worse prognosis.


Subject(s)
Adrenal Cortex Hormones/therapeutic use , Antitubercular Agents/therapeutic use , Tuberculosis, Central Nervous System/drug therapy , Adolescent , Adrenal Cortex Hormones/adverse effects , Antitubercular Agents/adverse effects , Chemical and Drug Induced Liver Injury , Child , Child, Preschool , Drug Therapy, Combination , Female , Follow-Up Studies , Humans , Hydrocephalus/etiology , Hyponatremia/chemically induced , Infant , Isoniazid/therapeutic use , Male , Prognosis , Pyrazinamide/therapeutic use , Retrospective Studies , Rifampin/therapeutic use , Treatment Outcome , Tuberculosis, Central Nervous System/complications , Tuberculosis, Central Nervous System/mortality
17.
J Bone Joint Surg Am ; 83(1): 42-5, 2001 Jan.
Article in English | MEDLINE | ID: mdl-11205857

ABSTRACT

BACKGROUND: The accuracy of measurement of curves in idiopathic scoliosis has been extensively studied; however, we know of only one article in the literature concerning the accuracy of measurement of curves in congenital scoliosis. That article stated that intraobserver variability was +/- 9.6 degrees and interobserver variability was +/- 11.8 degrees. METHODS: Sixty-nine curves in fifty patients with congenital scoliosis were measured on two separate occasions by seven different observers with varying experience in curve measurement. RESULTS: Mean intraobserver variance ranged from 1.9 degrees to 5.0 degrees, with an average of 2.8 degrees (95% confidence limit, +/- 3 degrees) for the seven observers. The interobserver variance was 3.35 degrees (95% confidence limit, 7.86 degrees). CONCLUSIONS: It is possible to measure curves in congenital scoliosis with much greater accuracy than previously reported. In the clinical situation in which a skilled observer can measure two radiographs at the same time, an accuracy of +/- 3 degrees can be expected 95% of the time.


Subject(s)
Scoliosis/congenital , Scoliosis/diagnostic imaging , Spine/diagnostic imaging , History, Modern 1601- , Humans , Observer Variation , Radiography , Reproducibility of Results
18.
Ann Thorac Surg ; 60(2 Suppl): S316-21, 1995 Aug.
Article in English | MEDLINE | ID: mdl-7646180

ABSTRACT

We propose the use of a crimped bovine pericardial graft joined to a rigid and grooved ring for the treatment of aortic dissections and aneurysms. This device was developed to support common tubular vascular prostheses of any material, length, diameter, or form, transforming them into intraluminal ones during the surgical procedure. During March 1989 to May 1994, 74 patients underwent an operation on the aorta in which this intraluminal ring, prepared from a tubular prosthesis of bovine pericardium, was used. Twenty-seven patients had an acute type A aortic dissection, 6 had an acute type B aortic dissection, 10 had annuloaortic ectasia, 6 had a descending aortic aneurysm, 3 had a thoracoabdominal aneurysm, and 22 had an abdominal aneurysm. The global mortality rate of 10.8% in the immediate postoperative period cannot be related to the surgical technique or the type of prosthesis used. We conclude from our findings that this modification of the sutureless intraluminal graft, which allows it to be used to replace diseased segments of the aorta, affords the quickest and simplest means of repair and is attended by the least likelihood of anastomotic complications.


Subject(s)
Aorta/surgery , Bioprosthesis , Blood Vessel Prosthesis , Adult , Aged , Aged, 80 and over , Aortic Dissection/surgery , Animals , Aortic Aneurysm/surgery , Female , Follow-Up Studies , Humans , Male , Methods , Middle Aged , Postoperative Complications , Sheep
19.
J. pediatr. (Rio J.) ; 70(5): 302-4, set.-out. 1994.
Article in Portuguese | LILACS | ID: lil-154917

ABSTRACT

Os autores relatam um caso de Pielonefrite Xantogranulomatosa em uma criança do sexo masculino, de quatro anos de idade, tratada cirurgicamente no Serviço de Cirurgia Pediátrica da Santa casa de Misericórdia de Maceió. Fazem consideraçöes sobre a patologia, as dificuldades diagnósticas pré-operatórias e o diagnóstico diferencial, enfatizando a raridade de sua ocorrência em crianças


Subject(s)
Kidney Neoplasms , Pyelonephritis , Pyelonephritis, Xanthogranulomatous
20.
J Pediatr (Rio J) ; 70(5): 302-4, 1994.
Article in Portuguese | MEDLINE | ID: mdl-14688854

ABSTRACT

A four years-old boy with Xanthogranulomatous pyelonephritis was surgically treated at the Pediatric Surgery Unit of the Santa Casa de Misericórdia of Maceió. Comments are made upon pathology, pre-operative diagnostic difficulties, differential diagnosis, and the rare occurrence in children.

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