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1.
ScientificWorldJournal ; 2024: 8991384, 2024.
Article in English | MEDLINE | ID: mdl-38957454

ABSTRACT

The medicinal plant Bredemeyera floribunda Willd. is used to treat cardiovascular disease, chronic fatigue, low libido, as well as increased diuresis. However, studies considering the toxicity of this plant are scarce. Develop an aqueous extract of B. floribunda considering traditional use and determine the average lethality (LD50), signs, and symptoms of toxicity. The B. floribunda extract was obtained by immersing the root bark in ultrapure water for 18 hours at 4°C, under constant stirring. The test extract was administered in a single dose of 2.000 mg/kg by gavage to rats. Signs and symptoms of toxicity were determined according to the Hippocratic screening test and compared with the control group. In addition, a necropsy was performed for macroscopic evaluation of the organs in the abdominal cavity. A powder was obtained from aqueous extracts that showed the same organoleptic characteristics and emulsification capacity as those presented by the fresh root when prepared according to popular tradition. The LD50 was greater than the test dose with three animals surviving. On the other hand, necropsy of dead rats showed necrosis and reduction in lung mass, in addition to the presence of foam and excessive distension of the stomach and intestines. The main symptoms of toxicity were anesthesia, ataxia, sedation, loss of muscle strength, and excessive drowsiness in the first 24 hours. There was no difference between the control and extract groups with regard to body mass, food, and water intake, as well as in macroscopy of the heart, liver, lungs, intestines, spleen, pancreas, and kidneys. The aqueous extract of the B. floribunda was considered nontoxic or of very low toxicity. However, it is capable of altering the activity of the central nervous system and causing disorders in the respiratory and digestive systems.


Subject(s)
Plant Bark , Plant Extracts , Plant Roots , Animals , Plant Extracts/toxicity , Plant Extracts/chemistry , Rats , Plant Bark/chemistry , Male , Plant Roots/chemistry , Lethal Dose 50 , Female , Toxicity Tests, Acute , Rats, Wistar , Models, Animal
2.
Nutrients ; 16(9)2024 Apr 30.
Article in English | MEDLINE | ID: mdl-38732610

ABSTRACT

Oncological patients show intense catabolic activity, as well as a susceptibility to higher nutritional risk and clinical complications. Thus, tools are used for monitoring prognosis. Our objective was to analyze the nutrition prognosis of patients who underwent radiotherapy, correlating it with outcomes and complications. We performed a retrospective transversal study based on secondary data from hospital records of patients who started radiotherapy between July 2022 and July 2023. We established Prognostic Scores through a combination of Prognostic Nutritional Index (PNI) and a Subjective Global Assessment (SGA), assessed at the beginning and end of treatment. Score 3 patients, with PNI ≤ 45.56 and an SGA outcome of malnutrition, initially presented a higher occurrence of odynophagia, later also being indicative of reduced diet volume, treatment interruption, and dysphagia. SGA alone showed sensitivity to altered diet volume, dysphagia, and xerostomia in the second assessment. Besides this, PNI ≤ 45.56 also indicated the use of alternative feeding routes, treatment interruption, and hospital discharge with more complications. We conclude that the scores could be used to indicate complications; however, further studies on combined biomarkers are necessary.


Subject(s)
Malnutrition , Nutrition Assessment , Nutritional Status , Humans , Male , Female , Retrospective Studies , Middle Aged , Prognosis , Aged , Malnutrition/etiology , Malnutrition/diagnosis , Deglutition Disorders/etiology , Neoplasms/radiotherapy , Radiotherapy/adverse effects , Cross-Sectional Studies , Adult
3.
J Food Sci ; 89(3): 1540-1553, 2024 Mar.
Article in English | MEDLINE | ID: mdl-38343300

ABSTRACT

Bovine bone is an animal-origin matrix rich in type I collagen (COL I) and it necessitates prior demineralization and makes COL I available. This study investigated the ossein-hydroxyapatite physicochemical properties evaluation as a result of processing and solubilization by acids and revealed the bone matrix demineralization and making COL I available. The tibia residue from bovine sources was processed, ground, and transformed into bone matrix powder. The bone matrix was solubilized in acetic acid followed by lactic acid. The bone matrix was evaluated as a result of processing and solubilization by acids: ossein and hydroxyapatite percentages by nitrogen and ash content, mineral content, particle size distribution, Fourier-transformation infrared spectroscopy, x-ray diffraction, and scanning electron microscope. For the obtained residual extracts, pH and mineral content were evaluated. The solubilization by acids affected the ossein-hydroxyapatite physicochemical properties, and the bone matrix solubilized by acetic and lactic acid showed the preservation of the ossein alongside the loss of hydroxyapatite. The processing and the solubilization by acids were revealed to be a  alternative to bone matrix demineralization and enabling the accessibility of bone COL I. PRACTICAL APPLICATION: Bovine bone is an abundant type I collagen source, but processing maneuvers and demineralization effect present limitations due to the rigidity of the structural components. Exploring methodologies to process and demineralize will allow type I collagen to be obtained from the bone source, and direct and amplify the potentialities in the chemical and food industries. The research focused on bone sources and collagen availability holds paramount significance, and promotes repurposing agribusiness residues and development of protein-base products.


Subject(s)
Collagen Type I , Durapatite , Animals , Cattle , Bone Matrix , Collagen/chemistry , Lactic Acid
4.
Molecules ; 28(23)2023 Nov 28.
Article in English | MEDLINE | ID: mdl-38067541

ABSTRACT

Vitis vinifera L. (grapevine) is a perennial plant of the Vitaceae family that is widely used to produce grapes and wines. Grape seed oil is rich in fatty acids such as linoleic acid (65-75%), vitamin E (50 mg), and phytosterols in addition to phenolic compounds, such as catechins (414 mg), epicatechins (130.4 mg), and gallic acid (77 µg), shows promise as a nutritional compound and is outstanding as a therapeutic substance with active properties for health, detected mainly by in vitro studies, as well as some in vivo studies. The benefits of consuming this oil include modulating the expression of antioxidant enzymes, anti-atherosclerotic and anti-inflammatory effects, and protection against oxidative cell damage and some types of cancer. However, experimental findings confirm that therapeutic functions remain scarce; thus, more studies are needed to determine the mechanisms of action involved in the indicated therapeutic qualities.


Subject(s)
Vitis , Humans , Antioxidants/pharmacology , Oxidative Stress , Dietary Supplements , Obesity , Inflammation/drug therapy , Plant Oils/pharmacology , Fruit
6.
Nutrients ; 15(7)2023 Mar 23.
Article in English | MEDLINE | ID: mdl-37049390

ABSTRACT

Maternal food habits and gut microbiota composition have potential effects on fetal neurodevelopment, impacting Autism Spectrum Disorder (ASD). Our research aims to outline the relationship that ingestion of polyunsaturated fatty acids (PUFAs) and the composition of maternal gut microbiota have with the possible development of ASD in offspring. We suggest that genetic factors could be related to the different conversions between unsaturated fatty acids according to sex and, mainly, the impact of the pregnancy diet on the higher or lower risk of neurological impairments. The proportion of the phyla Firmicutes/Bacteroidetes is high with an increased consumption of linoleic acid (LA, n-6 PUFA), which is associated with maternal intestinal dysbiosis and consequently starts the inflammatory process, harming myelinization. In contrast, the consumption of α-linolenic acid (ALA, n-3 PUFA) tends to re-establish the balance of the maternal microbiota with anti-inflammatory action. Moreover, human observational studies showed a strong correlation between the consumption of n-3 PUFA, mainly above 340 g of fish per week, with beneficial effects on infant neurodevelopment. Therefore, we suggest that the proper intake of foods rich in n-3 PUFAs and their supplementation during pregnancy until lactation has an impact on reducing the development of ASD. Controlled studies with n-3 PUFA supplementation are still necessary to verify the ideal dose and the best form of administration.


Subject(s)
Autism Spectrum Disorder , Autistic Disorder , Fatty Acids, Omega-3 , Gastrointestinal Microbiome , Female , Animals , Pregnancy , Infant , Humans , Autism Spectrum Disorder/etiology , Fatty Acids, Unsaturated , Linoleic Acid , Fatty Acids
7.
Article in English | MEDLINE | ID: mdl-37107889

ABSTRACT

People are constantly exposed to particulate matter and chemicals released during fires. However, there are still few studies on gas and particulate emissions related to exposure to burning firewood and charcoal during forest fires, making it difficult to understand the effects on the health of the population. The objective of this study was to quantify the metal(loid)s present in the smoke from wood and charcoal fires through the deposition of metals in beef topside and pork loin, considering the routes of skin exposure, inhalation, and ingestion, contributing to the understanding of metals in the increase of the risks of cancer and mortality associated with firefighting and children. The concentrations of metals [aluminum (Al), chromium (Cr), copper (Cu), iron (Fe), magnesium (Mg), manganese (Mn), molybdenum (Mo), vanadium (V), zinc (Zn)] and metalloids arsenic (As) were determined by inductively coupled plasma-mass spectrometry (ICP OES) after microwave digestion. Moreover, we assessed the associated risk regarding the elemental intake of these elements through the smoke, using the hazard quotient (HQ), hazard index (HI), Total Hazard Index (HIt), and carcinogenic risk (CR). All samples had results for HQ and HIt < 1, indicating a non-potential health risk. However, the carcinogenic risks posed by As and Cr via the three exposure pathways (except for inhalation exposure to children and adults, and by Cr via ingestion and inhalation for children and adults) exceeded the standard threshold. In conclusion, continuous exposure of firefighters or children to smoke from fires containing high concentrations of heavy metals such as As and Cr can be harmful to health. The study used animal tissues; thus, new methods must be developed to quantify the concentration of heavy metals deposited in human tissue when humans are exposed to smoke from fires.


Subject(s)
Arsenic , Firefighters , Metals, Heavy , Adult , Humans , Child , Environmental Monitoring/methods , Coal/analysis , Charcoal/analysis , Wood/chemistry , Metals, Heavy/analysis , Arsenic/analysis , Environment, Controlled , Chromium/analysis , Smoking , Risk Assessment/methods
8.
Nutrients ; 15(6)2023 Mar 07.
Article in English | MEDLINE | ID: mdl-36986038

ABSTRACT

The study of medicinal plants, such as the genus Garcinia (Clusiaceae), in the treatment of non-communicable chronic diseases has aroused the interest of researchers. However, there are no studies in the literature that have investigated the effects of Garcinia gardneriana in experimental models of obesity for possible metabolic alterations. Swiss mice receiving a high-fat diet were supplemented with aqueous or ethanolic extract of G. gardneriana at doses of 200 or 400 mg/kg/day. It was found that there was a reduction in food consumption in experimental groups compared with the control groups, and the group supplemented with aqueous extract at a dose of 200 mg/kg/daydisplayed a reduction in weight. The results showed an increase in the values of high density lipoprotein (HDL-c), total cholesterol, triglycerides and fasting blood glucose. G. gardneriana did not protect against insulin resistance, and caused in an increase in monocyte chemoattractant protein-1 (MCP-1) concentrations and a reduction in interleukin 10 (IL-10). In addition, hepatic steatosis and microvesicular steatosis were indicated. It was revealed that, under the experimental conditions in the study, G. gardneriana did not prevent weight gain or comorbidities; that is, a different behavior was obtained from that described in the literature with regard to the medicinal potential of the Garcinia species, which is probably related to the phytochemical properties.


Subject(s)
Fatty Liver , Garcinia , Plants, Medicinal , Mice , Animals , Garcinia/chemistry , Plant Extracts/pharmacology , Ethanol , Water , Diet, High-Fat/adverse effects
9.
Data Brief ; 47: 109009, 2023 Apr.
Article in English | MEDLINE | ID: mdl-36923019

ABSTRACT

This dataset describes the analysis of aflatoxins, macroelement and microelement concentration, oxidative stability and fatty acid profile of infant formula milk powder. Gas chromatography (CG) was used to identity 14 fatty acid methyl esters in in five samples of oils. The Racimat 893 method (induction times), Thermogravimetry (TG), Derivative Thermogravimetry (DTG) and Differential Scanning Calorimetry (DSC) were used to estimate the oxidative stability of oils. In addition, UV-VIS spectroscopic techniques were employed to obtain graphs of the absorption of each oil. The data presented can be useful in identifying compounds available in oils used to promote wound healing and understand the degradation mechanism.

10.
Braz. J. Anesth. (Impr.) ; 72(6): 729-735, Nov.-Dec. 2022. tab, graf
Article in English | LILACS | ID: biblio-1420609

ABSTRACT

Abstract Background Pancreaticoduodenectomy is associated with high morbidity. Many preoperative variables are risk factors for postoperative complications, but they are primarily non-modifiable. It is not clear whether an intraoperative goal-directed fluid regimen might be associated with fewer postoperative surgical complications compared to current conservative, non-goal-directed fluid practices. We hypothesize that the use of Systolic Volume Variation (SVV)-guided intraoperative fluid administration might be beneficial. Methods Data from 223 patients who underwent pancreaticoduodenectomy in our institution between 2015 and 2019 were reviewed. Patients were classified into two groups based on the use of intraoperative use of SVV to guide the administration of fluids. The decision to use SVV or not was made by the attending anesthesiologist. Subjects were classified into SVV-guided intraoperative fluid therapy (SVV group) and non-SVV-guided intraoperative fluid therapy (non-SVV group). Uni and multivariate regression analyses were conducted to determine if SVV-guided fluid therapy was significantly associated with a lower incidence of postoperative surgical complications, such as Postoperative Pancreatic Fistula (POPF), Delayed Gastric Emptying (DGE), among others, after adjusting for confounders. Results Baseline, demographic, and intraoperative characteristics were similar between SVV and non-SVV groups. In the multivariate analysis, the use of SVV guidance was significantly associated with fewer postoperative surgical complications (OR = 0.48; 95% CI 0.25-0.91; p= 0.025), even after adjusting for significant covariates, such as perioperative use of epidural, pancreatic gland parenchyma texture, and diameter of the pancreatic duct. Conclusions VV-guided intraoperative fluid administration might be associated with fewer postoperative surgical complications after pancreaticoduodenectomy.


Subject(s)
Humans , Pancreaticoduodenectomy , Fluid Therapy , Postoperative Complications/etiology , Postoperative Complications/prevention & control , Postoperative Complications/epidemiology , Retrospective Studies , Risk Factors , Treatment Outcome
11.
Rev. Bras. Neurol. (Online) ; 58(3): 29-34, jul.-set. 2022. ilus
Article in English | LILACS-Express | LILACS | ID: biblio-1400413

ABSTRACT

The history of the description and classification of the cranial nerves has paralleled the development of anatomy and its role in providing rationality to medicine. About five hundred years ago, the "Anatomical Notes by the Great Alexander Achillinus of Bologna" (1520) provided the first description of the trochlear nerve. In this article, we review the most important macroscopic achievements through different epochs and pioneers such as Herophilus of Chalcedon, Galen of Pergamon, Andreas Vesalius, Bartolomeo Eustachi, Realdo Colombo, Gabriele Falloppio, Antonio Molinetti, Caspar Bartholin, Thomas Willis and Samuel Thomas von Soemmerring. Each of them contributed to a better understanding of the cranial nerves as we know today. Galen's classification was enduring through his seven pairs of cranial nerves. Realdo Colombo coined the name pathetic nerve or nervus oculorum pateticos to the trochlear nerve in 1559, and Molinetti, nervus trochlearis, in 1669. The term trochlear nerve is derived from the Latin word pulley, trochlea, as it innervates the superior oblique muscle that ends in a tendon that bends through a pulley of connective tissue. Besides description and naming, the inclusion into current cranial nerve classification system and how such knowledge applies to current microsurgical understanding is also discussed.


A história da descrição e da classificação dos nervos cranianos acompanhou o desenvolvimento da anatomia e o seu papel na racionalidade da medicina. Cerca de quinhentos anos atrás, as "Notas Anatômicas do Grande Alexandre Achillini de Bolonha" (1520) forneceram a primeira descrição do nervo troclear. Neste artigo, revisamos as realizações macroscópicas mais importantes em diferentes épocas e damos crédito aos pioneiros como Herófilo de Calcedônia, Galeno de Pérgamo, Andreas Vesalius, Bartolomeo Eustachi, Realdo Colombo, Gabriele Falloppio, Antonio Molinetti, Caspar Bartholin, Thomas Willis e Samuel Thomas von Soemmerring. Cada um deles contribuiu para uma melhor compreensão dos nervos cranianos, como os conhecemos hoje. A classificação de Galeno perdurava através de seus sete pares de nervos cranianos. Realdo Colombo cunhou o nome nervo patético ou nervus oculorum pateticos para o nervo troclear em 1559, e Molinetti, nervus trochlearis, em 1669. O termo nervo troclear é derivado da palavra latina polia, tróclea, pois inerva o músculo oblíquo superior que termina em um tendão que se dobra através de uma polia de tecido conjuntivo. Além da descrição e da nomenclatura, também é discutida a inclusão do nervo troclear no atual sistema de classificação de nervos cranianos e como esse conhecimento se aplica à compreensão microcirúrgica atual.

12.
Front Nutr ; 9: 977813, 2022.
Article in English | MEDLINE | ID: mdl-36245529

ABSTRACT

The consumption of regular vegetable oils has been linked to energy acquisition, nutritional benefits, health improvement, and the regulation of metabolic diseases. This study evaluated fatty acids composition, physicochemical, thermal, oxidative, and optical properties, and quantified trace elements in the sunflower oil extracted by a domestic cold-press machine. The oil presented linoleic (54.00%) and oleic (37.29%) primary unsaturated fatty acids (91.67%), in which atherogenic (0.05), thrombogenic (0.16), hypocholesterolemic/hypercholesterolemic (21.97), peroxide (16.16), saponification (141.80), and relative density indices (0.92) demonstrated to be suitable for human consumption and possible health promotion. In addition, the concentrations of trace elements by ICP OES were ordered Zn > Fe > Al > Cu > Mn > Cr. Concentrations of Zn, Fe, Al, Cu, and Mn were lower than FAO/WHO and DRI/AI limits, while Cr concentrations exceeded the FAO/WHO limits, which can be used as an indicator of the polluted ambiance. Sunflower oil quantities daily consumption were calculated by taking into account non-carcinogenic risk (CR < 10-4), and total non-carcinogenic hazard index (HI < 1). Based on trace elements determined in this study, the suitable quantity of sunflower oil consumption varies according to individuals aged 8, 18, and 30 years and will be deemed 0.61, 1.46, and 1.65 g/kg, respectively, attending HI = 0.99 and CR < 10-4.

13.
Molecules ; 27(19)2022 Oct 08.
Article in English | MEDLINE | ID: mdl-36235241

ABSTRACT

BACKGROUND: Studies indicate that different parts of Carica papaya Linn have nutritional properties that mean it can be used as an adjuvant for the treatment of various pathologies. METHODS: The fatty acid composition of the oil extracted from the seeds of Carica papaya Linn was evaluated by gas chromatography, and an acute toxicity test was performed. For the experiment, Swiss mice were fed a balanced or high-fat diet and supplemented with saline, soybean oil, olive oil, or papaya seed oil. Oral glucose tolerance and insulin sensitivity tests were performed. After euthanasia, adiposity, glycemia, total cholesterol and fractions, insulin, resistin, leptin, MCP-1, TNF-α, and IL-6 and the histology of the liver, pancreas, and adipose tissue were evaluated. RESULTS: Papaya seed oil showed predominance of monounsaturated fatty acids in its composition. No changes were observed in the acute toxicity test. Had lower food intake in grams, and caloric intake and in the area of adipocytes without minimizing weight gain or adiposity and impacting the liver or pancreas. Reductions in total and non-HDL-c, LDL-c, and VLDL-c were also observed. The treatment had a hypoglycemic and protective effect on insulin resistance. Supplementation also resulted in higher leptin and lower insulin and cytokine resistance. CONCLUSIONS: Under these experimental conditions, papaya seed oil led to higher amounts of monounsaturated fatty acids and had hypocholesterolemic, hypotriglyceridemic, and hypoglycemic effects.


Subject(s)
Carica , Adiposity , Animals , Carica/chemistry , Cholesterol, LDL , Diet, High-Fat/adverse effects , Fatty Acids/analysis , Fatty Acids, Monounsaturated , Hypoglycemic Agents/analysis , Insulin , Interleukin-6/analysis , Leptin , Mice , Obesity , Olive Oil/analysis , Resistin , Seeds/chemistry , Soybean Oil/analysis , Tumor Necrosis Factor-alpha
14.
Surg Open Sci ; 10: 91-96, 2022 Oct.
Article in English | MEDLINE | ID: mdl-36062076

ABSTRACT

Background: Pancreaticoduodenectomy is a highly invasive procedure associated with high morbidity. Several preoperative variables are associated with postoperative complications. The role of perioperative factors is uncertain. The use of perioperative epidural analgesia is potentially associated with fewer postoperative surgical complications. We hypothesize that perioperative epidural analgesia might be associated with fewer surgical complications. Methods: We reviewed data from 288 cases performed at our institution between 2012 and 2019, classifying patients into 2 groups: perioperative use of epidural analgesia and non-perioperative use of epidural analgesia. The decision to use epidural as an adjunct to general anesthesia was based on the judgment of the attending anesthesiologist. Uni- and multivariate analyses were then performed to determine factors associated with postoperative surgical complications, ie, postoperative pancreatic fistula, delayed gastric emptying, among others, after adjusting for confounders. Results: Baseline and intraoperative factors were similar between the groups, except for sex and postoperative surgical complications. In the univariate analyses, factors associated with fewer postoperative surgical complications were the diameter of the pancreatic duct ≥ 6 mm, hard pancreatic gland parenchyma texture, younger age (< 65 years), and perioperative use of epidural analgesia. In the multivariate analyses, perioperative use of epidural analgesia was significantly associated with fewer postoperative surgical complications (odds ratio = 0.31; 95% confidence interval: 0.13-0.75; P = .009), even after adjusting for significant covariates. Conclusion: Perioperative use of epidural analgesia might be associated with fewer postoperative surgical complications after pancreaticoduodenectomy even after adjusting for pancreatic gland parenchyma texture, pancreatic duct size, and age.

15.
Nutrients ; 14(16)2022 Aug 10.
Article in English | MEDLINE | ID: mdl-36014768

ABSTRACT

Infancy and adolescence are crucial periods for bone health, since they are characterized by intense physical growth and bone development. The unsatisfactory acquisition of bone mass in this phase has consequences in adult life and increases the risk of developing bone diseases at more advanced ages. Nutrient deficiencies, especially calcium and vitamin D, associated with a sedentary lifestyle; lack of sun exposure; and epigenetic aspects represent some of the main risk factors for poor bone quality. In addition, recent studies relate childhood obesity to impaired bone health; however, studies on the adiposity effects on bone health are scarce and inconclusive. Another gap concerns the implications of obesity on child sexual maturity, which can jeopardize their genetic potential bone mass and increase fracture risk. Therefore, we reviewed the analyzed factors related to bone health and their association with obesity and metabolic syndrome in adolescents. We concluded that obesity (specifically, accumulated visceral fat) harms bones in the infant-juvenile phase, thereby increasing osteopenia/osteoporosis in adults and the elderly. Thus, it becomes evident that forming and maintaining healthy eating habits is necessary during infancy and adolescence to reduce the risk of fractures caused by bone-metabolic diseases in adulthood and to promote healthy ageing.


Subject(s)
Bone Diseases, Metabolic , Fractures, Bone , Pediatric Obesity , Adiposity , Adolescent , Adult , Aged , Bone Density , Bone and Bones , Child , Fractures, Bone/epidemiology , Fractures, Bone/etiology , Humans , Pediatric Obesity/epidemiology , Vitamin D
16.
Funct Integr Genomics ; 22(5): 713-729, 2022 Oct.
Article in English | MEDLINE | ID: mdl-35906324

ABSTRACT

The WRKY transcription factor gene family is known to be involved in plant defense against pathogens and in tolerance to different environmental stresses at different stages of development. The response mechanisms through which these genes act can be influenced by different phytohormones as well as by many trans- and cis-acting elements, making this network an important topic for analysis, but still something complex to fully understand. According to available reports, these genes can also perform important roles in pome species (Malus spp. and Pyrus spp.) metabolism, especially in adaptation of these plants to stressful conditions. Here, we present a quick review of what is known about WRKY genes in Malus and Pyrus genomes offering a simple way to understand what is already known about this topic. We also add information connecting the evolution of these transcription factors with others that can also be found in pomes.


Subject(s)
Malus , Pyrus , Gene Expression Profiling , Gene Expression Regulation, Plant , Genome, Plant , Malus/genetics , Malus/metabolism , Multigene Family , Phylogeny , Plant Growth Regulators/metabolism , Plant Proteins/genetics , Plant Proteins/metabolism , Pyrus/genetics , Stress, Physiological/genetics , Transcription Factors/genetics , Transcription Factors/metabolism
17.
Braz J Anesthesiol ; 72(6): 729-735, 2022.
Article in English | MEDLINE | ID: mdl-35809679

ABSTRACT

BACKGROUND: Pancreaticoduodenectomy is associated with high morbidity. Many preoperative variables are risk factors for postoperative complications, but they are primarily non-modifiable. It is not clear whether an intraoperative goal-directed fluid regimen might be associated with fewer postoperative surgical complications compared to current conservative, non-goal-directed fluid practices. We hypothesize that the use of Systolic Volume Variation (SVV)-guided intraoperative fluid administration might be beneficial. METHODS: Data from 223 patients who underwent pancreaticoduodenectomy in our institution between 2015 and 2019 were reviewed. Patients were classified into two groups based on the use of intraoperative use of SVV to guide the administration of fluids. The decision to use SVV or not was made by the attending anesthesiologist. Subjects were classified into SVV-guided intraoperative fluid therapy (SVV group) and non-SVV-guided intraoperative fluid therapy (non-SVV group). Uni and multivariate regression analyses were conducted to determine if SVV-guided fluid therapy was significantly associated with a lower incidence of postoperative surgical complications, such as Postoperative Pancreatic Fistula (POPF), Delayed Gastric Emptying (DGE), among others, after adjusting for confounders. RESULTS: Baseline, demographic, and intraoperative characteristics were similar between SVV and non-SVV groups. In the multivariate analysis, the use of SVV guidance was significantly associated with fewer postoperative surgical complications (OR = 0.48; 95% CI 0.25-0.91; p = 0.025), even after adjusting for significant covariates, such as perioperative use of epidural, pancreatic gland parenchyma texture, and diameter of the pancreatic duct. CONCLUSIONS: VV-guided intraoperative fluid administration might be associated with fewer postoperative surgical complications after pancreaticoduodenectomy.


Subject(s)
Fluid Therapy , Pancreaticoduodenectomy , Humans , Retrospective Studies , Postoperative Complications/epidemiology , Postoperative Complications/prevention & control , Postoperative Complications/etiology , Risk Factors , Treatment Outcome
18.
Molecules ; 27(11)2022 Jun 01.
Article in English | MEDLINE | ID: mdl-35684500

ABSTRACT

Antioxidants have drawn the attention of the scientific community due to being related to the prevention of various degenerative diseases. The antioxidant capacity has been extensively studied in vitro, and different methods have been used to assess its activity. However, the main issues related to studying natural antioxidants are evaluating whether these antioxidants demonstrate a key role in the biological system and assessing their bioavailability in the organism. The majority of outcomes in the literature are controversial due to a lack of method standardization and their proper application. Therefore, this study aims to compile the main issues concerning the natural antioxidant field of study, comparing the most common in vitro methods to evaluate the antioxidant activity of natural compounds, demonstrating the antioxidant activity in biological systems and the role of the main antioxidant enzymes of redox cellular signaling and explaining how the bioavailability of bioactive compounds is evaluated in animal models and human clinical trials.


Subject(s)
Antioxidants , Animals , Antioxidants/metabolism , Antioxidants/pharmacology , Biological Availability , Oxidation-Reduction
19.
Nutrients ; 14(12)2022 Jun 19.
Article in English | MEDLINE | ID: mdl-35745276

ABSTRACT

Mauritia flexuosa (Buriti) pulp oil contains bioactive substances and lipids that are protective against cardiovascular and inflammatory diseases. We performed physical and chemical analyses to verify its quality and stability. Buriti oil was stable according to the Rancimat test, presenting an induction period of 6.6 h. We evaluated the effect of supplementation with crude buriti oil and olive oil on metabolic parameters in 108 Swiss mice for 90 days. We investigated six groups: extra virgin olive oil (EVOO) 1 and 2 (1000 and 2000 mg/kg), buriti oil (BO) 1 and 2 (1000 and 2000 mg/kg), synergic (S) (BO1 + EVOO1), and control (water dose 1000 mg/kg). The animals were euthanized to examine their blood, livers, and fats. The supplementation did not interfere with food consumption, weight gain, and histological alterations in the liver. Group S showed the strongest relationship with the fractions HDL-c and non-HDL-c, indicating a possible cardioprotective effect. Moreover, we observed significantly higher IL-6 levels in the control, EVOO2, and BO1 groups than in the EVOO1 group. Resistin was also significantly higher for the synergic treatment than for the control. We conclude that BO combined with EVOO could be an excellent food supplement for human consumption.


Subject(s)
Arecaceae , Animals , Arecaceae/chemistry , Dietary Supplements , Liver/metabolism , Mice , Models, Theoretical , Olive Oil/metabolism , Plant Oils/chemistry
20.
Molecules ; 27(8)2022 Apr 12.
Article in English | MEDLINE | ID: mdl-35458674

ABSTRACT

The fruit and leaves of Eugenia dysenterica DC., locally known as cagaita, are rich in antioxidant glycosylated quercetin derivatives and phenolic compounds that have beneficial effects on diabetes mellitus, hypertension and general inflammation. We conducted a literature search to investigate the nutraceutical potentials of these phenolic compounds for treating obesity, diabetes mellitus and intestinal inflammatory disease. The phenolic compounds in E. dysenterica have demonstrated effects on carbohydrate metabolism, which can prevent the development of these chronic diseases and reduce LDL (low-density lipoprotein) cholesterol and hypertension. E. dysenterica also improves intestinal motility and microbiota and protects gastric mucosa, thereby preventing inflammation. However, studies are necessary to identify the mechanism by which E. dysenterica nutraceutical compounds act on such pathological processes to support future research.


Subject(s)
Eugenia , Hypertension , Antioxidants/pharmacology , Humans , Inflammation , Phenols , Plant Extracts , Plant Leaves
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