Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 20 de 22
Filter
1.
Environ Monit Assess ; 191(Suppl 2): 393, 2019 Jun 28.
Article in English | MEDLINE | ID: mdl-31254076

ABSTRACT

India has the largest number of dengue cases in the world, contributing approximately 34% of the global burden. The framework for a geospatially enabled early warning and adaptive response system (EWARS) was first proposed in 2008. It was meant to be a decision support system for enhancing traditional surveillance methods for preventing mosquito-borne diseases in India by utilizing remote sensing data and fuzzy logic-based mathematical predictive modeling. This conceptual paper presents a significant evolution of EWARS such that it synthesizes inputs from not only traditional surveillance and reporting systems for dengue but also from the public via participatory disease surveillance. Two smartphone-based applications have been developed to support EWARS. The first-MOSapp-allows field health workers to upload surveillance data and collect key data on environmental parameters by both direct observation and via portable microclimate stations. The second-DISapp-collects relevant information directly from the community to support participatory disease surveillance. It also gives the user a real-time estimate of the risk of exposure to dengue in proximity to their home and has an educational component that provides information on relevant preventive measures. Both applications utilize a new mosquito abundance measure-the mosquito perception index (MPI)-as reported by the user. These data streams will feed into the EWARS model to generate dynamic risk maps that can guide resource optimization and strengthen disease surveillance, prevention, and response. It is anticipated that such an approach can assist in addressing gaps in the current system of dengue surveillance and control in India.


Subject(s)
Aedes/physiology , Dengue/prevention & control , Mobile Applications , Mosquito Vectors/physiology , Animals , Dengue/epidemiology , Dengue/transmission , Epidemiological Monitoring , Humans , India/epidemiology , Models, Theoretical , Risk Assessment
2.
Spectrochim Acta A Mol Biomol Spectrosc ; 218: 366-373, 2019 Jul 05.
Article in English | MEDLINE | ID: mdl-31030003

ABSTRACT

This paper describes, by the first time, a chemometric approach that combines a simple set of the UV-Vis spectra and partial least square regression (PLSR) for measuring the removal of five pharmaceuticals present in simulated hospital effluents by sorption using activated carbon. The use of multivariate calibration allowed the quantification of the remaining concentrations of the studied drugs present in a complex mixture with high accuracy, avoiding the need for the use of sophisticated methodologies based on chromatography. Isothermal sorption studies were performed on single-component solutions containing amoxicillin, paracetamol, propranolol, sodium diclofenac, or tetracycline as well as on a solution containing a mixture of all these 5 compounds. The isotherm data obtained were fitted to the Langmuir, Freundlich and Liu models. It was observed that for each pharmaceutical, the maximum sorption capacity of the activated carbon was higher for the single component than in the mixture. It was observed that the removal of paracetamol, propranolol, and tetracycline, the removal was complete (100%) and for amoxicillin and sodium diclofenac it was at least 92.71 ±â€¯3.15% and 91.82 ±â€¯0.95% respectively, indicating that the avocado seed activated carbon is an adsorbent with high sorption capacity that can remove five pharmaceuticals from simulated hospital effluents.

3.
Acta Obstet Gynecol Scand ; 94(6): 660-3, 2015 Jun.
Article in English | MEDLINE | ID: mdl-25753199

ABSTRACT

We investigated changes in the frequencies of four primary types of singleton fetal lie/presentation for each gestational week from 18 to 39 weeks in a retrospective, cross-sectional study which analyzed ultrasound examination records of fetal positions, in the outpatient prenatal diagnosis clinics in two cities in Poland. We calculated the prevalence and 95% confidence intervals for each type of lie/presentation. We then identified the gestational age after which no statistically significant changes in terms of prevalence were observed, by comparing the results at each week with the prevalence of cephalic presentation at 39(+0) weeks, used as reference. A total of 18 019 ultrasound examinations were used. From 22 to 36 weeks of gestation, the prevalence of cephalic presentation increased from 47% (45-50%) to 94% (91-96%), before and after which times plateaus were noted. Spontaneous change from breech to cephalic is unlikely to occur after 36 weeks of gestation.


Subject(s)
Labor Presentation , Adult , Cross-Sectional Studies , Female , Gestational Age , Humans , Poland , Pregnancy , Prevalence , Retrospective Studies , Ultrasonography, Prenatal
4.
Trials ; 15: 448, 2014 Nov 19.
Article in English | MEDLINE | ID: mdl-25409545

ABSTRACT

BACKGROUND: Approximal surfaces are a challenge to caries lesions control. Silver diamine fluoride (SDF) is a simple,low-cost and promisor intervention for arresting caries lesions, but it has never been tested on approximal surfaces. Our aim is to evaluate the efficacy and cost-efficacy of SDF in arresting initial lesions compared to resin infiltration and exclusively flossing (control group). Our second aim is to assess discomfort and satisfaction regarding interventions. METHODS/DESIGN: This is a randomized clinical trial, double-blinded, placebo-controlled study. Children/adolescents presenting at least one approximal initial caries lesion in primary molars/permanent premolars and molars will be included. Surfaces with advanced dentine lesions identified by radiography and participants who refuse to participate or present negative behaviors will be excluded. A minimum sample size of 504 surfaces will be required for each subgroup. Individuals will be randomly allocated in three groups of interventions: SDF, resin infiltration, and control group. Depending on the allocation, the patients will receive the active treatment and respective placebo therapies. All patients will be oriented to daily flossing the included surfaces. Our primary outcome will be caries progression by clinical and radiographic examinations. Appointments will be timed and costs of materials will be considered to calculate cost-efficacy. Patient discomfort will be assessed after interventions. Parent and patient satisfaction with the treatment will be collected after treatment and in the last follow-up visit. Individuals will be assessed at 1 and 3 months after treatment to evaluate dental biofilm and at 6, 12, and 24 months to assess caries progression by visual examination and/or radiography. Multilevel analyses will be used to verify if the type of treatment influenced on the tested outcomes. Costs will be compared and analyses of cost-efficacy will be performed. Poisson analysis will test the association between intervention and reported discomfort and satisfaction. DISCUSSION: Our hypothesis is that SDF is the most cost-efficacious option from all tested interventions. If our hypothesis is confirmed, the use of SDF in private and public contexts could represent an easier and effective option in the treatment of enamel approximal caries in children/adolescents. TRIAL REGISTRATION: ClinicalTrials.gov (NCT01477385), Initial release: 11/16/2011: last update: 06/02/2014.


Subject(s)
Dental Atraumatic Restorative Treatment/methods , Dental Caries/prevention & control , Fluorides, Topical/administration & dosage , Pit and Fissure Sealants/therapeutic use , Quaternary Ammonium Compounds/administration & dosage , Research Design , Adolescent , Brazil , Child , Child, Preschool , Clinical Protocols , Cost-Benefit Analysis , Dental Atraumatic Restorative Treatment/economics , Dental Caries/diagnosis , Dental Caries/economics , Dental Devices, Home Care , Double-Blind Method , Female , Fluorides, Topical/adverse effects , Fluorides, Topical/economics , Health Care Costs , Humans , Male , Patient Satisfaction , Pit and Fissure Sealants/adverse effects , Pit and Fissure Sealants/economics , Quaternary Ammonium Compounds/adverse effects , Quaternary Ammonium Compounds/economics , Resins, Synthetic/therapeutic use , Silver Compounds , Time Factors , Treatment Outcome
6.
Genet Med ; 16(8): 620-4, 2014 Aug.
Article in English | MEDLINE | ID: mdl-24525917

ABSTRACT

PURPOSE: Noninvasive prenatal screening for fetal aneuploidy analyzes cell-free fetal DNA circulating in the maternal plasma. Because cell-free fetal DNA is mainly of placental trophoblast origin, false-positive and false-negative findings may result from placental mosaicism. The aim of this study was to calculate the potential contribution of placental mosaicism in discordant results of noninvasive prenatal screening. METHODS: We performed a retrospective audit of 52,673 chorionic villus samples in which cytogenetic analysis of the cytotrophoblast (direct) and villus mesenchyme (culture) was performed, which was followed by confirmatory amniocentesis in chorionic villi mosaic cases. Using cases in which cytogenetic discordance between cytotrophoblast and amniotic fluid samples was identified, we calculated the potential contribution of cell line-specific mosaicism to false-positive and false-negative results of noninvasive prenatal screening. RESULTS: The false-positive rate, secondary to the presence of abnormal cell line with common trisomies in cytotrophoblast and normal amniotic fluid, ranged from 1/1,065 to 1/3,931 at 10% and 100% mosaicism, respectively; the false-negative rate was calculated from cases of true fetal mosaicism, in which a mosaic cell line was absent in cytotrophoblast and present in the fetus; this occurred in 1/107 cases. CONCLUSION: Despite exciting advances, underlying biologic mechanisms will never allow 100% sensitivity or specificity.


Subject(s)
Mosaicism/embryology , Prenatal Diagnosis/methods , Trisomy/diagnosis , Trophoblasts/cytology , Chorionic Villi Sampling , DNA/analysis , Female , Humans , Karyotype , Karyotyping , Pregnancy , Retrospective Studies
7.
Pesqui. vet. bras ; 33(5): 571-574, maio 2013. tab
Article in Portuguese | LILACS | ID: lil-678333

ABSTRACT

O presente trabalho teve por objetivos investigar o número de capturas e o controle do morcego hematófago Desmodus rotundus, em pequenas propriedades localizadas no município de Cedral no estado do Maranhão, que foi escolhido por ter sido efetuado o maior número de capturas do estado, sendo todas ao redor de currais. O controle oficial é realizado pela aplicação de pasta vampiricida de uso tópico a base de warfarina a 2%. Para o estudo foram utilizadas fichas de controle de morcegos hematófagos capturados em currais, como também, foi aplicado um questionário a campo para identificação dos locais com maior número de capturas. No período de 2005 a 2010 foram estudados os resultados de 223 buscas ativas por D. rotundus, em 101 propriedades. Foi capturado um total de 408 morcegos hematófagos, distribuídos em 190 das 223 buscas. Em todos os espécimes de D. rotundus capturados foi realizado o tratamento, que consistiu na aplicação da pasta vampiricida, no dorso do animal. Nas propriedades estudadas, verificou-se que dos 754 animais expostos, 344 foram agredidos. Destes, os bovinos foram a maior oferta de alimento aos Desmodus (49%), seguidos dos equídeos (18%), aves (15%), suínos (9%) e caprinos (8%). Apesar dos bovinos terem sido os mais atacados, em função do efetivo disponível, verificou-se uma preferência dos morcegos hematófagos por eqüídeos. As falhas nas capturas ocorreram onde havia poucos animais agredidos. Após análise de seis anos de realização do programa de controle com pasta vampiricida, verificou-se que a proporção de macho e fêmeas de D. rotundus capturados foi 1,08 machos para cada fêmea, o que demonstra que o tratamento foi mais efetivo nas fêmeas, uma vez que no primeiro ano do estudo, a proporção era de 1,21 fêmeas para cada macho. Verificou-se ainda que o controle foi realizado com sucesso em 95% das propriedades trabalhadas, com uma média de tempo de três anos de trabalho com até seis capturas por propriedade. Ao exame dos animais agredidos verificou-se que a área do pescoço dos grandes animais e dos caprinos são as mais atingidas, sugerindo o pouso direto dos morcegos sobre o animal. Uma representação pequena dos proprietários entrevistados vacinavam seus animais (57%), e destes apenas um fazia o reforço de vacinação. Concluiu-se que nas regiões de mangue e/ou matas, o controle foi efetivo nas capturas em currais, sendo prudente verificar a ocorrência de novas agressões, dentro de 15 dias e nos primeiros três meses. No planejamento de controle de D. rotundus em curral, deve ser considerado que o número de morcegos capturados é semelhante ao número de mordidas recentes. Em relação às criações domésticas de subsistências, D. rotundus se alimenta de fontes distintas, com uma menor predileção pelas aves.


The aim of the study was to investigate the number of captures and the control of the common vampire bat Desmodus rotundus on small farms in the municipality of Cedral, State of Maranhão, Brazil. The area was chosen because the highest number of captures in Maranhão was made there around corrals. Official control is accomplished by applying warfarin 2%, a vampiricid gel, on captured bats. In this study, control records of captured hematophagous bats were analyzed, and a questionnaire was applied in the field to identify areas with the highest number of captures. From 2005 to 2010, 223 captures in 101 farms were studied; in 190 of them existed control with application of warfarin 2% gel on the bats.. There was a total of 344 attacked livestock out of 754 exposed animals, mostly cattle (49%), followed by horses (18%), poultry (15%), pigs (9%) and goats (8%). After 6 years, the proportion of captured male and female bats was 1.08 to 1.00, compared to 1.00 to 1.21 in the first year, what demonstrates that the treatment was more effective in females. Within three years, there was control in the number of bats in 95% of the farms, after 1 to 6 captures. The main attacked area of the animal bodies was the neck. Only 57% of the owners vaccinated their livestock. The present study concluded that (1) the control with capture of bats in corrals was effective, (2) but it is prudent to monitor the area during the first 3 months after the end of control, (3) the number of captured bats was similar to the number of recent bites, and (4) D. rotundus could attack any domestic animal, with little predilection for poultry.


Subject(s)
Animals , Animals, Poisonous , Chiroptera , Population Control , Aggression , Cattle
8.
J Dairy Sci ; 96(6): 3414-23, 2013 Jun.
Article in English | MEDLINE | ID: mdl-23548289

ABSTRACT

The objective of the present research was to evaluate commercially available milk powders according to their protein oxidative modifications and antioxidant capacity, and to evaluate if these characteristics are related to physical quality parameters such as dispersibility or stability during storage. Fifteen commercially processed spray-dried milk powders were evaluated: 6 whole milk powders (WMP), 4 skim milk powders (SMP), and 5 infant formula powders (IFP). Protein oxidative status was measured as protein carbonyl (PC) content, dityrosine content, and extent of protein polymerization. The level of PC was slightly lower in SMP than in WMP, whereas IFP had more than twice as much PC as WMP (2.8 ± 0.4, 2.1 ± 0.2, and 6.5 ± 1.3 nmol/mg of protein for WMP, SMP, and IFP, respectively). No differences were detected in dityrosine accumulation. Although all the possible pairs of parameters were tested for correlations, we found that 4 parameters were linked: PC, whey content, protein aggregate level, and dispersibility. After 9 mo of storage at -20°C or room temperature, all milk samples were analyzed to evaluate changes in protein oxidative status (PC, dityrosine, and protein integrity) and related parameters. Compared with the initial condition, PC increased in all tested samples after 9 mo of storage at -20°C or at room temperature. Stored milk powders had increased PC and decreased dispersibility compared with prestorage levels. Our results highlight the importance of protein oxidative status in milk powder and its relationship to other related quality parameters, such as protein integrity and dispersibility. Our findings suggest that the understanding of such relationships could help in developing quality differentiation for different types of milk powders in the product market.


Subject(s)
Food, Preserved/analysis , Milk Proteins/chemistry , Milk/chemistry , Animals , Biphenyl Compounds/chemistry , Food Quality , Humans , Infant , Infant Formula/chemistry , Oxidation-Reduction , Phenols/analysis , Picrates/chemistry , Polymerization , Protein Carbonylation , Tyrosine/analogs & derivatives , Tyrosine/analysis , Tyrosine/chemistry
9.
Int J Paediatr Dent ; 23(2): 138-44, 2013 Mar.
Article in English | MEDLINE | ID: mdl-22512546

ABSTRACT

BACKGROUND: Individual calibration (IC) for caries detection methods based on fluorescence is time-consuming, especially for paediatric dentists, if the calibration has to be performed tooth-by-tooth. However, it is not clear how this calibration actually interfere in laser fluorescence (LF) readings. AIM: This in vivo study was to verify the influence of different modes of IC on laser fluorescence (LF) readings. DESIGN: Ninety six occlusal and 95 buccal surfaces of 1st permanent molars were examined using LF device after IC performed on control (no IC), the examined teeth, a permanent incisor, a 1st primary molar or a 2nd primary molar. All modes of IC were performed in the same child. Wilcoxon test and Bland-Altman analysis were used to compare the readings. Intraclass correlation coefficients (ICC) were calculated. RESULTS: Laser fluorescence readings without prior calibration were higher than readings performed after any mode of IC and resulted in different values of ICC. After other IC modes, the LF readings were statistically similar. CONCLUSION: The absence of IC influences LF readings and LF reproducibility, but different IC methods can be considered in clinical practice.


Subject(s)
Dental Caries/diagnosis , Lasers , Observer Variation , Brazil , Calibration/standards , Child , Child, Preschool , Data Interpretation, Statistical , Fluorescence , Humans , Statistics, Nonparametric , Time Factors
10.
J Sep Sci ; 35(1): 20-8, 2012 Jan.
Article in English | MEDLINE | ID: mdl-22128110

ABSTRACT

Determination of organic acids in intracellular extracts and in the cultivation media of marine microalgae aid investigations about metabolic routes related to assimilation of atmospheric carbon by these organisms, which are known by their role in the carbon dioxide sink. The separation of these acids was investigated by hydrophilic interaction liquid chromatography (HILIC) using isocratic elution with a mobile phase composed of 70:30 v/v acetonitrile/20 mmol/L ammonium acetate buffer (pH 6.8) and detection at 220 nm. HILIC allowed the determinations of glycolic acid, the most important metabolite for the evaluation of the photorespiration process in algae, to be made with better selectivity than that achieved by reversed phase liquid chromatography, but with less detectability. The concentration of glycolic acid was determined in the cultivation media and in intracellular extracts of the algae Tetraselmis gracilis and Phaeodactylum tricornutum submitted to different conditions of aeration: (i) without forced aeration, (ii) aeration with atmospheric air, and (iii) bubbling with N(2). The concentration of glycolic acid had a higher increase as the cultures were aerated with nitrogen, showing higher photorespiratory flux than that occurring in the cultures aerated with atmospheric air.


Subject(s)
Chlorophyta/chemistry , Chlorophyta/metabolism , Chromatography, Liquid/methods , Diatoms/chemistry , Diatoms/metabolism , Glycolates/analysis , Microalgae/chemistry , Microalgae/metabolism , Cell Respiration/radiation effects , Chlorophyta/radiation effects , Diatoms/radiation effects , Glycolates/metabolism , Hydrophobic and Hydrophilic Interactions , Microalgae/radiation effects
11.
BMC Emerg Med ; 8: 15, 2008 Nov 24.
Article in English | MEDLINE | ID: mdl-19025643

ABSTRACT

BACKGROUND: Poisoned patients are often treated in and discharged from pre-hospital health care settings. Studies of poisonings should therefore not only include hospitalized patients. AIMS: To describe the acutely poisoned patients treated by ambulance personnel and in an outpatient clinic; compare patients transferred to a higher treatment level with those discharged without transfer; and study the one-week mortality after pre-hospital discharge. METHODS: A one-year multi-centre study with prospective inclusion of all acutely poisoned patients > or = 16 years of age treated in ambulances, an outpatient clinic, and hospitals in Oslo. RESULTS: A total of 3757 health service contacts from 2997 poisoning episodes were recorded: 1860 were treated in ambulances, of which 15 died and 750 (40%) were discharged without transfer; 956 were treated in outpatient clinic, of which 801 (84%) were discharged without transfer; and 941 episodes were treated in hospitals. Patients discharged alive after ambulance treatment were mainly poisoned by opiates (70%), were frequently comatose (35%), had respiratory depression (37%), and many received naloxone (49%). The majority of the patients discharged from the outpatient clinic were poisoned by ethanol (55%), fewer were comatose (10%), and they rarely had respiratory depression (4%). Among the hospitalized, pharmaceutical poisonings were most common (58%), 23% were comatose, and 7% had respiratory depression. Male patients comprised 69% of the pre-hospital discharges, but only 46% of the hospitalized patients. Except for one patient, who died of a new heroin overdose two days following discharge from an ambulance, there were no deaths during the first week after the poisonings in the 90% of the pre-hospital discharged patients with known identity. CONCLUSION: More than half of the poisoned patients treated in pre-hospital treatment settings were discharged without transfer to higher levels. These poisonings were more often caused by drug and alcohol abuse than in those who were hospitalized, and more than two-thirds were males. Almost half of those discharged from ambulances received an antidote. The pre-hospital treatment of these poisonings appears safe regarding short-term mortality.


Subject(s)
Emergency Medical Services/organization & administration , Poisoning/therapy , Acute Disease , Female , Humans , Incidence , Logistic Models , Male , Norway/epidemiology , Poisoning/mortality , Prospective Studies , Registries , Statistics, Nonparametric , Treatment Outcome
12.
Anal Chim Acta ; 628(2): 123-32, 2008 Nov 03.
Article in English | MEDLINE | ID: mdl-18929000

ABSTRACT

The concept of sequential injection chromatography (SIC) was exploited to automate the fluorimetric determination of amino acids after pre-column derivatization with o-phthaldialdehyde (OPA) in presence of 2-mercaptoethanol (2MCE) using a reverse phase monolithic C(18) stationary phase. The method is low-priced and based on five steps of isocratic elutions. The first step employs the mixture methanol: tetrahydrofuran: 10 mmol L(-1) phosphate buffer (pH 7.2) at the volumetric ratio of 8:1:91; the other steps use methanol: 10 mmol L(-1) phosphate buffer (pH 7.2) at volumetric ratios of 20:80, 35:65, 50:50 and 65:35. At a flow rate of 10 microL s(-1) a 25 mm long-column was able to separate aspartic acid (Asp), glutamic acid (Glu), asparagine (Asn), serine (Ser), glutamine (Gln), glycine (Gly), threonine (Thr), citruline (Ctr), arginine (Arg), alanine (Ala), tyrosine (Tyr), phenylalanine (Phe), ornithine (Orn) and lysine (Lys) with resolution >1.2 as well as methionine (Met) and valine (Val) with resolution of 0.6. Under these conditions isoleucine (Ile) and leucine (Leu) co-eluted. The entire cycle of amino acids derivatization, chromatographic separation and column conditioning at the end of separation lasted 25 min. At a flow rate of 40 microL s(-1) such time was reduced to 10 min at the cost of resolution worsening for the pairs Ctr/Arg and Orn/Lys. The detection limits varied from 0.092 micromol L(-1) for Tyr to 0.51 micromol L(-1) for Orn. The method was successfully applied to the determination of intracellular free amino acids in the green alga Tetraselmis gracilis during a period of seven days of cultivation. Samples spiked with known amounts of amino acids resulted in recoveries between 94 and 112%.


Subject(s)
Amino Acids/isolation & purification , Chlorophyta/chemistry , Chromatography, Liquid/methods , Flow Injection Analysis/methods , Solvents/chemistry , Mercaptoethanol/chemistry , Sensitivity and Specificity , Spectrometry, Fluorescence/methods
13.
Nucl Med Biol ; 33(7): 915-21, 2006 Oct.
Article in English | MEDLINE | ID: mdl-17045172

ABSTRACT

At present, more than 75% of routine nuclear medicine diagnostic procedures use technetium-99m (99mTc). The binding between 99mTc and the drug to obtain the radiopharmaceutical needs a reducing agent, with stannous chloride (SnCl2) being one of the most used. There are controversies about the cytotoxic, genotoxic and mutagenic effects of SnCl2 in the literature. Thus, the approaches below were used to better understand the biological effects of this salt and its association in nuclear medicine kits [methylenediphosphonate (MDP) bone scintigraphy and diethylenetriaminepentaacetic acid (DTPA) kidney and brain scintigraphy]: (i) bacterial inactivation experiments; (ii) agarose gel electrophoresis of supercoiled and linear plasmid DNA and (iii) bacterial transformation assay. The Escherichia coli strains used here were AB1157 (wild type) and BW9091 (xthA mutant). Data obtained showed that both MDP and SnCl2 presented a high toxicity, but this was not observed when they were assayed together in the kit, thereby displaying a mutual protect effect. DTPA salt showed a moderate toxicity, and once more, the DTPA kit provided protection, compared to the SnCl2 effect alone. The results suggest a possible complex formation, either MDP-SnCl2 or DTPA-SnCl2, originating an atoxic compound. On the other hand, SnCl2-induced cell inactivation and the decrease in bacterial transformation generated by DTPA found in XthA mutant strain suggest that the lack of this enzyme could be responsible for the effects observed, being necessary to induce DNA damage repair.


Subject(s)
DNA, Bacterial/drug effects , Escherichia coli/cytology , Escherichia coli/drug effects , Nuclear Medicine/instrumentation , Reagent Kits, Diagnostic , Tin Compounds/administration & dosage , Cell Survival/drug effects , Dose-Response Relationship, Drug , Escherichia coli/genetics , Mutagenicity Tests , Mutation
14.
Pacing Clin Electrophysiol ; 29(2): 135-41, 2006 Feb.
Article in English | MEDLINE | ID: mdl-16492297

ABSTRACT

INTRODUCTION: The cardiovascular system (CVS) is heavily influenced by the autonomic nervous system. Additionally, there is a functional alteration during the various stages of sleep. In nonrapid eye movement (NREM), a state of cardiovascular relaxation occurs during stages three and four. A large amount of rapid ocular movements is concentrated in rapid eye movement (REM) sleep. During this phase, fluctuations in arterial pressure (AP) and heart rate (HR) can be readily noted. Sleep disordered breathing (SDB) has been associated with cardiac rhythm disorders. Recently, cardiac rhythm disorder treatment with pacemaker (PM) highlighted a reduction in abnormal respiratory events during sleep. OBJECTIVE: Comparison of sleep parameters of patients using PM with a sleep rate (SR) algorithm based on its rate-modulated capability during physical activity (Integrity PM with SR function on and off). METHODS: Twenty-two patients (14 women, 8 men), implanted with an Integrity PM (St. Jude Medical Cardiac Rhythm Management Division, Sylmar, CA) with SR function for standard clinical indications, were evaluated utilizing a double-blind protocol. The indication for pacing included sinus node disease (SND), atrium ventricular blockage (AVB), and atrial fibrillation (AF). Following randomization, half of our patients had SR function switched to "on" mode while the other half were on "off" mode. During the first stage of the protocol, all patients underwent two consecutive nights of polysomnographic sleep recordings (PSG). During the first night patients slept in the sleep lab only for adaptation purpose. PSG full recording was carried out in the subsequent night. At a later stage, the programing of SR functions was shifted to "on" or "off" modes. One week later, a third assessment was undertaken. RESULTS: Twelve patients (54%) showed sleep efficiency improvement (total sleeping time/recording time) with PM SR on. This group had the least effective sleep efficiency with PM off, if compared with the others who highlighted no change in this sleep parameter (72 +/- 12 vs 81 +/- 7%, P = 0.01, respectively). This first group displayed a lower latency for REM sleep than the last one (89 +/- 55 vs 174 +/- 107 minutes, P = 0.01, respectively). In 11 (50%) patients, the number per sleep hour of microarousals was reduced when PM SR was switched on. When we compared such findings to the group whose parameters had not changed, we noted that the first set of patients were sleepier (ESE: 9 +/- 4 vs 5 +/- 5, P = 0.04, respectively), and showed more microarousals with PM SR off (20 +/- 14 vs 7 +/- 5 microarousal/hour, P = 0.007). CONCLUSION: In PM patients with sleep-related issues, the SR function activation improved sleep both from a qualitative and quantitative perspective.


Subject(s)
Cardiac Pacing, Artificial/methods , Pacemaker, Artificial , Sleep/physiology , Aged , Algorithms , Blood Pressure/physiology , Double-Blind Method , Female , Heart Rate/physiology , Humans , Male , Middle Aged , Sleep Apnea Syndromes/physiopathology , Statistics, Nonparametric
15.
Mol Cell Biochem ; 280(1-2): 173-9, 2005 Dec.
Article in English | MEDLINE | ID: mdl-16311920

ABSTRACT

Stannous chloride (SnCl2) is a reducing chemical agent used in several man-made products. SnCl2 can generate reactive oxygen species (ROS); therefore, studies have been carried out in order to better understand its damaging action in biological systems. In this work, calf thymus DNA, triphosphate nucleotides and isolated bases were incubated with SnCl2 and the results were analyzed through UV spectrophotometry. The presence of stannous ions altered the absorption spectra of all three isolates. The amount of stannous ions associated to DNA was measured by atomic absorption spectrophotometry. Data showed that more than 40% of the initial SnCl2 concentration was present in the samples. Our results are in accordance with the damaging potential of this salt and present evidence that stannous ions can complex with DNA, inducing ROS in its vicinity, which may be responsible for the observed lesions.


Subject(s)
DNA Damage/drug effects , DNA/chemistry , DNA/drug effects , Nucleotides/metabolism , Tin Compounds/pharmacology , Animals , Cattle , DNA/metabolism , Spectrophotometry, Atomic , Spectrophotometry, Ultraviolet , Ultraviolet Rays
16.
J Ethnopharmacol ; 102(2): 197-201, 2005 Nov 14.
Article in English | MEDLINE | ID: mdl-16054315

ABSTRACT

Aloe vera is a tropical plant, known in Brazil as babosa and several reputable suppliers produce a stabilized aloe gel for topic use. Since people use Aloe vera topically, they could be exposed to solar ultraviolet light in addition and it might cause a cross damage effect between these agents. The aim of this work was to investigate the biological effects of Aloe vera pulp extract, associated or not to UVA radiation, on Escherichia coli-deficient repair mutants and plasmid DNA, in order to test its genotoxic potential. Data obtained from analysis of survival fractions, bacterial transformation and agarose gel electrophoresis suggest that Aloe vera has genotoxic properties, but it seems not to be able to damage the cell membrane.


Subject(s)
Aloe/toxicity , DNA Damage , Escherichia coli/drug effects , Plasmids/drug effects , Escherichia coli/genetics , Transformation, Bacterial/drug effects , Ultraviolet Rays
17.
Cell Mol Biol (Noisy-le-grand) ; 48(5): 517-20, 2002 Jul.
Article in English | MEDLINE | ID: mdl-12146706

ABSTRACT

The use of natural products as medicines is growing in the world. The rutin, a compound isolated from Ruta graveolens, is a flavonoid, which has been suggested to have antioxidant properties and to reduce the triacylglycerol levels. In this study, plasmid desoxyribonucleic acid (DNA) was exposed to rutin (0.33, 10, 20, 30 microg/ml) in presence of stannous chloride (SnCl2), a reducing agent widely used to obtain radiopharmaceuticals labeled with technetium-99m. Samples of the plasmid DNA were analyzed through agarose gel electrophoresis. E. coli AB1157 culture was also incubated with rutin (3, 30, 50, 100 microg/ml) and the survival fractions were calculated. The results show that the rutin, in these concentrations, is not capable of: i/ damaging the DNA, ii/ protecting the DNA from the SnCl2 redox action, and iii/ inactivating the E. coli AB1157 culture. The analysis of our data indicates that rutin do not present toxic activity in the evaluated systems.


Subject(s)
Escherichia coli/drug effects , Plasmids/drug effects , Rutin/pharmacology , Antioxidants/pharmacology , DNA Damage/drug effects , Electrophoretic Mobility Shift Assay , Escherichia coli/growth & development , Ruta/chemistry , Tin Compounds
18.
Rev. Soc. Bras. Med. Trop ; 34(5): 437-443, set.-out. 2001. ilus, mapas, tab
Article in Portuguese | LILACS, Sec. Est. Saúde SP | ID: lil-316671

ABSTRACT

Atendendo a notificação de encontro, por habitantes da Fazenda Paraíso, área rural do Município de Paulínea, Estado de São Paulo, de um exemplar alado de triatomíneo, procedeu-se a uma investigaçao epidemiológica em que capturaram-se 109 exemplares de triatoma infestans em focos situados em construçoes peridomiciliares. As condiçóes locais favoreciam a colonizaçao por triatomíneos: grande número de construçoes peridomiciliares abandonadas, habitadas por pombos e pardais, fornecedores de farto alimento para os hemípteros. Eliminaram-se os focos por meio de controle mecânico dos ninhos dos pássaros. Borrifaram-se, com inseticida de ação residual todas as unidades domiciliares da regiao. Desde que persistam as condições para a instalacao de focos de triatomíneos nessa localidade, é obrigatória a implementaçao de açoes de vigilancia. Entretanto, os indicadores entomológicos e sorológicos sugerem nao ser preocupante a situaçao atual. Destaca-se aqui a importância da notificação triatomínica para a detecçao de focos de triatomíneos, particularmente os de Triatoma infestans


Subject(s)
Triatoma , Chagas Disease/prevention & control , Epidemiological Monitoring
SELECTION OF CITATIONS
SEARCH DETAIL
...