Validation of the online PREDICT tool in a cohort of early breast cancer in Brazil.

PREDICT is a tool designed to estimate the benefits of adjuvant therapy and the overall survival of women with early breast cancer. The model uses clinical, histological, and immunohistochemical variables. This study aimed to evaluate the model's performance in a Brazilian population. We assessed the discrimination and calibration of the PREDICT model to estimate overall survival (OS) in five and ten years of follow-up in a cohort of 873 women with early breast cancer diagnosed from January 2001 to December 2016. A total of 743 patients had estrogen receptor (ER)-positive and 130 had ER-negative tumors. The area under the receiver operating characteristic (ROC) curve (AUC) for discrimination was 0.72 (95%CI: 0.66-0.78) at five years and 0.67 (95%CI: 0.61-0.72) at ten years for women with ER-positive tumors. The AUC was 0.72 (95%CI: 0.62-0.81) at five years and 0.67 (95%CI: 0.54-0.77) at ten years for women with ER-negative tumors. The predicted survival in ER-positive tumors was 91.0% (95%CI: 90.2-91.6%) at five years and 79.3% (95%CI: 77.7-81.0%) at ten years, and the observed survival 90.7% (95%CI: 88.6-92.9%) and 77.2% (95%CI: 73.4-81.4%), respectively. The predicted survival in ER-negative tumors was 84.5% (95%CI: 82.5-86.6%) at five years and 75.0% (95%CI: 71.6-78.5%) at ten years, and the observed survival 76.3% (95%CI: 69.1-84.3%) and 67.9% (95%CI: 58.6-78.6%), respectively. In conclusion, PREDICT was accurate to estimate OS in women with ER-positive tumors and overestimated the OS in women with ER-negative tumors.

Validation of the online PREDICT tool in a cohort of early breast cancer in Brazil

PREDICT is a tool designed to estimate the benefits of adjuvant therapy and the overall survival of women with early breast cancer. The model uses clinical, histological, and immunohistochemical variables. This study aimed to evaluate the model's performance in a Brazilian population. We assessed the discrimination and calibration of the PREDICT model to estimate overall survival (OS) in five and ten years of follow-up in a cohort of 873 women with early breast cancer diagnosed from January 2001 to December 2016. A total of 743 patients had estrogen receptor (ER)-positive and 130 had ER-negative tumors. The area under the receiver operating characteristic (ROC) curve (AUC) for discrimination was 0.72 (95%CI: 0.66-0.78) at five years and 0.67 (95%CI: 0.61-0.72) at ten years for women with ER-positive tumors. The AUC was 0.72 (95%CI: 0.62-0.81) at five years and 0.67 (95%CI: 0.54-0.77) at ten years for women with ER-negative tumors. The predicted survival in ER-positive tumors was 91.0% (95%CI: 90.2-91.6%) at five years and 79.3% (95%CI: 77.7-81.0%) at ten years, and the observed survival 90.7% (95%CI: 88.6-92.9%) and 77.2% (95%CI: 73.4-81.4%), respectively. The predicted survival in ER-negative tumors was 84.5% (95%CI: 82.5-86.6%) at five years and 75.0% (95%CI: 71.6-78.5%) at ten years, and the observed survival 76.3% (95%CI: 69.1-84.3%) and 67.9% (95%CI: 58.6-78.6%), respectively. In conclusion, PREDICT was accurate to estimate OS in women with ER-positive tumors and overestimated the OS in women with ER-negative tumors.

Socio-epidemiological characterisation of blood donors with asymptomatic Leishmania infantum infection from three Brazilian endemic regions and analysis of the transfusional transmission risk of visceral leishmaniasis.

OBJECTIVES: This study assessed the prevalence of visceral leishmaniasis in blood donors from three endemic regions in Brazil and evaluated the risk of transmission by transfusion. BACKGROUND: Despite strong evidence of the transmission of visceral leishmaniasis through blood transfusion, the real risk, an essential condition for taking effective measures to control this serious disease, has not been determined. METHODS: A multicentre study was performed in highly endemic areas. Candidates eligible for their first blood donation underwent a socio-epidemiological interview, and blood samples were collected for enzyme-linked immunosorbent assay (ELISA) analysis, Western blot and polymerase chain reaction (PCR). Patients transfused with red blood cells or random platelet concentrates collected from these donors were also studied. The results were analysed using descriptive statistics and prevalence estimates, with significance defined as p-values <0·05. RESULTS: Of the 608 eligible donors, 37 (6·1%) were positive for visceral leishmaniasis as per ELISA. The socio-epidemiological analysis showed a significantly higher prevalence in non-Caucasians (p = 0·008). Among 296 patients who received blood components from these donors, the pre-transfusion seropositivity was 7·7%, and 13 patients received blood positive for Leishmania infantum. Six patients were followed up for 90 days, of which two (33·3%) had serological conversion at 60 days. CONCLUSIONS: The results confirm the high prevalence of L. infantum seropositivity among donors in the three regions; the seroconversion in a short period of time in two of six patients suggests the possibility of transmission of the infection by transfusion.

Inflammatory biomarkers responses after acute whole body vibration in fibromyalgia.

The aims of this study were 1) to characterize the intensity of the vibration stimulation in women diagnosed with fibromyalgia (FM) compared to a control group of healthy women (HW) matched by age and anthropometric parameters, and 2) to investigate the effect of a single session of whole body vibration (WBV) on inflammatory responses. Levels of adipokines, soluble tumor necrosis factor receptors (sTNFr1, sTNFr2), and brain-derived neurotrophic factor (BDNF) were determined by enzyme-linked immunosorbent assay. Oxygen consumption (VO2) was estimated by a portable gas analysis system, heart rate (HR) was measured using a HR monitor, and perceived exertion (RPE) was evaluated using the Borg scale of perceived exertion. Acutely mild WBV increased VO2 and HR similarly in both groups. There was an interaction (disease vs vibration) in RPE (P=0.0078), showing a higher RPE in FM compared to HW at rest, which further increased in FM after acute WBV, whereas it remained unchanged in HW. In addition, there was an interaction (disease vs vibration) in plasma levels of adiponectin (P=0.0001), sTNFR1 (P=0.000001), sTNFR2 (P=0.0052), leptin (P=0.0007), resistin (P=0.0166), and BDNF (P=0.0179). In conclusion, a single acute session of mild and short WBV can improve the inflammatory status in patients with FM, reaching values close to those of matched HW at their basal status. The neuroendocrine mechanism seems to be an exercise-induced modulation towards greater adaptation to stress response in these patients.

Evaluation of textile dye degradation due to the combined action of enzyme horseradish peroxidase and hydrogen peroxide.

The kinetic parameters of the oxidant action of the combination of enzyme horseradish peroxidase (HRP) with hydrogen peroxide in the degradation of methylene blue dye were investigated. Twenty-one percent of color removal was obtained at pH 5.0 and temperature of 30 °C. Under these conditions, the kinetic parameters K m and V max of enzymatic reactions were determined for hydrogen peroxide in the absence of methylene blue dye (K m = 17.3 mM; V max = 1.97 mM/min) and in the presence of methylene blue dye (K m = 0.27 mM, V max = 0.29 µM/min). By means of analysis of phosphorescence, the presence of reactive oxygen species was detected in the form of singlet oxygen through the redox reaction between HRP and hydrogen peroxide. The existence of this reactive species is directly dependent on the concentration of hydrogen peroxide in the aqueous solution.

Chemical composition and antibacterial activity of Brazilian propolis essential oil

The present study aimed at investigating the chemical composition of essential oil extracted from Brazilian propolis and the susceptibility of Staphylococcus aureus, Staphylococcus epidermides, Streptococcus pyogenes and Escherichia coli to this substance. The essential oil was obtained by steam distillation of propolis and examined by gas chromatography/mass spectrometry (GC/MS). In addition, the agar diffusion method using filter paper disks was employed. Antibacterial activity was measured as equivalent diameters of inhibition zones (in millimeters) after incubation at 37ºC for 24 hours. From the 26 identified constituents, Beta-caryophyllene (12.7 percent), acetophenone (12.3 percent) and Beta-farnesene (9.2 percent) were found to be major components. New components, namely linalool, methyl hydrocinnamate, ethyl hydrocinnamate, alfa-ylangene, gama-elemene and valencene, are reported for the first time to be present in propolis essential oil. This oil also exhibited antibacterial activity.

The first report in Brazil of severe infection caused by community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA)

Community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) is an emergent pathogen in Brazil. However, there are no data on the prevalence of CA-MRSA. We report here the first well-characterized case of severe life-threatening CA-MRSA infection in a child living in Rio de Janeiro city. The patient had many complications including hematogenous osteomyelitis and involvement of multiple sites requiring drainage of soft-tissue abscess, and pleural and pericardial empyema. The MRSA isolates recovered were genotyped using PFGE, SCCmec typing and multilocus sequence typing. Disk diffusion tests were performed following Clinical and Laboratory Standards Institute recommendations. In addition, the presence of Panton-Valentine leukocidin (PVL) was assessed by PCR amplification, using specific primers for lukF-pv (encoding for the F subunit of the PVL). The bacterial isolates were related to the ST30-SCCmecIV lineage (Oceania Southwest Pacific clone), a PVL producer CA-MRSA previously detected in Porto Alegre, RS, Brazil. Also, the isolates analyzed were susceptible to all non-â-lactam antibiotics tested. The present report demonstrates that disseminated CA-MRSA disease is also occurring in Rio de Janeiro. Thus, the empirical treatment of moderate or severe infections suspected of being associated with CA-MRSA needs to be reviewed in order to allow prompt initiation of an effective therapy that also covers these microorganisms.

The first report in Brazil of severe infection caused by community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA).

Community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) is an emergent pathogen in Brazil. However, there are no data on the prevalence of CA-MRSA. We report here the first well-characterized case of severe life-threatening CA-MRSA infection in a child living in Rio de Janeiro city. The patient had many complications including hematogenous osteomyelitis and involvement of multiple sites requiring drainage of soft-tissue abscess, and pleural and pericardial empyema. The MRSA isolates recovered were genotyped using PFGE, SCCmec typing and multilocus sequence typing. Disk diffusion tests were performed following Clinical and Laboratory Standards Institute recommendations. In addition, the presence of Panton-Valentine leukocidin (PVL) was assessed by PCR amplification, using specific primers for lukF-pv (encoding for the F subunit of the PVL). The bacterial isolates were related to the ST30-SCCmecIV lineage (Oceania Southwest Pacific clone), a PVL producer CA-MRSA previously detected in Porto Alegre, RS, Brazil. Also, the isolates analyzed were susceptible to all non-beta-lactam antibiotics tested. The present report demonstrates that disseminated CA-MRSA disease is also occurring in Rio de Janeiro. Thus, the empirical treatment of moderate or severe infections suspected of being associated with CA-MRSA needs to be reviewed in order to allow prompt initiation of an effective therapy that also covers these microorganisms.

Biofilm formation and prevalence of lukF-pv, seb, sec and tst genes among hospital- and community-acquired isolates of some international methicillin-resistant Staphylococcus aureus lineages.

Methicillin-resistant Staphylococcus aureus (MRSA) is an important nosocomial agent of biopolymer-associated infections, and isolates of S. aureus can produce different virulence factors, including potent toxins. The biofilm formation and accumulation by certain international MRSA lineages were analysed, and the toxic shock syndrome-associated genes (tst, seb and sec) among these isolates were assessed. In addition, the presence of lukF-pv (encoding the F-subunit of Panton-Valentine leukocidin (PVL)) was investigated. Most of the MRSA isolates tested were capable of forming biofilm on polystyrene surfaces, but lacked the superantigen toxin genes that were tested. PVL was rarely detected among the hospital isolates analysed.

Influence of experimental variables on decoloration of azo reactive dyes by hydrogen peroxide and UV radiation.

This paper was intended to study decoloration of azo C.I. Reactive Red 243 under UV radiation in the presence of hydrogen peroxide. The H2O2/UV oxidation process is a feasible and effective alternative in the treatment of effluents that contain such recalcitrant substances as reactive dyes. A statistical factorial design at 2n was used to evaluate how the variables pH (3 and 11), H2O2 concentration (5 and 20 mM), urea concentration (5 and 15 g l(-1)), and NaCl concentration (2.5 and 3.5 g l(-1)) affected the decoloration process efficiency. The results were expressed as percent colour removal from the solution by using absorbance measurements. The H2O2/UV process proved to be effective in degrading reactive dyes, with approximately 99% colour removal being achieved under specific conditions. Hydrogen peroxide concentration had a positive effect and influenced a great deal. Sodium chloride (NaCl) concentration presented a negative effect on the experiments in which it reduced the percent colour removal from the reactive dye solutions. Solution pH and urea concentration did not present any significant effect on the decoloration process.

The Oswaldo Cruz Institute and its relationship with other biomedical research centers in São Paulo.

This paper deals with the relationships between the Oswaldo Cruz Institute, a biomedical institution which was founded in Rio de Janeiro (Brazil) in the beginning of the 20th century, and other similar institutions founded in São Paulo during the same period, especially the Butantan and the Biological Institutes. The analysis comprehends the three first decades of the 20th century. The paper starts with a comparative presentation of the trajectory of these three institutions, showing the reasons which determined the great influence the Oswaldo Cruz Institute exerted on the other two. Then, it analyses these influences, principally on the basis of the interchange of researchers among the institutions. It concludes by showing that, due to the institutions' greater professionalization, these influences were increasingly turned into integration.

Attending to the non-preferred hand improves bimanual coordination in children.

The effect of attentional focus in bimanual coordination was investigated from a developmental perspective by examining performance of right- and left-handed children, 5-8-years and 9-12-years old, on bimanual reciprocal tapping tasks. Attentional focus was either specified, by asking the children to attend to the preferred or to the non-preferred hand, or unspecified for the execution of the tasks. When attention was oriented to the non-preferred hand we found a reduced movement time and a lower frequency of errors. Performance differences for handedness and age-groups were observed when the children were oriented to attend to the preferred hand or when there was no instruction regarding attention. These differences in performance were eliminated when attention was oriented to the non-preferred hand.

Avaliação da atividade IMAO e antibacteriana de extratos de Mikania glomerata Sprengel

Neste trabalho avaliou-se a atividade antibacteriana e IMAO de extratos de diferentes polaridades de Mikania glomerata. A atividade antibacteriana foi medida frente à cepa multiresistente de Staphylococus aureus PI57, através das técnicas de bioautografia e antibiograma. A atividade IMAO foi medida utilizando uma suspensão de mitocôndrias. Mikania glomerata mostrou conter no extrato hexânico substâncias antimicrobianas. Os extratos hexânico e CH2Cl2 foram ativos frente à MAO-B, sem apresentarem atividade de inibição da MAO-A, enquanto o extrato metanólico apresentou atividade de inibição da MAO-A e MAO-B, sem seletividade.

Antibacterial and IMAO inhibition activities of different polarities extracts of Mikania glomerata were evaluated. The antibacterial activity was assayed against a multiresistant strain of Staphyllococus aureus PI57. The IMAO activity was measured with a suspension of mitochondrion. In the hexanic extract of Mikania glomerata substances with antibacterial activity were detected. Hexanic and CH2Cl2 extracts showed MAO-B inhibition activity while MAO-A inhibition activity was not detected. The methanolic extract showed non-selective inhibition activity of MAO-A and MAO-B.

Otimização do processo de extração de própolis através da verificação da atividade antimicrobiana

A própolis, também conhecida como "cola de abelhas" possui atividade antimicrobiana, antiinflamatória, anestésica e imunoestimulante. Amostras de diferentes origens geográficas podem apresentar composição química bem diferente, porém continuam sendo responsáveis por atividade antibacteriana, inclusive contra cepas multirresistentes de Staphylococcus aureus. Este trabalho teve por objetivo otimizar o processo de extração visando determinar a melhor alcoolatura para a obtenção de tinturas de própolis com maior atividade antimicrobiana. Amostras de própolis foram extraídas com diferentes misturas hidroalcoólicas, variando o teor de etanol entre 90 por cento a água pura, obtendo assim 11 tinturas diferentes. Todas as tinturas foram aplicadas em discos de papel, secos e colocados sobre a superfície de placas contendo ágar inoculado com cepa multirresistente de S. aureus. As placas foram incubadas e avaliadas no dia seguinte quanto à presença de halos de inibição. Os melhores resultados foram obtidos com extratos contendo 50 a 90 por cento de etanol. O trabalho sugere a utilização da alcoolatura de 70 por cento como a ideal para a obtenção de tinturas de própolis.

Bee glue (propolis) possesses antimicrobial, antiinflammatory, anaesthetic and immunostimulating activities. Propolis composition is extraordinary variable; samples from different geographic origin may posse's entirely different chemical composition. In different propolis samples, various substance combinations are responsible for the antibacterial activity of the bee glue. The aim of the study was to evaluate the best ethanolic extract concentration using Staphylococcus aureus multiresistant. Ethanol extracts from different concentration (10 to 90 percent) were applied on paper disks, dried, and put on the surface of nutrient agar plates with the overlay containing S. aureus. The plates were then incubated and evaluated the next day for the presence of inhibition zones. The best result was verified among 60 to 90 percent of ethanolic extract of propolis. This paper suggests the use of the alcool 70 percent as the ideal for the extration of propolis.

An efficient gene transfer system for hematopoietic cell line using transient and stable vectors.

The hematopoietic system represents an interesting model for gene transfer protocols. Here, we have evaluated the efficiency of a gene transfer system using the polycationic compound SuperFect (Qiagen) and the K562 hematopoietic cell line. Transient and stable vectors carrying the enhanced green fluorescent protein (EGFP) reporter gene were employed. The stable vector was constructed based on Epstein-Barr virus sequences such as EBV oriP (origin of replication) and EBNA (EBV nuclear antigen)-1, both for DNA replication. The transfection efficiency of the viable cells was estimated by flow cytometry at approximately 98% for transient and stable vectors. Transiently transfected cells presented optimal EGFP expression until day 2 when fluorescence started to decrease. In contrast, stable transfectants continuously expressed the marker gene product for 10 weeks in the presence of G418. Our results represent an efficient gene transfer method for K562 hematopoietic cells and may be used as an alternative approach for further gene transfer studies involving hematopoietic cells.

Timing and force components in bilateral transfer of learning.

Bilateral transfer of perceptual and motor components in movement control was investigated through two experiments. In Experiment 1 a simple anticipatory timing task was practiced with either the preferred or the nonpreferred hand. After a short resting interval an additional set of trials was performed with the contralateral hand. In Experiment 2, the same experimental design was used to investigate bilateral transfer of fine force control in a wrist-flexion movement. Analysis of the results showed that bilateral transfer of learning took place for both anticipatory timing and force control, with more noticeable transfer of training for the former. Asymmetry in transfer was found for force control, with significant transfer only in the preferred-to-nonpreferred direction. Transfer of anticipatory timing occurred similarly in both directions. These results indicated anticipatory timing as a powerful component for bilateral transfer, while force control showed to be more dependent on practice with the specific muscular system.

Is there manual asymmetry in movement preparation?

Manual asymmetry in response preparation was investigated in simple and complex movements by using simple reaction-time tasks. The simple movement consisted of lifting the index finger, while in the complex one subjects reversed direction of movement to hit a switch after reaching for and grasping a tennis ball. Analysis showed that performance with either the right or the left hand was equivalent, with longer latencies for reacting on the complex task in comparison to the simple one. These findings indicate similar capabilities of the right and the left cerebral hemispheres to prepare the motor system for action independently of the spatial requirements of movement.

Kinematics of kicking as a function of different sources of constraint on accuracy.

The kinematics of kicking were investigated using five experienced players at soccer. They were required to kick powerfully balls of two sizes under conditions with defined and undefined targets. High-velocity cameras were used for three-dimensional analysis. Analysis indicated that the defined target condition led to lower movement speeds and shorter movement times, while balls' sizes influenced only time after peak velocity.

Emergence of mupirocin resistance in multiresistant Staphylococcus aureus clinical isolates belonging to Brazilian epidemic clone III::B:A.

Mupirocin is a topical antimicrobial agent that has been successfully used to eradicate methicillin-resistant Staphylococcus aureus from the anterior nares and other sites of patients and health care personnel. This report describes the acquisition of a novel mupirocin resistance gene (ileS) by an epidemic MRSA clone that is geographically widespread in Brazil.