Impact of doula's continuous support on serotonin release in parturients: a pilot randomized clinical trial.

Objective: To evaluate whether the continuous support provided by doulas influences the endogenous release of serotonin in parturients. Methods: This pilot study included 24 primigravidae at term. Of these, 12 women received continuous doula support (Experimental Group), whereas the other 12 received the usual assistance without doula support (Control Group). Blood samples were collected from all the women at the active and expulsion stages of labor and at the fourth period of labor (Greenberg period) for evaluation of their serotonin levels using high-performance liquid chromatography. Results: The average serotonin concentrations in the control and experimental groups were respectively 159.33 and 150.02 ng/mL at the active stage, 179.13 and 162.65 ng/mL at the expulsion stage, and 198.94 and 221.21 ng/mL at the Greenberg period. There were no statistically significant differences in serotonin concentrations between the two groups at the active and expulsion stages of labor. By contrast, within the experimental group, a significant increase in serotonin concentration was observed in the Greenberg period compared with the levels in the active and expulsion stages (p < 0.05). Conclusion: The novelty of this study relies on the ability to correlate the influence of the continuous support offered by doulas with the release of serotonin in parturients, with the results suggesting that the assistance received during labor can modulate the levels of hormone release in the Greenberg period. Brazilian Registry of Clinical Trials: RBR-4zjjm4h.

Consumption of interesterified palm oil leads inflammation of white adipose tissue and triggers metabolic disturbances in mice on a high-fat diet.

Growing obesity is linked to shifts in dietary patterns, particularly the increased intake of ultra-processed high-fat foods. This study aimed to evaluate the effects of interesterified palm oil consumption on glucose homeostasis, adipose tissue remodeling, and hepatic lipogenesis in C57BL/6 mice fed a high-fat diet. Sixty C57BL/6 mice were divided into four groups (n = 15): the control group (C) fed a standard diet (4% soybean oil), the high-fat group (HF) (23.8% lard), the high palm oil fat group (HFP) (23.8% palm oil), and the high interesterified palm fat group (HFI) (23.8% interesterified palm oil) for 8 weeks (all groups received 50% energy from lipids). The HFI group exhibited higher body mass than the HF group (+ 11%, P < 0.05), which was attributed to an increased percentage of fat mass. Plasma concentrations of IL-6, insulin, and HOMA-IR were also elevated in the HFI group. Both the HFP and HFI groups showed hypertrophied adipocytes and pancreatic islets, increased alpha and beta cell masses, hepatic steatosis, low expression of genes related to beta-oxidation, and upregulated lipogenesis. In conclusion, the consumption of interesterified palm oil alters inflammatory and glucose profiles.

Impact of doula's continuous support on serotonin release in parturients: a pilot randomized clinical trial

Abstract Objective: To evaluate whether the continuous support provided by doulas influences the endogenous release of serotonin in parturients. Methods: This pilot study included 24 primigravidae at term. Of these, 12 women received continuous doula support (Experimental Group), whereas the other 12 received the usual assistance without doula support (Control Group). Blood samples were collected from all the women at the active and expulsion stages of labor and at the fourth period of labor (Greenberg period) for evaluation of their serotonin levels using high-performance liquid chromatography. Results: The average serotonin concentrations in the control and experimental groups were respectively 159.33 and 150.02 ng/mL at the active stage, 179.13 and 162.65 ng/mL at the expulsion stage, and 198.94 and 221.21 ng/mL at the Greenberg period. There were no statistically significant differences in serotonin concentrations between the two groups at the active and expulsion stages of labor. By contrast, within the experimental group, a significant increase in serotonin concentration was observed in the Greenberg period compared with the levels in the active and expulsion stages (p < 0.05). Conclusion: The novelty of this study relies on the ability to correlate the influence of the continuous support offered by doulas with the release of serotonin in parturients, with the results suggesting that the assistance received during labor can modulate the levels of hormone release in the Greenberg period. Brazilian Registry of Clinical Trials: RBR-4zjjm4h

The Potential Role of Previous Physical Exercise Program to Reduce Seizure Susceptibility: A Systematic Review and Meta-Analysis of Animal Studies.

Background: Clinical and pre-clinical studies indicate a reduction in seizure frequency as well as a decrease in susceptibility to subsequently evoked seizures after physical exercise programs. In contrast to the influence of exercise after epilepsy previously established, various studies have been conducted attempting to investigate whether physical activity reduces brain susceptibility to seizures or prevents epilepsy. We report a systematic review and meta-analysis of different animal models that addressed the impact of previous physical exercise programs to reduce seizure susceptibility. Methods: We included animal model (rats and mice) studies before brain insult that reported physical exercise programs compared with other interventions (sham, control, or naïve). We excluded studies that investigated animal models after brain insult, associated with supplement nutrition or drugs, that did not address epilepsy or seizure susceptibility, ex vivo studies, in vitro studies, studies in humans, or in silico studies. Electronic searches were performed in the MEDLINE (PubMed), Web of Science (WOS), Scopus, PsycINFO, Scientific Electronic Library Online (SciELO) databases, and gray literature, without restrictions to the year or language of publication. We used SYRCLE's risk of bias tool and CAMARADES checklist for study quality. We performed a synthesis of results for different types of exercise and susceptibility to seizures by random-effects meta-analysis. Results: Fifteen studies were included in the final analysis (543 animals), 13 of them used male animals, and Wistar rats were the most commonly studied species used in the studies (355 animals). The chemoconvulsants used in the selected studies were pentylenetetrazol, penicillin, kainic acid, pilocarpine, and homocysteine. We assessed the impact of study design characteristics and the reporting of mitigations to reduce the risk of bias. We calculated a standardized mean difference effect size for each comparison and performed a random-effects meta-analysis. The meta-analysis included behavioral analysis (latency to seizure onset, n = 6 and intensity of motor signals, n = 3) and electrophysiological analysis (spikes/min, n = 4, and amplitude, n = 6). The overall effect size observed in physical exercise compared to controls for latency to seizure onset was -130.98 [95% CI: -203.47, -58.49] (seconds) and the intensity of motor signals was -0.40 [95% CI: -1.19, 0.40] (on a scale from 0 to 5). The largest effects were observed in electrophysiological analysis for spikes/min with -26.96 [95% CI: -39.56, -14.36], and for spike amplitude (µV) with -282.64 [95% CI: -466.81, -98.47]. Discussion: Limitations of evidence. A higher number of animal models should be employed for analyzing the influence of exerciseon seizure susceptibility. The high heterogeneity in our meta-analysis is attributable to various factors, including the number of animals used in each study and the limited number of similar studies. Interpretation. Studies selected in this systematic review and meta-analysis suggest that previous physical exercise programs can reduce some of the main features related to seizure susceptibility [latency seizure onset, spikes/min, and spike amplitude (µV)] induced by the administration of different chemoconvulsants. Systematic Review Registration: PROSPERO, identifier CRD42021251949; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=251949.

BEWO trophoblast cells and Toxoplasma gondii infection modulate cell death mechanisms in THP-1 monocyte cells by interference in the expression of death receptor and intracellular proteins.

Crosstalk between trophoblast and monocytes is essential for gestational success, and it can be compromised in congenital toxoplasmosis. Cell death is one of the mechanisms involved in the maintenance of pregnancy, and this study aimed to evaluate the role of trophoblast in the modulation of monocyte cell death in the presence or absence of Toxoplasma gondii infection. THP-1 cells were stimulated with supernatants of BeWo cells and then infected or not with T. gondii. The supernatants were collected and analyzed for the secretion of human Fas ligand, and cells were used to determine cell death and apoptosis, cell death receptor, and intracellular proteins expression. Cell death and apoptosis index were higher in uninfected THP-1 cells stimulated with supernatants of BeWo cells; however, apoptosis index was reduced by T. gondii infection. Macrophage migration inhibitory factor (MIF) and transforming growth factor (TGF)-ß1, secreted by BeWo cells, altered the cell death and apoptosis rates in THP-1 cells. In infected THP-1 cells, the expression of Fas/CD95 and secretion of FasL was significantly higher; however, caspase 3 and phosphorylated extracellular-signal-regulated kinase (ERK1/2) were downregulated. Results suggest that soluble factors secreted by BeWo cells induce cell death and apoptosis in THP-1 cells, and Fas/CD95 can be involved in this process. On the other hand, T. gondii interferes in the mechanism of cell death and inhibits THP-1 cell apoptosis, which can be associated with active caspase 3 and phosphorylated ERK1/2. In conclusion, our results showed that human BeWo trophoblast cells and T. gondii infection modulate cell death in human THP-1 monocyte cells.

ERK1/2 phosphorylation and IL-6 production are involved in the differential susceptibility to Toxoplasma gondii infection in three types of human (cyto/ syncytio/ extravillous) trophoblast cells.

During pregnancy, Toxoplasma gondii can triggers serious manifestations and potentially affect the fetal development. In this scenario, differences in susceptibility of trophoblast cells to T. gondii infection might be evaluated in order to establish new therapeutic approaches capable of interfering in the control of fetal infection by T. gondii. This study aimed to evaluate the susceptibility of cytotrophoblast, syncytiotrophoblast and extravillous trophoblast cells to T. gondii infection. Our data demonstrate that HTR-8/SVneo cells (extravillous trophoblast cells) present higher susceptibility to T. gondii infection when compared to syncytiotrophoblast and cytotrophoblast cells, whereas syncytiotrophoblast was the cell type more resistant to the parasite infection. Also, cytotrophoblast and syncytiotrophoblast cells produced significantly more IL-6 than HTR-8/SVneo cells. On the other hand, HTR-8/SVneo cells showed higher ERK1/2 phosphorylation than cytotrophoblast and syncytiotrophoblast cells. ERK1/2 inhibition reduced T. gondii infection and increased IL-6 production in HTR-8/SVneo cells. Thus, it is plausible to conclude that the greater susceptibility of HTR-8/SVneo cells to infection by T. gondii is related to a higher ERK1/2 phosphorylation and lower levels of IL-6 in these cells compared to other cells, suggesting that these mediators may be important to favor the parasite infection in this type of trophoblastic population.

Behavioral parameters and surface temperatures of feed chicken with different leves vitamin E / Parâmetros comportamentais e temperaturas de superfície de frangos alimentados com diferentes níveis de vitamina E

The objective of this study was to evaluate the behavioural parameters and surface temperatures of broilers fed different vitamin E levels. A total of 240 male, day-old Cobb 500® broiler chicks were raised until the seventh day of life, according to the recommendations for the strain, receiving feed with only 50% of vitamin E requirements. At eight days of age, the birds were weighed and standardised, and the treatments distributed in a completely randomised design with four treatments (50, 100, 150 and 200% of vitamin E requirements) and six replicates of ten birds per experimental unit. The variables evaluated were the behavioural parameters of the birds (eating, drinking, idleness and other activities) and the feed intake within 24 hours as well as the maximum and minimum surface temperatures, and thermal amplitudes at the end of each life cycle (21 and 42 days). Vitamin E levels did not influence behavioural parameters or feed intake over 24 hours at 21 and 42 days of age. There was no interaction between vitamin E levels and maximum and minimum temperatures or thermal amplitudes. However, the maximum and minimum temperatures and thermal amplitudes were influenced by the morning and afternoon periods at 21 and 42 days of age. Dietary vitamin E levels did not influence the behavioural patterns of broilers at 21 and 42 days of age.(AU)

Objetivou-se avaliar os parâmetros comportamentais e as temperaturas superficiais de frangos de corte alimentados com diferentes níveis de vitamina E. Um total de 240 pintos de corte machos Cobb 500® de um dia foram criados até o sétimo dia de vida, de acordo com a recomendação da linhagem e recebendo ração com apenas 50% das necessidades de vitamina E. Aos oito dias de idade, as aves foram pesadas e padronizadas e os tratamentos distribuídos em delineamento inteiramente casualizado com quatro tratamentos (50, 100, 150 e 200% das necessidades de vitamina E) e seis repetições de dez aves por unidade experimental. As variáveis avaliadas foram os parâmetros comportamentais das aves (comer, beber, ociosidade e outras atividades) e o consumo de ração em 24 horas, bem como as temperaturas superficiais máximas, mínimas e amplitudes térmicas ao final de cada ciclo de vida (21 e 42 dias). Os níveis de vitamina E não influenciaram os parâmetros comportamentais e o consumo de ração ao longo de 24 horas aos 21 e 42 dias de idade. Não houve interação entre os níveis de vitamina E para temperaturas máximas e mínimas e amplitudes térmicas. Porém, as temperaturas máximas e mínimas e amplitudes térmicas foram influenciadas pelos períodos da manhã e da tarde aos 21 e 42 dias de idade. Os níveis de vitamina E na dieta não influenciaram os padrões de comportamento de frangos de corte aos 21 e 42 dias de idade.(AU)

Performance and meat quality of broilers fed different levels of alpha-tocopherol / Desempenho e qualidade de carne de frangos de corte alimentados com diferentes níveis de alfa-tocoferol

This study aimed to evaluate the performance and meat quality of broilers fed different levels of alpha tocopherol. A total of 240 one-day-old Cobb 500® male broiler chicks were reared until day 7 of life, as recommended by the commercial line, and were fed at only 50% of the alpha-tocopherol requirement. At day 8, the chicks were weighed, homogenized, and allotted in a completely randomized design with four treatments (50, 100, 150, and 200% alpha-tocopherol requirement) and six replicates of ten chickens per experimental unit. Several variables were evaluated: weight gain, feed intake, feed conversion, carcass yield and prime cuts (drumstick, thigh, and breast), edible viscera (heart, liver, gizzard), immune organs (cloacal bursa and spleen), intestine weight and length, abdominal fat, breast meat color (lightness, redness, and yellowness), pH, cooking loss, and shear force of the breast meat. Dietary alpha-tocopherol levels did not influence broiler performance, carcass yield, and prime cuts at 42 days of age. The edible viscera, immune organs, the length of the small intestine, and the abdominal fat, as well as the meat color (lightness, redness, and yellowness), pH, cooking loss, and shear force of the breast meat, were not influenced. However, the small intestine yield increased linearly with increasing levels of alpha-tocopherol. The dietary levels of alpha tocopherol did not influence the performance and meat quality of broilers from 8 to 42 days of age.(AU)

Objetivou-se avaliar o desempenho e a qualidade de carne de frangos de corte alimentados com diferentes níveis de alfa-tocoferol. Foram utilizados 240 pintos de corte, machos, da linhagem Cobb 500®, de um dia de idade, criadas até o sétimo dia de vida, de acordo com a recomendação da linhagem e recebendo ração com apenas 50% da exigência de alfa-tocoferol. Aos oito dias, as aves foram pesadas, homogeneizadas e os tratamentos distribuídos em delineamento inteiramente casualizado, com quatro tratamentos (50, 100, 150 e 200% das exigências de alfa-tocoferol) e seis repetições de dez aves por unidade experimental. As variáveis avaliadas foram o ganho de peso, o consumo de ração, a conversão alimentar, os rendimentos de carcaça e cortes nobres (coxa, sobrecoxa e peito), as vísceras comestíveis (coração, fígado, moela), os órgãos imunes (Bolsa cloacal e Baço), peso e comprimento do intestino delgado, a gordura abdominal, a coloração (luminosidade, vermelho e amarelo), o pH, a perda de peso por cocção e a força de cisalhamento do músculo do peito. Observou-se que os níveis de alfa-tocoferol, não influenciaram as variáveis de desempenho das aves aos 42 dias de idade. Da mesma forma, não influenciaram o rendimento de carcaça e cortes nobres. As vísceras comestíveis, os órgãos imunes, o comprimento do intestino delgado e a gordura abdominal, também não foram influenciadas, assim como, a coloração (luminosidade, vermelho e amarelo), o pH, a perda de peso por cocção e a força de cisalhamento do músculo do peito. Porém, houve efeito linear crescente para o rendimento do intestino delgado. Os níveis de alfa-tocoferol nas dietas, não influenciaram o desempenho e a qualidade de carne de frangos de corte dos 8 aos 42 dias de idade.(AU)

Performance and meat quality of broilers fed different levels of alpha-tocopherol / Desempenho e qualidade de carne de frangos de corte alimentados com diferentes níveis de alfa-tocoferol

This study aimed to evaluate the performance and meat quality of broilers fed different levels of alpha tocopherol. A total of 240 one-day-old Cobb 500® male broiler chicks were reared until day 7 of life, as recommended by the commercial line, and were fed at only 50% of the alpha-tocopherol requirement. At day 8, the chicks were weighed, homogenized, and allotted in a completely randomized design with four treatments (50, 100, 150, and 200% alpha-tocopherol requirement) and six replicates of ten chickens per experimental unit. Several variables were evaluated: weight gain, feed intake, feed conversion, carcass yield and prime cuts (drumstick, thigh, and breast), edible viscera (heart, liver, gizzard), immune organs (cloacal bursa and spleen), intestine weight and length, abdominal fat, breast meat color (lightness, redness, and yellowness), pH, cooking loss, and shear force of the breast meat. Dietary alpha-tocopherol levels did not influence broiler performance, carcass yield, and prime cuts at 42 days of age. The edible viscera, immune organs, the length of the small intestine, and the abdominal fat, as well as the meat color (lightness, redness, and yellowness), pH, cooking loss, and shear force of the breast meat, were not influenced. However, the small intestine yield increased linearly with increasing levels of alpha-tocopherol. The dietary levels of alpha tocopherol did not influence the performance and meat quality of broilers from 8 to 42 days of age.

Objetivou-se avaliar o desempenho e a qualidade de carne de frangos de corte alimentados com diferentes níveis de alfa-tocoferol. Foram utilizados 240 pintos de corte, machos, da linhagem Cobb 500®, de um dia de idade, criadas até o sétimo dia de vida, de acordo com a recomendação da linhagem e recebendo ração com apenas 50% da exigência de alfa-tocoferol. Aos oito dias, as aves foram pesadas, homogeneizadas e os tratamentos distribuídos em delineamento inteiramente casualizado, com quatro tratamentos (50, 100, 150 e 200% das exigências de alfa-tocoferol) e seis repetições de dez aves por unidade experimental. As variáveis avaliadas foram o ganho de peso, o consumo de ração, a conversão alimentar, os rendimentos de carcaça e cortes nobres (coxa, sobrecoxa e peito), as vísceras comestíveis (coração, fígado, moela), os órgãos imunes (Bolsa cloacal e Baço), peso e comprimento do intestino delgado, a gordura abdominal, a coloração (luminosidade, vermelho e amarelo), o pH, a perda de peso por cocção e a força de cisalhamento do músculo do peito. Observou-se que os níveis de alfa-tocoferol, não influenciaram as variáveis de desempenho das aves aos 42 dias de idade. Da mesma forma, não influenciaram o rendimento de carcaça e cortes nobres. As vísceras comestíveis, os órgãos imunes, o comprimento do intestino delgado e a gordura abdominal, também não foram influenciadas, assim como, a coloração (luminosidade, vermelho e amarelo), o pH, a perda de peso por cocção e a força de cisalhamento do músculo do peito. Porém, houve efeito linear crescente para o rendimento do intestino delgado. Os níveis de alfa-tocoferol nas dietas, não influenciaram o desempenho e a qualidade de carne de frangos de corte dos 8 aos 42 dias de idade.

Intervention bimanual stimulates the abilities in infants with asymmetry / A intervenção bimanual estimula as habilidades em bebês com assimetria

Abstract Introduction: The cerebral palsy and brachial plexus injury may cause asymmetry in the use of the upper limbs (UL). This condition requires early treatment to reduce the impact of the child's life; therefore, several proposed interventions aim to increase their functional independence. The Constraint-Induced Movement Therapy (CIMT) and Hand-Arm Bimanual Intensive Therapy (HABIT) have been widely considered effective interventions to improve hand function. Objective: Investigate the effects of an intervention protocol based on the CIMT and HABIT theoretical foundations in the stimulation of manual function in infants with the UL asymmetry. Methods: Five infants (6-24 months) participated in the study. To evaluate the motor function of infants we used Pediatric Motor Activity Log (PMAL-R) and Manual Function Evaluation (AMIGO), and to assess the caregiver's perception of the participation of the infant in daily tasks, we used the Pediatric Disability Assessment Inventory (PEDI). All evaluations occurred before, immediately after the intervention, and after four months for follow-up recording, and were analyzed descriptively by Jacobson- Truax method. Results: The results between evaluation and reevaluation demonstrated evolution in all aspects studied. In the PEDI self-care session, an average of 38.6 (±8.4) - 44.2 (±7.4); PEDI Mobility: 28.8 (±20.3) - 36.28 (±21.7); PEDI Social Function: 40.1 (±10.2) - 42.3 (±8.9). The PMAL-R quantity and quality results evidence a highly positive clinical significance in all infants. Conclusion: The application of the modified restriction intervention protocol resulted in reliable and clinically significant changes in all cases.

Resumo Introdução: A paralisia cerebral e a lesão do plexo braquial podem causar assimetria no uso dos membros superiores (MS). Esta condição requer tratamento precoce para reduzir o impacto na vida do indivíduo, portanto várias intervenções têm sido propostas com o objetivo final de aumentar sua independência funcional. A terapia de movimento induzido por restrição (CIMT) e a terapia intensiva bimanual de mão-braço (HABIT) têm sido amplamente eficazes para aumentar a função da mão. Objetivo: Investigar os efeitos de um protocolo de intervenção beseado nos fundamentos teóricos da CIMT e do HABIT, na estimulação da função manual em bebês com assimetria de MS. Métodos: Cinco crianças (6-24 meses) participaram do estudo. Para avaliar a função motora dos lactentes foram utilizados o Pediatric Motor Activity Log (PMAL) e a Avaliação de Função Manual (AMIGO); o Pediatric Disability Assessment Inventory (PEDI) foi aplicado aos cuidadores, a fim de avaliar sua percepção da participação funcional do lactente nas tarefas diárias. Todas as avaliações ocorreram antes, imediatamente após a intervenção e após quatro meses para registro de acompanhamento. Os dados foram analisados descritivamente pelo método de Jacobson-Truax. Resultados: Os resultados entre avaliação e reavaliação demonstraram evolução em todos os aspectos estudados. Na sessão de autocuidado do PEDI, a média de 38,6 (±8,4) foi para 44,2 (±7,4); PEDI - Mobilidade: de 28,8 (±20,3) a 36,28 (±21,7); PEDI - Função Social: de 40,1 (±10,2) a 42,3 (±8,9). Os resultados de quantidade e qualidade do PMAL-R evidenciam um significado clínico altamente positivo em todos os bebês. Conclusão: A aplicação do protocolo de intervenção de restrição modificado resultou em alterações confiáveis e clinicamente significativas em todos os casos.

Macrophage migration inhibitory factor (MIF) and pregnancy may impact the balance of intestinal cytokines and the development of intestinal pathology caused by Toxoplasma gondii infection.

Toxoplasma gondii (T. gondii) is an intracellular parasite responsible for causing toxoplasmosis. When infection occurs during pregnancy, it can produce severe congenital infection with ocular and neurologic damage to the infant. From the oral infection parasite reaches the intestine, causing inflammatory response, damage in tissue architecture and systemic dissemination. Macrophage migration inhibition factor (MIF) is a cytokine secreted from both immune and non-immune cells, including gut epithelial cells. MIF is described to promote inflammatory responses, to be associated in colitis pathogenesis and also to play role in maintaining the intestinal barrier. The aim of the present study was to evaluate the influence of the pregnancy and MIF deficiency on T. gondii infection in the intestinal microenvironment and to address how these factors can impact on the intestinal architecture and local cytokine profile. For this purpose, small intestine of pregnant and non-pregnant C57BL/6 MIF deficient mice (MIF-/-) and Wild-type (WT) orally infected with 5 cysts of ME-49 strain of T. gondii were collected on day 8th of infection. Intestines were processed for morphological and morphometric analyses, parasite quantification and for cytokines mensuration. Our results showed that the absence of MIF and pregnancy caused an increase in T. gondii infection index. T. gondii immunolocalization demonstrated that segments preferentially infected with T. gondii were duodenum and ileum. The infection caused a reduction in the size of the intestinal villi, whereas, infection associated with pregnancy caused an increase in villi size due to edema caused by the infection. Also, the goblet cell number was increased in the ileum of MIF-/- mice, when compared to the corresponding WT group. Analyses of cytokine production in the small intestine showed that MIF was up regulated in the gut of pregnant WT mice due to infection. Also, infection provoked an intense Th1 response that was more exacerbated in pregnant MIF-/- mice. We also detected that the Th2/Treg response was more pronounced in MIF-/- mice. Altogether, our results demonstrated that pregnancy and MIF deficiency interferes in the balance of the intestinal cytokines and favors a Th1-immflamatory profile, which in turn, impact in the development of pathology caused by T. gondii infection in the intestinal microenvironment.

Adaptation and preliminary validation of the genetic counseling outcome scale (GCOS-24) in a Brazilian genetic counseling setting.

Health professionals working in services providing genetic counseling need objective instruments to assess genetic counseling outcomes and also to "give a voice" to those using these services. Lack of knowledge regarding such outcomes may directly impact the effectiveness and the potential benefits of counseling, quality of life, health promotion, and empowerment of those receiving counseling. There are very few instruments available for most countries, however there are none in Brazil. In this context, this study aimed to adapt and preliminarily validate the Genetic Counseling Outcome Scale (GCOS-24), a Patient-Reported Outcome Measure (PROM), originally developed in British English. This methodological study recruited 278 individuals attending a medical genetic service at a Brazilian university hospital. We performed the translation, back-translation, semantic validation, pilot study and field study for testing of some psychometric properties. The instrument's internal consistency and test-retest reliability (stability) were assessed using Cronbach's alpha coefficient and Intraclass Correlation Coefficient, respectively. The Brazilian version of the GCOS-24 presented face and content validity, satisfactory internal consistency (Cronbach's α = 0.71), and moderate stability (ICC = 0.52). It was considered reliable, easily understood and relevant to assessing the genetic counseling outcomes for the study participants. Its construct validity still needs to be assessed to verify the instrument's internal structure and its potential use to measure change in empowerment following genetic counseling provided by Brazilian clinical genetics services.

Biogenic Silver Nanoparticles Can Control Toxoplasma gondii Infection in Both Human Trophoblast Cells and Villous Explants.

The combination of sulfadiazine and pyrimethamine plus folinic acid is the conventional treatment for congenital toxoplasmosis. However, this classical treatment presents teratogenic effects and bone marrow suppression. In this sense, new therapeutic strategies are necessary to reduce these effects and improve the control of infection. In this context, biogenic silver nanoparticles (AgNp-Bio) appear as a promising alternative since they have antimicrobial, antiviral, and antiparasitic activity. The purpose of this study to investigate the action of AgNp-Bio in BeWo cells, HTR-8/SVneo cells and villous explants and its effects against Toxoplasma gondii infection. Both cells and villous explants were treated with different concentrations of AgNp-Bio or combination of sulfadiazine + pyrimethamine (SDZ + PYZ) in order to verify the viability. After, cells and villi were infected and treated with AgNp-Bio or SDZ + PYZ in different concentrations to ascertain the parasite proliferation and cytokine production profile. AgNp-Bio treatment did not reduce the cell viability and villous explants. Significant reduction was observed in parasite replication in both cells and villous explants treated with silver nanoparticles and classical treatment. The AgNp-Bio treatment increased of IL-4 and IL-10 by BeWo cells, while HTR8/SVneo cells produced macrophage migration inhibitory factor (MIF) and IL-4. In the presence of T. gondii, the treatment induced high levels of MIF production by BeWo cells and IL-6 by HTR8SV/neo. In villous explants, the AgNp-Bio treatment downregulated production of IL-4, IL-6, and IL-8 after infection. In conclusion, AgNp-Bio can decrease T. gondii infection in trophoblast cells and villous explants. Therefore, this treatment demonstrated the ability to reduce the T. gondii proliferation with induction of inflammatory mediators in the cells and independent of mediators in chorionic villus which we consider the use of AgNp-Bio promising in the treatment of toxoplasmosis in BeWo and HTR8/SVneo cell models and in chorionic villi.

Erratum to "Macrophage migration inhibitory factor (MIF) and pregnancy may impact the balance of intestinal cytokines and the development of intestinal pathology caused by Toxoplasma gondii infection" [Cytokine: X 2 (2020) 100034].

[This corrects the article DOI: 10.1016/j.cytox.2020.100034.].

Purified glycerin in balanced diets for chicken broilers from 8 to 21 days old / Glicerina purificada em dietas balanceadas para frangos de corte dos 8 aos 21 dias de idade

This paper aimed to evaluate the metabolizability, performance and economic viability of purified glycerin inclusion in balanced diets fed to chicken broilers from 8 to 21 days old. Two experiments were conducted. In the first experiment, 100 broilers (14 days old) were distributed in a completely randomized design into two treatments, with five replications of 10 broilers. Treatments consisted of a control diet and a test diet, in which purified glycerin replaced 10% of the control diet. In the second experiment, 200 broilers (8 days old) were distributed in a completely randomized design into four treatments (0, 2, 4 and 6% of purified glycerin inclusion), with five replications of 10 broilers. The weight gain, feed intake, feed conversion, final weight, apparent metabolizable energy (AME), nitrogen-corrected apparent metabolizable energy (AMEn), metabolizability coefficients of dry matter (DMMC), crude protein (CPMC) and gross energy (GEMC), and the cost of feed per kg of broiler produced were evaluated. The AME, AMEn, DMMC, CPMC and GEMC from the purified glycerin were 3790 and 3560 kcal/kg, and 83.72, 71.52 and 86.27%, respectively. The glycerin levels did not affect (p>0.05) any of the performance characteristics (weight gain, feed intake, feed conversion and final weight). The lowest feeding cost and the highest gross margin were obtained for broilers fed with 6% purified glycerin. The inclusion of 6% purified glycerin in balanced diets for broilers from 8 to 21 days old was technically and economically feasible.

Objetivou-se neste trabalho avaliar a metabolizabilidade, o desempenho zootécnico e a viabilidade econômica da inclusão de glicerina purificada, em dietas balanceadas para frangos de corte dos 8 aos 21 dias de idade. Foram realizados dois experimentos, sendo que, no primeiro experimento, foram utilizados 100 pintos de 14 dias de idade, distribuídos em delineamento inteiramente casualizado (DIC), com dois tratamentos, cinco repetições de 10 aves. Os tratamentos consistiram de uma dieta referência e uma dieta teste, na qual a glicerina purificada substituiu 10% da dieta referência. No segundo experimento, foram utilizados 200 pintos de 8 dias de idade, distribuídos em delineamento experimental inteiramente casualizado (DIC), com quatro tratamentos (0, 2, 4 e 6% de inclusão de glicerina purificada) e cinco repetições de 10 aves. Foram determinados o ganho de peso, consumo de ração, conversão alimentar, peso final, energia metabolizável aparente (EMA), energia metabolizável aparente corrigida pelo balanço de nitrogênio (EMAn), os coeficientes de metabolizabilidade da matéria seca (CMMS), proteína bruta (CMPB), energia bruta (CMEB) e o custo da alimentação por kg de frango produzido. A EMA, EMAn e os CMMS, CMPB, CMEB da glicerina purificada obtida foram de 3790, 3560 Kcal/kg e 83,72, 71,52, 86,27%, respectivamente. Observou-se que a inclusão de glicerina purificada não afetou (p>0,05) o desempenho (ganho de peso, consumo de ração, conversão alimentar e peso final). O menor custo com a alimentação e a maior margem bruta foi obtido com os frangos alimentados com 6% de inclusão de glicerina purificada. A inclusão de 6% de glicerina purificada em dietas balanceadas para frangos de corte dos 8 aos 21 dias de idade, mostrou-se técnica e economicamente viável.

Evaluation of the autonomic nervous system by analysis of heart rate variability in the preterm infants.

BACKGROUND: Premature infants may present with damage to the autonomic nervous system (ANS), which may be related to poorer neurological development. Among the techniques used to evaluate the ANS, heart rate variability (HRV) emerged as a simple, non-invasive, and easy to apply tool. The aim of the present study was to analyze and compare HRV in preterm infants at different times of hospitalization in order to verify the possible environmental relationships or clinical evolution with HRV. METHODS: A longitudinal, prospective, and descriptive study with non-probabilistic sampling composed of 25 collections of preterm infants of HRV at two moments: moment I (within 15 days of birth) and moment II (after 45 days post-birth). The Polar V800 heart rate monitor was used with the Polar H10 cardiac transducer to collect HRV, which was collected in the supine position for 15 min. The HRV data were analyzed by the linear method in frequency domain and time domain and by the nonlinear method using Kubios HRV analysis software, version 3.0.2. RESULTS: There was an increase in HRV values at moment II, these being statistically significant in the SD1, ApEn, and SampEn. Data related to increased sympathetic nervous system activity, parasympathetic nervous system activity, and increased index complexity. CONCLUSIONS: The data demonstrate an increase in HRV values in premature infants at moment II, demonstrating a possible development in the maturation of the ANS during hospitalization. TRIAL REGISTRATION: RBR-3x7gz8 retrospectively registered.

Increased Toxoplasma gondii Intracellular Proliferation in Human Extravillous Trophoblast Cells (HTR8/SVneo Line) Is Sequentially Triggered by MIF, ERK1/2, and COX-2.

Macrophage migration inhibitory factor (MIF) is a potent pro-inflammatory cytokine, which mediates the regulation of diverse cellular functions. It is produced by extravillous trophoblastic cells and has been found to be involved in the pathogenesis of diseases caused by some protozoa, including Toxoplasma gondii. Previous studies demonstrated the ability of T. gondii to take advantage of MIF action in human trophoblast cells. However, MIF action in T. gondii-infected extravillous trophoblastic cells (HTR8/SVneo cell line) has not been fully investigated. The present study aimed to investigate the role of MIF in T. gondii-infected HTR8/SVneo cells and verify the intracellular signaling pathways triggered by this cytokine. We found that T. gondii increased MIF production by HTR8/SVneo cells, and by contrast, MIF inhibition, by ISO-1, led to a significant decrease in T. gondii proliferation and CD74 expression in HTR8/SVneo cells. Moreover, in infected HTR8/SVneo cells, the addition of recombinant MIF (rMIF) increased CD44 co-receptor expression, ERK1/2 phosphorylation, COX-2 expression, and IL-8 production, which favored T. gondii proliferation. Our findings indicate that T. gondii can use MIF to modulate important factors in HTR8/SVneo cells, being a possible explanation for the higher susceptibility of extravillous trophoblast cells than other trophoblast cell populations.

Purified glycerin diets for broilers from 8 to 42 days old / Glicerina purificada em dietas para frangos de corte dos 8 aos 42 dias de idade

Here we evaluate the technical viability of including purified glycerin in balanced diets for broilers from 8 to 42 days old. For this, we used 160 8-day-old broiler chickens from the Cobb 500® lineage, distributed in a completely randomized design (CRD) with four treatments (0, 2, 4, and 6% of purified glycerin inclusion) and four replicates of ten birds. We evaluated feed intake, weight gain, feed conversion, final weight, organs biometry (heart, liver, gizzard and small intestine), carcass yield, special cuts yields (thigh, drumstick, and breast), meat color, and protein and fat deposition in the breast muscle. The purified glycerin inclusion levels in diets influenced (p < 0.05) weight gain, feed conversion, and broiler weight at 42 days, with no effect (p > 0.05) on feed intake (FI). Similarly, there was no effect (p > 0.05) on carcass and special cuts yields. The purified glycerin inclusion levels did not influence (p > 0.05) the relative gizzard weight, nor the relative small intestine weight and length. However, the purified glycerin inclusion levels did affect the relative heart and liver weights (p < 0.05). The purified glycerine inclusion levels in diets did not affect (p > 0.05) lightness (L*), redness (a*), yellowness (b*) values, pH, or protein deposition, but did increases (p < 0.05) fat deposition in breast muscle. Based on our findings, we propose that the inclusion of 6% purified glycerin in diets is technically feasible for broilers of 8 to 42 days old.(AU)

Objetivou-se neste trabalho avaliar a viabilidade técnica da inclusão de glicerina purificada em dietas balanceadas para frangos de corte, dos 8 aos 42 dias de idade. Foram utilizados 160 pintos de corte, com 8 dias, da linhagem Cobb 500®, distribuídos em delineamento experimental inteiramente casualizado (DIC), com quatro tratamentos (0, 2, 4 e 6% de inclusão de glicerina purificada) e quatro repetições de dez aves. Foram avaliados o consumo de ração, ganho de peso, conversão alimentar, peso final, biometria dos órgãos (coração, fígado, moela e intestino delgado), rendimento de carcaça, rendimentos de cortes nobres (coxa, sobrecoxa e peito), coloração e a deposição de proteína e deposição de gordura da carne do peito. Os níveis de inclusão de glicerina purificada nas dietas influenciaram (p < 0,05) o ganho de peso, a conversão alimentar e o peso das aves aos 42 dias, não havendo efeito (p > 0,05) sobre o consumo de ração. Da mesma forma, não houve efeito (p > 0,05) sobre os rendimentos de carcaça e cortes nobres. Os níveis de inclusão de glicerina purificada não influenciaram (p > 0,05) os pesos relativos da moela, nem o peso relativo e/ou comprimento do intestino delgado. Entretanto, observou-se efeito (p < 0,05) sobre o peso relativo do coração e fígado. Os níveis de inclusão de glicerina purificada nas dietas não afetaram (p > 0,05) os valores de luminosidade (L*), vermelho (a*), amarelo (b*), pH e a deposição de proteína, mas, aumentou de maneira linear (p < 0,05) a deposição de gordura da carne de peito. A inclusão de até 6% de glicerina purificada nas dietas mostrou-se tecnicamente viável para frangos de corte dos 8 aos 42 dias de idade.(AU)

Cyclooxygenase (COX)-2 Inhibitors Reduce Toxoplasma gondii Infection and Upregulate the Pro-inflammatory Immune Response in Calomys callosus Rodents and Human Monocyte Cell Line.

Toxoplasma gondii is able to infect a wide range of vertebrates, including humans. Studies show that cyclooxygenase-2 (COX-2) is a modulator of immune response in multiple types of infection, such as Trypanosoma cruzi. However, the role of COX-2 during T. gondii infection is still unclear. The aim of this study was to investigate the role of COX-2 during infection by moderately or highly virulent strains of T. gondii in Calomys callosus rodents and human THP-1 cells. C. callosus were infected with 50 cysts of T. gondii (ME49), treated with COX-2 inhibitors (meloxicam or celecoxib) and evaluated to check body weight and morbidity. After 40 days, brain and serum were collected for detection of T. gondii by real-time PCR and immunohistochemistry or cytokines by CBA. Furthermore, peritoneal macrophages or THP-1 cells, infected with RH strain or uninfected, were treated with meloxicam or celecoxib to evaluate the parasite proliferation by colorimetric assay and cytokine production by ELISA. Finally, in order to verify the role of prostaglandin E2 in COX-2 mechanism, THP-1 cells were infected, treated with meloxicam or celecoxib plus PGE2, and analyzed to parasite proliferation and cytokine production. The data showed that body weight and morbidity of the animals changed after infection by T. gondii, under both treatments. Immunohistochemistry and real-time PCR showed a reduction of T. gondii in brains of animals treated with both COX-2 inhibitors. Additionally, it was observed that both COX-2 inhibitors controlled the T. gondii proliferation in peritoneal macrophages and THP-1 cells, and the treatment with PGE2 restored the parasite growth in THP-1 cells blocked to COX-2. In the serum of Calomys, upregulation of pro-inflammatory cytokines was detected, while the supernatants of peritoneal macrophages and THP-1 cells demonstrated significant production of TNF and nitrite, or TNF, nitrite and MIF, respectively, under both COX-2 inhibitors. Finally, PGE2 treatment in THP-1 cells triggered downmodulation of pro-inflammatory mediators and upregulation of IL-8 and IL-10. Thus, COX-2 is an immune mediator involved in the susceptibility to T. gondii regardless of strain or cell types, since inhibition of this enzyme induced control of infection by upregulating important pro-inflammatory mediators against Toxoplasma.