Análise fitoquímica e atividade antimicobacteriana de extratos metanólicos de Jacaranda cuspidifolia Mart. (Bignoniaceae) / Phytochemical analysis and antimycobacterial activity of methanol extracts from Jacaranda cuspidifolia Mart. (Bignoniaceae)

Jacaranda cuspidifolia Mart., conhecida popularmente como "caroba", "jacarandá" ou "bolacheira", é utilizada medicinalmente para o tratamento da sífilis e da gonorréia. A atividade antimicobacteriana dessa espécie foi avaliada em ensaios in vitro com os extratos metanólicos das cascas e folhas, segundo o Método Analítico Alamar Blue (MABA). Os valores de concentração inibitória mínima para os extratos metanólicos das cascas e das folhas de J. cuspidifolia foram iguais a CIM = 250 μg mL-1 para ambos os extratos. A análise fitoquímica, por Cromatografia em Camada Delgada de gel de sílica, dos extratos metanólicos das cascas e folhas revelou a presença de taninos, flavonóides, terpenos, cumarinas e esteróides. A análise dos perfis dos extratos metanólicos por Cromatografia Líquida de Alta Eficiência de Fase Reversa registrou a presença de compostos fenólicos derivados do verbascosídeo sugerindo a provável responsabilidade pela ação antimicobacteriana.

Jacaranda cuspidifolia Mart., popularly known as "caroba", "jacaranda" or "bolacheira", is used as medicine for the treatment of syphilis and gonorrhea. The antimycobacterial activity of this species was assessed by means of in vitro assays with methanol extracts of barks and leaves according to the Microplate Alamar Blue Assay (MABA). The minimal inhibitory concentration values for methanol extracts of barks and leaves from J. cuspidifolia were MIC = 250 μg mL-1 for both extracts. Phytochemical analysis, by Thin Layer Chromatography on silica gel, of methanol extracts of barks and leaves revealed the presence of tannins, flavonoids, terpenes, cumarins and steroids. Analysis of the profiles of methanol extracts by High Performance Liquid Chromatography - Reversed Phase recorded the presence of phenolic compounds derivatives of verbascoside, suggesting their probable responsibility for the antimycobacterial action.

Progression rate of ALSFRS-R at time of diagnosis predicts survival time in ALS.

The authors calculated the progression rate (DeltaFS) using the total revised ALS Functional Rating Scale (ALSFRS-R) and symptom duration at diagnosis in 82 Japanese patients with ALS. Survival (death or tracheostomy) differed significantly with the DeltaFS and postdiagnostic period according to log-rank testing, but Cox proportional hazards modeling revealed no strong association between total ALSFRS-R and mortality, suggesting that the DeltaFS provides an additional predictive index beyond ALSFRS-R alone.

[Does mixed venous desaturation during a bed bath indicate cardiopulmonary decompensation in postoperative cardiac patients?].

The bed bath procedure consists of cleansing patients' body, passive position change, changing gown and making a bed. During the procedure, mixed venous desaturation was observed consistently in postoperative cardiac patients. We investigated the cause of the phenomenon in 22 patients undergoing cardiac surgery in their first postoperative day. The patients were breathing oxygen-enriched air via a Venturi mask. Cardiac index (CI), transluminal SvO2, arterial blood gas, Hb, DO2, VO2, FIO2, A-aDO2 and Qp/Qs were measured before and during the bed bath, while the patients were in the supine and left lateral position, respectively. Mean 8.5 +/- 1.5 minutes were required to complete the bed bath. During the bed bath, SvO2 decreased from 71 +/- 7% to 59 +/- 9% (P < 0.001), and returned to the baseline 6.5 +/- 7.4 minutes after the completion of the bed bath. VO2 increased markedly from 128 +/- 27 to 194 +/- 47 ml.min-1.m-2 (P < 0.001), while DO2 increased slightly from 480 +/- 91 to 513 +/- 110 ml.min-1.m-2 (P < 0.05). Among the determinants of DO2, CI increased slightly from 3.3 +/- 0.6 to 3.6 +/- 0.8 l.min-1.m-2, Hb remained unchanged and SaO2 decreased from 98.5 +/- 0.8 to 98.0 +/- 1.1%. FIO2 also decreased, while A-aDO2 and Qp/Qs remained unchanged. There was a negative correlation between VO2 change and SvO2 change, but no correlation between DO2 change and SvO2 change. There was a positive correlation between SaO2 change and SvO2 change, as well as between FIO2 change and SaO2 change. Therefore, the major cause of mixed venous desaturation was not the decreased DO2 or cardiopulmonary decompensation but the increased VO2 due to increased activity of the skeletal muscles. However, the decrease in SaO2 due to markedly increased O2 demand and the limited increase in CI might partially contribute to the marked decline in SvO2 through the limited increase in DO2.