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1.
BMC Cancer ; 24(1): 705, 2024 Jun 08.
Artigo em Inglês | MEDLINE | ID: mdl-38849731

RESUMO

BACKGROUND: Despite recent improvements in cancer detection and survival rates, managing cancer-related pain remains a significant challenge. Compared to neuropathic and inflammatory pain conditions, cancer pain mechanisms are poorly understood, despite pain being one of the most feared symptoms by cancer patients and significantly impairing their quality of life, daily activities, and social interactions. The objective of this work was to select a panel of biomarkers of central pain processing and modulation and assess their ability to predict chronic pain in patients with cancer using predictive artificial intelligence (AI) algorithms. METHODS: We will perform a prospective longitudinal cohort, multicentric study involving 450 patients with a recent cancer diagnosis. These patients will undergo an in-person assessment at three different time points: pretreatment, 6 months, and 12 months after the first visit. All patients will be assessed through demographic and clinical questionnaires and self-report measures, quantitative sensory testing (QST), and electroencephalography (EEG) evaluations. We will select the variables that best predict the future occurrence of pain using a comprehensive approach that includes clinical, psychosocial, and neurophysiological variables. DISCUSSION: This study aimed to provide evidence regarding the links between poor pain modulation mechanisms at precancer treatment in patients who will later develop chronic pain and to clarify the role of treatment modality (modulated by age, sex and type of cancer) on pain. As a final output, we expect to develop a predictive tool based on AI that can contribute to the anticipation of the future occurrence of pain and help in therapeutic decision making.


Assuntos
Dor do Câncer , Dor Crônica , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inteligência Artificial , Biomarcadores , Dor do Câncer/diagnóstico , Dor Crônica/diagnóstico , Dor Crônica/etiologia , Eletroencefalografia , Estudos Longitudinais , Neoplasias/complicações , Medição da Dor/métodos , Estudos Prospectivos , Qualidade de Vida , Estudos Multicêntricos como Assunto
2.
Sci Rep ; 14(1): 7798, 2024 04 02.
Artigo em Inglês | MEDLINE | ID: mdl-38565572

RESUMO

Fibromyalgia (FM) is a widespread chronic pain syndrome, possibly associated with the presence of central dysfunction in descending pain inhibition pathways. Conditioned Pain Modulation (CPM) has been proposed as a biomarker of FM. Nonetheless, the wide variety of methods used to measure CPM has hampered robust conclusions being reached. To clarify the validity of CPM as a biomarker of FM, we tested two CPM paradigms (parallel and sequential) in a sample of 23 female patients and 23 healthy women by applying test (mechanical) stimuli and conditioning (pressure cuff) stimuli. We evaluated whether CPM indices could correctly classify patients and controls, and we also determined the correlations between the indices and clinical variables such as symptomatology, disease impact, depression, quality of life, pain intensity, pain interference, fatigue and numbness. In addition, we compared the clinical status of CPM responders (efficient pain inhibitory mechanism) and non-responders. We observed that only parallel CPM testing correctly classified about 70% of patients with FM. In addition, more than 80% of healthy participants were found to be responders, while the rate was about 50% in the FM patients. The sequential CPM test was not as sensitive, with a decrease of up to 40% in the response rate for both groups. On the other hand, we did not observe any correlation between CPM measures and clinical symptoms. In summary, our findings demonstrate the influence of the CPM paradigm used and confirm that CPM may be a useful marker to complement FM diagnosis. However, the findings also cast doubts on the sensitivity of CPM as a marker of pain severity in FM.


Assuntos
Dor Crônica , Fibromialgia , Humanos , Feminino , Qualidade de Vida , Dor Crônica/diagnóstico , Dor Crônica/complicações , Medição da Dor/métodos , Biomarcadores , Limiar da Dor/fisiologia
4.
Qual Life Res ; 31(8): 2519-2534, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-35229253

RESUMO

PURPOSE: Fibromyalgia (FM) is a chronic pain syndrome with a strong impact on quality of life (QoL). Treatment of this condition remains a challenge, due to the scarce evidence for the effectiveness of the therapeutic approaches available. Current attention is focused on transcranial direct current stimulation (tDCS), which has yielded promising results for pain treatment. Rather than focusing only on pain relief, in this study, we aimed to determine how active or sham tDCS (over three cortical targets -the primary motor cortex, the dorsolateral prefrontal cortex and the operculo-insular cortex-) affect QoL in patients with FM. METHODS: Using a double-blind, placebo-controlled design, we applied fifteen tDCS sessions of 20' to initial 130 participants (randomized to any of the four treatment groups). We evaluated the QoL (assessed by SF-36) and the symptoms' impact (assessed by FIQ-R) in baseline, after treatment and at 6 months follow-up. RESULTS: All groups were comparable as regards age, medication pattern and severity of symptoms before the treatment. We found that QoL and symptoms' impact improved in all treatment groups (including the sham) and this improvement lasted for up to 6 months. However, we did not observe any group effect nor group*treatment interaction. CONCLUSIONS: After the intervention, we observed a non-specific effect that may be due to placebo, favoured by the expectations of tDCS efficacy and psychosocial variables inherent to the intervention (daily relationship with therapists and other patients in the clinic). Therefore, active tDCS is not superior to sham stimulation in improving QoL in FM.


Assuntos
Dor Crônica , Fibromialgia , Estimulação Transcraniana por Corrente Contínua , Dor Crônica/terapia , Método Duplo-Cego , Feminino , Fibromialgia/psicologia , Fibromialgia/terapia , Humanos , Manejo da Dor/métodos , Qualidade de Vida/psicologia , Estimulação Transcraniana por Corrente Contínua/métodos
5.
Sci Rep ; 10(1): 21904, 2020 12 14.
Artigo em Inglês | MEDLINE | ID: mdl-33318554

RESUMO

Fibromyalgia (FM) has been associated to an increased processing of somatosensory stimuli, but its generalization to other sensory modalities is under discussion. To clarify this, we studied auditory event-related potentials (AEPs) to stimuli of different intensity in patients with FM and healthy controls (HCs), considering the effects of attention mechanisms and medication. We performed two experiments: In study 1 (n = 50 FM, 60 HCs), the stimuli were presented randomly within the sequence; in study 2 (n = 28 FM, 30 HCs), they were presented in blocks of the same intensity. We analyzed intensity and group effects on N1-P2 amplitude and, only for the FM group, the effect of medication and the correlation between AEPs and clinical variables. Contrary to the expectation, the patients showed a trend of reduced AEPs to the loudest tones (study 1) or no significant differences with the HCs (study 2). Medication with central effects significantly reduced AEPs, while no significant relationships between the N1-P2 amplitude/intensity function and patients' symptoms were observed. The findings do not provide evidence of augmented auditory processing in FM. Nevertheless, given the observed effect of medication, the role of sensory amplification as an underlying pathophysiological mechanism in fibromyalgia cannot be discarded.


Assuntos
Atenção , Eletroencefalografia , Potenciais Evocados Auditivos , Fibromialgia/fisiopatologia , Estimulação Acústica , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Tempo de Reação
6.
Neuroimage Clin ; 23: 101817, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30999252

RESUMO

OBJECTIVES: Fibromyalgia (FM) is a generalized chronic pain syndrome of unknown aetiology. Although FM patients frequently complain of cognitive dysfunction, this is one of the least studied symptoms. Research on brain activity associated with the perceived cognitive impairment is particularly scarce. To address this gap, we recorded the brain electrical activity in participants during a cognitive control task. METHODS: Electroencephalograms (EEGs) were recorded in 19 FM patients and 22 healthy controls (all women) while they performed the Multi-Source Interference Task (MSIT). We analyzed the amplitude of the frontal N2 and parietal P3 components elicited in control and interference trials and their relation with reaction times. We also explored the relationship of perceived cognitive dysfunction, assessed using visual analogue scales (VAS) and the Memory Failures of Everyday (MFE-30) test, with N2 and P3 amplitudes. RESULTS: The N2 amplitudes were smaller in FM patients than in controls and were negatively associated with cognitive complaints. Unlike patients, healthy controls showed significant differences in the amplitude of P3 obtained from control vs. interference trials of the MSIT. Smaller N2 and P3 amplitudes were associated to longer reaction times. CONCLUSIONS: The findings suggest a reduction in frontal brain activity during performance of an interference task, which was associated with the patients' cognitive complaints. Findings on P3 suggest altered modulation of attention according to the task demands in FM patients. Deficits in flexibility in the allocation of attentional resources and cognitive control during complex tasks may explain the dyscognition reported by chronic pain patients.


Assuntos
Encéfalo/fisiopatologia , Disfunção Cognitiva/fisiopatologia , Função Executiva/fisiologia , Fibromialgia/fisiopatologia , Fibromialgia/psicologia , Adulto , Disfunção Cognitiva/etiologia , Eletroencefalografia , Potenciais Evocados , Feminino , Fibromialgia/complicações , Humanos , Pessoa de Meia-Idade
7.
Biol Psychol ; 143: 85-92, 2019 04.
Artigo em Inglês | MEDLINE | ID: mdl-30807785

RESUMO

To clarify how the modality of stop signals affects the ability to suppress ongoing actions, we compared behavioural indices and event-related potentials (ERPs) recorded in healthy volunteers performing visual and auditory stop-signal tasks. Auditory stop signals were associated with faster reaction times and shorter stop-N2 and stop-P3 latencies. Given that the tasks did not differ in attentional/arousal processes (go-P3 or stop-P3 amplitudes) or motor preparation (LRP amplitude, onset or latency), our results suggest that stop signal modality mainly affects bottom-up sensory processes (faster auditory processing). The ERP waveform obtained by subtracting successfully stopped from unsuccessfully stopped trials showed similar amplitude and topography in both tasks, indicating that the strength of top-down processes related to inhibition was independent of modality. The findings contribute further knowledge about the variables associated with efficient inhibition and have practical implications for the design of settings or interventions to improve reactive inhibition.


Assuntos
Atenção/fisiologia , Potenciais Evocados/fisiologia , Inibição Psicológica , Análise e Desempenho de Tarefas , Adulto , Análise de Variância , Encéfalo/fisiologia , Cognição/fisiologia , Eletroencefalografia/métodos , Feminino , Voluntários Saudáveis , Humanos , Masculino , Tempo de Reação/fisiologia , Adulto Jovem
8.
Front Behav Neurosci ; 12: 323, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30670955

RESUMO

Fibromyalgia (FM) is a generalized chronic pain condition associated with a variety of symptoms, including altered cognitive and emotional processing. It has been proposed that FM patients show a preferential allocation of attention to information related to the symptoms of the disease, particularly to pain cues. However, the existing literature does not provide conclusive evidence on the presence of this attentional bias, and its effect on cognitive functions such as inhibitory control. To clarify this issue, we recorded the electroencephalographic activity of 31 women diagnosed with FM and 28 healthy women, while performing an emotional Go/NoGo task with micro-videos of pain, happy, and neutral facial expressions. We analyzed behavioral data, performed EEG time-frequency analyses, and obtained the event-related potentials (ERPs) N2 and P3 components in NoGo trials. A series of self-reports was also administered to evaluate catastrophic thinking and the main symptoms of fibromyalgia. Pain expressions were associated with longer reaction times and more errors, as well as with higher theta and delta power, and P3 amplitude to NoGo stimuli. Thus, behavioral and psychophysiological data suggest that increased attention to pain expressions impairs the performance of an inhibitory task, although this effect was similar in FM patients and healthy controls. N2 amplitude was modulated by type of facial expression (larger to pain faces), but only for the control group. This finding suggests that the presentation of pain faces might represent a smaller conflict for the patients, more used to encounter pain stimuli. No main group effects were found significant for N2 or P3 amplitudes, nor for time-frequency data. Using stimuli with greater ecological validity than in previous studies, we could not confirm a greater effect of attentional bias toward negative stimuli over inhibitory performance in patients with FM. Studying these effects allow us to better understand the mechanisms that maintain pain and develop intervention strategies to modify them.

9.
Sci Rep ; 7(1): 5841, 2017 07 19.
Artigo em Inglês | MEDLINE | ID: mdl-28724985

RESUMO

Fibromyalgia (FM) and other chronic pain syndromes are associated with cognitive dysfunction and attentional deficits, but the neural basis of such alterations is poorly understood. Dyscognition may be related to high levels of neural noise, understood as increased random electrical fluctuations that impair neural communication; however, this hypothesis has not yet been tested in any chronic pain condition. Here we compared electroencephalographic activity (EEG) in 18 FM patients -with high self-reported levels of cognitive dysfunction- and 22 controls during a cognitive control task. We considered the slope of the Power Spectrum Density (PSD) as an indicator of neural noise. As the PSD slope is flatter in noisier systems, we expected to see shallower slopes in the EEG of FM patients. Higher levels of neural noise should be accompanied by reduced power modulation and reduced synchronization between distant brain locations after stimulus presentation. As expected, FM patients showed flatter PSD slopes. After applying a Laplacian spatial filter, we found reduced theta and alpha power modulation and reduced midfrontal-posterior theta phase synchronization. Results suggest higher neural noise and impaired local and distant neural coordination in the patients and support the neural noise hypothesis to explain dyscognition in FM.


Assuntos
Encéfalo/fisiopatologia , Cognição/fisiologia , Sincronização Cortical/fisiologia , Fibromialgia/fisiopatologia , Adulto , Comportamento , Eletrodos , Humanos , Rede Nervosa/fisiopatologia , Tempo de Reação , Análise e Desempenho de Tarefas , Fatores de Tempo
10.
Eur J Pain ; 19(4): 576-84, 2015 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-25430500

RESUMO

BACKGROUND: It has been suggested that fibromyalgia (FM) patients show increased sensory processing of nociceptive and non-nociceptive stimuli and also reduced habituation. Although this pattern of increased reactivity has been established for the somatosensory modality, its generalization to other sensory modalities remains controversial. METHODS: Auditory evoked potentials were obtained using a paired-stimuli paradigm from a sample of 52 FM female patients and 55 healthy women matched for age and socio-economic status. Sensory gating of the P50 component, as indicated by P50 suppression rates to the second identical stimuli, was analysed in relation to clinical indices of FM, including algometry of tender points and a number of self-reported questionnaires. RESULTS: Sensory gating mechanisms in FM patients proved to be normal, robust and as efficient as those recorded in control subjects. There was no correlation between P50 suppression rates and indices of clinical or experimental (threshold or tolerance) pain. In addition, P50 sensory gating was not related to the other main symptoms of FM, including fatigue, sleep dysfunction or co-morbid depression, nor to hypersensitivity to noise or headache. CONCLUSIONS: The results indicate that FM patients do not present significant deficits in early sensory gating when processing auditory stimuli, and therefore challenge the 'generalized hypersensitivity' hypothesis of FM.


Assuntos
Estimulação Acústica , Potenciais Evocados Auditivos/fisiologia , Fibromialgia/fisiopatologia , Filtro Sensorial/fisiologia , Estimulação Acústica/métodos , Adulto , Eletroencefalografia/métodos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Tempo de Reação/fisiologia , Adulto Jovem
11.
Rheumatol Int ; 35(1): 141-51, 2015 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-24952419

RESUMO

(1) To assess the degree of convergence between the 1990 and 2010 American College of Rheumatology (ACR) diagnostic criteria; (2) To evaluate the validity and reliability of the 2010 ACR criteria; (3) To validate the Spanish version of the Fibromyalgia Survey Questionnaire (FSQ); and (4) To assess the utility of the FSQ to differentiate fibromyalgia (FM) subgroups by disease severity. In the first study, agreement between the 1990 and 2010 ACR criteria for FM diagnosis was analyzed in a sample of 80 FM patients and 59 healthy controls. Algometry (mean threshold and tender points count) and the 2010 ACR indices [Symptom Severity Scale (SSS), Widespread Index (WPI) and Polysymptomatic Distress Scale (PSD)] were correlated with the key symptoms of FM and with indices of disease interference and quality of life. In a second study, we evaluated the validity and internal consistency of the Spanish version of the FSQ, as well as its ability to discriminate between groups of FM patients with low and high symptom severity. There is good agreement between the 1990 and 2010 ACR criteria for FM diagnosis. The 2010 ACR indices (SSS, WPI and PSD) demonstrated very adequate construct validity and appeared to be useful in the assessment of disease severity and global impact of FM. The FSQ had good internal consistency and validity and showed 100 % concordance with 2010 ACR criteria applied by a clinician. In addition, the FSQ proved to be useful in differentiating FM severity subgroups.


Assuntos
Fibromialgia/diagnóstico , Qualidade de Vida , Inquéritos e Questionários , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Medição da Dor , Reprodutibilidade dos Testes , Índice de Gravidade de Doença , Traduções , Adulto Jovem
12.
Vet Rec ; 174(19): 478, 2014 May 10.
Artigo em Inglês | MEDLINE | ID: mdl-24622508

RESUMO

The objective of this study was to describe and compare the efficacy and duration of topical anaesthesia induced by 2 per cent lidocaine (L), 0.5 per cent bupivacaine (B) and 1 per cent ropivacaine (R) in the dog using 24 clinically healthy beagles with normal ocular examination. Dogs were randomly divided into three groups: 2 per cent lidocaine (n=8), 0.5 per cent bupivacaine (n=8) and 1 per cent ropivacaine (n=8). The baseline corneal touch threshold (CTT) was measured using a Cochet-Bonnet aesthesiometer. Following baseline CTT measurement, a single drop of the assigned anaesthetic was applied to each eye and the CTT was measured bilaterally within one minute after administration and every five minutes until the basal CTT value was restored. Data were analysed with non-parametric analysis of variance models and Dunnet's test for post hoc analysis. One per cent ropivacaine was the most effective drug (LCTTmax=3 cm, BCTTmax=2 cm, RCTTmax=0 cm; P<0.001), and had the shortest latency (LLatency=5 minutes, BLatency=5 minutes, RLatency=1 minute; P<0.001) and the smallest AUC (LAUC=80 cm×minute, BAUC=68.25 cm×minute, RAUC=36.88 cm×minute; P<0.001). There was no statistical difference in the duration of corneal anaesthesia between the groups (P=0.09) and all topical anaesthetics tested reduced corneal sensitivity, although 1 per cent ropivacaine had the maximal and quickest anaesthetic effect. This drug could be used for specific diagnostic procedures where quick and short, but effective, corneal anaesthesia is needed.


Assuntos
Anestesia Local/veterinária , Anestésicos Locais/farmacologia , Córnea/efeitos dos fármacos , Administração Oftálmica/veterinária , Amidas/administração & dosagem , Amidas/farmacologia , Anestesia Local/métodos , Anestésicos Locais/administração & dosagem , Animais , Bupivacaína/administração & dosagem , Bupivacaína/farmacologia , Cães , Feminino , Lidocaína/administração & dosagem , Lidocaína/farmacologia , Masculino , Ropivacaina , Fatores de Tempo
13.
Enferm. univ ; 7(2): 15-20, Abr.-jun.2010. ilus, graf
Artigo em Espanhol | LILACS, BDENF - Enfermagem | ID: biblio-1028538

RESUMO

Introducción: la información sobre Planificación Familiar se orienta hacia la salud reproductiva de las adolescentes, ejerciendo derecho a decidir libre, responsable e informada sobre el número y espaciamiento de sus hijos. Objetivo: Identificar la información sobre planificación familiar que recibieron las adolescentes después de un evento obstétrico por las enfermeras, en los servicios de Tococirugía y Ginecobstricia. Metodología: Estudio descriptivo transversal, sustentado en el modelo de Dorothy E. Johnson, participaron 30 adolescentes de 15 a 19 años de edad atendidas en el Hospital General de Coyuca de Catalán, Guerrero. Losdatos se recolectaron con un instrumento estructurado de 20 preguntas cerradas, validado con alfa de Cronbach de 0.87. Resultados: El 70% de las adolescentes aceptaron más la información verbal y demostrativa, el 26% selecciono el Dispositivo Intrauterino, el 16.7% prefirió el condón decisión en pareja, el 13 % resolvió utilizar inyectables con progestina, un 10% progestágenos con estrógenos, se encontró una asociación estadística entre la edad y el nivel escolar lo que permitió la aceptación de la información y la elección de los métodos anticonceptivos. Discusión: Según Millán las diferencias culturales, educativas y otros factores inciden grandemente en la capacidad de comprensión de las usuarias en Planificación Familiar. Conclusión: la información proporcionada por las enfermeras en los servicios de Tococirugía y Obstetricia influyó en las adolescentes para las decisiones que tomaron.


Introductión: Information about Family Planning is geared toward teenagers reproductive health, exercising the right to decide freely, responsibly and informed on the number and spacing of their children. Objective: To identify the Family Planning information received after an event teenagers obstetric nurses, services and Ginecobstricia Tococirugía. Methodology: Descriptive study, based on the model of Dorothy E. Johnson, involved 30 teenagers from 15 to 19 years of age treated at the Hospital General de Coyuca de Catalán, Guerrero. The data were collected using a structured instrument of 20 closed questions, validated with Cronbach alpha of 0.87. Results: 70% of teens agreed more verbal information and demonstration, 26% selected the Intrauterine Device, 16.7% preferred the condom decision as a couple, 13% decided to use injectable progestin, a progestin with estrogen 10%, An association was found between age and educational level which allowed the acceptance of information and choice of contraceptive methods. Discussion: According to Millán cultural differences, education and other factors greatly affect the ability of understanding of users in Family Planning. Conclusion: The information provided by nurses in the Obstetrics and services Tococirugía teenagers influenced the decisions they made.


Assuntos
Humanos , Adolescente , Adolescente , Planejamento Familiar
14.
Enferm. univ ; 6(1): 7-11, ene.-mar. 2009. ilus
Artigo em Espanhol | LILACS, BDENF - Enfermagem | ID: biblio-1028499

RESUMO

Introducción: Actualmente el mundo se enfrenta a una situación de mayor competencia comercial y económica entre los países, lo cual crea una necesidad de responder a las demandas que esta situación exige. Esta investigación nos permitió identificar la opinión de los empleadores sobre la formación y el desempeño profesional del egresado de la licenciatura en Enfermería. Objetivo:Determinar la percepción de los empleadores sobre el perfil del Licenciado en Enfermería e identificar en que aspectos es necesario reforzar su formación y facilitar su inserción laboral. Metodología: Se trata de un estudio descriptivo, transversal donde se utilizó un cuestionario dirigido a los empleadores del sector salud y el cual se calificó en base a la escala de Likert. Para la captura y elaboración de la base de datos se utilizó el programa estadístico SPSS versión 11.5. Resultados: El 43.5% de los empleadores califican el desempeño laboral del licenciado como muy bueno; 93% de los empleadores consideran que es muy importante reforzar las habilidades en la toma de decisiones, 86% en técnicas y trabajo en equipo, 81.5% en conocimientos generales y proceso enfermero, 79% en conocimientos especializados, 76.8% en investigación y 58.2% en conocimientos básicos en ciencias biomédicas, sociales y de la conducta. Conclusiones: Los empleadores opinaron que el desempeño laboral del licenciado es muy bueno y están satisfechos con los conocimientos especializados, sin embargo, hacen énfasis en profundizar más en los mismos, así como reforzar la habilidad en la toma de decisiones, en técnicas, trabajo en equipo, conocimientos generales, aplicación del proceso enfermero y modelos y teorías de Enfermería.


Introduction: The world is currently facing a situation of greater trade and economic competition among countries, thus creating a need to respond to the demands that this situation requires. This research allowed us to identify the views of employers on training and performance of the graduate degree in nursing. Objectives: To determine the views of employers on the profile of Bachelor of Nursing and identify areas where there is a need to strengthen their training and facilitating their employability. Methodology: This is a descriptive study, and cross prolectivo where we used a questionnaire to employers in the health sector; scored based on the Likert scale. To capture and development of the database was used statistical program SPSS version 11.5. Results: 43.5% of employers describe the job performance of licensed as very good, 93% of employers consider it very important to strengthen skills in decision-making, 86% in techniques and teamwork, 81.5% in general knowledge process and nurses, 79% in expertise, 76.8% and 58.2% in research in basic knowledge in biomedical sciences, and social behavior. Conclusions: The employers felt that the degree of job performance is very good and are satisfied with the expertise, however, emphasize deeper into the same, as well as strengthen the ability in decision-making skills, teamwork, general knowledge, implementation of the process nurses and nursing theories and models.


Assuntos
Humanos , Masculino , Feminino , Descrição de Cargo , Formação de Conceito
15.
Brain Res ; 1226: 134-43, 2008 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-18590711

RESUMO

The motor hierarchy hypothesis and the related debate about the role of the primary motor cortex (MI) in motor preparation are major topics in cognitive neuroscience today. The present study combines the two strategies that have been followed to clarify the role of MI in motor preparation independently from execution: motor imagery and the use of precueing tasks. Event-related potentials (ERPs) were recorded while subjects either performed or just imagined sequential finger movements in response to a central target (numbers 1, 2 or 3) which was precued by arrows (at both sides of the screen) that provided information about response side. Both motor imagery and execution elicited Lateralized Readiness Potentials (LRPs) with similar morphology and latency. Given that the LRP is generated in MI, the results show that the primary motor cortex is also active during imagery and give support for the hypothesis of a functional equivalence between motor imagery and execution. Nevertheless, the analysis of the different moments of motor preparation (precue vs. target-induced activity) revealed important differences between both conditions: whereas there were no differences in LRPs nor in brain areas estimated by standardized low resolution tomographies (sLORETA) related to precue presentation, larger LRP amplitudes and higher activation of MI were found during motor execution than imagery in the target-related activity. These results have important implications for the development of brain-computer devices and for the use of motor imagery in neurorehabilitation.


Assuntos
Potencial Evocado Motor/fisiologia , Imaginação , Córtex Motor/fisiologia , Movimento/fisiologia , Desempenho Psicomotor/fisiologia , Adulto , Mapeamento Encefálico , Eletroencefalografia/métodos , Feminino , Lateralidade Funcional , Humanos , Masculino , Estimulação Luminosa/métodos , Estatísticas não Paramétricas , Fatores de Tempo
16.
Cytokine ; 43(2): 124-31, 2008 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-18558493

RESUMO

Armadillos (Dasypus novemcinctus) manifest the full histopathological spectrum of leprosy, and are hosts of choice for in vivo propagation of Mycobacterium leprae. Though potentially useful as a model of leprosy pathogenesis, few armadillo-specific reagents exist. We have identified a region of high homology to the interferon gamma (IFN-gamma) of other mammals within the recently published armadillo whole genomic sequence. cDNA was made from ConA-stimulated armadillo peripheral blood mononuclear cells (PBMC), amplified, and cloned into a pET expression vector for transformation and over-expression in Escherichia coli. The recombinant protein (rDnIFN-gamma) was characterized by western blot and its biological function confirmed with bioassays including intracellular killing of Toxoplasma gondii and induction of indoleamine 2, 3-dioxygenase activity. In using rIFN-gamma to activate macrophages from mice, humans or armadillos, similar to humans, rIFN-gamma-activated armadillo MPhi did not produce nitrite and or inhibit the viability of M. leprae in vitro. Conversely, murine rIFN-gamma-activated mouse MPhi produced high levels of nitrite and killed intracellular M. leprae in vitro. These data indicate that the response of armadillo MPhi to rDnIFN-gamma is similar to that which occurs in humans, and demonstrates a potentially important value of the armadillo as a model in leprosy research.


Assuntos
Tatus/metabolismo , Expressão Gênica , Interferon gama/metabolismo , Interferon gama/farmacologia , Macrófagos/efeitos dos fármacos , Mycobacterium leprae/fisiologia , Sequência de Aminoácidos , Animais , Anticorpos/imunologia , Tatus/genética , Sequência de Bases , Proliferação de Células/efeitos dos fármacos , DNA Complementar/genética , Humanos , Indolamina-Pirrol 2,3,-Dioxigenase/metabolismo , Interferon gama/química , Interferon gama/genética , Macrófagos/citologia , Dados de Sequência Molecular , Nitritos/metabolismo , Isoformas de Proteínas/química , Isoformas de Proteínas/genética , Isoformas de Proteínas/metabolismo , Isoformas de Proteínas/farmacologia , Proteínas Recombinantes , Alinhamento de Sequência , Homologia de Sequência de Aminoácidos
17.
J Comp Pathol ; 138(1): 32-9, 2008 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-18048051

RESUMO

Canine leishmaniosis (CL) can present with multiple clinical signs and ocular disease is reported to occur in almost 25% of affected dogs. The purpose of the present study was to characterize the nature of inflammation within the eyes of dogs with leishmaniosis and to determine whether parasites were present in these lesions. Eyes from 60 dogs with confirmed leishmaniosis that died or were humanely destroyed over a 4 year period were included in the study. Sections of formalin-fixed globes were stained with haematoxylin and eosin (HE) and subjected to immunohistochemistry using a Leishmania-specific antibody. Clinically evident ocular signs were present in 15 of 60 dogs (13 bilaterally and 2 unilaterally). Thirty-five of 60 dogs received some form of anti-protozoal treatment. In 36 of 120 eyes (30%) a granulomatous inflammatory infiltrate was found and in 32 of 120 eyes (26.6%) the parasite was identified immunohistochemically within the globe. Ocular tissues affected, in order of frequency, were conjunctiva and limbus, ciliary body, iris, cornea, sclera and iridocorneal angle, choroid and the optic nerve sheath. Different microscopical patterns were defined in each of these structures. Leishmania organisms and associated inflammation can be found in different ocular tissues, accounting for some of the ocular clinical signs described for this disease.


Assuntos
Doenças do Cão/patologia , Oftalmopatias/patologia , Oftalmopatias/veterinária , Leishmaniose/patologia , Leishmaniose/veterinária , Animais , Doenças do Cão/microbiologia , Cães , Oftalmopatias/microbiologia , Feminino , Masculino
18.
J Chromatogr A ; 1165(1-2): 32-8, 2007 Sep 21.
Artigo em Inglês | MEDLINE | ID: mdl-17714721

RESUMO

A fast and simple preparation procedure based on the matrix solid-phase dispersion (MSPD) technique is proposed for the first time for the isolation of 16 polycyclic aromatic hydrocarbons (PAHs) from soil samples. Naphthalene, acenaphthene, fluorene, phenanthrene, anthracene, fluoranthene, pyrene, benz[a]anthracene, chrysene, benzo[e]pyrene, benzo[b]fluoranthene, benzo[k]fluoranthene, benzo[a]pyrene, dibenzo[a,h]anthracene, benzo[g,h,i]perylene, and indeno[1,2,3-c,d]pyrene were considered in the study. Extraction and clean-up of samples were carried out in a single step. The main parameters that affect extraction yield, such as dispersant, type and amount of additives, clean-up co-sorbent and extractive solvent were evaluated and optimized. The addition of an alkali solution in MSPD was required to provide quantitative recoveries. Analytical determinations were carried out by high performance liquid chromatography (HPLC) with fluorescence detection. Quantification limits (between 0.01 and 0.6 ng g(-1) dry mass) were well below the regulatory limits for all the compounds considered. The extraction yields for the different compounds obtained by MSPD were compared with the yields obtained by microwave-assisted extraction (MAE). To test the accuracy of the MSPD technique, the optimized methodology was applied to the analysis of standard reference material BCR-524 (contaminated industrial soil), with excellent results.


Assuntos
Cromatografia Líquida de Alta Pressão/métodos , Hidrocarbonetos Policíclicos Aromáticos/análise , Solo/análise , Extração em Fase Sólida/métodos
19.
Neurophysiol Clin ; 37(2): 63-75, 2007.
Artigo em Inglês | MEDLINE | ID: mdl-17540289

RESUMO

AIM: To investigate changes in Event-Related Coherence (ERCoh) associated to good and bad resolution of the Wisconsin Card Sorting Test (WCST). METHODS: Event-Related Potentials (ERPs) were recorded from a sample of 30 university students while they performed a computerized version of the WCST. ERCoh was calculated for frontal and parietal electrodes for two specific moments: immediately before the response and after the feedback cues. RESULTS: Bad performers presented significantly reduced ERCoh at the right frontal region (in alpha, beta-1 and beta-2 bands), while no consistent group differences emerged for parietal ERCoh. Furthermore, the strength of functional coupling (ERCoh) between midfrontal and right-frontal electrodes was a good predictor of WCST behavioural parameters, such as the percentage of perseverative errors or the number of categories achieved. CONCLUSIONS: The results suggest that the right prefrontal cortex is specifically involved in executive functions, such as planning and foresight, tapped by the WCST. Although the specificity of the WCST to explore frontal lesions has been recently questioned, the present findings support that prefrontal areas are specifically involved in the successful resolution of the test by healthy subjects.


Assuntos
Eletroencefalografia , Lobo Frontal/fisiologia , Testes Neuropsicológicos , Desempenho Psicomotor/fisiologia , Adolescente , Adulto , Ritmo alfa , Ritmo beta , Sinais (Psicologia) , Potenciais Evocados/fisiologia , Retroalimentação , Feminino , Lateralidade Funcional/fisiologia , Humanos , Masculino , Lobo Parietal/fisiologia , Córtex Pré-Frontal/fisiologia
20.
Eur J Neurosci ; 24(2): 635-43, 2006 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-16903864

RESUMO

Although there is substantial evidence that motor execution (M-Ex) and motor imagery (M-Im) share a common neural substrate, the role of the primary motor cortex (M1) during imagery is still a matter of debate. The present ERP study tries to clarify the functional similarity between the two processes in respect of (i) the engagement of the corresponding somatotopic M1 areas during execution and imagery of hand vs. foot movements; and (ii) the effect of conflicting information on response preparation. To this end, we recorded ERPs from 28 electrode sites in 19 participants while they performed a conflict task with congruent (target and flanker arrowheads pointing in the same direction) and incongruent (target pointing in the opposite direction to the flanker arrowheads) trials. We obtained the lateralized readiness potential (LRP), a component generated in M1, while subjects physically executed or mentally simulated the task. As expected by the somatotopic organization of M1, the LRP was of opposite polarity when foot, rather than hand, movements were prepared. The inversion of polarity also occurred during M-Im, a result that strongly argues in favour of the participation of M1 in motor imagery. In incongruent trials, longer LRP latencies, a premature preparation of the incorrect response (positive deflection in LRP waveform) and a fronto-central N2 component associated with response conflict appeared during both M-Ex and M-Im. Altogether, the results support the functional equivalence of the two processes and give support to the clinical use of M-Im for the improvement and recovery of motor functions.


Assuntos
Potenciais Evocados/fisiologia , Extremidades/fisiologia , Imaginação/fisiologia , Movimento/fisiologia , Desempenho Psicomotor/fisiologia , Volição/fisiologia , Adulto , Mapeamento Encefálico/métodos , Eletroencefalografia , Extremidades/inervação , Feminino , Pé/inervação , Pé/fisiologia , Mãos/inervação , Mãos/fisiologia , Humanos , Masculino , Córtex Motor/anatomia & histologia , Córtex Motor/fisiologia , Testes Neuropsicológicos , Estimulação Luminosa , Tempo de Reação/fisiologia
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