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1.
RGO (Porto Alegre) ; 69: e20210039, 2021. graf
Artigo em Inglês | LILACS-Express | LILACS, BBO - Odontologia | ID: biblio-1346857

RESUMO

ABSTRACT An ideal aesthetic standard consists of facial and smile harmony. Discolored teeth generally cause an imbalance in facial aesthetics, leading to low self-esteem and disturbance in social relationships. Causes of teeth discoloration are classified as intrinsic or extrinsic. Bleaching is considered a safe and effective treatment for discolored nonvital teeth and can be associated with restorative treatment to properly correct the dental color and maximize the aesthetic results. This paper aims to present two case reports of single discolored nonvital anterior teeth and the protocol used to reestablish the dental harmony of these patients by bleaching and direct composite resin restoration. To exert minimally invasive dentistry is very important to preserve tooth structure and reduce the risk of fracture. Internal bleaching, although may not be sufficient to reestablish the aesthetic in some cases, it is important to minimize dental preparation to perform an indirect or direct restoration. Dentists must take into account the patients expectations, dominate the restorative technique and know the dental materials to properly be able to restore function and aesthetics and consequently improve life quality and social relationships.


RESUMO Um padrão estético ideal consiste na harmonia facial e do sorriso. Dentes descoloridos geralmente causam um desequilíbrio na estética facial, levando a baixa auto-estima e interferência nas relações sociais. As causas da descoloração dos dentes são classificadas como intrínsecas ou extrínsecas. O clareamento é considerado um tratamento seguro e eficaz para os dentes não vitais escurecidos e pode ser associado ao tratamento restaurador para corrigir adequadamente a cor dental e maximizar os resultados estéticos. O objetivo deste trabalho é apresentar dois relatos de casos de dentes anteriores não vitais escurecidos e o protocolo utilizado para restabelecer a harmonia dentária desses pacientes por meio de clareamento e restauração direta em resina composta. Para exercer uma Odontologia minimamente invasiva é muito importante preservar a estrutura dentária e reduzir o risco de fratura. O clareamento interno, embora possa não ser suficiente para restabelecer a estética em alguns casos, é importante para minimizar o preparo dental para realizar uma restauração indireta ou direta. Os dentistas devem levar em consideração as expectativas dos pacientes, dominar a técnica restauradora e conhecer os materiais dentários para poder restaurar adequadamente a função e a estética e, consequentemente, melhorar a qualidade de vida e as relações sociais.

2.
Preprint em Inglês | medRxiv | ID: ppmedrxiv-20081208

RESUMO

An epidemiological compartmental model was used to simulate social distancing strategies to contain the COVID-19 pandemic and prevent a second wave in Sao Paulo, Brazil. Optimization using genetic algorithm was used to determine the optimal solutions. Our results suggest the best-case strategy for Sao Paulo is to maintain or increase the current magnitude of social distancing for at least 60 more days and increase the current levels of personal protection behaviors by a minimum of 10% (e.g., wearing facemasks, proper hand hygiene and avoid agglomeration). Followed by a long-term oscillatory level of social distancing with a stepping-down approach every 80 days over a period of two years with continued protective behavior.

3.
Front Microbiol ; 9: 2211, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30356683

RESUMO

The fungal genus Fonsecaea comprises etiological agents of human chromoblastomycosis, a chronic implantation skin disease. The current hypothesis is that patients acquire the infection through an injury from plant material. The present study aimed to evaluate a model of infection in plant and animal hosts to understand the parameters of trans-kingdom pathogenicity. Clinical strains of causative agents of chromoblastomycosis (Fonsecaea pedrosoi and Fonsecaea monophora) were compared with a strain of Fonsecaea erecta isolated from a living plant. The clinical strains of F. monophora and F. pedrosoi remained concentrated near the epidermis, whereas F. erecta colonized deeper plant tissues, resembling an endophytic behavior. In an invertebrate infection model with larvae of a beetle, Tenebrio molitor, F. erecta exhibited the lowest survival rates. However, F. pedrosoi produced dark, spherical to ovoidal cells that resembled muriform cells, the invasive form of human chromoblastomycosis confirming the role of muriform cells as a pathogenic adaptation in animal tissues. An immunologic assay in BALB/c mice demonstrated the high virulence of saprobic species in animal models was subsequently controlled via host higher immune response.

4.
Recurso educacional aberto em Português | CVSP - Brasil | ID: una-9710

RESUMO

O vídeo fala sobre infecções fúngicas invasivas a importância da candidemia, mortalidade geral da candidemia em pacientes de UTI (Brasil x Europa) aborda também as taxas de incidência de candidemia em países da América Latina, novas tendências na etiologia de candidemia, distribuição das espécies de candida e sobre os problemas atuais no manejo da candidemia etc..


Assuntos
Infecções Bacterianas e Micoses , Candidemia , Sepse
5.
J Prosthet Dent ; 114(6): 831-8, 2015 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-26359546

RESUMO

STATEMENT OF PROBLEM: Bidirectional leakage through the implant-abutment interface still constitutes a major concern in implant-supported restorations. PURPOSE: The purpose of this in vitro study was to evaluate the marginal fit, before and after loading simulation, of 3-unit fixed partial prostheses supported by external hexagon or Morse cone implants and to identify and quantify up to 43 microbial species penetrating through the implant-abutment interface after loading. MATERIAL AND METHODS: Forty-eight dental implants with external hexagon (EH; n=24) or Morse cone (MC; n=24) connections were investigated. Experimental specimens were made from 2 implants restored with a 3-unit fixed partial prosthesis and divided into 2 groups (n=12) according to platform connection EH or MC. Vertical misfit at the implant-abutment interface was measured before and after loading (150 Ncm during 500,000 cycles at 1.8 Hz). checkerboard DNA-DNA hybridization was used to identify and quantify up to 38 bacterial and 5 Candida species colonizing the internal parts of the implants after loading. Generalized estimating equations were used for statistical analysis (α=.05). RESULTS: The mean values (mm, ±SD) of vertical misfit for EH were 0.0131 ±0.002 before loading and 0.0138 ±0.002 after loading and for MC were 0.0132 ±0.003 before loading and 0.0137 ±0.001 after loading. Twenty-one bacterial species, including periodontal pathogens and C. albicans, were found colonizing the inner surfaces of EH implants after loading. None of the target species were detected in the internal parts of MC implants. CONCLUSIONS: EH implants showed higher microbial counts than MC implants, in which microbial colonization was not found after loading. Detected species included nonpathogens and microorganisms related to periodontal/periimplant diseases. Further studies are needed to evaluate the effect of loading simulation on the marginal misfit of 3-unit fixed partial prostheses supported by EH or MC implants, because no significant differences could be found either before or after loading.


Assuntos
DNA Bacteriano , Dente Suporte/microbiologia , Projeto do Implante Dentário-Pivô , Implantes Dentários , Prótese Dentária Fixada por Implante
6.
Neotrop Entomol ; 42(5): 527-33, 2013 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-23949982

RESUMO

We evaluated the effects of constant low-temperature storage on Diaeretiella rapae (McIntosh) (Braconidae, Aphidiinae). Diaeretiella rapae mummies were stored at 5 ± 1°C for 0-36 days. The percentage of D. rapae emergence varied (100-83%) after 0-32 days of storage. After 32 days, emergence reduced to 55%. According to our Probit analysis, 50% mortality (LT50) of the population of D. rapae was reached after 40 days of storage at 5°C. Storage for up to 32 days did not negatively affect emergence and survival. Cold exposure of D. rapae for 36 days did not influence morphological malformations, sex ratio, and emergence of the F1 generation. After 4-36 days of storage, D. rapae showed a gradual decrease in emergence, longevity, reproductive capacity, and F1 sex ratio. Diaeretiella rapae can be stored for up to 24 days at 5°C, at which time the percentage of parasitism and the F1 sex ratio remain above 38% and at 0.50, respectively.


Assuntos
Afídeos , Temperatura Baixa , Himenópteros , Animais , Himenópteros/patogenicidade , Himenópteros/fisiologia , Longevidade , Reprodução , Temperatura
7.
J Antimicrob Chemother ; 68(2): 348-53, 2013 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-23109184

RESUMO

OBJECTIVES: There is a general lack of effective and non-toxic chemotherapeutic agents for leishmaniasis and there is as yet no study about the effect of HIV peptidase inhibitors (HIV PIs) on Leishmania/HIV-coinfected patients. In the present work, we performed a comparative analysis of the spectrum of action of HIV PIs on different Leishmania spp., including strains obtained from HIV-positive patients receiving or not receiving antiretroviral treatment. METHODS: The effects of nelfinavir and saquinavir on Leishmania proliferation were assessed by means of a colorimetric assay (MTT). Subsequently, the effect of nelfinavir on aspartic peptidase activity from Leishmania spp. was assessed by following the degradation of the fluorogenic substrate MCA-G-K-P-I-L-F-F-R-L-K-DNP-Arg-NH(2). RESULTS: Nelfinavir was capable of significantly reducing the multiplication of many Leishmania reference strains and isolates obtained from HIV-positive patients receiving or not receiving antiretroviral treatment. Leishmania major growth was inhibited by ≈ 50%, while all other flagellates were strongly inhibited (at least 94%), except for a Leishmania chagasi strain obtained from an HIV-positive patient under treatment with highly active antiretroviral therapy (HAART). Culture of this isolate in the presence of nelfinavir induced a considerable reduction in the aspartic peptidase activity. In addition, nelfinavir was also capable of inhibiting the aspartic peptidase activity of all Leishmania strains tested. CONCLUSIONS: The present data contribute to the study of the effect of HIV PIs on Leishmania infection and add new insights into the possibility of exploiting aspartic peptidases as promising targets in order to generate novel medications to treat leishmaniasis.


Assuntos
Antiprotozoários/farmacologia , Ácido Aspártico Proteases/antagonistas & inibidores , Leishmania/efeitos dos fármacos , Leishmania/enzimologia , Leishmaniose/parasitologia , Nelfinavir/farmacologia , Colorimetria , Fluorometria , Infecções por HIV/complicações , Humanos , Leishmania/crescimento & desenvolvimento , Leishmania/isolamento & purificação , Viabilidade Microbiana , Oligopeptídeos/metabolismo , Saquinavir/farmacologia , Sais de Tetrazólio/metabolismo , Tiazóis/metabolismo
9.
Neotrop Entomol ; 40(4): 477-82, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-21952965

RESUMO

This study aimed to evaluate the quality of the aphid Myzus persicae (Sulzer), Lipaphis erysimi (Kaltenbach) and Brevicoryne brassicae (L.) as hosts for the parasitoid Diaeretiella rapae (McIntosh). Parasitization by D. rapae was higher on M. persicae than on L. erysimi and B. brassicae. The time of development of D. rapae from egg to mummy or egg to adult male or female were shorter on M. persicae than on L. erysimi and B. brassicae. Moreover, D. rapae showed no significant differences in the emergence rate, sex ratio and longevity when reared on the three aphid species. Myzus persicae was the largest aphid host, with B. brassicae and L. erysimi being of intermediate and of small size, respectively. Diaeretiella rapae reared on M. persicae was larger than when reared on L. erysimi and B. brassicae, and females of D. rapae were significantly larger than males on M. persicae, but males of D. rapae were larger than females when reared on L. erysimi. No difference in size was detected between males and females in parasitoids reared on B. brassicae. Among the aphid species studied, M. persicae was found to be the most suitable to D. rapae.


Assuntos
Afídeos/parasitologia , Interações Hospedeiro-Parasita , Himenópteros/fisiologia , Animais , Feminino , Masculino , Parasitologia/métodos
10.
Mycopathologia ; 172(4): 293-7, 2011 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-21643843

RESUMO

Photodynamic therapy (PDT) is a minimally invasive approach, in which a photosensitizer compound is activated by exposure to light. The activation of the sensitizer drug results in several chemical reactions, such as the production of reactive oxygen species and other reactive molecules, which presence in the biological site leads to the damage of target cells. Although PDT has been primarily developed to combat cancerous lesions, this therapy can be employed for the treatment of several conditions, including infectious diseases. A wide range of microorganisms, including Gram-positive and Gram-negative bacteria, viruses, protozoa, and fungi, have demonstrated susceptibility to antimicrobial PDT. This treatment might consist in an alternative for the management of fungal infections. Antifungal photodynamic therapy has been successfully employed against Candida species, dermatophytes, and Aspergillus niger. Chromoblastomycosis is an infection that involves skin and subcutaneous tissues caused by the traumatic inoculation of dematiaceous fungi species, being that the most prevalent are Fonsecaea pedrosoi and Claphialophora carrionii. In the present work, the clinical applications of PDT for the treatment of chromoblastomycosis are evaluated. We have employed methylene blue as photosensitizer and a LED (Light Emitting Diode) device as light source. The results of this treatment are positive, denoting the efficacy of PDT against chromoblastomycosis. Considering that great part of the published works are focused on in vitro trials, these clinical tests can be considered a relevant source of information about antifungal PDT, since its results have demonstrated to be promising. The perspectives of this kind of treatment are analyzed in agreement with the recent literature involving antifungal PDT.


Assuntos
Antifúngicos/administração & dosagem , Cromoblastomicose/tratamento farmacológico , Luz , Azul de Metileno/administração & dosagem , Fotoquimioterapia/métodos , Fármacos Fotossensibilizantes/administração & dosagem , Histocitoquímica , Humanos , Microscopia , Resultado do Tratamento
11.
J Immunol Methods ; 367(1-2): 78-84, 2011 Mar 31.
Artigo em Inglês | MEDLINE | ID: mdl-21354162

RESUMO

Paracoccidioidomycosis (PCM) is one of the most important endemic mycoses in Latin America; it's usually diagnosed by observation and/or isolation of the etiologic agent, Paracoccidioides brasiliensis, as well as by a variety of immunological methods, such as complement fixation and immunodiffusion. Although these approaches are useful, historically their sensitivity and specificity have often been compromised by the use of complex mixtures of undefined antigens. The use of combinations of purified, well-characterized antigens appears preferable and may yield good results. In the present study combinations of the previously described 27-kDa recombinant antigen (rPb27) and a recombinant 40-kDa-molecular-mass antigen (rPb40) from this fungus, that was identified by Goes et al. (2005) through the AST strategy as a homolog of Neurospora crassa calcineurin B, were used in an indirect enzyme linked immunosorbent assay (ELISA) for diagnosis and follow-up of patients with PCM. The complete coding cDNA of rPb40 and rPb27 were cloned into a pET-21a and a pET-DEST 42 plasmid, respectively, expressed in E. coli with a his-tag and purified by affinity chromatography. Among 109 PCM serum samples analyzed, a homogeneous IgG response to these proteins was observed. 62 serum samples from patients with other diseases, 18 from patients with other mycosis and 23 from healthy individuals were also studied. Detection of anti-rPb27 and anti-rPb40 antibodies in sera of patients with PCM by ELISA using a combination of the two purified proteins showed a sensitivity of 96% with a specificity of 100% in relation to control normal human sera and to sera from patients with other systemic mycosis and 93.5% to sera from patients with diverse infections. The use of this two proteins combination provided an excellent immunodiagnosis assay with great values of sensitivity and specificity, even in relation to sera from patients with other mycosis, making possible the standardization of a new methodology to diagnose this important mycosis, with a good confiability and reprodutibility.


Assuntos
Anticorpos Antifúngicos/sangue , Antígenos de Fungos/imunologia , Ensaio de Imunoadsorção Enzimática/métodos , Paracoccidioides/imunologia , Paracoccidioidomicose/diagnóstico , Adolescente , Adulto , Idoso , Humanos , Imunoglobulina G/sangue , Pessoa de Meia-Idade , Paracoccidioidomicose/imunologia , Proteínas Recombinantes/imunologia , Sensibilidade e Especificidade
13.
Cytokine ; 48(3): 212-7, 2009 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-19682920

RESUMO

The gene polymorphisms interferon-gamma (IFN-gamma) +874 T/A and interleukin (IL)-4 -590 C/T have been associated with the altered production of cytokines. Therefore, they might be indicative of the occurrence of Paracoccidioidomycosis (PCM) caused by Paracoccidioides brasiliensis. The analysis of single nucleotide polymorphism (SNP) at position+874 IFN-gamma showed an increase occurrence of A/T genotype in both PCM patients and healthy individuals as control (HIC) (56% and 45%, respectively), while the allelic distribution showed 82% of A allele in the patients and 80% in the controls. The SNP of -590 IL-4 showed that C/T genotype was significantly (p<0.05) more prevalent (39%) in PCM group compared to the HIC group (19%), while IL-4 C/C genotype was significantly less frequent (59%) in the patient group compared to the control group (81%). Otherwise, 41% of PCM patients and 19% of HIC individuals carried the IL-4 T allele. Stimulation of peripheral blood mononuclear cells (PBMC) from PCM patients with cell extract antigenic preparations (PbAg) as well as secreted and surface antigens (MEXO) of P. brasiliensis evidenced that there is no difference in the IFN-gamma production related to A and T alleles between PCM and HIC individuals. However, with IL-4 production, PCM patients classified as C phenotype showed two times more IL-4 production than PCM patients classified as T phenotype and HIC controls. In conclusion, our results suggest that functional genetic variants in the IL-4 promoter could influence the production of IL-4 in PCM.


Assuntos
Interferon gama/genética , Interleucina-4/genética , Paracoccidioidomicose/genética , Polimorfismo de Nucleotídeo Único , Adolescente , Adulto , Idoso , Antígenos de Fungos/farmacologia , Regulação da Expressão Gênica/efeitos dos fármacos , Predisposição Genética para Doença , Humanos , Imunidade Inata , Interferon gama/metabolismo , Interleucina-4/metabolismo , Masculino , Pessoa de Meia-Idade , Paracoccidioides/imunologia , Paracoccidioidomicose/imunologia , Paracoccidioidomicose/fisiopatologia , Adulto Jovem
14.
Nihon Ishinkin Gakkai Zasshi ; 49(2): 95-101, 2008.
Artigo em Inglês | MEDLINE | ID: mdl-18451590

RESUMO

An experimental study was conducted between January 2002 and April 2003 for the detection of delayed hypersensitivity to Fonsecaea pedrosoi metabolic antigen (chromomycin) in skin tests. A total of 194 subjects were attended by spontaneous demand at the Infectious and Parasitic Diseases outpatient clinic of the Federal University of Maranhão-UFMA and at the Department of Microbiology, Federal University of Minas Gerais-UFMG and classified into three groups: patients with chromoblastomycosis caused by F. pedrosoi (n=20), healthy subjects (n=86) and patients with other diseases (n=88). For the skin test, 0.1 ml of the antigen was applied to the anterior side of the right forearm and 0.1 ml Smith medium was applied to the anterior side of the left forearm as control. The results were analyzed 48 h after inoculation of the antigen and an induration >/= 5 mm was considered to indicate a positive test. A cellular immune response to chromomycin was detected in 18 (90.0%) of the 20 patients with chromoblastomycosis caused by F. pedrosoi, and one of the patients with a negative test had reactional leprosy. Eighty-five (98.8%) of the 86 healthy subjects presented a negative reaction and only one reacted positively to the antigen. The skin test was negative in all 88 (100%) patients with other diseases, such as dermatophytosis, paracoccidioidomycosis, pulmonary aspergilloma, candidiasis, pityriasis versicolor, tuberculosis, leprosy, tegumentary leishmaniasis and syphilis, and one case of chromoblastomycosis caused by Rhinocladiella aquaspersa. Chromomycin was effective in detecting delayed hypersensitivity in patients with chromoblastomycosis caused by F. pedrosoi, with a sensitivity and specificity of 90.0% and 98.8%, respectively. These results suggest that this antigen can be used in the auxiliary diagnosis of the disease and also in epidemiological studies for determination of the prevalence of chromoblastomycosis infection in endemic areas.


Assuntos
Antígenos de Fungos/imunologia , Cromoblastomicose/diagnóstico , Cromoblastomicose/imunologia , Cromomicinas/imunologia , Hipersensibilidade Tardia , Phialophora/imunologia , Testes Cutâneos/métodos , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Sensibilidade e Especificidade
15.
Immunol Lett ; 114(1): 23-30, 2007 Nov 30.
Artigo em Inglês | MEDLINE | ID: mdl-17897724

RESUMO

Memory T cell populations in patients with paracoccidioidomycosis (PCM) were analyzed before and after chemotherapy treatment. Peripheral blood mononuclear cells (PBMC) collected from patients infected by Paracoccidioides brasiliensis or from non-infected individuals were stimulated in vitro with either membrane and extra-cellular antigens (MEXO) or yeast cell antigen preparation (PbAg) of P. brasiliensis. An increase in the level of CD4(+) memory T cells was determined in PBMC from PCM patients before (NT) and after treatment (TR) and in those with PCM relapsed (RE) compared to that from non-infected controls (NINF). The CD8(+) memory T cells were increased in PBMC from RE patients stimulated with MEXO, but not in NT or TR. The distribution of memory B cells did not differ between NT and TR patients, while a significant elevation was determined in RE patients and higher antibody levels were also detected. The cytokine analysis showed low production of IFN-gamma by cells from RE patients compared with NT or TR patients. In contrast, high production of IL-4 was detected in NT and RE patients, and moderate levels were produced by RE patients. These results suggest that IFN-gamma production may participate in the maintenance of immunological memory in the acquired protection against P. brasiliensis infection and this data can contribute to future development of successful treatment of PCM to avoid relapsing.


Assuntos
Antifúngicos/uso terapêutico , Memória Imunológica , Paracoccidioides/imunologia , Paracoccidioidomicose/imunologia , Subpopulações de Linfócitos T/imunologia , Adolescente , Adulto , Idoso , Anticorpos Antifúngicos/sangue , Anticorpos Antifúngicos/imunologia , Linfócitos B/imunologia , Linfócitos T CD4-Positivos/imunologia , Linfócitos T CD8-Positivos/imunologia , Humanos , Imunoglobulina G/sangue , Imunoglobulina G/imunologia , Interferon gama/sangue , Interferon gama/imunologia , Interleucina-4/sangue , Interleucina-4/imunologia , Leucócitos Mononucleares/imunologia , Pessoa de Meia-Idade , Paracoccidioidomicose/tratamento farmacológico , Paracoccidioidomicose/microbiologia
16.
Hum Immunol ; 67(11): 931-9, 2006 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-17145373

RESUMO

Allelic variants of cytokine genes seem to be involved in mechanisms of resistance or susceptibility to several diseases. The aim of this study was to investigate the frequency of genotypes with the tumor necrosis factor-alpha TNF-alpha gene polymorphism G/A at position -308 and the IL-10 gene polymorphism G/A at position -1082, and to verify a possible association of these polymorphisms with paracoccidioidomycosis (PCM) caused by Paracoccidioides brasiliensis. Genotyping was performed by allele-specific polymerase chain reaction (ASPCR) and restriction fragment length polymorphism (RFLP) on genomic DNA isolated of granulocytes from 54 PCM patients and 31 noninfected individuals. The analysis of SNP at position -1082 IL-10 showed a high frequency of GA genotype in both patients and controls (51% and 55%, respectively), while the allelic frequency showed 54% of G allele in the patients and 66% of A allele in the controls. The GG genotype was more frequent in patients (85%) and controls (68%) when we analyze the SNP at position -308 of TNF-alpha gene. Otherwise, 91% of PCM patients and 84% of noninfected individuals carried the G allele in -308 TNF-alpha SNP. Stimulation of cells from individuals with PCM phenotyped as A+ (GA or AA genotypes) presented elevation of TNF-alpha producing cells when compared with IL-10-producer cells. These findings reinforce the critical role of IL-10 and TNF-alpha in the paracoccidioidomycosis and can strongly suggest that the genetic screening of the -308G/A and -1082G/A polymorphisms may be a valid tool for identification of subjects needing a more appropriate therapy.


Assuntos
Interleucina-10/genética , Paracoccidioides , Paracoccidioidomicose/genética , Polimorfismo de Nucleotídeo Único/genética , Fator de Necrose Tumoral alfa/genética , Adolescente , Adulto , Idoso , Frequência do Gene , Genótipo , Granulócitos/imunologia , Humanos , Pessoa de Meia-Idade , Paracoccidioidomicose/imunologia
17.
J Immunol Methods ; 307(1-2): 118-26, 2005 Dec 20.
Artigo em Inglês | MEDLINE | ID: mdl-16269152

RESUMO

In this work, we analyzed serological responses of paracoccidioidomycosis (PCM) patients to membrane and extracellular antigens (Mexo) of Paracoccidioides brasiliensis by ELISA, immunoblot technique and immunofluorescence assays to identify a specific antigen profile. Among 140 PCM serum samples analyzed, a homogeneous IgG response to Mexo was observed. The specificity of this antigen was 96.6% in relation to control sera and 81.2% to sera from patients with diverse infections. Patients undergoing treatment for more than 1 year showed a reduced antibody response against Mexo. These results suggest that the presence of anti-Mexo antibodies might be an indicator of active disease. A protein from Mexo with a molecular weight of 28 kDa (Pb28) was the most specific antigen in humoral immune responses to PCM, since it reacted with 100% of patient sera and did not react with heterologous serum samples tested. This protein was purified by molecular filtration chromatography in FPLC system and, when tested by immunoblotting, it maintained its reactivity and specificity of 100% with PCM sera. The Pb28 N-terminal amino acid sequence comparison analysis in the non-redundant GenBank database at NCBI revealed no significant homology to known PCM proteins or to other fungal proteins of known function. Since the 28-kDa protein of P. brasiliensis seems to be specific for PCM, it can be used as an alternative antigen in immunoblotting diagnostic methods.


Assuntos
Antígenos de Fungos/imunologia , Paracoccidioides/imunologia , Paracoccidioidomicose/diagnóstico , Adolescente , Adulto , Idoso , Sequência de Aminoácidos , Anticorpos Antifúngicos/sangue , Especificidade de Anticorpos/imunologia , Antígenos de Fungos/química , Antígenos de Fungos/isolamento & purificação , Western Blotting , Encéfalo/patologia , Ensaio de Imunoadsorção Enzimática , Humanos , Imunoglobulina G/sangue , Testes Imunológicos/métodos , Fígado/patologia , Pessoa de Meia-Idade , Paracoccidioidomicose/sangue , Paracoccidioidomicose/patologia , Análise de Sequência de Proteína , Pele/patologia
18.
Int J Tuberc Lung Dis ; 9(5): 545-9, 2005 May.
Artigo em Inglês | MEDLINE | ID: mdl-15875927

RESUMO

SETTING: A 150-bed public Brazilian hospital that serves as reference hospital for tuberculosis (TB) patients. OBJECTIVE: To evaluate the use of personal respiratory protection by health care workers (HCWs) as a measure to reduce TB occupational risk. DESIGN: One hundred and forty-five HCWs were randomly observed for the use of a N95 respirator when entering high-risk areas or performing high-risk procedures. RESULTS: N95 respirators were infrequently used, even for high-risk procedures such as endotracheal intubation (25%) and respiratory aspiration (12%), and in high-risk areas such as the respirology ward (69.2%), emergency department (29.5%), intensive care unit (8.8%), and TB room isolation (39.5%). Facial-seal leakage was observed in 39% of HCWs due to failure to wear the mask with a tight facial fit as directed. CONCLUSION: Respirator use as a sole control measure is inadequate in any setting and is not cost-effective in resource-limited settings. Alternative or additional measures are clearly needed in hospitals with a high incidence of active TB admissions, specially following recent recommendations from the WHO, which consider personal respiratory protection as the third line of defense for TB control, indicated when TB risk cannot be adequately reduced by administrative and engineering controls.


Assuntos
Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Doenças Profissionais/prevenção & controle , Dispositivos de Proteção Respiratória , Tuberculose Pulmonar/prevenção & controle , Pessoal Técnico de Saúde , Brasil , Humanos , Dispositivos de Proteção Respiratória/estatística & dados numéricos
19.
Microbes Infect ; 7(4): 708-13, 2005 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-15848277

RESUMO

Chromoblastomycosis is a chronic, often debilitating, suppurative, granulomatus mycosis of the skin and subcutaneous tissues beginning after inoculation trauma. It occurs world-wide, but is more frequently observed in tropical countries such as Brazil. The disease is usually insidious, and the lesions increase slowly but progressively, not responding to the usual treatments and quite often reappearing. The host defense mechanism in chromoblastomycosis has not been extensively investigated. Some studies have focused on fungus-host interaction, showing a predominantly cellular immune response, with the activation of macrophages involved in fungus phagocytosis. Although phagocytosis did occur, death of fungal cells was rarely observed. The ability of Fonsecaea pedrosoi to produce secreted or cell wall-associated melanin-like components, protects against destruction by host immune cells in vitro. Until now, the T cell immune response in chromoblastomycosis is undefined. In the present work, it was shown that, in patients with the severe form of the disease, predominant production of IL-10 cytokine, low levels of IFN-gamma and inefficient T cell proliferation were induced. In contrast, in patients with a mild form of the disease, predominant production of IFN-gamma cytokine, low levels of IL-10 and efficient T cell proliferation were observed.


Assuntos
Ascomicetos/patogenicidade , Cromoblastomicose/imunologia , Cromoblastomicose/fisiopatologia , Interferon gama/metabolismo , Interleucina-10/metabolismo , Ativação Linfocitária/imunologia , Adulto , Idoso , Antígenos de Fungos/imunologia , Ascomicetos/imunologia , Ascomicetos/isolamento & purificação , Cromoblastomicose/diagnóstico , Cromoblastomicose/microbiologia , Feminino , Humanos , Leucócitos Mononucleares/imunologia , Masculino , Pessoa de Meia-Idade , Índice de Gravidade de Doença
20.
Arq. ciênc. vet. zool. UNIPAR ; 7(2): 151-156, jul.-dez. 2004. ilus, tab
Artigo em Português | LILACS | ID: lil-418092

RESUMO

O objetivo do experimento foi avaliar o desempenho de frangos de corte recebendo dietas com probiótico Biobac , contendo ingredientes ativos de Saccaromyces cerevisae, Lactobacillus acidophylus e Enterococcus faecium, em uso isolado ou associado com 3% de óleo de soja nas fases inicial, engorda e final; respectivamente 1 a 21; 22 a 42 e 43 a 47 dias de idade. Foram utilizadas 3.200 aves de corte de 1 dia de idade de ambos os sexos, distribuídos em um delineamento em blocos casualisados em oito tratamentos com quatro repetições, sendo: T1 - controle, T2 - probiótico em todas as fases, T3 - óleo de soja na fase final, T4 - (T2+T3), T5 - óleo de soja nas fases de engorda e final, T6-(T2+T5), T7 - óleo de soja em todas as fases, T8 - (T2 + T7). As rações continham 22; 20 e 18% de proteína bruta, com níveis de energia metabolizável entre 2.881 a 3.033 kcal/kg conforme a inclusão ou não de óleo de soja. Foram avaliados os ganhos de peso, consumo de ração e conversão alimentar. Somente os períodos de engorda e final cujos tratamentos foram adicionados concomitantemente probiótico e óleo de soja apresentaram os melhores resultados em ganho de peso e conversão alimentar.


The goal of this experiment was to assess broiler chickens performance receveing diet with probiotic Biobac®, contained actives ingredients of Saccaromycescerevisae, Lactobacillus acidophylus and Enterococcus faecium,in isolated use or associated with 3% soybean oil at initial, growing and fi nal phases, respectively 1-21; 22-42 and 43-47 day of age. A gross one 3.200 broilers chicken of both gender were used, distributed in a randomized blocks desing in eight treatments with four repetitions, being: T1- control, T2- probiotic all phases, T3-soybean oil at fi nal phase, T4- (T2 + T3), T5- soybean oil at growing and fi nal phases, T6- (T2 + T5), T7- soybean oil all phases, T8- (T2 + T7). The diets contained 22, 20 and 18% crude protein, with levels of metabolizable energy between 2.881 to 3.033 kcal/kg according to the inclusion or not of soybean oil. Weight gain, feed intake and feed:gain ratio were assessed. Only growing and fi nal phases whose treatments were additioned at the same time probiotic and soybean oil, showed the best results in weight gain and feed intake.


El objetivo del experimento fue avaluar el desempeño de los pollos de corte recibiendo dietas con probiótico Biobac®, conteniendo ingredientes activos del Saccaromyces cerevisae, Lactobacillus acidophylus y Enterococcus faecium, en el uso aislado o asociado con 3% de aceite de soja en las fases inicial, engorda y fi nal; respectivamente 1 al 21; 22 al 42 y del 43 al 47 días de edad. Fueran utilizadas 3.200 aves del corte de ambos los sexos con un día de edad, distribuidos en un diseño en bloques aleatorizados en ocho tratamientos con cuatro repeticiones sendo: T1- control, T2- probiótico en todas las fases, T3- aceite de soja en la fase fi nal, T4- (T2 + T3), T5- aceite de soja en las fases del engorda y fi nal, T6- ( T2 + T5), T7- aceite de soja en todas las fases, T8- (T2 + T7). Las raciones contenían 22; 20 e 18% de proteína bruta, con niveles de energía metabolizável entre 2.881 a 3.033 kcal/kg según la inclusión o no del aceite de soja. Fueron evaluados la ganancia del peso, consumo de ración y conversión alimentar. Solamente los periodos de engorda y fi nal cuyos tratamientos fueran adicionados conjuntamente probiótico y aceite de soja presentaran los mejores resultados en aumento de peso y conversión alimentar.


Assuntos
Animais , Masculino , Feminino , Aves , Probióticos/uso terapêutico , Óleo de Soja/uso terapêutico
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