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1.
Benef Microbes ; : 1-15, 2024 Jul 04.
Artigo em Inglês | MEDLINE | ID: mdl-38960388

RESUMO

In a previous study, we reported the in vitro potential probiotic and gamma-aminobutyric acid (GABA) production, of several strains from a collection of Lactiplantibacillus (Lpb) strains within the community of natural whey starters from the artisanal cheese industry. GABA is a non-protein amino acid widely distributed in nature and produced in animals, plants, and microorganisms. However, the best known role of GABA is its function as the major inhibitory neurotransmitter of the central nervous system. Preclinical and clinical evidence suggests that the GABAergic system has a relevant role in mental health disorders, such as anxiety and major depression. The modulation of the GABAergic system has been suggested as a potential strategy for treatment, one such mechanism of modulation is the influence of the microbiota-gut-brain axis through probiotic treatments. The present study was designed to investigate the in vivo probiotic potential of LPB145, a Lactiplantibacillus strain previously characterised as a GABA-producing potentially probiotic strain. Therefore, we evaluated the behavioural effects of chronic oral administration of LPB145 on rats' anxiety- and depression-like behaviours, using the elevated plus maze, open field, and the forced swimming test. The impact of LPB145 strain treatment on the gut microbiota structure and diversity was assessed to discern a possible mechanism of action of the LPB145 treatment through the microbiota-gut-brain axis. Our results showed that LPB145 administration induced an antidepressive-like behaviour without changes in locomotor activity. In contrast, the treatment did not modify the experimental anxiety. The structure and diversity of the intestinal microbiota remained unaffected by the treatment when compared to the control. However, specific clades that could be implicated in the behavioural changes did show differences in their relative abundance. These findings provide evidence regarding the potential of probiotic strains isolated from alimentary sources, to modulate the microbiota-gut-brain axis and positively impact mental health.

2.
Sci Total Environ ; 942: 173757, 2024 Sep 10.
Artigo em Inglês | MEDLINE | ID: mdl-38851329

RESUMO

This study identified the occurrence of Holocene chronology hiatuses in the sedimentary record of the Patos-Mirim system caused by river avulsion processes, as well as evidence of sharp anthropogenic changes in the surrounding region of the lagoon water bodies. The presence of chronology hiatuses demonstrates the importance of considering the disturbance effect of paleo-drainage processes on the paleoenvironmental resolution and expression of the sedimentary record of such coastal plains. Anthropogenic activities especially those related to agriculture and forestry have increased significantly during the great acceleration, resulting in modifications of both the landscape and the environmental conditions of the lagoon bodies. Such impacts were clearly reflected in the sedimentary record where abrupt changes in palynological trends, sedimentary DNA, isotopic and granulometric analyses were inferred. The climatic conditions combined with regressive sea level can explain the chronology hiatuses. Pollen analyses demonstrated changes in the landscape, particularly indicated by the shift from Cyperaceae to Poaceae dominance after the 1960 CE. Therefore, all proxies together demonstrate the modification in the landscape and changes in the environment, clearly influenced by anthropogenic action from unsustainable agricultural practices.


Assuntos
Agricultura , Monitoramento Ambiental , Sedimentos Geológicos , Rios , Movimentos da Água
3.
Sci Total Environ ; 818: 151854, 2022 Apr 20.
Artigo em Inglês | MEDLINE | ID: mdl-34826482

RESUMO

A recent paper by Beretta-Blanco and Carrasco-Letelier (2021) claims that agricultural eutrophication is not one of the main causes for cyanobacterial blooms in rivers and artificial reservoirs. By combining rivers of markedly different hydrological characteristics e.g., presence/absence and number of dams, river discharge and geological setting, the study speculates about the role of nutrients for modulating phytoplankton chlorophyll-a. Here, we identified serious flaws, from erratic and inaccurate data manipulation. The study did not define how erroneous original dataset values were treated, how the variables below the detection/quantification limit were numerically introduced, lack of mandatory variables for river studies such as flow and rainfall, arbitrary removal of pH > 7.5 values (which were not outliers), and finally how extreme values of other environmental variables were included. In addition, we identified conceptual and procedural mistakes such as biased construction/evaluation of model prediction capability. The study trained the model using pooled data from a short restricted lotic section of the (large) Uruguay River and from both lotic and reservoir domains of the Negro River, but then tested predictability within the (small) Cuareim River. Besides these methodological considerations, the article shows misinterpretations of the statistical correlation of cause and effect neglecting basic limnological knowledge of the ecology of harmful algal blooms (HABs) and international research on land use effects on freshwater quality. The argument that pH is a predictor variable for HABs neglects overwhelming basic paradigms of carbon fluxes and change in pH because of primary productivity. As a result, the article introduces the notion that HABs formation are not related to agricultural land use and water residence time and generate a great risk for the management of surface waterbodies. This reply also emphasizes the need for good practices of open data management, especially for public databases in view of external reproducibility.


Assuntos
Negro ou Afro-Americano , Rios , Monitoramento Ambiental , Eutrofização , Proliferação Nociva de Algas , Humanos , Fósforo/análise , Reprodutibilidade dos Testes , Uruguai
4.
Sci Total Environ ; 754: 142066, 2021 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-33254911

RESUMO

High resolution XRF scanning documented inter-annual paleolimnological changes of a Subantarctic periglacial lake, during a process of centennial glacier retreat in King George Island, Antarctica. Two major paleoenvironmental stages were inferred from the combined analysis of elemental, molecular and isotopic biomarkers, with a boundary or transition set at about 3200 yr BP. The first stage was characterized by a relatively low allochthonous organic content, reduced productivity and nitrogen levels. Such paleoenvironmental conditions are interpreted as a terrestrial system under periglacial influence, where material influx was related to erosion process from the melt water discharge, because of the proximity to the Collins Glacier ice cap. After the major Holocene glacier advance dated at about 3500 yr BP, the ice cap retreat led to the formation of Lake Uruguay, which involved in filling processes leading to moraine deposits, proglacial meltwater channels, and lakes next to the land glacier. During the second stage, with the onset of the Current Warm Period, prior to 1900 CE the stabilization of the Zr/Rb ratio within the laminated sediments documented the origin of the lacustrine sedimentation system, with subsequent increases in the sedimentation rate and biomass content (total nitrogen and organic carbon). Time series analyses revealed that the lake displayed variability cycles related to El Niño Southern Oscillation (ENSO), as reflected by high resolution sedimentological proxies for grain size, weathering, allochthonous inputs from the watershed, increase of biomass and productivity, and changes in redox conditions, all of which displayed similar oscillation cycles from 2 to 6 yr. During this periglacial recession and associated eutrophication process, we detected a striking loss in both bacterial specific richness and diversity as inferred from preliminary selected ancient DNA analyses. Thus, the Antarctic warming scenario leading to glacier depletion appears to exert deterioration consequences on the Subantarctic microbial web.


Assuntos
Camada de Gelo , Lagos , Regiões Antárticas , Eutrofização , Uruguai
5.
J Microbiol Methods ; 175: 105971, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32544485

RESUMO

Microcystis aeruginosa complex (MAC) encompasses noxious colonial bloom forming cyanobacteria. MAC representatives bloom in eutrophic freshwater and brackish ecosystems with stagnant water, were temperature and salinity are the main variables modulating their distribution, biomass and toxicity. Cell abundance and biovolume of MAC colonies define regulatory standards for public health. These variables depend upon colony size that in turn changes with environmental conditions. Here, we conducted two series of experiments to evaluate the response of MAC colonies morphological traits (length, volume, mucilage and number of cells) to temperature and salinity. In two series of experiments in the laboratory, we exposed natural MAC communities to three different temperatures (10, 21 and 30 °C) and four salinity levels (0, 5, 10 and 25 ppt) typically found in estuaries. We found that average colony length, volume and mucilage thickness did not change with temperature, but the cell-free space inside the colonies was smaller at the highest evaluated temperature (30 °C). Salinity fostered an increase in colony length, volume and mucilage thickness, while cell-free space diminished, resulting in higher cell density. The number of cells per colony was significantly related to colony size (length and volume) and both, temperature and salinity, affected the parameters of the relationships. Based on present results we propose statistical models to predict cell number per colony based on length and volume and accounting for the effect of salinity and temperature on these traits. This is applicable to ecological studies and to the monitoring of estuarine aquatic environments, by means of a fast and more accurate estimation of cell numbers to define MAC toxic populations early warning systems. A protocol is suggested for its application while the analysis of the interaction of temperature and salinity, as well as the variability in natural environments are objectives for future researches.


Assuntos
Monitoramento Ambiental/métodos , Microcystis/fisiologia , Águas Salinas/química , Salinidade , Temperatura , Microbiologia da Água
6.
J Microbiol Methods ; 151: 20-27, 2018 08.
Artigo em Inglês | MEDLINE | ID: mdl-29847777

RESUMO

The Microcystis aeruginosa complex (MAC) clusters many of the most common freshwater and brackish bloom-forming cyanobacteria. In monitoring protocols, biovolume estimation is a common approach to determine MAC colonies biomass and useful for prediction purposes. Biovolume (µm3 mL-1) is calculated multiplying organism abundance (orgL-1) by colonial volume (µm3org-1). Colonial volume is estimated based on geometric shapes and requires accurate measurements of dimensions using optical microscopy. A trade-off between easy-to-measure but low-accuracy simple shapes (e.g. sphere) and time costly but high-accuracy complex shapes (e.g. ellipsoid) volume estimation is posed. Overestimations effects in ecological studies and management decisions associated to harmful blooms are significant due to the large sizes of MAC colonies. In this work, we aimed to increase the precision of MAC biovolume estimations by developing a statistical model based on two easy-to-measure dimensions. We analyzed field data from a wide environmental gradient (800 km) spanning freshwater to estuarine and seawater. We measured length, width and depth from ca. 5700 colonies under an inverted microscope and estimated colonial volume using three different recommended geometrical shapes (sphere, prolate spheroid and ellipsoid). Because of the non-spherical shape of MAC the ellipsoid resulted in the most accurate approximation, whereas the sphere overestimated colonial volume (3-80) especially for large colonies (MLD higher than 300 µm). Ellipsoid requires measuring three dimensions and is time-consuming. Therefore, we constructed different statistical models to predict organisms depth based on length and width. Splitting the data into training (2/3) and test (1/3) sets, all models resulted in low training (1.41-1.44%) and testing average error (1.3-2.0%). The models were also evaluated using three other independent datasets. The multiple linear model was finally selected to calculate MAC volume as an ellipsoid based on length and width. This work contributes to achieve a better estimation of MAC volume applicable to monitoring programs as well as to ecological research.


Assuntos
Monitoramento Ambiental/métodos , Microcystis/citologia , Microcystis/crescimento & desenvolvimento , Biomassa , Água Doce/microbiologia , Modelos Lineares , Água do Mar/microbiologia , Uruguai
7.
Mar Pollut Bull ; 91(2): 476-82, 2015 Feb 28.
Artigo em Inglês | MEDLINE | ID: mdl-25249253

RESUMO

Intertidal benthic ecosystems in estuaries are productive sites where microbial processes play critical roles in nutrients mineralization, primary production and trophic web. In this groundwork study we analyzed the bacterial community of intertidal biofilms from Río de la Plata beaches with different anthropogenic impacts. Several environmental parameters were measured and bacterial assemblages were analyzed by 16S-rDNA pyrosequencing. The average OTU found per sample was 527.3±122.5, showing similar richness and diversity among them. However, sites having the highest and lowest salinity displayed higher bacterial diversity. Assemblages from a site nearby an oil refinery, showing the lowest salinity and oxygen concentration, were clearly distinct from the rest. The weight of this splitting relied on OTUs belonging to Thauera, known by its ability to metabolize aromatic compounds. Our results suggest that intertidal bacterial assemblages would be structured by major estuarine variables such as salinity, and that anthropogenic-induced environmental parameters might also be relevant.


Assuntos
Biodiversidade , Biofilmes , Cidades , Ecossistema , Estuários , Sequência de Bases , Praias/estatística & dados numéricos , Dados de Sequência Molecular , RNA Ribossômico 16S , Salinidade , Análise de Sequência de DNA , Especificidade da Espécie , Uruguai
8.
Arch Pediatr ; 20(12): 1288-95, 2013 Dec.
Artigo em Francês | MEDLINE | ID: mdl-24404596

RESUMO

BACKGROUND: The aim of this retrospective study was to assess the impact of a medical indoor environment counselor (MIEC) on the allergic child's indoor home environment, as well as the real-life experience of patients' families. METHODS: We enrolled 50 children (age, 4-18 years) with allergic respiratory illness (96 % asthmatics) from March 2011 to January 2012. During the first visit, the CMEI gave advice according to the results of the assessment. Home environmental exposures were assessed 6 months later. A satisfaction questionnaire was completed by the parents. RESULTS: We found a significant decrease in the presence of house dust mites (P = 0.0047), humidity, and molds (P = 0.0047) as well as volatile organic compounds (P = 0.0047). Smoking habits were not significantly changed (P = 0.083), nor was the presence of domestic pets (P = 0.3173). Over 74 % of the families were very satisfied with the CMEI's intervention. DISCUSSION: According to de Blay's study, a home visit by the MEIC increased compliance with mite reduction. The intervention to advise parents of asthmatic children on the risks of passive smoking was ineffective in reducing their children's exposure to environmental tobacco smoke. The advice given by the MEIC was better understood by the patients than that expressed by the medical teams. CONCLUSION: A targeted home-based environmental intervention increased the compliance to mite, humidity, and mold reduction. The role of the CMEI will undoubtedly develop: follow-up studies are necessary to justify their activity (cost-efficacy ratio of their intervention).


Assuntos
Poluição do Ar em Ambientes Fechados/análise , Asma/prevenção & controle , Aconselhamento , Visita Domiciliar , Adolescente , Poluição do Ar em Ambientes Fechados/efeitos adversos , Alérgenos/imunologia , Animais , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Ácaros/imunologia , Satisfação do Paciente , Estudos Retrospectivos , Inquéritos e Questionários , Poluição por Fumaça de Tabaco/efeitos adversos , Poluição por Fumaça de Tabaco/prevenção & controle
9.
Vet Microbiol ; 124(1-2): 178-83, 2007 Sep 20.
Artigo em Inglês | MEDLINE | ID: mdl-17517481

RESUMO

Paenibacillus larvae is the causative agent of American Foulbrood (AFB), a severe disease of honeybees (Apis melifera). The aim of this work was to develop a strategy for the subtyping and the epidemiological analysis of P. larvae. Phenotypic characterisation, susceptibility to several antibiotics, electrophoresis of whole bacterial proteins, rep-PCR, ribotyping and DGGE were assessed using a collection of P. larvae isolates from different Uruguayan and Argentinean locations. Results indicated that there are two P. larvae genotypes circulating in Uruguay ERIC I-BOX A (worldwide distributed) and ERIC I-BOX C (exclusively detected in Argentina until this study). These results suggest that P. larvae isolates had moved between Argentina and Uruguay, probably through the Uruguay River. Patterns of whole bacterial proteins, DGGE and ribotyping did not improve the P. larvae intraspecific discrimination. Antibiotic susceptibility assays showed that 100% isolates were OTC-sensitive and 22% (belonging to ERIC I-BOX A group) were sulfisoxazole-resistant. This work may contribute to the elucidation of basic aspects related to the epidemiology of AFB in Uruguay and in the region.


Assuntos
Antibacterianos/farmacologia , Bacillaceae , Técnicas de Tipagem Bacteriana/veterinária , Abelhas/microbiologia , Animais , Argentina , Bacillaceae/classificação , Bacillaceae/efeitos dos fármacos , Bacillaceae/genética , Técnicas de Tipagem Bacteriana/métodos , Impressões Digitais de DNA , DNA Bacteriano , Farmacorresistência Bacteriana , Eletroforese em Gel de Poliacrilamida/métodos , Eletroforese em Gel de Poliacrilamida/veterinária , Genótipo , Testes de Sensibilidade Microbiana/veterinária , Fenótipo , Filogenia , Reação em Cadeia da Polimerase/métodos , Reação em Cadeia da Polimerase/veterinária , Ribotipagem/métodos , Ribotipagem/veterinária , Uruguai
10.
J Neurol ; 254(8): 1052-65, 2007 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-17385079

RESUMO

This study was designed to examine the correlations between resting-state brain glucose metabolism (CMRglc), as measured with Positron Emission Tomography and performance on executive function tasks in Alzheimer's disease (AD), while taking into account the severity of cognitive deterioration. We addressed this issue in 50 AD patients, classified as very mild (n = 22) and mild (n = 28) AD on the basis of an extensive neuropsychological battery. Thirteen healthy subjects were selected as controls for the neuropsychological measures. Statistical Parametric Mapping (SPM) was used to examine voxel-wise correlations between CMRglc and scores on selected cognitive tests of executive functions: the Stroop Test, the Trail Making Test, the Dual Task and the Phonemic Fluency, while correcting for age and global CMRglc. All analyses were done separately for the two AD subgroups. The very mild AD patients showed significant associations between Stroop and Trail Making Test scores and prefrontal regions metabolism, whereas the mild AD patients exhibited more widely distributed cognitive-metabolic correlations extending to the posterior brain regions. These data suggest that a large cortical network is implicated in executive dysfunction in AD, and that the pattern of cognitive-metabolic correlations varies according to disease severity.


Assuntos
Doença de Alzheimer/complicações , Doença de Alzheimer/metabolismo , Transtornos Cognitivos/etiologia , Glucose/metabolismo , Resolução de Problemas/fisiologia , Idoso , Idoso de 80 Anos ou mais , Doença de Alzheimer/diagnóstico por imagem , Análise de Variância , Mapeamento Encefálico , Transtornos Cognitivos/diagnóstico por imagem , Feminino , Fluordesoxiglucose F18 , Humanos , Masculino , Testes Neuropsicológicos , Tomografia por Emissão de Pósitrons/métodos , Estatística como Assunto
11.
Dement Geriatr Cogn Disord ; 20(6): 358-66, 2005.
Artigo em Inglês | MEDLINE | ID: mdl-16192726

RESUMO

This study investigated the contribution that white matter changes (WMCs) make to clinical and cognitive features in Alzheimer's disease (AD), independently of possible confounders such as cortical atrophy and the apolipoprotein E genotype as well as their relationship to vascular risk factors. We semiquantitatively assessed the degree and location of WMCs (global, periventricular and deep white matter), lacunes and global atrophy on brain MRI scans of 86 AD cases, extensively evaluated from a clinical and neuropsychological point of view. Multivariate logistic and linear regression analysis showed that age was the only significant predictor of all WMC measures and revealed a significant association of periventricular WMCs with performance on executive function tasks as well as of deep WMCs with history of mood depression. Our results underline the significance of WMC location over size in the occurrence of specific cognitive deficits in AD.


Assuntos
Doença de Alzheimer/patologia , Doença de Alzheimer/psicologia , Encéfalo/patologia , Transtornos Cognitivos/patologia , Idoso , Idoso de 80 Anos ou mais , Análise de Variância , Apolipoproteínas E/análise , Feminino , Humanos , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Testes Neuropsicológicos
12.
Neurol Sci ; 26(2): 61-6, 2005 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-15995821

RESUMO

Cognitive impairment and gait disturbances are the most frequent clinical findings in patients with leukoaraiosis (LA). Corpus callosum (CC) atrophy has been associated with dementia in patients with LA, as well as with gait disturbances in patients with normal pressure hydrocephalus. We investigated, in patients with LA, the possible association between gait impairment and CC atrophy, taking into account cognitive deficits and the other brain lesions commonly present in these patients. Thirty patients (M:F=21:9; mean age 72.5+/-6.3 years) with gait disturbances and brain CT images consistent with LA underwent an assessment of gait and a cognitive assessment of global and selective functions. Magnetic resonance imaging (MRI) was used to measure thickness and area of the CC, total LA volume, lacunar infarcts and size of lateral ventricles. We examined the effect of every MRI change on each performance measure. Reduction of CC thickness, particularly that of the anterior segment, had a significant effect on severity of gait impairment, as measured using the gait scale's score. It was independent of any other brain changes revealed by MRI, including LA. An independent, significant association was also found between CC area and the Left Hand Praxis test results. In patients with LA, CC atrophy is associated with gait impairment independently of LA and other brain abnormalities usually present in these patients.


Assuntos
Corpo Caloso/patologia , Transtornos Neurológicos da Marcha/patologia , Leucoaraiose/patologia , Idoso , Atrofia , Transtornos Cognitivos/patologia , Transtornos Cognitivos/fisiopatologia , Feminino , Transtornos Neurológicos da Marcha/complicações , Humanos , Leucoaraiose/complicações , Imageamento por Ressonância Magnética/métodos , Masculino , Entrevista Psiquiátrica Padronizada , Pessoa de Meia-Idade , Análise de Regressão , Tomografia Computadorizada por Raios X/métodos
13.
Acta Neurol Scand ; 104(3): 185-90, 2001 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-11551242

RESUMO

BACKGROUND: An internal capsule genu infarct has been rarely reported to cause cognitive impairment and behavioral changes. This clinical picture can be explained on anatomical and functional basis because important subcortical-cortical pathways traverse the internal capsule genu. We report 2 previously non-demented patients who developed acute confusional state, abulia, and moderate cognitive decline after the occurrence of an infarct in the capsular genu. METHODS: Clinical, neuropsychological, and MRI evaluation at baseline and 12-month follow-up. RESULTS: Abulia and cognitive impairment were still present 1 year after stroke. In 1 patient there were associated multiple lacunar infarcts and leukoaraiosis. In the other an old small left frontal infarct was also present. In both moderate cortical atrophy co-existed. CONCLUSIONS: We hypothesize that co-existing lesions, possibly associated with a sub-clinical reduction of cognitive functions, facilitate the development of a persistent clinically evident mental deficit after the occurrence of an infarct in the capsular genu.


Assuntos
Infarto Cerebral/diagnóstico , Confusão/diagnóstico , Demência por Múltiplos Infartos/diagnóstico , Cápsula Interna/patologia , Imageamento por Ressonância Magnética , Mutismo/diagnóstico , Testes Neuropsicológicos , Tomografia Computadorizada por Raios X , Idoso , Mapeamento Encefálico , Infarto Cerebral/psicologia , Confusão/psicologia , Demência por Múltiplos Infartos/psicologia , Dominância Cerebral/fisiologia , Disartria/diagnóstico , Disartria/psicologia , Humanos , Masculino , Mutismo/psicologia
14.
J Neurol Sci ; 188(1-2): 85-93, 2001 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-11489290

RESUMO

BACKGROUND AND PURPOSE: The majority of studies on neuropsychological complications after cardiac surgery used the raw variation of selective tests scores to define the occurrence of cognitive decline. We prospectively estimated the frequency of cognitive impairment after cardiac surgery, with a particular emphasis on persistent and clinically relevant cognitive decline. Possible baseline and operative predictors were also evaluated. METHODS: An extensive neuropsychological battery was administered to 110 patients (mean age 64.1+/-9.4 years; 70.9% males) undergoing cardiac surgery before and 6 months after the operation. After evaluating the variations in the cognitive performances, two independent neuropsychologists ranked the patients as unchanged-improved, mildly-moderately deteriorated, or severely deteriorated, using a global and functionally oriented judgement. The degree of the impairment was determined in relation to its impact on everyday life activities. RESULTS: Ten patients (9.1%) were ranked as severely deteriorated, 22 (20%) as mildly-moderately deteriorated, and 78 (70.9%) as unchanged-improved. Cognitively impaired patients were older (p=0.031), more often females (p=0.005), with a low education level (p=0.013). At multivariate analysis, female gender (odds ratio (OR) 6.14, 95% confidence interval (95% CI) 2.16-17.50), baseline use of beta-blockers (OR 4.55, 95% CI 1.30-15.92), and PaO2 at arrival in intensive care unit (OR for 1 mm Hg increment 1.012, 95% CI 1.004-1.020) were significant predictors of cognitive impairment of any degree. Positive predictors of severe cognitive impairment were history of hypertension (OR 5.33, 95% CI 1.03-27.64) and PaO2 at arrival intensive care unit (OR for 1 mm Hg increment 1.020, 95% CI 1.006-1.035), while education was protective (OR per year of increment 0.53, 95% CI 0.31-0.90). CONCLUSIONS: A considerable proportion of cardiac surgery patients may undergo clinically relevant cognitive impairment. The knowledge of variables influencing cognitive outcome is essential for the adoption of preventive measures.


Assuntos
Procedimentos Cirúrgicos Cardíacos/efeitos adversos , Transtornos Cognitivos/etiologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Transtornos Cognitivos/diagnóstico , Transtornos Cognitivos/epidemiologia , Transtornos Cognitivos/psicologia , Feminino , Seguimentos , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Análise Multivariada , Testes Neuropsicológicos , Prognóstico , Estudos Prospectivos , Fatores de Risco , Índice de Gravidade de Doença
17.
Alzheimer Dis Assoc Disord ; 13(3): 157-64, 1999.
Artigo em Inglês | MEDLINE | ID: mdl-10485575

RESUMO

We sought to identify the most reliable magnetic resonance (MR) measures for the diagnosis and staging of Alzheimer disease (AD) in a clinical setting and to estimate, for different degrees of dementia, the rate of change of cerebral atrophy in certain regions of interest (ROIs). Forty-two probable AD patients and eight normal controls underwent MR brain scans, neurological examinations, and neuropsychological testing. We computed each subject's corpus callosum width, ventricular size, right and left temporal lobe areas, interuncal distance, and assessed the degree of cortical atrophy. We also estimated the rate of change for Information-Memory-Concentration Test scores and for temporal lobe areas and corpus callosum width. Measures of temporal lobe area and subjective evaluation of temporal lobe atrophy both served to distinguish controls from mild AD cases (p < 0.05), whereas only the latter differentiated moderate from severe patients (p < 0.05). The rate of change for temporal lobe areas remained constant over different AD stages, whereas those for corpus callosum width and for cognitive impairment were greater for severe cases (p < 0.05). Our findings imply that measurements of temporal lobe area and ratings of temporoparietal atrophy can be useful in the diagnosis and staging of AD and suggest that atrophy progressed at different rates in selected ROIs for various stages of AD severity.


Assuntos
Doença de Alzheimer/diagnóstico , Imageamento por Ressonância Magnética , Idoso , Doença de Alzheimer/psicologia , Progressão da Doença , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Testes Neuropsicológicos , Fatores de Tempo
18.
J Med Microbiol ; 48(6): 527-534, 1999 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-10359301

RESUMO

A uropathogenic strain of Proteus mirabilis was grown in vitro in human and mouse urine and brain-heart infusion broth (BHIB) and in vivo in subcutaneous open chambers (SOC) in mice, intraperitoneal diffusion chambers (IPC) in rats and by ascending urinary tract infection in mice in order to compare growth pattern, cellular differentiation and expression of virulence factors. Although the growth rate was slower in vivo than in vitro, the extent of growth was similar after 24 h. PR mirabilis differentiated into filamentous swarmer cells in all in-vitro culture conditions, but no filamentous cells were observed in either of the in-vivo chamber models. Transurethrally infected mice showed a rapid release or loss of filamentous cells and these could not be seen in kidney or bladder homogenates 7 days after infection. Bacteria showed increasing haemagglutination titres for fresh and tanned red blood cells after subculturing in BHIB, but bacteria grown in vivo did not show haemagglutination. An increasing resistance to normal serum was found when bacteria were grown in vivo. Significant haemolytic activity was detected with bacteria grown in BHIB and IPC, but almost no activity was found when bacteria had grown in urine. These findings improve the understanding of the role of P. mirabilis uropathogenic virulence factors in vivo.


Assuntos
Infecções por Proteus/microbiologia , Proteus mirabilis/patogenicidade , Infecções Urinárias/microbiologia , Animais , Atividade Bactericida do Sangue , Cultura em Câmaras de Difusão , Hemaglutinação , Proteínas Hemolisinas/metabolismo , Humanos , Camundongos , Proteus mirabilis/crescimento & desenvolvimento , Proteus mirabilis/imunologia , Ratos , Urina/microbiologia , Virulência
19.
FEMS Microbiol Lett ; 166(2): 243-8, 1998 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-9770281

RESUMO

The effect of iron deprivation on the expression of outer membrane proteins and the ability to use heme as an iron source by uropathogenic Proteus mirabilis, Pr 6515, was studied. Examination of iron-restricted bacteria showed three outer membrane proteins ranging from 66 to 75 kDa to be affected by iron restriction, as well as a newly expressed 64-kDa protein. These proteins were induced within 15 minutes of iron-deprivation. The strain grew in the presence of ferric citrate, hemin and hemoglobin as iron sources, but could not use transferrin, lactoferrin or siderophores from exogenous sources. The 64- and 66-kDa proteins showed hemin-binding activity by affinity chromatography, and both reacted in Western blots with sera from mice transurethrally infected with the same strain. We suggest that P. mirabilis expresses iron-regulated outer membrane proteins that could be involved in heme uptake and may have a role in pathogenesis.


Assuntos
Proteínas da Membrana Bacteriana Externa/biossíntese , Heme/metabolismo , Ferro/farmacologia , Proteus mirabilis/metabolismo , Animais , Proteínas da Membrana Bacteriana Externa/imunologia , Proteínas da Membrana Bacteriana Externa/isolamento & purificação , Proteínas da Membrana Bacteriana Externa/metabolismo , Western Blotting , Proteínas de Transporte/biossíntese , Proteínas de Transporte/isolamento & purificação , Proteínas de Transporte/metabolismo , Meios de Cultura , Eletroforese em Gel de Poliacrilamida , Proteínas Ligantes de Grupo Heme , Hemeproteínas/biossíntese , Hemeproteínas/isolamento & purificação , Hemeproteínas/metabolismo , Hemina/metabolismo , Humanos , Ferro/metabolismo , Camundongos , Infecções por Proteus/microbiologia , Proteus mirabilis/crescimento & desenvolvimento , Proteus mirabilis/isolamento & purificação , Infecções Urinárias/microbiologia
20.
J Neurol Sci ; 156(1): 59-64, 1998.
Artigo em Inglês | MEDLINE | ID: mdl-9559988

RESUMO

The aim of this study was to establish the presence and the consistency of different cognitive profiles in AD patients taking into consideration the severity of mental impairment. Therefore we stratified 679 neuropsychological observations on 119 probable AD patients followed longitudinally on the basis of overall degree of cognitive impairment. To compare performance on tests with different score ranges we transformed raw test scores into coefficients; to summarize our results in terms of language versus visuo-spatial performance we computed indices of prevalent impairment of performance (IPIP) by subtracting the coefficients for constructional praxis from coefficients for language-related tests. Finally, we converted these indices into z-scores for each level of mental decline to identify patients with generalized, language (L) or visuo-spatial (V) prevalent impairment. The latter, 30% of the sample, can be detected at all stages of dementia. There was a higher percentage of males among language impaired patients (P<0.05). Approximately half of patients with L/V prevalent impairment continued to show such a focality when followed longitudinally. The groups did not differ in the annual rate of cognitive decline.


Assuntos
Doença de Alzheimer/fisiopatologia , Cognição , Índice de Gravidade de Doença , Idade de Início , Idoso , Feminino , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade
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