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1.
Environ Monit Assess ; 196(7): 595, 2024 Jun 04.
Artigo em Inglês | MEDLINE | ID: mdl-38833198

RESUMO

Aquatic humic substances (AHS) are defined as an important components of organic matter, being composed as small molecules in a supramolecular structure and can interact with metallic ions, thereby altering the bioavailability of these species. To better understand this behavior, AHS were extracted and characterized from Negro River, located near Manaus city and Carú River, that is situated in Itacoatiara city, an area experiencing increasing anthropogenic actions; both were characterized as blackwater rivers. The AHS were characterized by 13C nuclear magnetic ressonance and thermochemolysis GC-MS to obtain structural characteristics. Interaction studies with Cu (II), Al (III), and Fe (III) were investigated using fluorescence spectroscopy applied to parallel factor analysis (PARAFAC) and two-dimensional correlation spectroscopy with Fourier transform infrared spectroscopy (2D-COS FTIR). The AHS from dry season had more aromatic fractions not derived from lignin and had higher content of alkyls moities from microbial sources and vegetal tissues of autochthonous origin, while AHS isolated in the rainy season showed more metals in its molecular architecture, lignin units, and polysacharide structures. The study showed that AHS composition from rainy season were able to interact with Al (III), Fe (III), and Cu (II). Two fluorescent components were identified as responsible for interaction: C1 (blue-shifted) and C2 (red-shifted). C1 showed higher complexation capacities but with lower complexation stability constants (KML ranged from 0.3 to 7.9 × 105) than C2 (KML ranged from 3.1 to 10.0 × 105). 2D-COS FTIR showed that the COO- and C-O in phenolic were the most important functional groups for interaction with studied metallic ions.


Assuntos
Alumínio , Cobre , Monitoramento Ambiental , Substâncias Húmicas , Rios , Estações do Ano , Poluentes Químicos da Água , Substâncias Húmicas/análise , Rios/química , Espectroscopia de Infravermelho com Transformada de Fourier , Monitoramento Ambiental/métodos , Poluentes Químicos da Água/análise , Cobre/análise , Alumínio/análise , Alumínio/química , Ferro/análise , Ferro/química , Brasil , Análise Fatorial
2.
Trop Anim Health Prod ; 56(3): 114, 2024 Apr 02.
Artigo em Inglês | MEDLINE | ID: mdl-38561441

RESUMO

This study aimed to evaluate the costs of using banana peel (BP) and sweet potato vine (SPV) in rabbit diets. BP and SPV were chosen to replace maize and alfalfa hay, because, in addition to the ingredients having similar nutritional characteristics, they are among the most expensive ingredients in rabbit diets. Data were obtained through a biological assay carried out in the Cuniculture Laboratory of the Universidade Federal de Santa Maria, Santa Maria, RS, Brazil. Fifty New Zealand white rabbits, weaned at 35 days of age, were fed during the growth phase (35 to 84 days) with increasing levels of BP and SPV, replacing maize and alfalfa hay (T0, T25, T50, T75 and T100% replacement). A diet containing 100% replacement (T100) had the lowest cost per kilogram, which was R$ 1.18/kg, while the controlled diet was 57% more expensive, costing R$ 2.08/kg. The total operating cost to produce a rabbit with control treatment was R$10.93/head and at T100, it was R$6.51/head. The animal income for a live rabbit was R$ 24.08 and R$ 23.95 in treatments T0 and T100, respectively. Regarding the gain margin per animal (GMA), in TO it was R$ 13.16 while in T100 it was R$ 17.44, therefore the GMA was 32.55% higher when using the T100 diet. In conclusion, it is more economical and feasible to feed rabbits with diets containing 100% BP and SPV, replacing maize and alfalfa hay.


Assuntos
Ipomoea batatas , Musa , Coelhos , Animais , Dieta/veterinária , Zea mays , Desmame , Ração Animal/análise , Fenômenos Fisiológicos da Nutrição Animal
3.
Sci Rep ; 14(1): 4222, 2024 02 20.
Artigo em Inglês | MEDLINE | ID: mdl-38378735

RESUMO

There is limited contemporary prospective real-world evidence of patients with chronic arterial disease in Latin America. The Network to control atherothrombosis (NEAT) registry is a national prospective observational study of patients with known coronary (CAD) and/or peripheral arterial disease (PAD) in Brazil. A total of 2,005 patients were enrolled among 25 sites from September 2020 to March 2022. Patient characteristics, medications and laboratorial data were collected. Primary objective was to assess the proportion of patients who, at the initial visit, were in accordance with good medical practices (domains) for reducing cardiovascular risk in atherothrombotic disease. From the total of patients enrolled, 2 were excluded since they did not meet eligibility criteria. Among the 2,003 subjects included in the analysis, 55.6% had isolated CAD, 28.7% exclusive PAD and 15.7% had both diagnoses. Overall mean age was 66.3 (± 10.5) years and 65.7% were male patients. Regarding evidence-based therapies (EBTs), 4% were not using any antithrombotic drug and only 1.5% were using vascular dose of rivaroxaban (2.5 mg bid). Only 0.3% of the patients satisfied all the domains of secondary prevention, including prescription of EBTs and targets of body-mass index, blood pressure, LDL-cholesterol, and adherence of lifestyle recommendations. The main barrier for prescription of EBTs was medical judgement. Our findings highlight that the contemporary practice does not reflect a comprehensive approach for secondary prevention and had very low incorporation of new therapies in Brazil. Large-scale populational interventions addressing these gaps are warranted to improve the use of evidence-based therapies and reduce the burden of atherothrombotic disease.ClinicalTrials.gov NCT04677725.


Assuntos
Doença da Artéria Coronariana , Doença Arterial Periférica , Idoso , Feminino , Humanos , Masculino , Brasil/epidemiologia , Doença da Artéria Coronariana/tratamento farmacológico , Doença Arterial Periférica/epidemiologia , Estudos Prospectivos , Sistema de Registros , Fatores de Risco , Rivaroxabana/uso terapêutico , Pessoa de Meia-Idade , Estudos Multicêntricos como Assunto , Estudos Observacionais como Assunto
4.
An Acad Bras Cienc ; 96(1): e20190556, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38359283

RESUMO

A 45-day feeding assay was carried out to evaluate the effects of crescent levels of dephytinized rice bran protein concentrate (DRBPC) on growth performance, nutrient deposition, plasma and liver parameters of jundiá Rhamdia quelen. Five experimental diets were formulated with inclusion of 0 (control), 10, 15, 20, and 30% of DRBPC. In total 500 jundiás (initial body weight 6.28 ± 0.12 g) were allocated in 20 tanks (230 L) to give four groups for each treatment. Fish were fed to apparent satiation for 45 days. Weight gain and specific growth rate were evaluated by cubic regression analysis (P < 0.05) and displayed maximal growth on the inclusion level of 25% of DRBPC. The results indicated that fish fed DRBPC15 and DRBPC30 had lower body protein deposition and hepatosomatic index compared to CONTROL diet, respectively. No significant differences (P > 0.05) were assessed in plasma parameters. The alanine aminotransferase activity was higher in fish fed DRBPC30 compared to CONTROL group. The present study has demonstrated that DRBPC displayed significant nutritional quality for the jundiá. Thus, this new ingredient could be included as a protein source in fish for minimizing the use of fish meal.


Assuntos
Peixes-Gato , Oryza , Animais , Fígado/metabolismo , Aumento de Peso , Dieta , Ração Animal/análise
5.
Sci Rep ; 14(1): 1758, 2024 01 19.
Artigo em Inglês | MEDLINE | ID: mdl-38242927

RESUMO

Although some studies have shown neuroimaging and neuropsychological alterations in post-COVID-19 patients, fewer combined neuroimaging and neuropsychology evaluations of individuals who presented a mild acute infection. Here we investigated cognitive dysfunction and brain changes in a group of mildly infected individuals. We conducted a cross-sectional study of 97 consecutive subjects (median age of 41 years) without current or history of psychiatric symptoms (including anxiety and depression) after a mild infection, with a median of 79 days (and mean of 97 days) after diagnosis of COVID-19. We performed semi-structured interviews, neurological examinations, 3T-MRI scans, and neuropsychological assessments. For MRI analyses, we included a group of non-infected 77 controls. The MRI study included white matter (WM) investigation with diffusion tensor images (DTI) and functional connectivity with resting-state functional MRI (RS-fMRI). The patients reported memory loss (36%), fatigue (31%) and headache (29%). The quantitative analyses confirmed symptoms of fatigue (83% of participants), excessive somnolence (35%), impaired phonemic verbal fluency (21%), impaired verbal categorical fluency (13%) and impaired logical memory immediate recall (16%). The WM analyses with DTI revealed higher axial diffusivity values in post-infected patients compared to controls. Compared to controls, there were no significant differences in the functional connectivity of the posterior cingulum cortex. There were no significant correlations between neuropsychological scores and neuroimaging features (including DTI and RS-fMRI). Our results suggest persistent cognitive impairment and subtle white matter abnormalities in individuals mildly infected without anxiety or depression symptoms. The longitudinal analyses will clarify whether these alterations are temporary or permanent.


Assuntos
Encefalopatias , COVID-19 , Disfunção Cognitiva , Substância Branca , Humanos , Adulto , Imagem de Tensor de Difusão/métodos , Estudos Transversais , COVID-19/complicações , Disfunção Cognitiva/diagnóstico por imagem , Disfunção Cognitiva/etiologia , Encéfalo/diagnóstico por imagem , Substância Branca/diagnóstico por imagem , Transtornos da Memória , Fadiga/etiologia
6.
J Virol Methods ; 323: 114839, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-37923063

RESUMO

Studies reporting the expression of hepatitis A virus (HAV) structural proteins, specifically recombinant VP1-2A containing an immunogenic activity, use the Escherichia coli system. Recombinant HAV proteins may represent a source of less expensive antigens for application in different diagnostic platforms. However, the formation of insoluble aggregates is an obstacle to obtaining large amounts of HAV proteins in their native form. To overcome this obstacle, some approaches were applied in this study to improve purification, solubility, and protein expression levels. Critical properties were evaluated. The introduction of another insertion codon to increase the protein concentration and vector activity was observed and verified by SDS-PAGE. The expression was established with 0.4 mM IPTG for 4 h at 37 °C. The VP1 protein was partially soluble at an isoeletric point (pI) of 6.45. The majority of HAV VP1-2A proteins measured 45.19 kDa in size and had a homogeneity of 53.58%. Multi-antigen print immunoassay (MAPIA) showed antigenicity at different HAV VP1-2A concentrations, and microsphere-based immunoassays showed a specificity of 100% and a sensitivity of 84%. HAV VP1-2A was characterized using different sensitivity methods to prove its biological activity, indicating its use as a tool for the diagnosis of Hepatitis A virus infection.


Assuntos
Vírus da Hepatite A , Hepatite A , Humanos , Vírus da Hepatite A/genética , Proteínas Recombinantes , Hepatite A/diagnóstico
7.
Rev. enferm. UERJ ; 31: e71679, jan. -dez. 2023.
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-1444020

RESUMO

Objetivo: compreender os fatores que interferem no diagnóstico da sífilis em homens à luz da Teoria da Diversidade e Universalidade do Cuidado Cultural. Método: estudo qualitativo, aprovado por Comitê de Ética em Pesquisa, realizado em Hospital Universitário no Rio de Janeiro, entre setembro de 2017 e março de 2018. Foram entrevistados 32 homens diagnosticados com sífilis adquirida, e a análise temática foi utilizada para o tratamento dos dados. Resultados: a maioria dos homens tinha história de contágio por outra Infecção Sexualmente Transmissível e foi diagnosticada no ambulatório de imunologia. O momento diagnóstico é encarado com surpresa, tem repercussões psicossociais e é influenciado por fatores culturais e sociais. Considerações finais: alguns fatores interferem positivamente e outros negativamente no diagnóstico da sífilis na população masculina. Para detectar essa infecção nos homens, deve-se conhecer o contexto sociocultural em que estão inseridos para, assim, implementar estratégias tanto diagnósticas quanto preventivas mais eficazes(AU)


Objective: to understand the factors that interfere with the diagnosis of syphilis in men in the light of the Theory of Diversity and Universality of Cultural Care. Method: qualitative study, approved by the Ethics and Research Committee, conducted at a University Hospital in Rio de Janeiro, during september 2017 to march 2018. Thirty-two men diagnosed with acquired syphilis were interviewed, and thematic analysis was used for data treatment. Results: most men had a history of contagion by another STI and were diagnosed at the immunology outpatient clinic. The moment of diagnosis is faced with surprise, has psychosocial repercussions and is influenced by cultural and social factors. Final considerations: some factors interfere positively and others negatively in the diagnosis of syphilis in the male population. To detect this infection in men, it is necessary to know the sociocultural context in which they live, in order to implement more effective diagnostic and preventive strategies(AU)


Objetivo: comprender los factores que interfieren en el diagnóstico de la sífilis en los hombres a la luz de la Teoría de la diversidad y universalidad del cuidado cultural. Método: estudio cualitativo, aprobado por el Comité de Ética en Investigación, realizado en un Hospital Universitario de Río de Janeiro, de septiembre de 2017 a marzo de 2018. Se entrevistó a 32 hombres diagnosticados de sífilis adquirida y se utilizó el análisis temático para el tratamiento de los datos. Resultados: la mayoría de los hombres tenía antecedentes de contagio por otra Infección Sexualmente Transmisible y el diagnóstico se hizo en el ambulatorio de inmunología. El momento del diagnóstico se afronta con sorpresa, tiene repercusiones psicosociales y está influenciado por factores culturales y sociales. Consideraciones finales: algunos factores interfieren positivamente y otros negativamente en el diagnóstico de la sífilis en la población masculina. Para detectar esta infección en los hombres, se debe conocer el contexto sociocultural en el que se insertan, para entonces poner en marcha estrategias de diagnóstico y de prevención más eficaces(AU)


Assuntos
Humanos , Masculino , Adulto , Sífilis/diagnóstico , Sexualidade , Saúde do Homem , Assistência à Saúde Culturalmente Competente , Sífilis/enfermagem , Pesquisa Qualitativa , Masculinidade , Hospitais Universitários
8.
Trop Anim Health Prod ; 55(5): 290, 2023 Aug 15.
Artigo em Inglês | MEDLINE | ID: mdl-37581724

RESUMO

This study aimed to evaluate the use of banana peel (BP) and sweet potato vines (SPV) as a replacement for maize and alfalfa hay in diets for rabbits. Animal performance, economic analyses, meat composition, and color were evaluated for 49 days in a total 50 New Zealand White rabbits weaned at 35 days with an average body mass of ± 614 g. The animals were allotted, in a completely randomized design, having five dietary groups: control diet (0), without banana peels and sweet potato vines, or experimental diets, 25, 50, 75, and 100-with 25%, 50%, 75%, and 100% of banana peels and sweet potato vines in substitution to maize and alfalfa hay, respectively. The data were analyzed using ANOVA, while the means were compared by Tukey test (p < 0.05). The results indicate that daily feed intake, mass gain, and feed conversion were not statistically different from one another in the test groups compared to the control group treatment. In addition, the study shows no differences were observed in centesimal compositions and muscle color. The replacement of maize and alfalfa hay by the combination of BP and SPV resulted in reduction in feed costs, reaching 50% in the experimental diet with 100% of substitution the ingredients. It can be concluded, based on the results on animal performance, meat/color composition, and economic analyses, that BP and SPV may be used as a substitute for maize and alfalfa hay up to 100% in diets for growing rabbits.


Assuntos
Ipomoea batatas , Musa , Animais , Coelhos , Ração Animal/análise , Dieta/veterinária , Ingestão de Alimentos , Carne/análise , Medicago sativa
9.
BMC Infect Dis ; 23(1): 497, 2023 Jul 28.
Artigo em Inglês | MEDLINE | ID: mdl-37507668

RESUMO

BACKGROUND: To analyze the influence of the COVID-19 pandemic on the process of diagnosis and monitoring of drug-resistant pulmonary tuberculosis (TB) cases reported in the state of Paraná, Brazil, from 2015 to 2020. METHODS: Ecological study with quantitative approach. This study was based on diagnosed cases of pulmonary TB reported in the Notifiable Disease Information System in residents of Paraná; as well as through the number of confirmed cases of COVID-19 in the state epidemiological bulletin for the year 2020. The study data were analyzed using descriptive statistics. RESULTS: It was found that, although the number of reported pulmonary TB cases (drug-resistant and general) increased between 2015 and 2019, there was a drop in notification in 2020, the first year of the COVID-19 pandemic. The notification of TB cases was also influenced monthly during the year according to the increase in the number of COVID-19 cases. For cases of drug-resistant pulmonary TB, the provision of diagnostic tests and Directly Observed Treatment decreased by more than half in 2020, especially when compared to 2019. CONCLUSIONS: In view of these findings, the influence of COVID-19 on the diagnosis and monitoring of drug-resistant and general pulmonary TB cases is evident, showing that the pandemic has compromised the advances of recent decades in achieving the goals established for its eradication by 2035.


Assuntos
COVID-19 , Tuberculose Miliar , Tuberculose Resistente a Múltiplos Medicamentos , Tuberculose Pulmonar , Humanos , Pandemias , Tuberculose Resistente a Múltiplos Medicamentos/tratamento farmacológico , Tuberculose Resistente a Múltiplos Medicamentos/epidemiologia , Tuberculose Resistente a Múltiplos Medicamentos/diagnóstico , Tuberculose Pulmonar/diagnóstico , Tuberculose Pulmonar/tratamento farmacológico , Tuberculose Pulmonar/epidemiologia , Notificação de Doenças
10.
J Med Case Rep ; 17(1): 251, 2023 Jun 17.
Artigo em Inglês | MEDLINE | ID: mdl-37328870

RESUMO

BACKGROUND: The diagnosis of Cushing's syndrome is challenging; however, through the clinical picture and the search for secondary causes of osteoporosis, it was possible to reach the diagnosis of the case reported. There was an independent, symptomatic ACTH hypercortisolism manifested by typical phenotypic changes, severe secondary osteoporosis and arterial hypertension in a young patient. CASE PRESENTATION: A 20-year-old Brazilian man with low back pain for 8 months. Radiographs showed fragility fractures in the thoracolumbar spine, and bone densitometry showed osteoporosis, especially when evaluating the Z Score (- 5.6 in the lumbar spine). On physical examination, there were wide violaceous streaks on the upper limbs and abdomen, plethora and fat increase in the temporal facial region, hump, ecchymosis on limbs, hypotrophy of arms and thighs, central obesity and kyphoscoliosis. His blood pressure was 150 × 90 mmHg. Cortisol after 1 mg of dexamethasone (24.1 µg/dL) and after Liddle 1 (28 µg/dL) were not suppressed, despite normal cortisoluria. Tomography showed bilateral adrenal nodules with more severe characteristics. Unfortunately, through the catheterization of adrenal veins, it was not possible to differentiate the nodules due to the achievement of cortisol levels that exceeded the upper limit of the dilution method. Among the hypotheses for the differential diagnosis of bilateral adrenal hyperplasia are primary bilateral macronodular adrenal hyperplasia, McCune-Albright syndrome and isolated bilateral primary pigmented nodular hyperplasia or associated with Carney's complex. In this case, primary pigmented nodular hyperplasia or carcinoma became important etiological hypotheses when comparing the epidemiology in a young man and the clinical-laboratory-imaging findings of the differential diagnoses. After 6 months of drug inhibition of steroidogenesis, blood pressure control and anti-osteoporotic therapy, the levels and deleterious metabolic effects of hypercortisolism, which could also impair adrenalectomy in the short and long term, were reduced. Left adrenalectomy was chosen, given the possibility of malignancy in a young patient and to avoid unnecessary definitive surgical adrenal insufficiency if the adrenalectomy was bilateral. Anatomopathology of the left gland revealed expansion of the zona fasciculate with multiple nonencapsulated nodules. CONCLUSION: The early identification of Cushing's syndrome, with measures based on the assessment of risks and benefits, remains the best way to prevent its progression and reduce the morbidity of the condition. Despite the unavailability of genetic analysis for a precise etiological definition, it is possible to take efficient measures to avoid future damage.


Assuntos
Síndrome de Cushing , Osteoporose , Masculino , Humanos , Adulto Jovem , Adulto , Síndrome de Cushing/complicações , Síndrome de Cushing/diagnóstico , Hidrocortisona , Hiperplasia/patologia , Hormônio Adrenocorticotrópico/metabolismo , Glândulas Suprarrenais/cirurgia , Adrenalectomia , Osteoporose/complicações
11.
Protein Expr Purif ; 207: 106263, 2023 07.
Artigo em Inglês | MEDLINE | ID: mdl-36921810

RESUMO

COVID-19 pandemic was caused by the severe acute respiratory syndrome coronavirus 2 (Sars-CoV-2). The nucleocapsid (N) protein from Sars-CoV-2 is a highly immunogenic antigen and responsible for genome packing. Serological assays are important tools to detect previous exposure to SARS-CoV-2, complement epidemiological studies, vaccine evaluation and also in COVID-19 surveillance. SARS-CoV-2 N (r2N) protein was produced in Escherichia coli, characterized, and the immunological performance was evaluated by enzyme-linked immunosorbent assay (ELISA) and beads-based array immunoassay. r2N protein oligomers were evidenced when it is associated to nucleic acid. Benzonase treatment reduced host nucleic acid associated to r2N protein, but crosslinking assay still demonstrates the presence of higher-order oligomers. Nevertheless, after RNase treatment the higher-order oligomers reduced, and dimer form increased, suggesting RNA contributes to the oligomer formation. Structural analysis revealed nucleic acid did not interfere with the thermal stability of the recombinant protein. Interestingly, nucleic acid was able to prevent r2N protein aggregation even with increasing temperature while the protein benzonase treated begin aggregation process above 55 °C. In immunological characterization, ELISA performed with 233 serum samples presented a sensitivity of 97.44% (95% Confidence Interval, CI, 91.04%, 99.69%) and a specificity of 98.71% (95% CI, 95.42%, 99.84%) while beads-based array immunoassay carried out with 217 samples showed 100% sensitivity and 98.6% specificity. The results exhibited an excellent immunological performance of r2N protein in serologic assays showing that, even in presence of nucleic acid, it can be used as a component of an immunoassay for the sensitive and specific detection of SARS-CoV-2 antibodies.


Assuntos
COVID-19 , Ácidos Nucleicos , Humanos , COVID-19/diagnóstico , Proteínas do Nucleocapsídeo/genética , SARS-CoV-2/genética , Teste para COVID-19 , Pandemias , Sensibilidade e Especificidade , Nucleocapsídeo , Ensaio de Imunoadsorção Enzimática/métodos , Anticorpos Antivirais , Proteínas Recombinantes/genética
12.
Rev. enferm. UERJ ; 30: e64047, jan. -dez. 2022.
Artigo em Inglês, Português | LILACS-Express | LILACS | ID: biblio-1379033

RESUMO

Objetivo: discutir os elementos do ambiente externo da mulher com recém-nascido portador de sífilis congênita. Método: estudo qualitativo, descritivo e exploratório, realizado entre janeiro e março de 2020, com 25 puérperas internadas em uma maternidade estadual da Baixada Fluminense do estado do Rio de Janeiro, em acompanhamento de recém-nascidos com sífilis congênita. Tratamento dos dados realizado por análise temática e discutidos à luz da Teoria da Conservação proposta por Myra Estrin Levine. Protocolo de pesquisa aprovado por Comitê de Ética em Pesquisa. Resultados: antes e durante a gravidez, o ambiente externo das participantes se caracteriza por baixa escolaridade, desconhecimento acerca da sífilis, violências intrafamiliar e perpetrada por parceiro íntimo, e não tratamento do homem. Conclusão: o acompanhamento pré-natal é um momento privilegiado por aproximar os profissionais das gestantes e oportunizar o reconhecimento dos elementos externos influenciadores dos desfechos maternos e fetais.


Objective: to discuss elements of the external environment of women with newborns with congenital syphilis. Method: this exploratory, qualitative, descriptive study was conducted between January and March 2020 with 25 puerperal women inpatients in follow-up of newborns with congenital syphilis at a Rio de Janeiro state maternity hospital in the Baixada Fluminense. The data were treated by thematic analysis and discussed in the light of the Conservation Theory proposed by Myra Estrin Levine. The research protocol was approved by the research ethics committee. Results: before and during pregnancy, the participants' external environment featured little education, lack of knowledge about syphilis, intra-family violence and violence perpetrated by an intimate partner, and non-treatment of men. Conclusion: antenatal care is an especially favorable setting, because it brings health personnel together with pregnant women and provides opportunities for recognizing external elements that influence maternal and fetal outcomes.


Objetivo: discutir los elementos del ambiente externo de mujeres cuyos recién nacidos tienen sífilis congénita. Método: investigación cualitativa, descriptiva y exploratoria realizada entre enero y marzo de 2020 junto a 25 puérperas hospitalizadas en una maternidad estatal de la Baixada Fluminense del estado de Rio de Janeiro que acompañaban sus recién nacidos con sífilis congénita. Los datos fueron tratados por análisis temático y discutidos a la luz de la Teoría de Conservación propuesta por Myra Estrin Levine. El protocolo de la investigación fue aprobado por el Comité de Ética en Investigación. Resultados: antes y durante el embarazo, el ambiente externo de las participantes se caracteriza por baja escolaridad, desconocimiento sobre sífilis, violencia intrafamiliar y ejercida por compañero, y ausencia de tratamiento de los hombres. Conclusión: la atención prenatal es un momento privilegiado ya que acerca los profesionales a las embarazadas y permite el reconocimiento de elementos externos que influyen en los desenlaces maternos y fetales.

13.
Saude e pesqui. (Impr.) ; 15(3): e10923, jul./set. 2022.
Artigo em Português | LILACS-Express | LILACS | ID: biblio-1411446

RESUMO

Apresentar resultados qualitativos de uma intervenção grupal voltada ao aprimoramento da educação e da colaboração interprofissional em residentes multiprofissionais e residentes médicos, com ênfase no contexto da atenção hospitalar. Trata-se de um estudo qualitativo, do qual participaram nove residentes. A intervenção desenvolvida com os participantes desmembrou-se em quatro encontros de duas horas de duração cada e promoveu atividades voltadas ao fomento de competências interprofissionais. Os encontros foram gravados em áudio e posteriormente transcritos, sendo que as transcrições foram submetidas à análise de conteúdo temática. Foram configuradas duas categorias básicas, cujos relatos correspondentes indicam que, de acordo com os participantes, a intervenção foi proveitosa já que, dialogicamente, lhes possibilitou tanto reconhecer obstáculos ao trabalho em equipe no campo da saúde quanto delinear expedientes capazes de superá-los. A intervenção gerou contribuições ao aprimoramento da educação e da colaboração interprofissional para com os participantes.


To present qualitative results from a group intervention aimed at improving education and interprofessional collaboration in multidisciplinary residents and medical residents, with emphasis on the context of hospital care. This is a qualitative study, in which nine residents participated. The intervention developed with the participants was divided into four meetings lasting two hours each and promoting activities aimed at fostering interprofessional competences. The meetings were audio recorded and later transcribed, and the transcripts were subjected to thematic content analysis. Two basic categories were configured, whose corresponding reports indicate that, according to the participants, the intervention was beneficial in the sense that, dialogically, it enabled them both to recognize obstacles to teamwork in the health field and to outline expedients capable of overcoming them. The intervention generated contributions to the improvement of education and interprofessional collaboration with the participants.

14.
J Sci Food Agric ; 102(4): 1514-1521, 2022 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-34399439

RESUMO

BACKGROUND: Linseed fractionation was performed in laboratory scale to obtain concentrated protein and fiber fractions. Three methods were tested to obtain the linseed protein concentrate (LPC). The isoelectric pH method was more efficient in increasing the protein content and also provided higher yield. In the fractions obtained, the chemical composition (dry matter, ash, lipids, crude protein, total dietary fiber, calcium and phosphorus), total phenolic compounds and the physicochemical properties were evaluated. The profile of amino acids was determined for linseed meal and LPC, and the profile of monosaccharides was evaluated for linseed grain, soluble and insoluble fractions of the fiber. RESULTS: The results indicated that the protein concentration method by isoelectric pH improved the amino acidic profile and in vitro digestibility of LPC. The fractioning of the linseed fiber was efficient, since the soluble fiber of the soluble fraction corresponded to 675 g kg-1 . The separation of the fiber from the linseed concentrated the phenolic compounds in the insoluble fraction. For linseed grain there was a higher concentration of glucose, followed by xylose, galacturonic acid and arabinose. The same monosaccharides were identified in the insoluble fraction, with the exception of arabinose. In the soluble fraction, higher levels of xylose were found, followed by glucose, galacturonic acid and arabinose. CONCLUSION: The present study allows us to conclude that it is possible to separate the linseed into different fractions, obtaining a protection concentrate and fibers. The inclusion of these products in animal feed needs to be evaluated to determine levels of acceptance. © 2021 Society of Chemical Industry.


Assuntos
Linho , Ração Animal/análise , Animais , Dieta , Fibras na Dieta , Digestão , Óleo de Semente do Linho
15.
Meat Sci ; 183: 108644, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34390896

RESUMO

This study evaluated the potential of segmental bioimpedance analysis (SBIA) to estimate the composition of retail cuts and their predictability to infer on the carcass composition in lambs. Leg, rib, shoulder, neck, and loin from thirty-one lamb carcasses were evaluated. A single-frequency bioelectrical impedance analyzer at 50 kHz was used to perform measurements. The models for estimating soft tissue showed the highest accuracy in the retail cuts. Lean and fat weight of the lamb cuts or of the carcasses were predicted with R2 of calibration ranging from 86.6 to 99.1% and from 67.5 to 95.4%, respectively. Segmental bioimpedance analysis is an accurate technology to assess physical and chemical components in retail cuts of lamb. Despite that, shoulder was the most representative cut; all cuts evaluated through SBIA were valuable to estimate the components of the edible portion of lamb carcasses.


Assuntos
Composição Corporal , Impedância Elétrica , Carne Vermelha/análise , Animais , Masculino , Carneiro Doméstico
16.
DST j. bras. doenças sex. transm ; 33: 1-7, dez.30, 2021.
Artigo em Inglês | LILACS | ID: biblio-1359891

RESUMO

Introduction: In the care of pregnant women with acquired immunodeficiency syndrome (AIDS), it is often not clear who these patients are, how they behave in the face of diagnosis and pregnancy, how they live their disease, what it means for them to carry a child at risk, as well as the possibility of spreading the virus and not being able to breastfeed. Objective: To analyze the life memories of pregnant women with AIDS. Methods: This qualitative cartographic study sought to trace, touch, and understand what these women feel or remember about their lives through life narratives. Results: The sample consisted of ten women whose narratives generated three categories of living in the different life stages. The study produced a concentration of 515 units of analysis and analyzed 160 statements, with 11 themes related to memories about family dynamics and its problems. Conclusion: We expect to contribute to the renewal of the practice, discourse, and language, as an exclusive work and teaching network about the importance of listening to the human being when obtaining data outside our area of knowledge.


Introdução: O cuidar da mulher gestante com AIDS, muitas das vezes não se percebem quem são elas, como se comportam diante do diagnóstico e da gestação, como elas vivem sua doença, o que representa gestar um filho, colocando-o em risco e a possibilidade de transmitir o vírus e não poder amamentar. Objetivo: Analisar as lembranças de vida de mulheres gestantes com AIDS. Métodos: Estudo qualitativo baseado na cartografia, que buscou rastrear, pousar, tocar e compreender o que estas mulheres sentem ou lembram do seu viver, por meio da narrativa de vida. Resultados: Trata-se de resultado de pesquisa para obtenção do título de Doutor. Participaram dez mulheres, cujas narrativas geraram três categorias de viver nas diferentes etapas da vida. A categoria gerou uma concentração de 515 unidades de registro, 160 unidades com 11 temas sobre as lembranças que estão relacionados a dinâmica familiar e seus problemas. Conclusão: Espera-se que se possa renovar a prática, o discurso, a linguagem, como rede exclusiva no trabalho e no ensino, sobre a importância da escuta do ser humano, quando se obtém dados fora da área de conhecimento.


Assuntos
Humanos , Síndrome da Imunodeficiência Adquirida , Gestantes , Mulheres , Gravidez , Assistência Perinatal , Feto
17.
Parasit Vectors ; 14(1): 555, 2021 Oct 28.
Artigo em Inglês | MEDLINE | ID: mdl-34711272

RESUMO

BACKGROUND: The use of entomopathogenic fungi (EPF) for the control of adult mosquitoes is a promising alternative to synthetic insecticides. Previous studies have only evaluated conidiospores against adult mosquitoes. However, blastospores, which are highly virulent against mosquito larvae and pupae, could also be effective against adults. METHODS: Metarhizium anisopliae (ESALQ 818 and LEF 2000) blastospores and conidia were first tested against adult Aedes aegypti by spraying insects with spore suspensions. Blastospores were then tested using an indirect contact bioassay, exposing mosquitoes to fungus-impregnated cloths. Virulence when using blastospores suspended in 20% sunflower oil was also investigated. RESULTS: Female mosquitoes sprayed with blastospores or conidia at a concentration of 108 propagules ml-1 were highly susceptible to both types of spores, resulting in 100% mortality within 7 days. However, significant differences in virulence of the isolates and propagules became apparent at 107 spores ml-1, with ESALQ 818 blastospores being more virulent than LEF 2000 blastospores. ESALQ 818 blastospores were highly virulent when mosquitoes were exposed to black cotton cloths impregnated with blastospores shortly after preparing the suspensions, but virulence declined rapidly 12 h post-application. The addition of vegetable oil to blastospores helped maintain virulence for up to 48 h. CONCLUSION: The results showed that blastospores were more virulent to adult female Ae. aegypti than conidia when sprayed onto the insects or applied to black cloths. Vegetable oil helped maintain blastospore virulence. The results show that blastospores have potential for use in integrated vector management, although new formulations and drying techniques need to be investigated.


Assuntos
Aedes/microbiologia , Aedes/virologia , Arbovírus/fisiologia , Metarhizium/patogenicidade , Mosquitos Vetores/microbiologia , Controle Biológico de Vetores/métodos , Esporos Fúngicos/patogenicidade , Animais , Feminino , Larva/microbiologia , Controle de Mosquitos/métodos , Mosquitos Vetores/virologia , Virulência
18.
Nutrients ; 13(5)2021 May 10.
Artigo em Inglês | MEDLINE | ID: mdl-34068716

RESUMO

BACKGROUND: To evaluate the potential factors associated with the nutritional composition of human milk of puerperal women. METHODS: cross-sectional study, conducted between March 2016 and August 2017, with 107 women, selected in a Tertiary Health Care Tertiary Health Facility of the Unified Health System (SUS) in the Municipality of Rio de Janeiro. Data were collected two months after delivery. The dependent variable of the study was the nutritional composition of human milk. We divided the independent variables into hierarchical levels: distal (age, schooling, parity and pregestational nutritional status), intermediate (number of prenatal visits and gestational weight gain) and proximal (alcohol consumption, smoking, diabetes mellitus and hypertension). For data analysis, we applied the multiple linear regression, centered on the hierarchical model. Only the variables associated with the nutritional composition of breast milk remained in the final model at a 5% level of significance. RESULTS: The nutritional composition of human milk yielded by women with pregestational overweight, smokers and hypertensive had higher amounts of lipids and energy. Conversely, women with gestational weight gain below the recommended had lower amounts of these components. CONCLUSION: The evaluation of factors associated with the nutritional composition of human milk is extremely important to assist post-partum care practices. In this study, we observed that lipid and energy contents were associated to pregestational nutritional status, gestational weight gain, smoking and hypertension.


Assuntos
Leite Humano/química , Valor Nutritivo , Adulto , Brasil , Estudos Transversais , Feminino , Ganho de Peso na Gestação , Comportamentos Relacionados com a Saúde , Humanos , Fenômenos Fisiológicos da Nutrição Materna , Fator de Acasalamento , Estado Nutricional , Sobrepeso , Paridade , Fatores de Risco , Fatores Socioeconômicos , Adulto Jovem
19.
Rev. Saúde Pública Paraná (Online) ; 4(1): 65-76, abr. 2021.
Artigo em Português | Coleciona SUS, SESA-PR, CONASS | ID: biblio-1254700

RESUMO

Este estudo buscou demonstrar um histórico inicial de casos de Covid-19 no município de Cascavel - PR. Foi realizado um levantamento epidemiológico de casos e óbitos notificados de Covid-19, no período de 24 de abril a 27 de junho de 2020, por meio de dados obtidos nos boletins informativos da Secretaria Municipal de Saúde. Em relação aos óbitos, a maioria 80,5%, n = 33, ocorreu em indivíduos idosos (60-99 anos), especificamente de 60 a 69 anos (34,1%, n = 14). Entre os 41 óbitos, 43,9% (n = 18) eram mulheres, enquanto 56,1% (n = 23) eram homens. A taxa de ocupação dos leitos e o número de casos aumentaram no mês de junho, ativando o sinal de alerta para o Município de Cascavel. Infelizmente os índices de isolamento social sempre se mantiveram bem abaixo do esperado, o que pode ter contribuído para o aumento para a circulação viral na cidade. (AU)


This study sought to demonstrate an initial case history of Covid-19 in the municipality of Cascavel - PR. An epidemiological survey of notified cases and deaths of Covid-19 was carried out, from April 24 to June 27, 2020, using data obtained from the Municipal Health Secretariat's newsletters. Regarding deaths, most 80,5%, n = 33, occurred in elderly individuals (60-99 years), specifically from 60 to 69 years (34,1%, n = 14). Among the 41 deaths, 43,9% (n = 18) were women, while 56,1% (n = 23) were men. The bed occupancy rate and the number of cases increased in June, activating the warning signal for the Municipality of Cascavel. Unfortunately, social isolation rates have always remained well below expectations, which may have contributed to the increase in viral circulation in the city. (AU)


Assuntos
Humanos , Masculino , Feminino , Idoso , Idoso de 80 Anos ou mais , Pandemias , COVID-19 , Epidemiologia
20.
Food Chem ; 344: 128689, 2021 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-33277120

RESUMO

The effect of micronization of granulometrically fractionated olive pomace (OP) on the bioaccessibility of polyphenols and the antioxidant capacity was investigated during sequential in vitro static digestion. Crude OP was fractionated in a 2-mm sieve (F1: > 2 mm; F2: < 2 mm) and then micronized (300 r min-1, 5 h) generating F1AG (17.8 µm) and F2AG (15.6 µm). Micronization increased the release of hydroxytyrosol, oleuropein, caffeic acid, and decarboxymethyl oleuropein aglycone (3,4-DHPEA-EDA) in the salivary and gastric phase, beyond luteolin in the gastric phase. Micronization also increased the intestinal bioaccessibility of hydroxytyrosol, 3,4-DHPEA-EDA, oleuropein, luteolin, and apigenin; it was more effective for F2AG than F1AG. Micronized samples increased antioxidant capacity in the gastric phase. F2AG exhibited the highest antioxidant capacity in the insoluble intestinal fraction. Thus, micronization can be further exploited to improve the nutraceutical properties of OP by increasing the bioaccessibility and antioxidant capacity of phenolic compounds.


Assuntos
Manipulação de Alimentos/métodos , Olea/química , Polifenóis/análise , Antioxidantes/química , Ácidos Cafeicos/análise , Cromatografia Líquida de Alta Pressão , Suplementos Nutricionais/análise , Digestão , Glucosídeos Iridoides , Iridoides/análise , Olea/metabolismo , Azeite de Oliva/química , Extratos Vegetais/química , Análise de Componente Principal , Espectrometria de Massas em Tandem
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