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1.
Bioresour Technol ; 394: 130292, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-38185450

RESUMO

This paper aims to develop and assess the in vitro effects on ruminal fermentation and greenhouse gas parameters of new bioproducts for beef cattle diets, carried out by solid-state fermentation of peach palm shells colonized by Lentinula edodes (SSF) and after Shiitake mushroom cultivation in axenic blocks (SMS). In vitro experiments were performed to assess the in vitro gas production, digestibility, and fiber degradation of formulated total diets. Bioproducts presented high ß-glucans (9.44---11.27 %) and protein (10.04---8.35 %) contents, as well as similar digestibility to conventional diets. SMS diet had the lowest methane and carbon dioxide (19.1 and 84.1 mM/g OM) production, and the SSF diet presented lower carbon dioxide production (98.9 mM/g OM) than other diets, whereas methane was similar. This study highlighted a sustainable use of byproducts for beef cattle diets, promising for digestibility, nutritional value, ß-glucans incorporation, and environmental impact mitigation, favoring the circular bioeconomy.


Assuntos
Arecaceae , Cogumelos Shiitake , beta-Glucanas , Animais , Bovinos , Cogumelos Shiitake/metabolismo , Ração Animal/análise , Dióxido de Carbono/metabolismo , Digestão , Arecaceae/metabolismo , Dieta/veterinária , Fermentação , Metano/metabolismo , Rúmen/metabolismo
2.
Nat Prod Res ; : 1-8, 2023 Nov 11.
Artigo em Inglês | MEDLINE | ID: mdl-37950732

RESUMO

Polyamide fabrics were dyed with concentrations ranging from 4% to 0.25% (o.w.f.) of the natural dye, potassium norbixinate (annatto). The exhaustion, chromatic coordinates, colouristic intensity (K/S), and fastness to washing and rubbing were evaluated. The natural dye was characterised, and its maximum absorption peaks were identified at 452 nm and 482 nm through UV-vis scanning. Its main chemical groups were identified by FTIR-ATR. All dyeings exhibited high exhaustion percentage, with a maximum of 98.4% for 1% dye concentration. The dyed samples displayed visually appealing orange hues, with a maximum K/S value of 6.9. Most of the fastness test results were rated between 5 and 4/5, remaining within the standards established by most textile industries. Potassium norbixinate exhibited a similar tinctorial behaviour to synthetic acid dyes for polyamide, suggesting ionic chemical reaction interaction between dye and polyamide, highlighting the potential use in the textile industry.

3.
Appl Microbiol Biotechnol ; 107(16): 5035-5049, 2023 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-37410138

RESUMO

Among the most important sources of ß-glucans are edible and medicinal mushrooms. These molecules are components of the cellular wall of basidiomycete fungi (mushrooms) and can be extracted even from the basidiocarp as the mycelium and its cultivation extracts or biomasses. Mushroom ß-glucans are recognized by their potential effects as immunostimulants and immunosuppressants. They are highlighted as anticholesterolemic, anti-inflammatory, adjuvant in diabetes mellitus, mycotherapy for cancer treatment, as well as adjuvants for COVID-19 vaccines. Due to their relevance, several techniques of ß-glucans extraction, purification, and analysis have already been described. Despite the previous knowledge of ß-glucans' benefits for human nutrition and health, the main information about this topic refers to the molecular identification, properties, and benefits, as well as their synthesis and action on cells. Studies on biotechnology industry applications (product development) and the registered products of ß-glucans from mushrooms are still limited and more common for feed and healthcare. In this context, this paper reviews the biotechnological production of food products containing ß-glucans from basidiomycete fungi, focusing on food enrichment, and presents a new perspective on fungi ß-glucans' use as potential immunotherapy agents. KEY POINTS: • Mushrooms' ß-glucans for product development in the biotechnology industry • Biotechnological production of food products containing mushrooms' ß-glucans • Basidiomycete fungi ß-glucans are used as potential immunotherapy agents.


Assuntos
Agaricales , Basidiomycota , COVID-19 , beta-Glucanas , Humanos , Vacinas contra COVID-19 , Adjuvantes Imunológicos , Imunoterapia , Indústria Alimentícia
4.
Diseases ; 11(2)2023 May 14.
Artigo em Inglês | MEDLINE | ID: mdl-37218887

RESUMO

BACKGROUND: Primary cardiac sarcomas (PCS) are extremely rare malignant tumors involving the heart. Only isolated case reports have been described in the literature over different periods of time. This pathology has been associated with a dismal prognosis and given its rarity; treatment options are very limited. Furthermore, there are contrasting data about the effectiveness of current treatment modalities in improving the survival of patients with PCS, including surgical resection which is the mainstay of therapy. There is a paucity of data on the epidemiological characteristics of PCS. This study has the objective of investigating the epidemiologic characteristics, survival outcomes, and independent prognostic factors of PCS. METHODS: A total of 362 patients were ultimately registered in our study from the Surveillance, Epidemiology, and End Results (SEER) database. The study period was from 2000 to 2017. Demographics such as clinical characteristics, overall mortality (OM), and PCS-specific mortality (CSM) were taken into account. A p value of <0.1 in the univariate analysis leads to the incorporation of the variable into multivariate analysis adjusting for covariates. Adverse prognostic factors were represented by a Hazard Ratio (HR) greater than one. The five-year survival analysis was carried out using the Kaplan-Meier method and the log-rank test was used to compare survival curves. RESULTS: Crude analysis revealed a high OM in age 80+ (HR = 5.958, 95% CI 3.357-10.575, p < 0.001), followed by age 60-79 (HR = 1.429, 95% CI 1.028-1.986, p = 0.033); and PCS with distant metastases (HR = 1.888, 95% CI 1.389-2.566, p < 0.001). Patients that underwent surgical resection of the primary tumor and patients with malignant fibrous histiocytomas (HR = 0.657, 95% CI 0.455-0.95, p = 0.025) had a better OM (HR = 0.606, 95% CI 0.465-0.791, p < 0.001). The highest cancer-specific mortality was observed in age 80+ (HR = 5.037, 95% CI 2.606-9.736, p < 0.001) and patients with distant metastases (HR = 1.953, 95% CI 1.396-2.733, p < 0.001). Patients with malignant fibrous histiocytomas (HR = 0.572, 95% CI 0.378-0.865, p = 0.008) and those who underwent surgery (HR = 0.581, 95% CI 0.436-0.774, p < 0.001) had a lower CSM. Patients in the age range 80+ (HR = 13.261, 95% CI 5.839-30.119, p < 0.001) and advanced disease with distant metastases (HR = 2.013, 95% CI 1.355-2.99, p = 0.001) were found to have a higher OM in the multivariate analyses adjusting for covariates). Lower OM was found in patients with rhabdomyosarcoma (HR = 0.364, 95% CI 0.154-0.86, p = 0.021) and widowed patients (HR = 0.506, 95% CI 0.263-0.977, p = 0.042). Multivariate cox proportional hazard regression analyses of CSM also revealed higher mortality of the same groups, and lower mortality in patients with Rhabdomyosarcoma. CONCLUSION: In this United States population-based retrospective cohort study using the SEER database, we found that cardiac rhabdomyosarcoma was associated with the lowest CSM and OM. Furthermore, as expected, age and advanced disease at diagnosis were independent factors predicting poor prognosis. Surgical resection of the primary tumor showed lower CSM and OM in the crude analysis but when adjusted for covariates in the multivariate analysis, it did not significantly impact the overall mortality or the cancer-specific mortality. These findings allow for treating clinicians to recognize patients that should be referred to palliative/hospice care at the time of diagnosis and avoid any surgical interventions as they did not show any differences in mortality. Surgical resection, adjuvant chemotherapy, and/or radiation in patients with poor prognoses should be reserved as palliative measures rather than an attempt to cure the disease.

5.
Int J Med Mushrooms ; 24(12): 19-36, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36374979

RESUMO

This study aims to analyze the peach palm by-product (shells) bioconversion by culinary-medicinal mushroom Lentinula edodes to obtain a food ingredient for dietary supplementation containing high contents of dietary fiber, protein, and ß-glucans. The ß-glucans production by L. edodes mycelium was optimized through a solid-state fermentation, checking the influence of the heart of palm shells and supplements (rice bran, manioc flour, and sorghum flour) through an experimental mixing plan. The cultivation treatment that presented the highest tendency for ß-glucans production was analyzed by the centesimal composition and in vivo biological activity. Treatments 4 (with shells, rice bran, and manioc flour) and 6 (with shells, sorghum flour, and manioc flour) presented the highest ß-glucans content. A flour was obtained with high dietary fiber and protein content, and low lipids and carbohydrates content, and low caloric value. The in vivo biological activity demonstrated high protein quality and promoted a lower elevation of the glycemic curve. Thus, technology for the transformation of peach palm shells into a food ingredient was made feasible. It could generate a gluten-free and lactose-free dietary supplement that is both nutritive and bioactive, enhancing human health and well-being as well as environmental sustainability.


Assuntos
Agaricales , Arecaceae , Basidiomycota , Ingredientes de Alimentos , Cogumelos Shiitake , beta-Glucanas , Humanos , Brasil , Fibras na Dieta , Grão Comestível
6.
Int J Med Mushrooms ; 24(12): 37-46, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36374980

RESUMO

Despite knowledge on the therapeutic properties of fungal bio-compounds, few studies have been reported on their anti-parasitic activities. The anti-parasitic activity (APA) of mycelial extracts from seven medicinal agaricomycetous mushrooms (Polyporus lipsiensis, Ganoderma applanatum, Pleurotus ostreatus, P. flabellatus, Oudemansiella canarii, Lentinula edodes, and Pycnoporus sanguineus) against Giardia duodenalis, and identification of chemical compounds produced by mycelium P. lipsiensis mycelium, have been reported. The extracts of mycelia and fermented culture broths of tested mushroom species were evaluated against G. duodenalis by biological assays. P. lipsiensis showed the highest APA. The chemical analysis of mycelial extract of P. lipsiensis by gas chromatography-mass spectrometry (GC-MS) identified 73 molecules, including steroids, terpenes, and lipids. According to literature data, among these molecules, 11 possess APA. The present study revealed the diversity of compounds with anti-protozoal potential produced by mycelia of Agaricomycetes mushrooms, particularly P. lipsiensis against G. duodenalis.


Assuntos
Agaricales , Giardia lamblia , Pleurotus , Cogumelos Shiitake , Cromatografia Gasosa-Espectrometria de Massas , Micélio/química , Pleurotus/química , Cogumelos Shiitake/química
7.
Int J Med Mushrooms ; 24(1): 53-66, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35442595

RESUMO

This study evaluates the nutritional quality and in vivo biological activity of a peach palm by-product food ingredient processed via solid-state fermentation by shiitake culinary-medicinal mushroom, Lentinula edodes. The group of Wistar rats that consumed this diet had higher total dietary fiber content, digestibility, rate of protein quality, and protein efficiency. They also presented a late and softer insulinemic peak with an increase in the glycemic index, demonstrating amino acid limitation but with a feasible matrix as a complement protein. Discrete variation on total cholesterol and triglycerides was observed with a reduction in lipid profile, attributed to its high dietary fiber content. Lipids from within the liver and stool revealed that the fermented diet contained the lowest rates of fat in the liver and, consequently, the highest elimination compared to the other control diets. The serum lipid profile suggests a positive modulation of this diet, and that it has good nutritional quality with the potential to positively influence glycemic and lipid profiles.


Assuntos
Basidiomycota , Cogumelos Shiitake , Animais , Fibras na Dieta , Fermentação , Valor Nutritivo , Ratos , Ratos Wistar , Cogumelos Shiitake/química , Triglicerídeos
8.
Cureus ; 13(10): e18990, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34722008

RESUMO

Gestational diabetes mellitus (GDM) is a growing pregnancy-related health problem all over the world. It has been noticed that women with high serum ferritin levels have a strong relationship with GDM by increased insulin resistance and increased insulin secretion from the pancreas resulting in pancreatic beta-cell exhaustion. Heme iron is also responsible for increasing the body's iron store and hence causing oxidative injury to pancreatic cells. In this systematic review, we researched the association between high serum ferritin levels and GDM. Three databases were consulted for articles related to GDM and high ferritin. These include Medical Literature Analysis and Retrieval System Online (MEDLINE), PubMed, and PubMed Central (PMC). Additional articles were retrieved from the institutional database. After filtering, 10 articles were finally selected, and quality was checked using the Joanna Briggs Institute (JBI) Critical Appraisal quality check tool. Serum iron biomarkers including ferritin, iron, and soluble transferrin receptor (sTfR) were measured. Our systematic review indicates that high maternal serum ferritin has a significant role in the development of GDM. We have also noticed the importance of sTfR and serum hepcidin as biomarkers to monitor high ferritin levels. Our study also observed a positive relationship between high heme iron intake and gestational diabetes mellitus. Therefore, more research is required to understand this relationship to identify populations at risk.

9.
Cureus ; 13(10): e18740, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34659932

RESUMO

Acute decompensated heart failure (ADHF) is one of the conditions associated with high rates of mortality and morbidity, in addition to its economic burden. Sacubitril/valsartan, the emerging drug in the field of heart failure, has been showing favorable outcomes in patients with heart failure with reduced ejection fraction (HFrEF). However, its efficacy in patients with acute decompensated heart failure remains obscure. This systematic review aims to offer more clarity to this established gap of knowledge. PubMed, ScienceDirect, and ScienceOpen were explored to gain access to studies on this topic. We conducted a systematic review to evaluate the safety and efficacy of using sacubitril/valsartan in the acute setting. Five clinical trials, 10 observational studies, including two abstracts, in addition to seven case reports and one editorial, were obtained and analyzed. Key outcomes of interest were safety and tolerability, efficacy reflected by N-terminal proB-type natriuretic peptide (NT-proBNP), and other serum and echocardiographic parameters. Additionally, target dose attainment, rehospitalization rates, and hemodynamics effect were also outcomes of interest. Based on our findings, the use of sacubitril/valsartan in patients with ADHF and cardiogenic shock is an effective measure. Although most of the results pointed to its safety, some of them showed the outcome of serious adverse events recommending its cautious use.

10.
Rev. Soc. Bras. Clín. Méd ; 19(2): 128-138, abr.-jun. 2021.
Artigo em Português | LILACS | ID: biblio-1379287

RESUMO

O vitiligo é uma desordem dermatológica complexa, cuja patogênese ainda não é totalmente esclarecida. Apesar de não apresentar complicações funcionais no organismo dos pacientes acometidos, o vitiligo pode resultar em um grande impacto psicossocial. Desse modo, é importante que os médicos saibam como conduzir o tratamento dessa patologia. O objetivo deste estudo foi documentar as terapias disponíveis para o tratamento do vitiligo, assim como apontar pesquisas que relataram a utilização dessas opções terapêuticas e os dados resultantes. As terapias abordadas foram corticoides tópicos e sistêmicos, fototerapia e fotoquimioterapias, antioxidantes, imunomoduladores, fenilalanina, despigmentação, procedimentos cirúrgicos e novas abordagens. A monoterapia parece ser menos eficaz no tratamento do vitiligo. A associação de medicação tópica e/ou sistêmica com o uso da fototerapia ultravioleta B de banda estreita parece ser o padrão-ouro para a repigmentação da pele dos pacientes. Medicamentos novos estão em estudo, porém sua eficácia e o estudo dos possíveis efeitos colaterais, principalmente a longo prazo, têm que ser melhores investigados. É necessário que o médico dermatologista, em conjunto com o paciente, escolha a melhor terapia dentre as disponíveis, de acordo com critérios clínicos e a possibilidade de acesso ao tratamento pelo portador. O acompanhamento e a abordagem por uma equipe multiprofissional também são importantes. (AU)


Vitiligo is a complex dermatological disorder, whose pathogenesis has not yet been fully elucidated. Although it does not present functional complications in the affected patients' body, vitiligo can result in a great psychosocial impact. Therefore, it is important that physicians know how to conduct its treatment. This study aimed at documenting the available therapies for the treatment of vitiligo, as well as pointing out studies reporting the use of these therapeutic options and their resulting data. The therapies addressed were topical and systemic corticosteroids, phototherapy, and photochemotherapies, antioxidants, immunomodulators, phenylalanine, depigmentation, surgical procedures, and new approaches. Monotherapy appears to be less effective in the treatment of vitiligo. The combination of topical and/or systemic medication with the use of narrowband ultraviolet B phototherapy seems to be the gold standard for the patients' skin repigmentation. New drugs are under study, but their effectiveness and study of possible side effects, especially in the long run, have to be better investigated. It is necessary that the dermatologist, together with the patient, choose the best therapy among those available, according to clinical criteria and the possibility of access to treatment by the patient. Monitoring and approach by a multiprofessional team is also important. (AU)


Assuntos
Humanos , Vitiligo/terapia , Fototerapia/métodos , Fenilalanina/uso terapêutico , Vitiligo/tratamento farmacológico , Vitiligo/radioterapia , Corticosteroides/uso terapêutico , Preparações de Plantas/uso terapêutico , Polypodium , Fatores Imunológicos/uso terapêutico , Fitoterapia , Antioxidantes/uso terapêutico
11.
Nat Prod Res ; 35(23): 5530-5534, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-32666824

RESUMO

Natural antiparasitic agents are used as a strategy for advances in the treatment of neglected tropical diseases (NTDs), such as giardiasis. The present paper identified the compounds produced by Ganoderma lipsiense mycelium grown in submerged fermentation and investigated the antigiardial activity potential of extracts in vitro. G. lipsiense mycelium crude extract (CE) was obtained by the maceration process and after purification in column, thirty compounds were identified by gas chromatography - mass spectrometry (GC-MS) in hexane sub-fraction (HSF). To determine the antigiardial potential, different parts of the purified CE have been evaluated, where hexane (HEXf) and dichloromethane (DCMf) fractions showed in vitro reduction levels higher than 90% of the Giardia duodenalis trophozoites at 100 µg mL-1. This antigiardial activity was investigated aiming to explore the possibility of G. lipsiense mycelium extract as a novel antigiardial compound to the treatment of human giardiasis.


Assuntos
Ganoderma , Giardia lamblia , Fermentação , Humanos , Micélio
12.
Environ Sci Pollut Res Int ; 28(2): 2328-2341, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-32880839

RESUMO

Conventional agricultural practices, such as rice plantations, often contaminate the soil and water with xenobiotics. Here we evaluated the microbiota composition in experimental rice planting with a record of prolonged pesticide use, using 16S and 18S rRNA amplicon sequencing. We investigated four components of a complete agricultural system: affluent water (A), rice rhizosphere soil (R), sediment from a storage pond (S), and effluent (E) water (drained from the storage pond). Despite the short spatial distance between our sites, the beta diversity analysis of bacterial communities showed two well-defined clusters, separating the water and sediment/rhizosphere samples; rhizosphere and sediment were richer while the effluent was less diverse. Overall, the site with the highest evenness was the rhizosphere. Unlike the bacterial communities, Shannon diversity of microeukaryotes was significantly different between A and E. The effluent presented the lowest values for all ecological indexes tested and differed significantly from all sampled sites, except on evenness. When mapped the metabolic pathways, genes corresponding to the degradation of aromatic compounds, including genes related to pesticide degradation, were identified. The most abundant genes were related to the degradation of benzoate. Our results indicate that the effluent is a selective environment for fungi. Interestingly, the overall fungal diversity was higher in the affluent, the water that reached the system before pesticide application, and where the prokaryotic diversity was the lowest. The affluent and effluent seem to have the lowest environmental quality, given the presence of bacteria genera previously recorded in environments with high concentrations of pesticide residues. The microbiota, environmental characteristics, and pesticide residues should be further studied and try to elucidate the potential for pesticide degradation by natural consortia. Thus, extensive comparative studies are needed to clarify the microbial composition, diversity, and functioning of rice cultivation environments, and how pesticide use changes may reflect differences in microbial structure.


Assuntos
Microbiota , Oryza , Praguicidas , Rizosfera , Microbiologia do Solo
13.
Food Funct ; 11(11): 9820-9832, 2020 Nov 18.
Artigo em Inglês | MEDLINE | ID: mdl-33084703

RESUMO

Araucaria angustifolia seeds from South America are culturally important; however, the seed coat is generally discarded and it has yet to find a beneficial commercial impact. Herein, we propose a new formulation for the use of the seed coat for the production of a food source. A nanosuspension was developed under two conditions, bleached and unbleached treatment. Initial characterisation of the seed coat, as well as the nanosuspension, was conducted, in which nanofibrils with antioxidant activity and high values of phenol and sterol classes with health-promoting ability were detected by GC-MS; however, after bleaching, the compounds were removed. The nanosuspension induced a decrease in cholesterol, triglycerides, glucose levels and weight gain when added to the daily rat diet. No significant differences were determined when bleach treatment was used, suggesting that dietary fibre plays a more significant role. Histology analysis and biochemical markers reported no toxicity from the rat ingestion of the nanoformulation.


Assuntos
Araucaria , Alimento Funcional/análise , Sementes/química , Humanos , Nanotecnologia
14.
Rev. Soc. Bras. Clín. Méd ; 18(2): 82-86, abril/jun 2020.
Artigo em Português | LILACS | ID: biblio-1361361

RESUMO

Objetivo: Avaliar o conhecimento de estudantes de medicina sobre o funcionamento do Serviço de Atendimento Móvel de Urgência. Métodos: Estudo observacional, transversal, descritivo e analítico. Foi utilizado um questionário semiestruturado e autorresponsivo aplicado a estudantes de medicina matriculados entre o primeiro e o quinto semestres de uma faculdade privada de Belém (PA), utilizando os métodos estatísticos teste do qui-quadrado de aderência e teste G de independência. Resultados: Participaram do estudo 139 discentes, com destaque para a maior participação dos acadêmicos do primeiro e do quinto período (p<0,0001). Houve diferença estatística apenas no primeiro (68,2%; p=0,0237) e no quinto período do curso (84,8%; p<0,0001) quanto ao conhecimento do número para contatar o serviço. Somente o primeiro (79,6% corretos; p=0,0002) e o terceiro períodos (77,8% corretos; p=0,0339) tiveram significância estatística quanto à obrigatoriedade do médico na ambulância. Conclusão: Os dados evidenciados mostram que os alunos possuem lacunas de conhecimento sobre o funcionamento do Serviço de Atendimento Móvel de Urgência, o que pode prejudicar o desfecho clínico de um paciente.


Objective: To evaluate the knowledge of the medical students of an Education Facility about the operation of the Emergency Medical Service. Methods: This is an observational, cross-sectional, descriptive, and analytical study. A semi-structured and self-responding questionnaire was applied to medical students enrolled between the first and fifth years of a private college in Belém (PA), using the statistical methods Chi-square of adherence and G-test of independence. Results: One hundred and thirty-nine students participated in the study, with emphasis on the higher participation of students from the first and fifth terms (p<0.0001). There was statistical difference only in the first (68.2%; p=0.0237) and fifth (84.8%; p<0.0001) terms of the course regarding knowledge of the number to contact the service. Only the first (79.6% correct, p=0.0002) and third (77.8% correct, p=0.0339) terms had statistical significance regarding the compulsory presence of the physician in the ambulance. Conclusion: The evidenced data show that students have knowledge gaps about the functioning of the Emergency Medical Service, which can harm the clinical outcome of a patient.


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto , Adulto Jovem , Estudantes de Medicina/estatística & dados numéricos , Educação Pré-Médica/estatística & dados numéricos , Serviços Médicos de Emergência , Ensino/estatística & dados numéricos , Epidemiologia Descritiva , Estudos Transversais , Inquéritos e Questionários , Distribuição por Sexo , Distribuição por Idade
15.
Rev. bioét. (Impr.) ; 28(1): 34-37, jan.-mar. 2020.
Artigo em Português | LILACS | ID: biblio-1092412

RESUMO

Resumo A postura do médico em relação a diagnóstico e esclarecimentos ao paciente infectado pelo vírus da imunodeficiência humana baseia-se principalmente na percepção pessoal e experiência humanística. O objetivo deste estudo foi relatar a experiência de estudantes de medicina do sexto período do Centro Universitário Metropolitano da Amazônia, em Belém/PA, durante as aulas do módulo de Habilidades Clínicas (Eixo Infectologia) no Centro de Atenção à Saúde em Doenças Infecciosas Adquiridas. Depois de prestarem atendimentos ambulatoriais e discutirem casos clínicos por cinco meses, os estudantes se deram conta da necessidade de humanização nessa área, considerando questões biopsicossociais. De modo geral, a experiência ampliou os conhecimentos adquiridos nas aulas e permitiu aplicar o cuidado integral ao paciente, além de estimular formação mais humanística e crítica desses profissionais de saúde.


Abstract The physicians's attitude towards diagnosis and clarifications to the patient infected by the human immunodeficiency virus is based mainly on personal perception and humanistic experience. The objective of this study was to report the experience of medical students from the sixth period of the Centro Universitário Metropolitano da Amazônia, in Belém, Pará, Brazil, during classes of the Clinical Skills module (Infectious Axis) at the Center for Attention on Acquired Infectious Diseases. After providing outpatient care and discussing clinical cases for five months and considering biopsychosocial issues, the students realized a need for humanization in this area. The experience expanded the knowledge acquired in class and allowed the delivery of comprehensive care to the patient, in addition to encouraging more humanistic and critical training of these health professionals.


Resumen La actitud del médico respecto al diagnóstico y la aclaración de la condición del paciente infectado por el VIH está relacionada con la percepción personal y la experiencia humanística. El presente estudio tuvo el objetivo de presentar la experiencia de estudiantes de medicina del sexto período del Centro Universitário Metropolitano da Amazônia, en Belém, Pará, Brasil, durante las clases del módulo Habilidades Clínicas (Eje Infectología) en el Centro de Atención de Enfermedades Infecciosas Adquiridas. Los estudiantes ofrecieron atención ambulatoria y tuvieron discusión de casos durante cinco meses y pudieron advertir la necesidad de humanización en esta área debido a problemas biopsicosociales. La experiencia brindó la oportunidad de ampliar los conocimientos adquiridos durante las clases y aplicar una atención integral al paciente, y estimular la capacitación de profesionales de la salud con un perfil humanístico y crítico.


Assuntos
Sorodiagnóstico da AIDS , Antígenos HIV , Educação Médica , Humanização da Assistência , Infectologia
16.
Appl Biochem Biotechnol ; 191(3): 996-1009, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31950449

RESUMO

The studies on natural compounds to diabetes mellitus treatment have been increasing in recent years. Research suggests that natural components can inhibit alpha-glucosidase activities, an important strategy in the management of blood glucose levels. In this work, for the first time in the literature, the compounds produced by Ganoderma lipsiense extracts were identified and evaluated on the inhibitory effect of these on alpha-glucosidase activity. Four phenolic compounds were identified by high-performance liquid chromatography-electrospray ionization tandem mass spectrometry (HPLC-ESI-MS/MS) to crude extract from G. lipsiense grown in red rice medium (RCE) and synthetic medium (SCE), being syringic acid identified in both extracts. Gas chromatography-mass spectrometry (GC-MS) analysis showed fatty acids and their derivatives, terpene, steroid, niacin, and nitrogen compounds to SCE, while RCE was rich in fatty acids and their derivatives. Both extracts demonstrated alpha-glucosidase inhibition (RCE IC50 = 0.269 ± 8.25 mg mL-1; SCE IC50 = 0.218 ± 9.67 mg mL-1), and the purified hexane fraction of RCE (RHEX) demonstrated the highest inhibition of enzyme (81.1%). Studies on kinetic inhibition showed competitive inhibition mode to RCE, while SCE showed uncompetitive inhibition mode. Although the inhibitory effects of RCE and SCE were satisfactory, the present findings identified some unpublished compounds to G. lipsiense in the literature with important therapeutic properties.


Assuntos
Fermentação , Ganoderma/enzimologia , Micélio/enzimologia , alfa-Glucosidases/metabolismo , Glicemia , Cromatografia Líquida de Alta Pressão , Ácidos Graxos/química , Cromatografia Gasosa-Espectrometria de Massas , Inibidores de Glicosídeo Hidrolases/química , Humanos , Hipoglicemiantes/farmacologia , Concentração Inibidora 50 , Cinética , Fenóis/química , Espectrometria de Massas por Ionização por Electrospray , Espectrometria de Massas em Tandem
17.
Biotechnol Appl Biochem ; 67(2): 180-185, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31710143

RESUMO

Liposoluble molecules are a group of compounds that display potent biological and therapeutic properties. The present study aimed to identify liposoluble molecules produced by Ganoderma lipsiense grown in red rice medium using solid-state fermentation (SSF) techniques, and to investigate the antigiardial and antibacterial activities potential of extracts in vitro. Eighteen fatty acids and derivatives were identified by gas chromatograph-mass spectrometry (GC-MS) analysis in G. lipsense extract. Qualitative (Fourier transform infrared spectroscopy and nuclear magnetic resonance) characterizations identified the steroid ergosta-6,22-diene-3ß,5α,8α-triol in purified hexane subfraction (HEXsf) F19 isolated from hexane fraction (HEXf) of crude extract (CE). Ergosta-6,22-diene-3ß,5α,8α-triol exhibited significant inhibitory activity against Giardia duodenalis throphozoites (93.6%) in in vitro assays. CE and HEXf inhibited 95.38% and 92.74% of the G. duodenalis throphozoites in 100 µg mL-1 , whereas CE and their fractions dichloromethane (DCMf) and ethyl acetate (EAf) showed antibacterial activities against Pseudomonas aeruginosa and Staphylococcus aureus at 500 µg mL-1 . Importantly, some liposoluble compounds produced and identified in G. lipsiense are unpublished for this species. This is first report for the production of ergosta-6,22-diene-3ß,5α,8α-triol by G. lipsiense and its antiparasitic activity.


Assuntos
Antibacterianos/farmacologia , Antiparasitários/farmacologia , Ácidos Graxos/farmacologia , Ganoderma/química , Antibacterianos/química , Antibacterianos/isolamento & purificação , Antiparasitários/química , Antiparasitários/isolamento & purificação , Relação Dose-Resposta a Droga , Ácidos Graxos/biossíntese , Ácidos Graxos/química , Fermentação , Ganoderma/crescimento & desenvolvimento , Ganoderma/metabolismo , Giardia lamblia/efeitos dos fármacos , Testes de Sensibilidade Microbiana , Conformação Molecular , Testes de Sensibilidade Parasitária , Pseudomonas aeruginosa/efeitos dos fármacos , Staphylococcus aureus/efeitos dos fármacos
18.
Appl Microbiol Biotechnol ; 103(13): 5065-5078, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31044311

RESUMO

Phenoxy herbicides are the most widely used family of herbicides worldwide. The dichlorophenoxyacetic acid (2,4-D) is extensively used as a weed killer on cereal crops and pastures. This herbicide is highly water-soluble, and even after a long period of disuse, considerable amounts of both 2,4-D and its main product of degradation, 2,4 dichlorophenol (2,4-DCP), might be found in nature. Biological decomposition of pesticides is an expressive and effective way for the removal of these compounds from the environment. The role of bacteria as well as the enzymes and genes that regulate the 2,4-D degradation has been widely studied, but the 2,4-D degradation by fungi, especially regarding the ability of white-rot basidiomycetes as agent for its bioconversion, has been not extensively considered. This review discusses the current knowledge about the biochemical mechanisms of 2,4-D biodegradation, focused on the role of white-rot fungi in this process. Finally, the cultivation conditions and medium composition for the growth of 2,4-D-degrading microorganisms are also addressed.


Assuntos
Ácido 2,4-Diclorofenoxiacético/metabolismo , Biodegradação Ambiental , Fungos/metabolismo , Herbicidas/metabolismo , Bactérias/metabolismo , Meios de Cultura , Fungos/crescimento & desenvolvimento , Redes e Vias Metabólicas , Técnicas Microbiológicas , Água
19.
Bioprocess Biosyst Eng ; 42(8): 1325-1332, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31028462

RESUMO

Basidiomycetes fungi have been utilized for the production of several compounds with bioactive properties, such as phenolic compounds. The present work quantified and identified the phenolic compounds produced in a kinetic study (63 days) and evaluated the antimicrobial activity from the extract obtained by Ganoderma lipsiense cultivation in solid-state fermentation using red rice. Phenolic compounds were identified by high-performance liquid chromatography-electrospray ionization tandem mass spectrometry (HPLC-ESI-MS/MS) and caffeic acid content was measured by high-performance liquid chromatography with diode-array detection (HPLC-DAD). Caffeic and syringic acids were produced by G. lipsiense. In the control medium (red rice), the following compounds were identified: p-coumaric acid, salicylic acid, ferulic acid and vanillin. High concentrations of caffeic acid (0.977 µg g-1) were measured in 49 days. Antimicrobial activity was investigated against Escherichia coli, Pseudomonas aeruginosa and Staphylococcus aureus using a minimum inhibitory concentration (MIC) technique. Ganoderma lipsiense extract was only effective against P. aeruginosa. These data have proved to be satisfactory in the study of biosynthesis of caffeic acid and antibacterial compounds by G. lipsiense in solid-state fermentation with red rice.


Assuntos
Antibacterianos , Ácidos Cafeicos , Ganoderma/crescimento & desenvolvimento , Oryza/química , Fenóis/química , Antibacterianos/metabolismo , Antibacterianos/farmacologia , Bactérias/crescimento & desenvolvimento , Ácidos Cafeicos/metabolismo , Ácidos Cafeicos/farmacologia , Cromatografia Líquida de Alta Pressão , Espectrometria de Massas por Ionização por Electrospray
20.
Prosthes. Esthet. Sci ; 7(28): 11-16, jul-set 2018. ilus
Artigo em Português | BBO - Odontologia | ID: biblio-916540

RESUMO

Este artigo descreve a técnica de utilização de um índex de gesso para diminuir os problemas de adaptação da barra metálica em sobredentaduras mandibulares. São detalhados também a técnica de moldagem e a concomitante transferência dos implantes. (AU).


This article describes the utilization of a plaster index to avoid the problems of adaptation of the metal bar in mandibular overdentures. The impression technique and the simultaneous transference of the implants are also detailed. (AU).


Assuntos
Implantes Dentários , Técnica de Moldagem Odontológica , Planejamento de Prótese Dentária , Cirurgia Assistida por Computador , Revestimento de Dentadura/estatística & dados numéricos
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