Assuntos
Transplante de Rim , Humanos , Brasil , História do Século XX , História do Século XXI , HospitaisRESUMO
Reaction of 2-(1'-pyrenyl)-4,4,5,5-tetramethyl-4,5-dihydro-1H-imidazole-3-oxide-1-oxyl (PyrNN) with [Co(hfac)2(H2O)2] (hfac = hexafluoroacetylacetonate) in n-heptane solvent (hep) with a small amount of bromoform (CHBr3 = bf) gives the 1D ferrimagnetic complex [Co(hfac)2PyrNN]n·0.5bf·0.5hep (Co-PyrNN·bf). This chain exhibits slow magnetic relaxation with magnetic blocking below 13.4 K, presenting a magnetic hysteresis with high coercive field (51 kOe at 5.0 K) as a hard magnet. It also shows frequency-dependent behavior consistent with one dominant relaxation process with an activation barrier of Δτ/kB = (365 ± 24) K. The compound is an isomorphous variant of a previously reported ambient unstable chain made by using chloroform (CHCl3 = cf), [Co(hfac)2PyrNN]n·0.5cf·0.5hep (Co-PyrNN·cf). This shows that the variation of a magnetically inactive lattice solvent can improve the stability of analogous, void space containing single-chain magnets.
RESUMO
Abstract Cytomegalovirus (CMV) retinitis is a rare manifestation of CMV invasive disease and potentially threatening to vision in immunocompromised individuals. Clinical suspicion is fundamental since it is an unusual entity with a progressive and often asymptomatic installation over a long period. The authors report a 70-year-old man with diabetic nephropathy who underwent a kidney transplant (KT) in August 2014 with good clinical evolution. No previous CMV infection or episodes of acute rejection were reported. Five years after transplant, he was admitted due to a reduced visual acuity of the left eye with seven days of evolution with associated hyperemia, without exudate. The ophthalmologic evaluation was compatible with acute necrosis of the retina and presumed associated with CMV infection. He had a progressive improvement after ganciclovir initiation. CMV retinitis is one of the most serious ocular complications in immune-suppressed individuals and can lead to irreversible blindness, and because of that, early diagnosis and treatment remains crucial in obtaining the best visual prognosis in affected patients. Secondary prophylaxis with ganciclovir is not consensual, neither is the safety of reintroducing the antimetabolite in these cases.
Resumo A retinite por citomegalovírus (CMV) é uma manifestação rara de doença invasiva por CMV e potencialmente ameaçadora para a visão em indivíduos imunocomprometidos. A suspeita clínica é fundamental, uma vez que se trata de uma entidade incomum, com uma instalação progressiva e frequentemente assintomática durante um longo período. Os autores relatam um homem de 70 anos de idade com doença renal do diabetes que foi submetido a um transplante renal (KT) em Agosto de 2014 com boa evolução clínica. Nenhuma infecção anterior por CMV ou episódios de rejeição aguda foram relatados. Cinco anos após o transplante, ele foi internado devido a uma acuidade visual reduzida do olho esquerdo com sete dias de evolução com hiperemia associada, sem exsudato. A avaliação oftalmológica foi compatível com a necrose aguda da retina e presumivelmente associada à infecção por CMV. Ele teve uma melhora progressiva após o início do ganciclovir. A retinite por CMV é uma das complicações oculares mais graves em indivíduos imunossuprimidos e pode levar à cegueira irreversível e, por isso, o diagnóstico e o tratamento precoces continuam sendo cruciais para obter o melhor prognóstico visual em pacientes afetados. A profilaxia secundária com ganciclovir não é consensual, tampouco a segurança de reintroduzir o antimetabólito nestes casos.
RESUMO
Using the 1-(m-tolyl)-1H-1,2,3-triazole-4-(4,4,5,5-tetramethylimidazoline-1-oxyl-3-oxide) (TlTrzNIT) radical and metal ß-diketonate complexes [M(hfac)2(H2O)2], where hfac is hexafluoroacetylacetonato, three new 2p-3d heterospin complexes were synthesized. Their structures were solved using single crystal X-ray diffraction data, and magnetic investigation was performed by DC and AC measurements and multifrequency EPR spectroscopy. Compounds 1 and 2 are isostructural complexes with molecular formula [M3(TlTrzNIT)2(hfac)6] (MII = Mn or Cu) while compound 3 is the mononuclear [Co(TlTrzNIT)(hfac)2] complex. In all complexes, the radical acts as a bidentate ligand through the oxygen atom of the nitroxide moiety and the nitrogen atom from the triazole group. Furthermore, in compounds 1 and 2, the TlTrzNIT is bridge-coordinated between two metal centers, leading to the formation of trinuclear complexes. The fitting of the static magnetic behavior reveals antiferromagnetic and ferromagnetic intramolecular interactions for complexes 1 and 2, respectively. The EPR spectra of 1 are well described by an isolated ferrimagnetic S = 13/2 (= 5/2 - 1/2 + 5/2 - 1/2 + 5/2) ground state with a biaxial zero-field splitting (ZFS) interaction characterized, respectively, by 2nd order axial and rhombic parameters, D and E, such that E/D is close to the maximum of 0.33. Meanwhile, EPR spectra for 2 are explained in terms of a ferromagnetic model with weakly anisotropic Cu-radical exchange interactions, giving rise to an isolated S = 5/2 (= 5 × 1/2) ground state with both an anisotropic g tensor and a weak ZFS interaction. Complex 2 represents one of only a few examples of Cu-radical moieties with measurable exchange anisotropy.
RESUMO
Cytomegalovirus (CMV) retinitis is a rare manifestation of CMV invasive disease and potentially threatening to vision in immunocompromised individuals. Clinical suspicion is fundamental since it is an unusual entity with a progressive and often asymptomatic installation over a long period. The authors report a 70-year-old man with diabetic nephropathy who underwent a kidney transplant (KT) in August 2014 with good clinical evolution. No previous CMV infection or episodes of acute rejection were reported. Five years after transplant, he was admitted due to a reduced visual acuity of the left eye with seven days of evolution with associated hyperemia, without exudate. The ophthalmologic evaluation was compatible with acute necrosis of the retina and presumed associated with CMV infection. He had a progressive improvement after ganciclovir initiation. CMV retinitis is one of the most serious ocular complications in immune-suppressed individuals and can lead to irreversible blindness, and because of that, early diagnosis and treatment remains crucial in obtaining the best visual prognosis in affected patients. Secondary prophylaxis with ganciclovir is not consensual, neither is the safety of reintroducing the antimetabolite in these cases.
Assuntos
Retinite por Citomegalovirus , Transplante de Rim , Idoso , Antimetabólitos/uso terapêutico , Antivirais/uso terapêutico , Retinite por Citomegalovirus/diagnóstico , Retinite por Citomegalovirus/tratamento farmacológico , Retinite por Citomegalovirus/etiologia , Ganciclovir/uso terapêutico , Humanos , Transplante de Rim/efeitos adversos , MasculinoRESUMO
OBJECTIVE: This study aims to describe the result of the strategies adopted to maintain the transplant program amid the COVID-19 pandemic. METHODS: Since March 2020, several measures have been adopted sequentially, including the compulsory use of personal protective equipment and the real-time polymerase chain reaction testing of collaborators, symptomatic patients, potential deceased donors, candidates for recipients, and in-hospital readmissions, regardless of symptoms. The living-donor transplantation was restricted to exceptional cases. RESULTS: Among 1013 health professionals, 201 cases of COVID-19 were confirmed between March and August 2020, with no severe cases reported. In this period, we observed a 19% institutional increase in the number of transplants from deceased donors compared with that observed in the same period in 2019. There was no donor-derived severe acute respiratory syndrome virus (SARS-CoV-2) infection. Four COVID-19-positive patients underwent transplantation; after 28 days, all were alive and with functioning allograft. Among the 11,875 already transplanted patients being followed up, there were 546 individuals with confirmed diagnosis, 372 who required hospitalization, and 167 on mechanical ventilation, resulting in a 27% mortality rate. CONCLUSIONS: These data confirm that the adoption of sequential and coordinated measures amid the pandemic was able to successfully maintain the transplant program and ensure the safety of health professionals and transplanted patients who were already in follow-up.
Assuntos
COVID-19 , Transplante de Rim , Humanos , Doadores Vivos , Pandemias , SARS-CoV-2RESUMO
Campylobacter jejuni is the main pathogen identified in cases of foodborne gastroenteritis worldwide. Its importance in poultry production and public health is highlighted due to the growing antimicrobial resistance. Our study comparatively investigated the effect of five different classes of antimicrobials on the planktonic and biofilm forms of 35 strains of C. jejuni with high phylogenetic distinction in 30 of them. In the planktonic form, the existence of susceptible strains to colistin (7/35 - 20%) and resistance to meropenem (3/35 - 8.6%) represent a novelty in strains evaluated in Brazil. In biofilms formed with the addition of chicken juice, the number of resistant strains was significantly higher for colistin, erythromycin and meropenem (100%), but the susceptibility to tetracycline was shown as a control strategy for specific cases. High concentrations (1,060 ± 172.1mg/L) of antibiotics were necessary to control the biofilm structure in susceptible strains in the planktonic form, which is consistent with the high biomass produced in these strains. Stainless steel and polyurethane were the most (BFI=2.1) and least (BFI=1.6) favorable surfaces for the production of biomass treated with antimicrobials. It is concluded that the antimicrobial action was detected for all tested drugs in planktonic form. In sessile forms, the biomass production was intensified, except for tetracycline, which showed an antibiofilm effect.
Assuntos
Infecções por Campylobacter , Campylobacter jejuni , Animais , Antibacterianos/farmacologia , Brasil , Infecções por Campylobacter/veterinária , Galinhas , Farmacorresistência Bacteriana , Resistência Microbiana a Medicamentos , Estilo de Vida , Testes de Sensibilidade Microbiana , FilogeniaRESUMO
INTRODUCTION: Hospital do Rim is a high-volume kidney transplant (KT) center located in São Paulo, a city with 12.2 million inhabitants. Over the last 18 years, we performed 11 436 KT, 70% of which from deceased donors. To mitigate the effects of reduction in the number of transplants on the waiting list, sequential measures were implemented when COVID-19 was declared pandemic. METHODS: The first step was to provide SARS-COV-2 RT-PCR testing for all symptomatic employees and patients and the compulsory use of personal protective equipment in the hospital facilities. Living donor KT were postponed, and all deceased donors and recipients were tested before the transplantation. The immunosuppressive protocols were maintained, and telehealth strategies were developed. RESULTS: Among the 1013 employees, there were 214 cases of COVID-19, nine required ward hospitalization, and no deaths occurred. In 26%, the probable source of contamination was occupational. From the first patient diagnosed with COVID-19 in 03/20/2020 till 10/21/2020, 523 deceased KT were performed, a 21% increase compared with 2019, with no confirmed donor-derived SARS-CoV-2 infection. Four patients were transplanted with a positive pretransplant SARS-CoV-2 test, but none of them developed the disease. Overall, of 11 875 KT followed in our center, 674 developed COVID-19. Among the hospitalized, 53% required mechanical ventilation, and 45% required hemodialysis. Their overall mortality rate was 27.5%. CONCLUSION: This experience shows the challenges that transplant centers faced as the pandemic unfolded and illustrates the effectiveness of the sequential measures implemented to provide a safe environment for transplantation.
Assuntos
COVID-19 , Transplante de Rim , Brasil , Humanos , Transplante de Rim/efeitos adversos , Pandemias , SARS-CoV-2RESUMO
BACKGROUND AND OBJECTIVES: An epidural blood patch is used to treat postdural puncture and liquor hypotension headache. We report the use of an epidural blood patch in a critical pediatric patient. CASE REPORT: A 10-year-old girl with acute leukemia developed venous cerebral thrombosis with hemorrhagic transformation one month after intrathecal chemotherapy. Given the unusual clinical and imagiological evolution even after decompressive craniectomy, we suspected cerebrospinal fluid hypotension. Spine imaging revealed signs of post-lumbar puncture fistula; we hence performed a blind blood patch. CONCLUSIONS: Recognizing cerebrospinal fluid hypotension in critical pediatric patients is important. Less-conventional life-saving measures, such as a blind blood patch, may be considered in such patients.
Assuntos
Hipotensão , Hipotensão Intracraniana , Cefaleia Pós-Punção Dural , Placa de Sangue Epidural , Vazamento de Líquido Cefalorraquidiano , Criança , Feminino , Humanos , Hipotensão Intracraniana/tratamento farmacológico , Imageamento por Ressonância Magnética , Cefaleia Pós-Punção Dural/terapiaRESUMO
HSV disease is distributed worldwide. Anti-herpesvirus drugs are a problem in clinical settings, particularly in immunocompromised individuals undergoing herpes simplex virus type 1 infection. In this work, 4-substituted-1,2,3-1H-1,2,3-triazole linked nitroxyl radical derived from TEMPOL were synthesized, and their ability to inhibit the in vitro replication of HSV-1 was evaluated. The nitroxide derivatives were characterized by infrared spectroscopy and elemental analysis, and three of them had their crystal structures determined by single-crystal X-ray diffraction. Four hybrid molecules showed important anti-HSV-1 activity with IC50 values ranged from 0.80 to 1.32 µM. In particular, one of the nitroxide derivatives was more active than Acyclovir (IC50 = 0.99 µM). All compounds tested were more selective inhibitors than the reference antiviral drug. Among them, two compounds were 4.5 (IC50 0.80 µM; selectivity index CC50/IC50 3886) and 7.7 times (IC50 1.10 µM; selectivity index CC50/IC50 6698) more selective than acyclovir (IC50 0.99 µM; selectivity index CC50/IC50: 869). These nitroxide derivatives may be elected as leading compounds due to their antiherpetic activities and good selectivity.
Assuntos
Herpesvirus Humano 1RESUMO
SUMMARY OBJECTIVE: This study aims to describe the result of the strategies adopted to maintain the transplant program amid the COVID-19 pandemic. METHODS: Since March 2020, several measures have been adopted sequentially, including the compulsory use of personal protective equipment and the real-time polymerase chain reaction testing of collaborators, symptomatic patients, potential deceased donors, candidates for recipients, and in-hospital readmissions, regardless of symptoms. The living-donor transplantation was restricted to exceptional cases. RESULTS: Among 1013 health professionals, 201 cases of COVID-19 were confirmed between March and August 2020, with no severe cases reported. In this period, we observed a 19% institutional increase in the number of transplants from deceased donors compared with that observed in the same period in 2019. There was no donor-derived severe acute respiratory syndrome virus (SARS-CoV-2) infection. Four COVID-19-positive patients underwent transplantation; after 28 days, all were alive and with functioning allograft. Among the 11,875 already transplanted patients being followed up, there were 546 individuals with confirmed diagnosis, 372 who required hospitalization, and 167 on mechanical ventilation, resulting in a 27% mortality rate. CONCLUSIONS: These data confirm that the adoption of sequential and coordinated measures amid the pandemic was able to successfully maintain the transplant program and ensure the safety of health professionals and transplanted patients who were already in follow-up.
Assuntos
Humanos , Transplante de Rim , COVID-19 , Doadores Vivos , Pandemias , SARS-CoV-2RESUMO
Introdução: obesidade é um problema de saúde pública e está relacionada com fatores genéticos, ambientais e comportamento alimentar. É uma doença de difícil controle e a cirurgia bariátrica tem surgido com uma terapêutica de sucesso para obesos graves. Objetivo: descrever o comportamento e preferências alimentares de pacientes obesos encaminhados à cirurgia bariátrica. Metodologia: estudo descritivo baseado em dados secundários de uma clínica especializada no tratamento da obesidade. Foram estudadas variáveis antropométricas, sociodemográficas e outras referentes ao comportamento e preferências alimentares. Para análise dos dados foram utilizados: estatística descritiva e qui-quadrado de Pearson, sendo considerados significantes valores de p<0,05. Resultados: foram avaliados 542 pacientes com média (desvio padrão) de idade e índice de massa corporal de 35,9 (9,8) anos e 41,5 (4,9) kg/m2 respectivamente, sendo 73,6% do sexo feminino. Observou-se que os pacientes tinham preferência por cereais e massas (62,4%), seguido de carne e ovos (58,1%). Destacou-se que adultos jovens realizavam menos o desjejum (65,1% x 75,4%; p= 0,011) e ingeriam maior volume de alimentos nas refeições (90,7% x 81,1%; p=0,007) quando comparados aos mais velhos e que o comportamento de acordar para comer à noite foi mais frequente nos homens do que nas mulheres (31,2% x 21,6%; p=0,029). Conclusão: o estudo mostrou que os grupos alimentares preferidos foram os cereais e massas seguidos de carne e ovos. Quanto ao comportamento alimentar foi observado influência do sexo e da idade dos indivíduos, o mesmo não acontecendo em relação ao grau de obesidade.
Introduction: obesity is a public health problem related to genetic, environmental and eating behaviour factors. It is difficult to control, and bariatric surgery has emerged as a successful treatment for the severely obese. Objective: to describe the behaviour and food preferences of obese patients referred to bariatric surgery. Methodology: descriptive study based on secondary data from a clinic specialized in the treatment of obesity. Anthropometric, sociodemographic and other variables related to behavioural and food preferences were studied. For data analysis, descriptive statistics and Pearson's chi-square were used, with p <0.05 being considered significant. Results: 542 patients with mean age (standard deviation) and body mass index of 35.9 (9.8) years and 41.5 (4.9) kg / m2 respectively were evaluated, 73.6% of which were female. It was observed that the patients preferred to eat cereals and pasta (62.4%), followed by meat and eggs (58.1%). It was highlighted that young adults had less breakfast (65.1% x 75.4%; p = 0.011) and ingested a greater volume of food at meals (90.7% x 81.1%; p = 0.007) when compared to older people and that the behaviour of waking up to eat at night was more frequent in men than in women (31.2% x 21.6%; p = 0.029). Conclusion: the study showed that the preferred food groups were cereals and pasta followed by meat and eggs. As for eating behaviour, the influence of the individuals' sex and age was observed, the same not happening in relation to the degree of obesity.
Assuntos
Humanos , Masculino , Feminino , Adulto , Cirurgia Bariátrica , Comportamento Alimentar , Preferências Alimentares , Obesidade , Epidemiologia DescritivaRESUMO
Two tetranuclear compounds with a cubane-like structure were synthesized from a one-pot reaction between NiII and 2,2,6,6-tetramethyl-3,5-heptanedione (Hdpm) for 1 or 4,4,4-trifluoro-1-phenyl-1,3-butanedione (Hbta) for 2 in the presence of sodium methoxide. The crystal structures of both compounds have been determined by single-crystal X-ray diffraction, and their magnetic properties have been studied by SQUID magnetometry as well as by high-field electron paramagnetic resonance (HFEPR) spectroscopy. For 1, the temperature dependence of the magnetic susceptibility can be fitted by taking into account Ni···Ni ferromagnetic interactions, which leads to an S = 4 ground-state spin. For 2, both antiferromagnetic and ferromagnetic interactions are present. However, the latter are dominant, which also leads to an S = 4 ground-state spin, in good agreement with the HFEPR study.
RESUMO
The aim of this study was to determine the most frequent Salmonella serovars in swine feces in the farm, piggerys waiting slaughterhouse and after in their carcasses during slaughter, as well as their antimicrobial resistance profiles. Eighty six strains of Salmonella spp. were used, they were previously isolated from three different lots in different collections. The identification of serovars was done by serotyping and the resistance to antimicrobial agents was determined by disc diffusion. A variety of serovars was observed, and the 86 strains were serologically identified as: 28 (32.55%) S. Typhimurium, 20 (23.26%) S. Agona, 17 (19.77%) S. Infantis, 6 (6.98%) S. Panama, and 15 (17.44%) S. Minnesota. The diversity of serovars indicated that different factors influence the infection of finishing pigs and the persistence of microorganisms in the carcass after slaughter of these animals. More than 50% of the isolates were resistant to nine of the 11 tested antibiotics. The drugs that microorganisms had the highest percentages of sensitivity were sulphazotrim and norfloxacin, 22.1% and 14%, respectively. S. Typhimurium serovar was the most isolated, including in the carcasses, and also showed the largest difference in antimicrobial resistance when compared to other serovars. The profile of multidrug resistance observed in this study highlights to the necessity of a judicious observation of antimicrobial resistance in zoonotic foodborne bacteria.
Objetivou-se determinar os sorovares de Salmonella mais freqüentes em fezes de suínos na granja de terminação, pocilga de espera do frigorífico e em suas carcaças durante o abate, assim como, seus perfis de resistência aos antimicrobianos. Utilizou-se 86 cepas de Salmonella spp previamente isoladas de três lotes diferentes em coletas distintas. A identificação dos sorovares foi realizada por meio de sorotipificação e a resistência aos antimicrobianos foi determinada pela técnica de difusão de discos. Foi observada uma multiplicidade de sorovares, sendo as 86 cepas identificadas sorologicamente como: 28 (32,55%) S. Typhimurium, 20 (23,26%), S. Agona, 17 (19,77%) S. Infantis, 6 (6,98%) S. Panama, e 15 (17,44%) S. Minnesota. A diversidade de sorovares indicou que diferentes fatores influenciam na infecção de suínos em terminação e na persistência do microrganismo na carcaça destes animais após o abate. Mais de 50% dos isolados apresentaram resistência a nove dos 11 antibióticos testados. As drogas as quais os microrganismos apresentaram os maiores percentuais de sensibilidade foram o sulfazotrim e a norfloxacina, 22,1% e 14%, respectivamente. S. Typhimurium foi o sorovar mais isolado, inclusive nas carcaças, e também o que demonstrou maior diferença quanto à resistência aos antimicrobianos, quando comparado aos outros sorovares. O perfil de multirresistência observado neste estudo alerta para a necessidade de vigilância e monitoramento sistemático da resistência aos antimicrobianos em bactérias zoonóticas transmitidas pelos alimentos.
Assuntos
Animais , Resistência Microbiana a Medicamentos , Salmonella/classificação , Salmonella/isolamento & purificação , Suínos/microbiologia , Testes de Sensibilidade Microbiana/veterinária , Salmonelose Animal , Sorotipagem/veterináriaRESUMO
The aim of this study was to determine the most frequent Salmonella serovars in swine feces in the farm, piggerys waiting slaughterhouse and after in their carcasses during slaughter, as well as their antimicrobial resistance profiles. Eighty six strains of Salmonella spp. were used, they were previously isolated from three different lots in different collections. The identification of serovars was done by serotyping and the resistance to antimicrobial agents was determined by disc diffusion. A variety of serovars was observed, and the 86 strains were serologically identified as: 28 (32.55%) S. Typhimurium, 20 (23.26%) S. Agona, 17 (19.77%) S. Infantis, 6 (6.98%) S. Panama, and 15 (17.44%) S. Minnesota. The diversity of serovars indicated that different factors influence the infection of finishing pigs and the persistence of microorganisms in the carcass after slaughter of these animals. More than 50% of the isolates were resistant to nine of the 11 tested antibiotics. The drugs that microorganisms had the highest percentages of sensitivity were sulphazotrim and norfloxacin, 22.1% and 14%, respectively. S. Typhimurium serovar was the most isolated, including in the carcasses, and also showed the largest difference in antimicrobial resistance when compared to other serovars. The profile of multidrug resistance observed in this study highlights to the necessity of a judicious observation of antimicrobial resistance in zoonotic foodborne bacteria.(AU)
Objetivou-se determinar os sorovares de Salmonella mais freqüentes em fezes de suínos na granja de terminação, pocilga de espera do frigorífico e em suas carcaças durante o abate, assim como, seus perfis de resistência aos antimicrobianos. Utilizou-se 86 cepas de Salmonella spp previamente isoladas de três lotes diferentes em coletas distintas. A identificação dos sorovares foi realizada por meio de sorotipificação e a resistência aos antimicrobianos foi determinada pela técnica de difusão de discos. Foi observada uma multiplicidade de sorovares, sendo as 86 cepas identificadas sorologicamente como: 28 (32,55%) S. Typhimurium, 20 (23,26%), S. Agona, 17 (19,77%) S. Infantis, 6 (6,98%) S. Panama, e 15 (17,44%) S. Minnesota. A diversidade de sorovares indicou que diferentes fatores influenciam na infecção de suínos em terminação e na persistência do microrganismo na carcaça destes animais após o abate. Mais de 50% dos isolados apresentaram resistência a nove dos 11 antibióticos testados. As drogas as quais os microrganismos apresentaram os maiores percentuais de sensibilidade foram o sulfazotrim e a norfloxacina, 22,1% e 14%, respectivamente. S. Typhimurium foi o sorovar mais isolado, inclusive nas carcaças, e também o que demonstrou maior diferença quanto à resistência aos antimicrobianos, quando comparado aos outros sorovares. O perfil de multirresistência observado neste estudo alerta para a necessidade de vigilância e monitoramento sistemático da resistência aos antimicrobianos em bactérias zoonóticas transmitidas pelos alimentos.(AU)
Assuntos
Animais , Salmonella/classificação , Salmonella/isolamento & purificação , Resistência Microbiana a Medicamentos , Testes de Sensibilidade Microbiana/veterinária , Suínos/microbiologia , Salmonelose Animal , Sorotipagem/veterináriaRESUMO
Four new heterospin compounds with molecular formula {[Cu2(hfac)3(TlTrzNIT)2][Ln(hfac)4]} n·C7H16 (LnIII = Gd (1), Tb (2), or Dy (3)) and [Co(hfac)(TlTrzNIT)2][Dy(hfac)4] (4), where hfac is hexafluoroacetylacetonato and TlTrzNIT is the nitronylnitroxide radical 1-( m-tolyl)-1 H-1,2,3-triazole-4-(4,4,5,5-tetramethylimidazoline-1-oxyl-3-oxide), were obtained. All structures were determined by single-crystal X-ray diffraction. In compounds 1-3, the TlTrzNIT radical is bridge-coordinated to copper(II) ions, leading to positively charged copper(II)-radical chains containing [Ln(hfac)4]- as counterions. In compound 4, the cobalt(II) ion is coordinated to two TlTrzNIT radicals and one hfac ligand in bidentate mode leading to a mononuclear cationic complex that contains [Dy(hfac)4]- as counterion. Magnetic measurements of all complexes were performed. Magnetic data were fit considering the contributions of the copper(II)-radical chain and a paramagnetic gadolinium(III) ion for 1. The sign and magnitude of the magnetic coupling constants extracted from the fit were confirmed by density functional theory calculations. The obtained spin topology shows an alternated ferro-antiferromagnetic chain. Field-induced single molecule magnet behavior was observed for the Dy derivatives 3 and 4, in agreement with CASSCF calculations performed for the latter system.
RESUMO
A new family of binuclear complexes [MnIIILnIII(dpm)4(MeO)2(MeOH)2] is reported (where Ln = LaIII (1), PrIII (2), and EuIII(3)). These compounds were obtained from a one-pot reaction between 2,2,6,6-tetramethyl-3,5-heptanodione (Hdpm), MnII, and the respective LnIII salt in the presence of sodium methoxide. The derivative containing the diamagnetic ion LaIII has been synthesized in order to characterize the local anisotropy of the MnIII ion. High-field electron paramagnetic resonance (HFEPR) spectroscopy shows that the MnIII ion, with an elongated octahedral geometry in all compounds, has a significant axial zero-field splitting and a small rhombic anisotropy. Additionally, the HFEPR measurements indicate that there is almost no exchange between the spin carriers in these compounds, all of which exhibit field-induced slow relaxation of the magnetization.
RESUMO
Introdução: A pré-eclâmpsia é uma condição específica da gestação que envolve a falência de diversos órgãos e está associada à hipertensão, à retenção generalizada de líquido (edema) e à proteinúria. Trata-se de uma patologia obstétrica que surge após a vigésima semana de gestação, sendo mais frequente no terceiro trimestre, e que se estende até o puerpério. Objetivo: Avaliar os aspectos clínicos, nutricionais e terapêuticos nos cuidados pré-natais e puerperais às gestantes de um centro de saúde de Minas Gerais quanto ao risco de pré-eclâmpsia. Método: Trata-se de um estudo descritivo, exploratório, documental, com abordagem quantitativa realizado em um centro de saúde, em que a amostra foi composta por 36 mulheres em acompanhamento pré-natal e puerperal. Foi utilizado um questionário semiestruturado como instrumento de coleta de dados. Utilizou-se, ainda, o prontuário clínico de atendimento ambulatorial e o cartão da gestante para a captação dos dados. O tratamento estatístico se deu por meio de epidemiologia descritiva simples não paramétrica e não probabilística. Resultados: Houve prevalência de gestantes jovens; com idade entre 18-24 anos; primigestas; sem acompanhamento puerperal, antecedentes familiares e pessoais de doença hipertensiva. Houve predomínio de quatro refeições diárias com restrições hipersódicas. Apenas 10,8% utilizavam plantas medicinais, faziam uso de polifarmácia devido à sintomatologia múltipla da gestação, e manifestavam condutas quanto ao tratamento de modo a gerar falhas e comprometer a evolução gestacional. Conclusão: Há falhas no acompanhamento profissional à gestante em nível de Atenção Primária à Saúde, principalmente no que diz respeito à terapêutica, de modo a comprometer a qualidade da gravidez. (AU)
Introduction: preeclampsia is a specific condition of gestation that involves the failure of several organs and is associated with hypertension, generalized fluid retention (edema) and protein in urine. It is an obstetric pathology that arises after the twentieth week of gestation, being more frequent in the third trimester and extending to the puerperium. Objective: to evaluate the clinical, nutritional and therapeutic aspects in the prenatal and puerperal care to the pregnant women of a health center of Minas Gerais regarding the risk of pre-eclampsia. Method: This is a descriptive, exploratory, documental study, with a quantitative approach, performed in a health center in which the sample consisted of 36 women in prenatal and puerperal follow-up. A semi-structured questionnaire was used as a data collection instrument. We also used the outpatient clinic chart and the pregnant woman's card to collect the data. The statistical treatment was given through non-parametric and non-probabilistic simple descriptive epidemiology. Results: there was a prevalence of young pregnant women aged 18-24 years; first pregnancy; without puerperal follow-up, family and personal history of hypertensive disease. There was a predominance of four daily meals with hypersodium restriction. Only 10.8% used medicinal plants, made use of polypharmacy due to the multiple symptomatology of gestation and manifest treatment behaviors in order to generate failures and compromise gestational evolution. Conclusion: there are failures in the professional follow-up of the pregnant woman at the Primary Health Care level, especially with regard to therapeutics, in order to compromise the quality of pregnancy. (AU)
Assuntos
Pré-Eclâmpsia , Cuidado Pré-Natal , Gravidez de Alto Risco , Período Pós-PartoRESUMO
A Oficina de Pintura é um projeto de extensão do Programa Núcleo Universitário da Terceira Idade da Universidade Federal do Rio Grande (NUTI/FURG), realizado em uma Instituição de Longa Permanência para Idosos. O objetivo do presente trabalho é relatar a experiência de acadêmicas do Curso de Psicologia na implementação desse projeto com idosos institucionalizados. Em encontros semanais foram disponibilizados desenhos e materiais de pintura. A intervenção mostrou-se um espaço de possibilidades para o desenvolvimento de interações sociais entre os idosos participantes.
The Painting Workshop is an extension program of the Third Age University Center of the Federal University of Rio Grande (NUTI/FURG) which takes place at a Long Term Care Institution for the Aged. The objective of this paper is to report the experience of academics of the Psychology Course in the implementation of this project with elder persons that live in these institutions. Drawings and painting supplies were provided in weekly meetings. The experience created manifold possibilities for the development of social interactions among the elderly participants.
El Taller de Pintura es un proyecto de extensión del Programa Núcleo Universitario de la Tercera Edad de la Universidad Federal de Rio Grande (NUTI / FURG), realizado en una Institución de Larga Permanencia para ancianos. El objetivo del presente trabajo es relatar la experiencia de académicas del Curso de Psicología en la implementación de ese proyecto con ancianos institucionalizados. En encuentros semanales se pusieron a disposición dibujos y materiales de pintura. La intervención se mostró un espacio de posibilidades para el desarrollo de interacciones sociales entre los ancianos participantes.
Assuntos
Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Socialização , Instituição de Longa Permanência para Idosos , Pinturas , Arteterapia , Intervenção Psicossocial/métodos , Relações InterpessoaisRESUMO
End-off bicompartmental ligands bearing a nitronyl-nitroxide arm have been designed for synthesizing various heterospin molecular systems. These ligands can selectively interact with 3d and 4f metal ions, leading to 2p-4f, 2p-3d, and 2p-3d-4f complexes. The magnetic properties of the 2p-4f and 2p-3d-4f complexes have been investigated and rationalized by theoretical calculations.