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Lindgren E, Krzywicka K, de Winter MA, Sánchez van Kammen M, Heldner MR, Hiltunen S, Aguiar de Sousa D, Mansour M, Canhão P, Ekizoglu E, Rodrigues M, Silva EM, Garcia-Esperon C, Arnao V, Aridon P, Simaan N, Silvis SM, Zuurbier SM, Scutelnic A, Sezgin M, Alasheev A, Smolkin A, Guisado-Alonso D, Yesilot N, Barboza MA, Ghiasian M, Leker RR, Arauz A, Arnold M, Putaala J, Tatlisumak T, Coutinho JM, Jood K. A scoring tool to predict mortality and dependency after cerebral venous thrombosis. Eur J Neurol 2023. [PMID: 37165521 DOI: 10.1111/ene.15844] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2023] [Revised: 04/22/2023] [Accepted: 04/24/2023] [Indexed: 05/12/2023]
Abstract
BACKGROUND We developed a prognostic score to predict dependency and death after cerebral venous thrombosis (CVT) to identify patients for targeted therapy in future clinical trials.. METHODS We used data from the International CVT Consortium. We excluded patients with pre-existent functional dependency. We used logistic regression to predict poor outcome (modified Rankin Scale 3-6) at 6 months and Cox regression to predict 30-day and 1-year all-cause mortality. Potential predictors derived from previous studies were selected with backward stepwise selection. Coefficients were shrunken using Ridge regression to adjust for optimism in internal validation. RESULTS Of 1454 patients with CVT, the cumulative number of deaths was 44 (3%) and 70 (5%) for 30 days and 1 year, respectively. Of 1126 patients evaluated regarding functional outcome, 137 (12%) were dependent or dead at 6 months. From the retained predictors for both models, we derived the SI2 NCAL2 C score utilizing the following components: absence of female Sex-specific risk factor, Intracerebral hemorrhage, Infection of the central nervous system, Neurologic focal deficits, Coma, Age, lower Level of hemoglobin (g/L), higher Level of glucose (mmol/L) at admission, and Cancer. C-statistics were 0.80 (95%CI 0.75-0.84), 0.84 (95%CI 0.80-0.88) and 0.84 (95%CI 0.80-0.88) for the poor outcome, 30 days and 1 year mortality model, respectively. Calibration plots indicated good model fit between predicted and observed values. The SI2 NCAL2 C score calculator is freely available at www.cerebralvenousthrombosis.com. CONCLUSIONS The SI2 NCAL2 C score shows adequate performance for estimating individual risk of mortality and dependency after CVT but external validation of the score is warranted.
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Affiliation(s)
- E Lindgren
- Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy at University of Gothenburg and Department of Neurology, Sahlgrenska University Hospital, Gothenburg, Sweden
| | - K Krzywicka
- Department of Neurology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands
| | - M A de Winter
- Department of Internal Medicine, UMC, Utrecht, Utrecht, the Netherlands
| | - M Sánchez van Kammen
- Department of Neurology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands
| | - M R Heldner
- Department of Neurology, Inselspital, Bern University Hospital and University of Bern, Bern, Switzerland
| | - S Hiltunen
- Department of Neurology, Helsinki University Hospital and University of Helsinki, Helsinki, Finland
| | - D Aguiar de Sousa
- Stroke Centre, Centro Hospital Universitário Lisboa Central, Lisbon, Portugal
- CEEM and Institute of Anatomy, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal
| | - M Mansour
- Sina Hospital, Hamadan University of Medical Science, Hamadan, Iran
| | - P Canhão
- Department of Neurosciences and Mental Health (Neurology), Hospital de Santa Maria/CHULN; University of Lisbon, Lisbon, Portugal
| | - E Ekizoglu
- Department of Neurology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey
| | - M Rodrigues
- Department of Neurology. Hospital Garcia de Orta, Almada, Portugal
| | - E M Silva
- Department of Neurology. Hospital Garcia de Orta, Almada, Portugal
| | - C Garcia-Esperon
- Department of Neurology, John Hunter Hospital, Newcastle, NSW, Australia
| | - V Arnao
- U.O.C. Neurologia con Stroke Unit A.R.N.A.S. Civico, Palermo, Italy
| | - P Aridon
- Department of Biomedicine, Neuroscience and Advanced Diagnostics (Bi.N.D), University of Palermo, Palermo, Italy
| | - N Simaan
- Department of Neurology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel
| | - S M Silvis
- Department of Neurology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands
| | - S M Zuurbier
- Department of Neurology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands
| | - A Scutelnic
- Department of Neurology, Inselspital, Bern University Hospital and University of Bern, Bern, Switzerland
| | - M Sezgin
- Department of Neurology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey
| | - A Alasheev
- Department of Neurology, Sverdlovsk, Yekaterinburg, Russia
| | - A Smolkin
- Department of Neurology, Sverdlovsk, Yekaterinburg, Russia
| | - D Guisado-Alonso
- Department of Neurology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
| | - N Yesilot
- Department of Neurology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey
| | - M A Barboza
- Neurosciences Department, Hospital Dr. R.A. Calderón Guardia, CCSS, San José, Costa Rica
| | - M Ghiasian
- Sina Hospital, Hamadan University of Medical Science, Hamadan, Iran
| | - R R Leker
- Department of Neurology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel
| | - A Arauz
- Instituto Nacional de Neurologia and Neurocirugia Manuel Velasco Suarez, Mexico-City, Mexico
| | - M Arnold
- Department of Neurology, Inselspital, Bern University Hospital and University of Bern, Bern, Switzerland
| | - J Putaala
- Department of Neurology, Helsinki University Hospital and University of Helsinki, Helsinki, Finland
| | - T Tatlisumak
- Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy at University of Gothenburg and Department of Neurology, Sahlgrenska University Hospital, Gothenburg, Sweden
- Department of Neurology, Helsinki University Hospital and University of Helsinki, Helsinki, Finland
| | - J M Coutinho
- Department of Neurology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands
| | - K Jood
- Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy at University of Gothenburg and Department of Neurology, Sahlgrenska University Hospital, Gothenburg, Sweden
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Silva EM, Nunes S, Luz I, Mohanlal U, Passos J. JS03.5.A Pediatric Neurofibromatosis type 1- associated Malignant Peripheral Nerve Sheath Tumors: a national experience. Neuro Oncol 2022. [DOI: 10.1093/neuonc/noac174.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Malignant peripheral nerve sheath tumors (MPNST) are rare soft tissue sarcomas and although less that 10% occur in the pediatric age, they are the most feared complication in the follow-up of Neurofibromatosis Type 1 (NF1) patients. NF1-children tend to have larger tumors and worse prognosis than non-NF1 patients. There is a lack of data regarding MPNST in pediatric populations with NF1, and the present work aims to characterize a Portuguese population of pediatric NF1 patients who developed a MPNST.
Material and Methods
Retrospective analysis of all NF1-pediatric patients diagnosed with MPNST between 2000 to 2021, from three centers in Portugal. Patient characteristics, treatment modalities and clinical outcomes were reviewed.
Results
12 patients (6 males and 6 females) met the inclusion criteria. 7 had no family history of NF1. Median age at diagnosis was 14.1 years (range 10-18). 5 had been diagnosed previously with Plexiform Neurofibroma and were treated with selumetinib (2) and partial surgery (2). MPNSTs were mostly located in the retroperitoneum (7) and in the proximal lower limbs (2). Only 1 patient had a resectable tumor at diagnosis and 3 patients had metastatic disease. In the FDG-PET scan of evaluated patients (7), the mean maximum standardized uptake value of the main lesion was 6 (range 3.6-9.7).Neoadjuvant ifosfamide plus doxorubicin chemotherapy was used in 4 patients. The median overall survival in this population was 10.3 months (95% CI 0.1-20.6) 2 patients remain alive.
Conclusion
The prognosis of MPNSTs in NF1 pediatric patients is very poor. In a subset of patients, MPNSTs develop from known Plexiform Neurofibromas. Current surveillance ant treatment protocols need to be improved.
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Affiliation(s)
- E M Silva
- Hospital Garcia de Orta , Almada , Portugal
| | - S Nunes
- Centro Hospitalar de São João , Porto , Portugal
| | - I Luz
- Centro Hospitalar e Universitário de Coimbra , Coimbra , Portugal
| | | | - J Passos
- Instituto Português de Oncologia de Lisboa Francisco Gentil , Lisbon , Portugal
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Nascimento DD, Silva EM, Lopes APM, Ferreira RJ, Carvalho VR, Santos ALZ, Correia ET, Wilcken SRS, Soares PLM. Brugmansia suaveolens as a New Host for Root-Knot Nematode, Meloidogyne incognita, in Goiás State, Brazil. Plant Dis 2022; 106:1308. [PMID: 34569834 DOI: 10.1094/pdis-06-21-1193-pdn] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Affiliation(s)
- D D Nascimento
- São Paulo State University (Unesp), Faculty of Agricultural and Veterinarian Sciences (FCAV), Department of Agricultural Sciences, Nematology Laboratory (LabNema), Jaboticabal, São Paulo, Brazil
| | - E M Silva
- São Paulo State University (Unesp), Faculty of Agricultural and Veterinarian Sciences (FCAV), Department of Agricultural Sciences, Nematology Laboratory (LabNema), Jaboticabal, São Paulo, Brazil
| | - A P M Lopes
- São Paulo State University (Unesp), Faculty of Agronomic Sciences (FCA), Department of Plant Protection, Nematology Laboratory, Botucatu, São Paulo, Brazil
| | - R J Ferreira
- São Paulo State University (Unesp), Faculty of Agricultural and Veterinarian Sciences (FCAV), Department of Agricultural Sciences, Nematology Laboratory (LabNema), Jaboticabal, São Paulo, Brazil
| | - V R Carvalho
- São Paulo State University (Unesp), Faculty of Agronomic Sciences (FCA), Department of Plant Protection, Nematology Laboratory, Botucatu, São Paulo, Brazil
| | - A L Z Santos
- São Paulo State University (Unesp), Faculty of Agricultural and Veterinarian Sciences (FCAV), Department of Agricultural Sciences, Nematology Laboratory (LabNema), Jaboticabal, São Paulo, Brazil
| | - E T Correia
- São Paulo State University (Unesp), Faculty of Agricultural and Veterinarian Sciences (FCAV), Department of Agricultural Sciences, Nematology Laboratory (LabNema), Jaboticabal, São Paulo, Brazil
| | - S R S Wilcken
- São Paulo State University (Unesp), Faculty of Agronomic Sciences (FCA), Department of Plant Protection, Nematology Laboratory, Botucatu, São Paulo, Brazil
| | - P L M Soares
- São Paulo State University (Unesp), Faculty of Agricultural and Veterinarian Sciences (FCAV), Department of Agricultural Sciences, Nematology Laboratory (LabNema), Jaboticabal, São Paulo, Brazil
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Virtuoso MCS, Silva EHC, Silva EM, Valente TS, Vargas PF, Braz LT, Panizzi RC. Providing inoculum for Didymella bryoniae studies: the effect of light spectrum and storing at low temperature. BRAZ J BIOL 2021; 84:e253436. [PMID: 34932638 DOI: 10.1590/1519-6984.253436] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2021] [Accepted: 09/30/2021] [Indexed: 11/21/2022] Open
Abstract
The in vitro sporulation of Didymella bryoniae is of great importance for studies that require pure inoculum and in large quantities. Thus, the objectives of this study were to identify the best condition for D. bryoniae sporulation combining different light spectra (UV-A or UV-B light, white light, and continuous dark), with distinct culture media (PDA, V8, ML, and PDAB) and, to evaluate fungus' survivability stored at -20°C over time. The fungus samples were only able to sporulate when subjected to the UV-B light treatment, regardless of the culture medium. The highest appearance of spores conidium type was observed in the PDAB medium, and the lowest production occurred in the ML medium. Reproductive structures, such as perithecia and pycnidia, were observed in all culture media. However, there was considerable variation in the amount of each structure between the different culture media. The ML and V8 media showed a greater number of perithecia and the PDA and PDAB media presented a greater proportion of pycnidia compared to perithecia. The storage duration at -20°C did not affect mycelial growth or mycelial growth rate. In conclusion, the UV-B light is essential for D. bryoniae in vitro sporulation. Moreover, the culture medium composition influences the type of fungal structure produced, as well as spores' size and quantity. Freezing at -20°C is an efficient technique that can be used to store D. bryoniae for at least five months without loss of viability.
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Affiliation(s)
- M C S Virtuoso
- Universidade Estadual Paulista - UNESP, Faculdade de Ciências Agrárias e Veterinárias, Programa de Pós-graduação em Agronomia (Genética e Melhoramento de Plantas), Jaboticabal, SP, Brasil
| | - E H C Silva
- Instituto Taquaritinguense de Ensino Superior "Dr. Aristides de Carvalho Schlobach" - ITES, Departamento de Agronomia, Taquaritinga, SP, Brasil
| | - E M Silva
- Universidade Estadual Paulista - UNESP, Faculdade de Ciências Agrárias e Veterinárias, Programa de Pós-graduação em Agronomia (Genética e Melhoramento de Plantas), Jaboticabal, SP, Brasil
| | - T S Valente
- University of Alberta - UAlberta, Department of Agricultural, Food and Nutritional Science, Edmonton, Canada.,Universidade Estadual Paulista - UNESP, Faculdade de Ciências Agrárias e Veterinárias, Departamento de Zootecnia, Jaboticabal, SP, Brasil
| | - P F Vargas
- Universidade Estadual Paulista - UNESP, Faculdade de Ciências Agrárias e Veterinárias, Departamento de Ciências da Produção Agrícola, Jaboticabal, SP, Brasil
| | - L T Braz
- Universidade Estadual Paulista - UNESP, Faculdade de Ciências Agrárias e Veterinárias, Departamento de Ciências da Produção Agrícola, Jaboticabal, SP, Brasil
| | - R C Panizzi
- Universidade Estadual Paulista - UNESP, Faculdade de Ciências Agrárias e Veterinárias, Departamento de Ciências da Produção Agrícola, Jaboticabal, SP, Brasil
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Nogueira IC, Santos DDS, Sanfelice CFDO, Silva EM, Assis AESQ. Gender debate as a challenge in nursing training. Rev Bras Enferm 2021; 74:e20201001. [PMID: 34406307 DOI: 10.1590/0034-7167-2020-1001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2020] [Accepted: 12/02/2020] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVES to understand the challenges of introducing gender debate in nursing training from undergraduate students' perspective. METHODS a qualitative, exploratory-explanatory study. Data were collected through a semi-structured interview applied to 12 undergraduate nursing students at a public university in São Paulo. For data treatment and analysis, the Discourse of the Collective Subject was used in light of Boaventura de Sousa Santos' knowledge production paradigm theoretical framework. RESULTS nursing education remains centered on the traditional scientific model, neglecting gender and strengthening stereotypes aimed at the feminization of the profession. FINAL CONSIDERATIONS nursing training has a challenge of implementing actions that deepen the gender theme. Therefore, some strategies are suggested, such as improving professor training and appropriating emancipatory pedagogical practices; reviewing pedagogical political projects; curriculum theorization and restructuring; problematizing gender issues for nursing leadership.
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Monezi NDS, Jesus MVND, Oliveira LD, Silva EM, Vilela MFDG, Santos DDS, Marques D. Historical and social construction of the practices of auxiliary nurses and nurse technicians in Primary Care. Rev Bras Enferm 2021; 74:e20201012. [PMID: 34037154 DOI: 10.1590/0034-7167-2020-1012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2020] [Accepted: 12/07/2020] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVES to analyze the practices of nursing auxiliaries and technicians in the context of Primary Health Care in a city in the interior of the state of São Paulo. METHODS transversal, quantitative study, realized with 104 nursing auxiliaries and 46 nursing technicians acting in the Primary Attention. The data, collected using structured questionnaires, are presented by descriptive statistics, and analyzed based on the essential elements of First Contact and Longitudinality. RESULTS the professionals were, majority, women, married, with children, low political and collective participation. We identified thirteen activities related to the First Contact: and ten on Longitudinality. CONCLUSIONS the insertion and capillarization of auxiliary and nursing technicians' practices show these professionals as the main ones responsible for the first contact in this context, highlighting their relevance in the longitudinality of care and the work composition of health teams, contributing to the consolidation of the Unified Health System (SUS).
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Affiliation(s)
| | | | | | | | | | | | - Dalvani Marques
- Universidade Estadual de Campinas. Campinas, São Paulo, Brazil
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Santos D, Bombonati GR, Marques D, Vilela MFG, Silva EM. Street Medical Consultation: health access of the Homeless People and intersectoral articulation. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa166.803] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
The Homeless People is marked by serious social vulnerability, related to the absence of human dignity. Requirements of personal and residential documents, reception and inadequate approaches are barriers to access these people. The creation of Street Medical Consultation (CnaR), based on the logic of harm reduction in association with the other services, is a strategy that seeks to expand access to the services of the Public Healthcare System (SUS) in Brazil. The research aimed to analyze the characteristics and vulnerabilities of this population, the performance of CnaR and its articulation with services from the health care and the social assistance care network.
Methods
Study of a qualitative approach using 8 semi-structured interviews and the Thematic Content Analysis method. The study scenario was the CnaR multiprofissional team in a city in the interior of São Paulo.
Results
Three categories were found: (1) Population in Street Situation - complexity of those who live on the street: prejudices, violence and barriers in society and health institutions constitute a process of invisibility. (2) CnaR's work in the perspective of harm reduction: it is organized to meet the clinical and alcohol and other drugs demands through fixed fields, mobile fields and team meeting. (3) Beyond CnaR - network relationships: bringing dynamics to relationships, being strengthened or weakened. Ignorance of the service and their performance also generates CnaR invisibility process. The strategies developed include coping, dialogue, building partnerships and the process of visibility and fighting for the rights of the Homeless Persons.
Conclusions
CnaR finds itself as an insufficient service to meet all the demands of this vulnerable population in isolation, needing the network to expand access to health and other goods. It is necessary to combat prejudice against this population among health professionals and develop more efficient intersectoral articulation.
Key messages
The Homeless People have serious vulnerability and need humanization, guaranteeing equity in assistance in all sectors of society, especially the health care and the social assistance. The Street Medical Consultation faces performance difficulties to guarantee access to the Homeless People within the intersectoral network, often being the sole responsible for this population.
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Affiliation(s)
- D Santos
- Faculdade de Enfermagem, Unicamp, Campinas, Brazil
| | | | - D Marques
- Faculdade de Enfermagem, Unicamp, Campinas, Brazil
| | - M F G Vilela
- Faculdade de Enfermagem, Unicamp, Campinas, Brazil
| | - E M Silva
- Faculdade de Enfermagem, Unicamp, Campinas, Brazil
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Figueira MCES, Marques D, Vilela MFG, Bazílio J, Pereira JDA, Silva EM. Work process of river family health teams from the perspective of Primary Care managers. Rev Esc Enferm USP 2020; 54:e03574. [PMID: 32696940 DOI: 10.1590/s1980-220x2018027303574] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2018] [Accepted: 08/29/2019] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To analyze the work process carried out by the river family health strategy teams in a municipality in the Amazon region through the perception of the managers. METHOD An evaluative study with a qualitative approach. Data were collected through semi-structured interviews with managers of Primary Healthcare, document analysis and participant observation of the work by content analysis. RESULTS Seven managers participated. Two thematic categories stood out: "Knowledge and practices in the work process of river teams" and "Reports of successful practice experiences". CONCLUSION Integrated work and team autonomy are present in the work process; successful practices are encouraged, as well as the use of light and hard-light technologies.
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Affiliation(s)
| | - Dalvani Marques
- Faculdade de Enfermagem, Universidade Estadual de Campinas, Campinas, SP, Brazil
| | | | - Jennifer Bazílio
- Faculdade de Enfermagem, Universidade Estadual de Campinas, Campinas, SP, Brazil
| | | | - Eliete Maria Silva
- Faculdade de Enfermagem, Universidade Estadual de Campinas, Campinas, SP, Brazil
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Figueira MCES, Marques D, Vilela MFG, Pereira JDA, Bazílio J, Silva EM. Fluvial family health: work process of teams in riverside communities of the Brazilian Amazon. Rural Remote Health 2020; 20:5522. [PMID: 32674582 DOI: 10.22605/rrh5522] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
INTRODUCTION This study aimed to understand and analyze the work process of fluvial family health teams in the context of riverside populations in the Brazilian Amazon. METHODS Action research was undertaken, conducting focus groups, individual interviews and participant observation with 27 workers of municipal teams of the state of Pará, in the Brazilian Amazon. The analysis was performed by the content, following the theoretical framework of the work process. RESULTS The following themes emerged: work object of the teams; work agents (who are the workers?); work technologies (the instruments of the process in fluvial health teams); and challenges for achieving the purpose of the work process. CONCLUSION Recognition of the work object centered on the needs of the individual, family and community. The center for permanent education, supply of materials and inputs to the teams were implemented, and improved workflow for referring users was observed.
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Affiliation(s)
| | - Dalvani Marques
- Enfermagem, Universidade Estadual de Campinas, Rua Tessália Vieira de Camargo, Campinas, São Paulo, Brazil
| | | | - Jessica de Aquino Pereira
- Enfermagem, Universidade Estadual de Campinas, Rua Tessália Vieira de Camargo, Campinas, São Paulo, Brazil
| | - Jennifer Bazílio
- Enfermagem, Universidade Estadual de Campinas, Rua Tessália Vieira de Camargo, Campinas, São Paulo, Brazil
| | - Eliete Maria Silva
- Enfermagem, Universidade Estadual de Campinas, Rua Tessália Vieira de Camargo, Campinas, São Paulo, Brazil
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Bazilio J, Pereira JDA, Figueira MCES, Silva EM. Generating meaningful conversation: World Café in strategic interprofessional planning in Continuing Education. Rev Bras Enferm 2020; 73:e20190279. [PMID: 32609216 DOI: 10.1590/0034-7167-2019-0279] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2019] [Accepted: 11/25/2019] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVES to present the particularities of the World Café, identifying the main aspects that characterize a planning strategy for a constructive, interactive, and participative dialogue of the individuals, aiming at collaborative and innovative learning. METHODS a World Café method workshop with 24 professionals from the teams that work in basic health units. RESULTS we obtained three analysis categories: Individual Needs, Group Needs, and Institutional Needs, which resulted in the Municipal Plan of Actions on Continuing Health Education. CONCLUSIONS we found that the World Café was adequate and relevant for the discussion of key themes, for the practices of teams in Primary Care and the production and organization of data in a collective space. FINAL CONSIDERATIONS the method can contribute to the construction of knowledge and proximity to the daily reality of interdisciplinary teams, as well as serving as a tool in the preparation of planning in Permanent Education.
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Baragatti DY, Rolim ACA, de Castro CP, de Melo MC, Silva EM. [Critical pathway of women facing violence: an integrative reviewLa ruta crítica que recorren las mujeres en situación de violencia: revisión integradora]. Rev Panam Salud Publica 2019; 43:e34. [PMID: 31093258 PMCID: PMC6438411 DOI: 10.26633/rpsp.2019.34] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2018] [Accepted: 12/06/2018] [Indexed: 11/24/2022] Open
Abstract
Objective To identify the critical pathway taken by women facing domestic violence in the world in their search for help. Method An integrative review was performed. LILACS, MEDLINE/ PubMed, EMBASE, Scopus, and Web of Science databases were searched until year 2017. The following were inclusion criteria: full text available online, Portuguese, Spanish, or English as language of publication, focus on the theme of interest, and answering the guiding question (Which critical path is taken by women facing domestic violence?). Results Thirty-eight articles published from 2001 to 2017 were included. Factors driving the search for help included economic empowerment and increased schooling, severity of the violence, and presence of structured and qualified support services. Factors inhibiting the search for help were immigrant status, cultural gender norms, feelings of guilt, fear, and shame, lack of confidence and little knowledge and/or limited availability of formal support services. Children as well as family and community support may function as both inhibitors or drivers of the search for help. The types of formal help most often sought are police and health care services, whereas family, community, and religious leadership provide informal support. Conclusion The critical pathway of women facing domestic violence in the world includes both formal and informal elements. Therefore, it is necessary to address sociocultural, community, and family issues so as to encourage women to break free from the violent environment and seek qualified formal support networks.
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Affiliation(s)
- Daniella Yamada Baragatti
- Faculdade de Enfermagem (FENF/UNICAMP) Faculdade de Enfermagem (FENF/UNICAMP) Universidade Estadual de Campinas CampinasSP Brasil Universidade Estadual de Campinas, Faculdade de Enfermagem (FENF/UNICAMP), Campinas (SP), Brasil
| | - Ana Carine Arruda Rolim
- Escola Multicampi de Ciências Médicas (EMCM/UFRN) Escola Multicampi de Ciências Médicas (EMCM/UFRN) Universidade Federal do Rio Grande do Norte CaicóRN Brasil Universidade Federal do Rio Grande do Norte, Escola Multicampi de Ciências Médicas (EMCM/UFRN), Caicó (RN), Brasil
| | - Cristiane Pereira de Castro
- Faculdade de Saúde Pública (FSP/USP) Faculdade de Saúde Pública (FSP/USP) Universidade de São Paulo São PauloSP Brasil Universidade de São Paulo, Faculdade de Saúde Pública (FSP/USP), São Paulo (SP), Brasil
| | - Márcio Cristiano de Melo
- Faculdade de Ciências Médicas (FCM/UNICAMP) Faculdade de Ciências Médicas (FCM/UNICAMP) Universidade Estadual de Campinas CampinasSP Brasil Universidade Estadual de Campinas, Faculdade de Ciências Médicas (FCM/UNICAMP), Campinas (SP), Brasil
| | - Eliete Maria Silva
- Faculdade de Enfermagem (FENF/UNICAMP) Faculdade de Enfermagem (FENF/UNICAMP) Universidade Estadual de Campinas CampinasSP Brasil Universidade Estadual de Campinas, Faculdade de Enfermagem (FENF/UNICAMP), Campinas (SP), Brasil
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Oliveira Filho PA, Cruz FGG, Rufino JPF, Silva EM, Viana Filho GB, Silva FM. Requirement of Digestible Methionine + Cystine to Molted Laying Hens. Braz J Poult Sci 2019. [DOI: 10.1590/1806-9061-2019-1076] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Affiliation(s)
| | - FGG Cruz
- Federal University of Amazonas, Brazil
| | | | - EM Silva
- Federal University of Amazonas, Brazil
| | | | - FM Silva
- Federal University of Amazonas, Brazil
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Silva Furlan JAD, Stancato K, José Gomes Campos C, Maria Silva E. O profissional de enfermagem e sua percepção sobre absenteísmo. Rev Eletr Enf 2018. [DOI: 10.5216/ree.v20.46321] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
O absenteísmo na enfermagem é situação de difícil resolução nas organizações de saúde, reconhecida como multifatorial e complexa. Este trabalho analisou a percepção dos profissionais de enfermagem de um Hospital Universitário sobre o absenteísmo. Trata-se de uma pesquisa de natureza qualitativa transversal, norteada por duas questões: “Quais são as consequências do absenteísmo dos profissionais de enfermagem?”, e “Que atitudes podem ser adotadas para diminuir o absenteísmo entre os membros da equipe de enfermagem?”. Os resultados foram analisados a partir da técnica de análise de conteúdo. Os participantes consideram que o absenteísmo se relaciona com a sobrecarga, o comprometimento da assistência e a perda de benefícios, propondo como estratégias para minimizá-lo: melhores condições de trabalho, motivação e incentivos. Com base nesse estudo,evidencia-se que o absenteísmo constitui um sério fator de imprevisibilidade para a organização, provocado pelo comportamento humano, sendo associado ao clima e a satisfação organizacional.
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Figueira MCES, Silva WPD, Silva EM. Integrative literature review: access to primary healthcare services. Rev Bras Enferm 2018; 71:1178-1188. [PMID: 29924170 DOI: 10.1590/0034-7167-2017-0441] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2017] [Accepted: 10/09/2017] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE Analyze the scientific production that describes the type of access to primary healthcare services and identify specific populations that have differentiated access to health services. METHOD An integrative review. For study selection, the following databases were used: PubMed, Scopus, Bireme, and Cinahl. The sample included 22 national and international articles. RESULTS The results describe the access of specific populations to health services, the access to primary care through health plans and proposed improvements to the access to primary care. CONCLUSION The access to services is a challenge in many countries and some strategies and policies are implemented to solve and improve primary health care.
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Salvador M, Silva EM. Programa Saúde na Escola: saberes e diálogos na promoção da educação sexual de adolescentes. TEMPUS 2018. [DOI: 10.18569/tempus.v10i4.2522] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/18/2023] Open
Abstract
A educação sexual é um tema transversal no contexto da política de educação básica brasileira, que guarda interface com a política de promoção da saúde. Objetivos: Compreender como os profissionais da educação e da saúde desenvolvem a prática educativa para a promoção da educação sexual de adolescentes na perspectiva do Programa Saúde na Escola; analisar a distribuição das escolas municipais de Ensino Fundamental II conforme a área de abrangência das Unidades Básicas de saúde com a Estratégia de Saúde da Família; investigar a implantação do Programa Saúde na Escola no município de Juiz de Fora; conhecer o diálogo existente entre as Escolas de Ensino Fundamental II e as Unidades Básicas de Saúde no desenvolvimento das práticas educativas. Metodologia: pesquisa qualitativa, por meio de dados secundários e entrevistas semiestruturadas com os gestores municipais da saúde e da educação, enfermeiros e professores. Os dados foram analisados conforme o método de análise de conteúdo. Resultados: o Programa de Saúde na Escola encontra-se em fase inicial de implantação no município e com isso as práticas educativas de enfermeiros e professores com os adolescentes ocorrem de modo assistemático e em momentos pontuais. Considerações Finais: os resultados contribuem para ampliar as discussões sobre a integração entre os profissionais da saúde e da educação na abordagem à sexualidade dos adolescentes e subsidia a criação de fóruns sobre a educação sexual entre os atores envolvidos para possam pensar, discutir e incrementar a abordagem deste tema no contexto educacional e de saúde do município.
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Ferreira TDM, Piccioni LD, Queiroz PHB, Silva EM, Vale IND. Influence of grandmothers on exclusive breastfeeding: cross-sectional study. Einstein (Sao Paulo) 2018; 16:eAO4293. [PMID: 30427483 PMCID: PMC6223949 DOI: 10.31744/einstein_journal/2018ao4293] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2017] [Accepted: 05/24/2018] [Indexed: 11/10/2022] Open
Abstract
Objective To evaluate the influence of grandmothers of infants on exclusive breastfeeding, from their perspective. Methods A descriptive cross-sectional study was carried out with 91 women from a hospital in the inland state of São Paulo. By means of a questionnaire, the following data were collected: sociodemographic data of the grandmother, mother and child; duration of exclusive breastfeeding of daughter or daughter-in-law; information on kinship of participant and grandchild; kind of help provided by grandmother; and knowledge about breastfeeding. Results The prevalence of infants on exclusive breastfeeding at two months was 35.17%; a total of 67.3% of grandmothers considered it important to give food to babies before six months of life, and 54% considered relevant breastfeeding at regular intervals. Moreover, 40% believed in weak milk and were not aware of signs of sufficient breast milk. Of the grandmothers interviewed, 69% had already offered tea and water to their grandchildren. In the univariate analysis, the maternal grandmother was more involved and close to the pair mother and child. Conclusion The presence of grandmothers influences in exclusive breastfeeding.
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Sarantópoulos A, Pereira JDA, Lamas JLT, Silva EM. Healthcare and discourse: exploration of interprofessional learning within a Brazilian context. J Interprof Care 2018; 33:570-572. [PMID: 30358456 DOI: 10.1080/13561820.2018.1538939] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
This paper reports a qualitative study on the contribution of a Program of Education through Work (PET) in Healthcare, based at a Brazilian State University, to interprofessional education. Data were collected from ten undergraduate students of Nursing, Medicine, and Phonoaudiology (speech therapy), who were part of PET at the University. Data were analyzed using the Discourse of the Collective Subject technique. Central ideas were gathered into three categories: (1) teamwork and interprofessionality; (2) PET influences on SUS (Brazilian Unified Health System); (3) teaching-service-community integration. The study found evidence that PET enabled the students with opportunities to be involved in an education that supported the SUS principles and guidelines and to engage with interprofessional learning where there were exchanges of different professional experiences. The PET also supported the development of critical thinking for professional performance, as well as an integrated teaching experience that could support community development.
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Affiliation(s)
- Alice Sarantópoulos
- School of Medical Sciences, University of Campinas , Campinas , São Paulo , Brazil
| | | | | | - Eliete Maria Silva
- School of Nursing, University of Campinas , Campinas , São Paulo , Brazil
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Vergílio MSTG, Toledo VP, Silva EM. Workshops as a democratic proposal in order to change the supervision work in nursing. Rev Bras Enferm 2018; 71:2050-2054. [PMID: 30156695 DOI: 10.1590/0034-7167-2017-0286] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2017] [Accepted: 06/22/2017] [Indexed: 05/29/2023] Open
Abstract
OBJECTIVE to report the experience of developing workshops as an intervention strategy in an action research, aiming to review the work of supervision in hospital nursing. METHOD to report of the experience of planning, developing and evaluating workshops with a psychosocial approach. Three workshops were held, in a reserved place, with the participation of 21 supervisors of a public university hospital. Each workshop was organized with heating, day work, closure with syntheses and consensus. RESULTS the work provided the exchange of experiences, reflections and proposals for difficulties identified in the work process that distract supervisors from the management of assistance such as communication failure, reworking and lack of definition of assignments in the team. CONCLUSION the dynamics of the workshops favored supervisors to propose solutions to the difficulties of their practice in a more democratic and participative way, through dialogical interactions, sharing of the feelings pertinent to the work context and establishing consensus for the completion of the task.
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Baragatti DY, Carlos DM, Leitão MNDC, Ferriani MDGC, Silva EM. Critical path of women in situations of intimate partner violence. Rev Lat Am Enfermagem 2018; 26:e3025. [PMID: 30110101 PMCID: PMC6091378 DOI: 10.1590/1518-8345.2414.3025] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2017] [Accepted: 05/06/2018] [Indexed: 11/22/2022] Open
Abstract
Objective: To know and analyze the critical path followed by women subjected to intimate
partner violence until reaching a Reference Center of a Brazilian city, from
the perspective of these women. Method: Qualitative research, based on the concept of critical path. Participant
observations of the support group of the Reference Center and interviews
with ten women in situations of violence who were followed up in this
service. Results: the motivating factors for women to seek help were the increase in the
severity of the aggressions, the impact of the violence on their children
and support from their family. They go to several sectors and services
before reaching the Reference Center, such as the police and legal counsel,
health and social services. They find little effective responses from the
services, and care is indicated as the most relevant response factor to face
the situation. Conclusion: the assistance is fragmented and dependent on the posture of the
professional. The Reference Center is recognized as an important place of
support for women. In addition to governmental efforts to maintain the
network structured, the permanent education of the working professionals is
also fundamental.
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Affiliation(s)
| | - Diene Monique Carlos
- Post-doctoral fellow, Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil
| | | | - Maria das Graças Carvalho Ferriani
- PhD, Full Professor, Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil
| | - Eliete Maria Silva
- PhD, Associate Professor, Faculdade de Enfermagem, Universidade Estadual de Campinas, Campinas, SP, Brazil
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Bobbo VCD, Trevisan DD, Amaral MCED, Silva EM. [Health, pain and daily activities among elderly people practicing Lian Gong and sedentary elderly people]. Cien Saude Colet 2018; 23:1151-1158. [PMID: 29694591 DOI: 10.1590/1413-81232018234.17682016] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2016] [Accepted: 07/10/2016] [Indexed: 11/22/2022] Open
Abstract
It is a well-known fact that the practice of physical activity on a regular basis among elderly people contributes to the prevention and reduction of pain, as well as promote active ageing. Based on this premise, the scope of this study was to evaluate the presence of chronic pain among elderly people attended in a primary health care unit in a city in the interior of Sao Paulo State, Brazil, by comparing those who practice Chinese gymnastics (Lian Gong) and the sedentary. Sixty elderly people were divided between 30 sedentary and 30 who participate in a group practicing Lian Gong. The presence of pain was assessed through the Nordic Questionnaire on Musculoskeletal Symptoms, already adapted and validated for Brazilian culture. When questioned about pain in the last seven days, the Lian Gong group showed a higher presence (62,3%) of pain when compared to the sedentary group, although they had fewer difficulties in performing daily activities (55,5%). Among the active elderly the presence of lower back pain was statistically inferior (p < 0.05) when comparing the groups. The practice of Lian Gong was associated to a more positive perception of one's health, less use of medicines, as well as the adopting of self-care practices and the feeling of fewer impairments in performing daily activities.
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Affiliation(s)
| | | | | | - Eliete Maria Silva
- Faculdade de Enfermagem, Universidade Estadual de Campinas, Campinas, SP, Brasil,
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Simmer FS, Filho JDN, Silva EM, Amaral CM. Efeito de Inibidores de MMPs Incorporados em um Sistema Adesivo Convencional na Estabilidade da União à Dentina Superficial e Profunda. J Health Scie 2018. [DOI: 10.17921/2447-8938.2017v19n5p176] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
O objetivo deste trabalho foi avaliar o grau de conversão (GC), absorção (WS), solubilidade (SO), resistência de união à dentina (µSBS) e nanoinfiltração (AG%) de um sistema adesivo [Adper Single Bond 2 (ASB2)] contendo inibidores de metaloproteinases [GM1489 (GM), Batimastat (BAT) e diacetato de clorexidina (CHX)] em duas profundidades dentinárias [superficial (DS) e profunda(DP)] após estocagem (imediata e 12 meses). ASB2 sem inibidor (SI) foi usado como controle. WS e SO foram calculadas com base na ISO4049. Para µSBS, 64 molares humanos (HUAP-1.972.896) foram cortados em discos com duas superfícies planas (DS e DP) e distribuídos em 8 grupos. Restaurações foram construídas nas superfícies dos discos e a μSBS foi avaliada. Para AG%, 16 molares humanos foram restaurados, cortados em palitos e preparados para análise em MEV. Os dados foram submetidos a ANOVA e teste Tukey. CHX apresentou o menor GC (84,32%), a menor WS (77,19 μg/mm3) e a maior SO (10,81 μg/mm3). A µSBS imediata variou de 24,86 a 34,06 MPa em DS e de 19,67 a 29,50MPa em DP. GM obteve a maior µSBS em DS, diferente apenas de CHX. BAT e GM apresentaram maiores μSBS em DP e foram diferentes de CHX. Após 12 meses em DS, GM e BAT obtiveram maiores μSBS que SI e CHX. Em DP após 12 meses, GM obteve a maior μSBS, diferente de SI e CHX. SI em DP e DS e CHX em DP não mantiveram a estabilidade de união dentina-resina após estocagem. Após 12 meses BAT e GM reduziram AG% em DS, enquanto apenas GM diminuiu AG% em DP. A incorporação de Batimastat e GM1489 no ASB2 manteve a estabilidade de união resina-dentina após 12 meses, sem prejudicar a WS, SO e GC.Palavras-chave: Adesivos. Metaloproteases. Dentina.
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Capillé CL, Paiva RV, Silva EM, Santos GB, Portela MB. Influência do Uso de Inibidores de Proteases em Superfície Dentinária. J Health Scie 2018. [DOI: 10.17921/2447-8938.2017v19n5p46] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
A finalidade trabalho foi avaliar a influência de diferentes inibidores de proteases (IP) na avaliação dos seguintes fatores ângulo de contato (AC), associado ao sistema adesivo Adper Single Bond 2 (SB), bem como a análise da superfície dentinária (ASD) e a influência de sua atividade antimicrobiana. Soluções de (Diacetato de Clorexidina DCLX, 1,10-Fenantrolina FEN, E-64 e epigalocatequina-3-galato EGCG) foram utilizadas como tratamento prévio (TP) à dentina após o condicionamento ácido, exceto o grupo controle (GC) que não recebeu o TP. Para os testes realizados no presente estudo foi utilizado um total de 60 terceiros molares humanos hígidos recém extraídos. Nos testes de ASD e AC foram confeccionados discos de dentina de 1mm de espessura, a ASD foi analisada por Microscopia de Varredura (MEV). O ângulo de contato foi avaliado por goniômetro. Para os testes antimicrobianos, foram confeccionados 30 discos de dentina para tratamento com as soluções dos IP e a indução do BC. A quantificação foi feita através dos ensaios de redução do MTT e dosagem de ácido lático produzido pelo biofilme. Os dados foram analisados através de análise de variância de dois fatores e teste de Tukey HSD para contraste entre as médias (a0.05). O PT com os IP demonstrou maior teor de carbono na ASD e diminuição do AC. A atividade metabólica e a produção de ácido lático pelo biofilme de S. mutans foi estatísticamente inferior nos discos com os IP, comparados ao GC (p < 0.05).Palavras-chave: Inidores. Proteases. Dentina. Biofilme.
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Gomes BS, Portela MB, Maia JNSMD, Barros MA, Mendes AO, Neves AA, Silva EM. Síntese e Caracterização de Compósitos Restauradores Remineralizantes com Partículas de Ionômero de Vidro-Ca Pré-Reagidas (PRG-Ca). J Health Scie 2018. [DOI: 10.17921/2447-8938.2017v19n5p272] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
O objetivo desta pesquisa foi sintetizar e caracterizar compósitos restauradores experimentais (CRE) com partículas de ionômero de vidro-cálcio pré-reagidas (PRG-Ca). As PRG-Ca foram obtidas a partir da síntese de um vidro de cálcio fluoraluminosilicato e sua reação com ácido poliacrílico. As PRG-Ca foram silanizadas e CRE foram produzidos: E0, E1, E2, E3, E4, E5 e E6. A matriz orgânica (40% p/p) foi composta de Bis-GMA / TEGDMA e canforoquinona / etil N,N-dimetil-4aminobenzoato. O compósito base (E0) continha 60% p/p de partículas de bário-boro-silicato (BaBSi), sendo o controle. Em E1, E2, E3, E4, E5 e E6, o BaBSi foi parcialmente substituído por 10, 20, 30, 40, 50 e 60% p/p de PRG-Ca, respectivamente. O Empress Direct (ED) foi a referência comercial utilizada. Foram avaliadas as seguintes propriedades: grau de conversão (GC), rugosidade (Ra), dureza Knoop (DK), resistência à flexão (RF), módulo de flexão (MF), absorção (Ab), solubilidade (Sl), brilho (GU), translucidez (PT), cor (OE) e o potencial remineralizante (PR) através de microtomografia. Os dados foram submetidos à análise de variância e teste de Tukey HSD (a 0,05). Quanto à Ra, DK e GU, não houve diferença entre os CRE. O aumento de PRG-Ca diminuiu GC, RF, MF e PT e aumentou Ab, Sl, OE e PR. Na maioria das propriedades avaliadas, ED apresentou comportamento intermediário aos CRE. E0 e ED não apresentaram PR. Os CRE com PRG-Ca demonstraram ser materiais bioativos promissores, apresentando bom desempenho nas propriedades avaliadas e um potencial remineralizante que aumenta com uma maior concentração de PRG-Ca.Palavras-chave: Resinas Compostas. Remineralização Dentária. Propriedades Físicas e Químicas.
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Costa VNM, Carneiro JH, Poskus LT, Guimarães JGA, Silva EM. Influência da Morfologia de Esmalte na ação de Sistemas Adesivos Autocondicionantes com Diferentes Acidez Aplicados em uma ou Duas Camadas. J Health Scie 2018. [DOI: 10.17921/2447-8938.2017v19n5p63] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
O objetivo deste estudo foi verificar a espessura da camada de esfregaço (CE) e a rugosidade (Sa) em esmalte, utilizando instrumentos rotatórios de diferentes granulações e analisar a influência de sua morfologia na eficácia adesiva de sistemas autocondicionantes experimentais com diferentes acidez, aplicados em uma ou duas camadas. Para análise da Sa e CE, após planificação da face vestibular de dentes bovinos, estas foram desgastadas com diferentes instrumentos: R (ponta diamantada de granulação regular 3101) e FF (ponta diamantada de granulação extra fina 3101FF). A medição da rugosidade (n5) foi efetuada por um perfilômetro tridimensional (Sa). Após sua clivagem, foram feitas medições da espessura da CE. 80 dentes bovinos tiveram a superfície vestibular de esmalte planificada e distribuídas nos grupos de acordo com a superfície de esmalte tratada (R e FF), com os adesivos (Suave – M Intermediário - I forte – S Clearfil SE Bond - C) e com o número de camadas (Uma camada -1 e Duas camadas - 2), formando os grupos: MR1, MR2, MFF1, MFF2, IR1, IR2,IFF1,IFF2, SR1, SR2, SFF1, SFF2, CR1, CR2. CFF1, CFF2. A resistência de união RU foi realizada por microcisalhamento. O grupo R teve a maior Sa e CE que FF. Somente para o sistema autocondicionante de maior pH, o tipo de ponta influenciou valores de (RU) que foram menores para a ponta diamantada R. O número de camadas aplicadas não teve influência. Instrumentos rotatórios de maior granulação produziram uma maior CE e Sa. Para adesivos suaves, em esmalte é recomendada a utilização de pontas de granulação extrafina para melhorar a união.Palavras-chave: Esmalte Dental. Camada de Esfregaço Colagem Dentária
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Paiva RV, Capillé CL, Santos GB, Silva EM, Portela MB. Influência dos Inibidores de Proteases na Estabilidade da Resistência de União e Nanoinfiltração. J Health Scie 2018. [DOI: 10.17921/2447-8938.2017v19n5p59] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
O objetivo deste trabalho foi avaliar a influência de diferentes inibidores de proteases (IP) na avaliação dos seguintes fatores: resistência de união (RU) e nanoinfiltração (NI), associados ao sistema adesivo Adper Single Bond 2 (SB). Soluções de (Diacetato de Clorexidina DCLX, 1,10-Fenantrolina FEN, E-64 e epigalocatequina-3-galato EGCG) foram utilizadas como tratamento prévio (TP) à dentina após o condicionamento ácido, exceto o grupo controle (GC) que não recebeu o TP. Para os testes realizados no presente estudo foi utilizado um total de 80 terceiros molares humanos hígidos recém extraídos, aprovados pelo CEP (1.960.587/2017). Para avaliar a RU e a NI, foram confeccionados palitos de 1,0 mm², armazenados em dois tempos de estocagem: água destilada por 24h (AD), e, como comparação, a exposição ao biofilme cariogênico por 48h (EBC). Os dados foram analisados através de análise de variância de dois fatores e teste de Tukey HSD para contraste entre as médias (a0.05). Após EBC, os PT com os IP, em todos os grupos, demonstraram redução da NI, comparados ao GC (p < 0.05). O resultado de RU foi: GCCB < GCSB GDCLXCB GDCLXSB < GFENCB GE-64CB GEGCGCB GFENSB GE-64SB GEGCGCB GEGCGSB (p < 0.05). A análise de regressão mostrou uma forte correlação de equivalência entre a penetração de nitrato de prata e pigmentação de metanamina de prata (r + 0.76 p 0,0347).Palavras-chave: Inidores. Proteases. Dentina. Biofilme. Degradação.
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Garcia MG, Noronha Filho JD, Reis DP, Silva EM. Síntese e Caracterização de Adesivos Autocondicionantes com Sistema Tampão de Hidróxido de Cálcio e Avaliação da Estabilidade de Adesão. J Health Scie 2018. [DOI: 10.17921/2447-8938.2017v19n5p55] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
O objetivo deste estudo foi sintetizar e caracterizar adesivos autocondicionantes com sistema tampão de hidróxido de cálcio (Ca(OH)2). A composição do adesivo base (%p/p) foi: Primer: 10-MDP (30%), TEGDMA (30%), etanol (35%), água (5%), canforoquinona (0,5%), EDMAB (0,5%) e Adesivo: Bis-GMA (50%), TEGDMA (30%), HEMA (20%), canforoquinona (0,5%) e EDMAB (0,5%). As formulações experimentais tiveram as seguintes concentrações de Ca(OH)2 no adesivo: A0 (0), A1 (1%), A2 (2%) e A4 (4%). O Clearfil SE Bond foi usado como controle comercial. O potencial tamponante foi avaliado através de curvas de pH em função do tempo e o grau de conversão dentro da camada híbrida, através da análise espectroscópica dispersiva usando um micro-Raman. Barras de dentina-compósito produzidas em quarenta molares humanos após a hibridização com os adesivos experimentais (n 8) foram imersas em saliva artificial e submetidas ao ensaio de microtração: metade após 24 h e a outra metade após 1 ano. O padrão de ruptura e a fractografia das interfaces adesivas foram avaliados através de microscopia óptica e eletrônica de varredura (MEV). O fenômeno de nanoinfiltração foi avaliado através do MEV e Espectroscopia de Energia Dispersiva. Os dados foram submetidos à analise de variância e teste de Tukey (a 0,05). O potencial tampão dos adesivos aumentou com o aumento da concentração de Ca (OH)2 (p <0,05). A incorporação de Ca(OH)2 não comprometeu a adesão à dentina e o fator tempo não foi significante (p > 0,05). O adesivo com 4% de Ca(OH)2 apresentou a menor nanoinfiltração.Palavras-chave: Adesivos Dentinários. Hidróxido de Cálcio. pH
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Silva EM, Elias AB. Adesão em Cerâmica Y-TZP Submetida a Plasma não Térmico de Argônio por Diferentes Tempos. J Health Scie 2018. [DOI: 10.17921/2447-8938.2017v19n5p217] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
O objetivo deste estudo foi avaliar a influência de diferentes tempos de aplicação de plasma não térmico de argônio (PNTA) na energia de superfície e na resistência de união entre um cimento resinoso autoadesivo e uma cerâmica Y-TZP. Blocos sinterizados da cerâmica Y-TZP foram divididos em dois grupos: S (sinterizado) e J (jateamento com Al2O3 de 50 μm). Em seguida, os blocos foram subdivididos em quatro grupos (n5) de acordo com o tempo (s) de aplicação de PNTA: 0, 20, 60 e 120. A energia de superfície foi avaliada através de goniometria. Blocos de compósito foram cimentados nas superfícies de cerâmica com um cimento resinoso autoadesivo. Após armazenagem em água destilada a 37 °C / 24 h, os blocos de compósito-cerâmica foram cortados em palitos e submetidos a teste de microtração (50 N / 1,0 mm/min). Os dados foram submetidos a análise de variância de dois fatores e ao teste de Tukey HSD (a0.05). Nos dois grupos (S e J), a aplicação de PNTA aumentou a energia de superfície, sem diferença significante entre os tempos: 0 s < 20 s 60 s 120 s. Para os dois grupos (S e J), o resultado de resistência de união foi: 0 s < 20 s < 60 s 120 s, (p< 0.05). Somente após 120 s de PNTA, a resistência de união do grupo J (44,2 ± 7,8 MPa) foi estatisticamente superior a do S (31,0± 2,2 MPa), (p < 0.05). Houve correlação positiva entre a resistência de união e o tempo de deposição de PNTA (r 0.80 p 0.0247). A deposição de PNTA aumentou a energia de superfície da cerâmica Y-TZP e a resistência de união entre esta e o cimento resinoso autoadesivo, sendo este efeito maior após maiores tempos de aplicação de PNTA.Palavras-chave: Cerâmica Y-TZP. Plasma não Térmico de Argônio. Resistência de União.
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Souza ID, Pereira JDA, Silva EM. Between State, society and family: the care of female caregivers. Rev Bras Enferm 2018; 71:2720-2727. [DOI: 10.1590/0034-7167-2018-0111] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2018] [Accepted: 06/01/2018] [Indexed: 11/21/2022] Open
Abstract
ABSTRACT Objective: to investigate the care provided by family female caregivers of elderly dependents who have been monitored by public home care and its social repercussions, discussing the facets between State, society and families. Method: descriptive cross-sectional study, with 45 caregivers of elderly patients accompanied by Home Care Services. Data were collected by means of a structured script. The discussion was elaborated in light of the works "Cuidado e cuidadoras: as várias faces do trabalho do 'care'" (Care and female caregivers: the several faces of the care work) and "Gênero e trabalho na França e no Brasil" (Gender and work in France and Brazil). Results: Most caregivers were women (95%) who performed home care at several places and incorporated hospital equipment into everyday life. They have been caregivers for four and a half years, working 18 hours a day on average; they presented average age of 55 years; 82% were ill, and 43% had no income. Conclusion: the study demonstrated the relevance of the care of female caregivers to society as well as their invisibility to public health and social policies.
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Baragatti DY, Melo MCD, Rolim ACA, Silva EM, Scherer ZAP. Representações sociais de violência e estratégias de ensino utilizadas por docentes de graduação em enfermagem. Rev Eletr Enf 2017. [DOI: 10.5216/ree.v19.43557] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Estudo descritivo exploratório, qualitativo, cujo objetivo foi descrever as representações sociais da abordagem do tema da violência e das estratégias de ensino utilizadas por docentes de graduação em enfermagem de duas instituições de ensino superior públicas. Para a coleta dos dados foram utilizadas pesquisa documental, observação sistemática e entrevista semiestruturada. Os dados foram submetidos à análise por meio da técnica do Discurso do Sujeito Coletivo. Os docentes reconhecem a importância de a violência ser trabalhada na graduação descrevendo que, apesar de nem sempre aparecer no currículo formal, o assunto surge informalmente na formação acadêmica. As representações sociais de violência nos discursos docentes aparecem como manejo de pacientes agressivos e violência institucional no ambiente acadêmico. As estratégias pedagógicas descritas são ativas e emancipadoras. Para que haja formação de enfermeiros capacitados para lidar com a violência, o ensino deve ir além das questões biológicas, contemplando discussões sobre as vivências dos alunos.
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Abstract
O objetivo deste artigo é problematizar e identificar a concepção do surdo quanto à comunicação com os profissionais de saúde. Foi realizada uma pesquisa qualitativa na qual foram realizadas entrevistas semiestruturadas, com perguntas norteadoras, com 6 surdos adultos. As entrevistas foram realizadas com o auxílio de uma intérprete da Língua Brasileira de Sinais – Libras. O conjunto das informações obtidas foi submetido à análise temática de conteúdo. Participaram da pesquisa seis sujeitos, 3 homens e 3 mulheres, com idades entre 19 e 44 anos, cuja perda auditiva apareceu nos primeiros anos de vida e que utilizavam a Libras como principal forma de comunicação. Os resultados são apresentados e discutidos em duas categorias temáticas: relação profissional-paciente surdo e promoção da autonomia do paciente surdo. Concluiu-se que existem barreiras para os surdos devido à dificuldade de comunicação com os profissionais de saúde e que o conhecimento de Libras pela equipe de saúde facilitaria a relação profissional-paciente.
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Rebolla MF, Silva EM, Gomes JF, Falcão AX, Rebolla MVF, Franco RMB. HIGH PREVALENCE OF Blastocystis spp. INFECTION IN CHILDREN AND STAFF MEMBERS ATTENDING PUBLIC URBAN SCHOOLS IN SÃO PAULO STATE, BRAZIL. Rev Inst Med Trop Sao Paulo 2016; 58:31. [PMID: 27074325 PMCID: PMC4826084 DOI: 10.1590/s1678-9946201658031] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2014] [Accepted: 11/06/2015] [Indexed: 11/23/2022] Open
Abstract
After a gastroenteritis outbreak of unknown etiology in the municipality of
Sebastião da Grama, SãoPaulo, Brazil, we
conducted a parasitological survey to establish the epidemiological profile of
enteroparasitosis in children and staff members attending the public urban schools in
operation in town. The cross-sectional study evaluated 172 children aged 11 months to
6 years old and 33 staff members aged 19 to 58 years old. Overall, 96 (55.81%)
children and 20 (60.61%) staff members were mono-parasitized, while 58 (33.72%)
children and 4 (12.12%) workers were poly-parasitized. Protozoa (88.37%; 72.73%) was
more prevalent than helminthes (3.48%; 0%) in children and staff members
respectively.Blastocystis spp. was the most prevalent parasite in
children (86.63%) and staff members (66.67%). The age of 1 year old or less was found
to be associated with increased prevalence of giardiasis [OR = 13.04; 95%CI
2.89-58.91; p = 0.00] and public garbage collection was identified
as a protective factor against intestinal helminth infections [OR = 0.06; 95%CI
0.00-0.79; p = 0.03]. Although most of the children tested positive
for Blastocystis spp. and also presented clinical signs/symptoms
(62.2%), this association was not statistically significant [OR = 1.35; 95%CI
0.53-3.44; p = 0.51]. Intestinal parasites still represent a public
health concern and this study underscores the importance of further investigations to
better understand the pathogenic role of Blastocystis spp.
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Affiliation(s)
- Mayra Frozoni Rebolla
- Department of Animal Biology, Institute of Biology, University of Campinas, Brazil, ,
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Oliveira P, Fonseca A, Silva EM, Coutinho T, Tostes MA. Remineralizing potential of CPP-ACP creams with and without fluoride in artificial enamel lesions. Aust Dent J 2016; 61:45-52. [PMID: 25625789 DOI: 10.1111/adj.12305] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/18/2015] [Indexed: 11/28/2022]
Abstract
BACKGROUND This study evaluated the effect of pastes containing casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) with and without fluoride on enamel demineralization. METHODS Human enamel blocks were used and after incipient caries-like lesions were formed, they were assigned to four groups: G1 - saliva; G2 - MI Paste (RecaldentTM ); G3 - MI Paste Plus (RecaldentTM 900 ppm as NaF); and G4 - Crest™ (1.100 ppm as NaF). The specimens were soaked in demineralizing solution for 6 hours and remineralized in artificial saliva for 18 hours alternatively for 10 days. The dentifrice was prepared with deionized water in a 1:3 proportion (w/w) or applied undiluted in the case of the CPP-ACP formula. Demineralized enamel changes were analysed by surface microhardness (SMH), 3D-profilometry and SEM. Data were analysed by non-parametric Kruskal-Wallis and Mann-Whitney test comparisons and one-way ANOVA and Tukey's HSD post hoc test (α = 0.05). RESULTS The SMH values observed in the G2 (47.8 ± 28.5) and G3 (53.6 ± 27.6) groups were different from that of G4 (90.2 ± 17.1), which were significantly higher than that found in G1 (39.4 ± 14.2). The %SMH was significantly lower in G4 when compared to G1 (p < 0.001) and G3 (p < 0.05). CONCLUSIONS MI Paste Plus demonstrated a greater protective effect against demineralization than MI Paste and showed smoother surfaces.
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Affiliation(s)
- Pra Oliveira
- Department of Pediatric Dentistry, School of Dentistry, Fluminense Federal University, Rio de Janeiro, Brazil
| | - Abm Fonseca
- Department of Statistics, Fluminense Federal University, Rio de Janeiro, Brazil
| | - E M Silva
- Analytical Laboratory of Restorative Biomaterials, School of Dentistry, Federal Fluminense University, Rio de Janeiro, Brazil
| | - Tcl Coutinho
- Department of Pediatric Dentistry, School of Dentistry, Fluminense Federal University, Rio de Janeiro, Brazil
| | - M A Tostes
- Department of Pediatric Dentistry, School of Dentistry, Fluminense Federal University, Rio de Janeiro, Brazil
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Martins LMP, Silva EM, Marques D. HEALTH INFORMATION IN THE PERSPECTIVE OF FAMILY HEALTH NURSES. REME: Revista Mineira de Enfermagem 2016. [DOI: 10.5935/1415-2762.20160002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Feitosa APS, Alves LC, Chaves MM, Veras DL, Silva EM, Aliança ASS, França IRS, Gonçalves GGA, Lima-Filho JL, Brayner FA. Hemocytes of Rhipicephalus sanguineus (Acari: Ixodidae): Characterization, Population Abundance, and Ultrastructural Changes Following Challenge with Leishmania infantum. J Med Entomol 2015; 52:1193-1202. [PMID: 26336264 DOI: 10.1093/jme/tjv125] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/06/2015] [Accepted: 08/03/2015] [Indexed: 06/05/2023]
Abstract
Few studies have examined the cellular immune response of ticks, and further research on the characterization of the hemocytes of ticks is required, particularly on those of Rhipicephalus sanguineus (Latreille) because of the medical and veterinary importance of this tick. The aims of this study were to characterize the morphology and the ultrastructure of the different types of hemocytes of adult R. sanguineus and to determine the population abundance and the ultrastructural changes in the hemocytes of ticks infected with Leishmania infantum. The hemocytes were characterized through light and transmission electron microscopy. Within the variability of circulating cells in the hemolymph of adult R. sanguineus, five cell types were identified, which were the prohemocytes, plasmatocytes, granulocytes, spherulocytes, and adipohemocytes. The prohemocytes were the smallest cells found in the hemolymph. The plasmatocytes had polymorphic morphology with vesicles and cytoplasmic projections. The granulocytes had an elliptical shape with the cytoplasm filled with granules of different sizes and electrodensities. The spherulocytes were characterized by several spherules of uniform shapes and sizes that filled the entire cytoplasm, whereas the adipohemocytes had an irregular shape with multiple lipid inclusions that occupied almost the entire cytoplasmic space. The total counts of the hemocyte population increased in the group that was infected with L. infantum. Among the different cell types, the numbers increased and the ultrastructural changes occurred in the granulocytes and the plasmatocytes in the infected group of ticks.
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Affiliation(s)
- A P S Feitosa
- Laboratory of Cell and Molecular Biology, Department of Parasitology, Aggeu Magalhães Research Center (FIOCRUZ), Av. Professor Moraes Rego, s/n - Campus da UFPE, Cidade Universitária, Recife-PE, Brazil, - CEP:50.740-465. Keizo Asami Immunopathology Laboratory (LIKA), Federal University of Pernambuco, Av. Prof. Moraes Rego, 1235 - Cidade Universitária, Recife-PE, Brazil - CEP: 50670-901. Post Graduate Program in Tropical Medicine (UFPE), Av. Prof. Moraes Rego, 1235 - Cidade Universitária, Recife-PE, Brazil - CEP: 50670-901.
| | - L C Alves
- Laboratory of Cell and Molecular Biology, Department of Parasitology, Aggeu Magalhães Research Center (FIOCRUZ), Av. Professor Moraes Rego, s/n - Campus da UFPE, Cidade Universitária, Recife-PE, Brazil, - CEP:50.740-465. Keizo Asami Immunopathology Laboratory (LIKA), Federal University of Pernambuco, Av. Prof. Moraes Rego, 1235 - Cidade Universitária, Recife-PE, Brazil - CEP: 50670-901. Institute of Biological Sciences (ICB), University of Pernambuco, Rua Arnóbio Marques, 310 - Santo Amaro - Recife-PE, Brazil -CEP 50.100-130
| | - M M Chaves
- Laboratory of Cell and Molecular Biology, Department of Parasitology, Aggeu Magalhães Research Center (FIOCRUZ), Av. Professor Moraes Rego, s/n - Campus da UFPE, Cidade Universitária, Recife-PE, Brazil, - CEP:50.740-465
| | - D L Veras
- Laboratory of Cell and Molecular Biology, Department of Parasitology, Aggeu Magalhães Research Center (FIOCRUZ), Av. Professor Moraes Rego, s/n - Campus da UFPE, Cidade Universitária, Recife-PE, Brazil, - CEP:50.740-465. Keizo Asami Immunopathology Laboratory (LIKA), Federal University of Pernambuco, Av. Prof. Moraes Rego, 1235 - Cidade Universitária, Recife-PE, Brazil - CEP: 50670-901
| | - E M Silva
- Laboratory of Cell and Molecular Biology, Department of Parasitology, Aggeu Magalhães Research Center (FIOCRUZ), Av. Professor Moraes Rego, s/n - Campus da UFPE, Cidade Universitária, Recife-PE, Brazil, - CEP:50.740-465. Keizo Asami Immunopathology Laboratory (LIKA), Federal University of Pernambuco, Av. Prof. Moraes Rego, 1235 - Cidade Universitária, Recife-PE, Brazil - CEP: 50670-901
| | - A S S Aliança
- Laboratory of Cell and Molecular Biology, Department of Parasitology, Aggeu Magalhães Research Center (FIOCRUZ), Av. Professor Moraes Rego, s/n - Campus da UFPE, Cidade Universitária, Recife-PE, Brazil, - CEP:50.740-465. Keizo Asami Immunopathology Laboratory (LIKA), Federal University of Pernambuco, Av. Prof. Moraes Rego, 1235 - Cidade Universitária, Recife-PE, Brazil - CEP: 50670-901. Post Graduate Program in Tropical Medicine (UFPE), Av. Prof. Moraes Rego, 1235 - Cidade Universitária, Recife-PE, Brazil - CEP: 50670-901
| | - I R S França
- Laboratory of Cell and Molecular Biology, Department of Parasitology, Aggeu Magalhães Research Center (FIOCRUZ), Av. Professor Moraes Rego, s/n - Campus da UFPE, Cidade Universitária, Recife-PE, Brazil, - CEP:50.740-465. Institute of Biological Sciences (ICB), University of Pernambuco, Rua Arnóbio Marques, 310 - Santo Amaro - Recife-PE, Brazil -CEP 50.100-130
| | - G G A Gonçalves
- Laboratory of Cell and Molecular Biology, Department of Parasitology, Aggeu Magalhães Research Center (FIOCRUZ), Av. Professor Moraes Rego, s/n - Campus da UFPE, Cidade Universitária, Recife-PE, Brazil, - CEP:50.740-465. Keizo Asami Immunopathology Laboratory (LIKA), Federal University of Pernambuco, Av. Prof. Moraes Rego, 1235 - Cidade Universitária, Recife-PE, Brazil - CEP: 50670-901
| | - J L Lima-Filho
- Keizo Asami Immunopathology Laboratory (LIKA), Federal University of Pernambuco, Av. Prof. Moraes Rego, 1235 - Cidade Universitária, Recife-PE, Brazil - CEP: 50670-901
| | - F A Brayner
- Laboratory of Cell and Molecular Biology, Department of Parasitology, Aggeu Magalhães Research Center (FIOCRUZ), Av. Professor Moraes Rego, s/n - Campus da UFPE, Cidade Universitária, Recife-PE, Brazil, - CEP:50.740-465. Keizo Asami Immunopathology Laboratory (LIKA), Federal University of Pernambuco, Av. Prof. Moraes Rego, 1235 - Cidade Universitária, Recife-PE, Brazil - CEP: 50670-901. Post Graduate Program in Tropical Medicine (UFPE), Av. Prof. Moraes Rego, 1235 - Cidade Universitária, Recife-PE, Brazil - CEP: 50670-901
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Silva EM, Moráis LCSL, Medeiros Filho JEM, Asciutti LSR, Rocha HAC, Costa MJC, Gonçalves MCR, Faintuch J. Should ascitis volume and anthropometric measurements be estimated in hospitalized alcoholic cirrotics? NUTR HOSP 2013; 27:2089-92. [PMID: 23588461 DOI: 10.3305/nh.2012.27.6.6123] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2012] [Accepted: 10/13/2012] [Indexed: 12/01/2022] Open
Abstract
INTRODUCTION Ascitis and undernutrition are frequent complications of cirrhosis, however ascitis volume and anthropometric assessment are not routinely documented or considered in prognostic evaluation. In a homogeneous cohort followed during two years these variables were scrutinized, aiming to ascertain relevance for longterm outcome. METHODS Population (N = 25, all males with alcoholic cirrhosis) was recruited among patients hospitalized for uncomplicated ascitis. Exclusion criteria were refractory or tense ascitis, cancer, spontaneous bacterial peritonitis, bleeding varices and critical illness. Measurements included ultrasonographically estimated ascitis volume, dry body mass index/BMI , upper arm anthropometrics, hematologic counts and liver function tests. RESULTS Population (age 48.3 ± 11.3 years, BMI 21.1 ± 3.5 kg/m², serum albumin 2.5 ± 0.8 g/dL) was mostly in the Child-Pugh C category (77.8%) but clinically stable. During the follow-up period of 22.6 ± 3.8 months, additional hospitalizations numbered 1.7 ± 1.0 and more than one quarter succumbed. Admission ascitis volume corresponded to 7.1 ± 3.6 L and dry BMI to 18.3 ± 3.5 kg/m². Child Pugh index was relevant for both mortality and rehospitalization. Nevertheless, similar matches for mortality were documented with ascitis volume and dry BMI, and arm circumference below the 5th percentile was highly significantly associated with rehospitalization. CONCLUSIONS A greater association than hitherto acknowledged, between ascitis volume and anthropometric measurements from one side, and long-term rehospitalization and mortality from the other, was demonstrated in male stable alcoholic cirrhotics. Further studies with alcoholic and other modalities of cirrhosis including women are recommended.
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Affiliation(s)
- E M Silva
- University Hospital Lauro Wanderley, Federal University of Paraiba. João Pessoa. Brazil
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de Oliveira DC, Silva EM. [Care to the elderly in Campinas-SP: qualitative study of managers and politicians]. Rev Bras Enferm 2013; 65:942-9. [PMID: 23559172 DOI: 10.1590/s0034-71672012000600009] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2011] [Accepted: 01/22/2013] [Indexed: 11/21/2022] Open
Abstract
The study aimed to identify, describe and analyze the practices carried out in the health of the elderly in the city of Campinas-SP, in the perspective of the health government representatives of the elderly, based on the National Policies. This is a qualitative study with thematic content analysis, from the perspective of individuals who assume strategic roles in the conduct of policy directed to the elderly in the county. Five central themes emerged from their comments: time and places; access conditions; population demands; human resources; health promotion and prevention of diseases and disorders; management. Health practices for the elderly health in Campinas-SP are in development, need to be evaluated, extended and systematized in both, the structural issues of human resources, finance and management, and in direct assistance to the elderly.
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Affiliation(s)
- Déborah Cristina de Oliveira
- Programa de Pós-Graduação em Enfermagem, Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, SP, Brasil.
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Figueira MCES, Leite TMC, Silva EM. Educação em saúde no trabalho de enfermeiras em Santarém do Pará, Brasil. Rev Bras Enferm 2012; 65:414-9. [DOI: 10.1590/s0034-71672012000300004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2010] [Accepted: 07/27/2012] [Indexed: 11/22/2022] Open
Abstract
Trata-se de pesquisa qualitativa, cujos objetivos foram analisar os saberes e as práticas educativas realizadas por enfermeiras em unidades de Saúde da Família, em Santarém-PA, Brasil, e a utilização da educação em saúde no processo de trabalho. Realizamos entrevistas semiestruturadas com 15 enfermeiras e observação das suas práticas educativas. Da análise de conteúdo emergiram os temas: concepções sobre educação em saúde; práticas educativas no processo de trabalho; tendência à educação popular. A maioria absoluta das enfermeiras é especialista em saúde da família, contudo referem carência do conteúdo teórico da educação em saúde em sua formação. O modelo tradicional predomina nas concepções e nas práticas. O processo de trabalho é predominantemente organizado a partir dos programas ministeriais. Nas ações de saúde, pode-se reconhecer uma discreta tendência à educação popular, com tentativas de reorientar as práticas educativas, estabelecendo parcerias com outros cuidadores e lideranças da comunidade.
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Pinto SS, Cadore EL, Alberton CL, Silva EM, Kanitz AC, Tartaruga MP, Kruel LFM. Cardiorespiratory and neuromuscular responses during water aerobics exercise performed with and without equipment. Int J Sports Med 2011; 32:916-23. [PMID: 22052026 DOI: 10.1055/s-0031-1283176] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
Abstract
The aim of the study was to compare the cardiorespiratory and neuromuscular responses to water aerobics exercise performed with and without equipment. 15 women performed stationary jogging combined with elbow flexion/extension without equipment, with water-drag forces equipment and with water-floating equipment, at 2 submaximal cadences and at maximal cadence. Heart rate, oxygen uptake and electromyographic signal from biceps brachii, triceps brachii, biceps femoris and rectus femoris were collected during the exercise. The heart rate and oxygen uptake showed significantly higher values during the execution of the water aerobics exercise with either equipment compared to the execution without equipment. In addition, significant difference was found between submaximal cadences. For neuromuscular responses, no significant differences were found between the submaximal cadences for all muscles analyzed; however, significant differences were found between these submaximal cadences and the maximal cadence. Similarly, the results showed no significant differences between the execution of the exercise with or without equipment, except in the muscle activation of triceps brachii and biceps femoris, which was higher when using water-floating and water-drag forces equipment, respectively. In conclusion, the water aerobics exercise presented higher cardiorespiratory responses with equipment and also increased the cadence of execution. Nevertheless, neuromuscular responses were higher only at maximal cadence.
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Affiliation(s)
- S S Pinto
- Exercise Laboratory Research, Physical Education School, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
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Felício LP, Silva EM, Ribeiro V, Miranda CT, Vieira ILBF, Passos DCS, Ferreira AKS, Vale CR, Lima DCS, Carvalho S, Nunes WB. Mutagenic potential and modulatory effects of the medicinal plant Luehea divaricata (Malvaceae) in somatic cells of Drosophila melanogaster: SMART/wing. Genet Mol Res 2011; 10:16-24. [PMID: 21218382 DOI: 10.4238/vol10-1gmr982] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Luehea divaricata is a native plant of the Brazilian Cerrado, known as "açoita-cavalo". It is used as a popular herbal medicine in the treatment of dysentery, bleeding, arthritis, tumors, ulcers, and gangrenous wounds. Considering that herbal medicines sometimes provoke tumors and/or may prevent mutational events, it is important to study the action of these natural drugs on DNA. Aqueous extract of the bark of L. divaricata was evaluated at three different concentrations (0.10, 0.30, 0.50 mg/mL), individually and in combination with the neoplastic drug doxorubicin (DXR), by the somatic mutation and recombination test (SMART/wing) in Drosophila melanogaster. Distilled water was included as a negative control. The mutation frequency in the treatments with L. divaricata extract alone was not significantly higher than in the negative control for standard (ST) and high bioactivation (HB) crosses. When L. divaricata extract was combined with DXR, there was a significant reduction in the frequency of spots when compared to DXR alone, in both crosses. Further studies with other experimental models would be useful to confirm that L. divaricata extract is not harmful and that it could be used in the prevention of cancer.
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Affiliation(s)
- L P Felício
- Departamento de Biologia Geral, Instituto de Ciências Biológicas, Universidade Federal de Goiás, Goiânia, GO, Brasil.
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Cadore EL, Pinto RS, Lhullier FLR, Correa CS, Alberton CL, Pinto SS, Almeida APV, Tartaruga MP, Silva EM, Kruel LFM. Physiological effects of concurrent training in elderly men. Int J Sports Med 2010; 31:689-97. [PMID: 20617484 DOI: 10.1055/s-0030-1261895] [Citation(s) in RCA: 81] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
The aim of the present study was to investigate the effects of concurrent strength and endurance training on neuromuscular and hormonal parameters in elderly men. 23 healthy men (65±4 years) were randomly assigned to 1 of 3 groups: concurrent (CG, n=8), strength (SG, n=8) or endurance group (EG, n=7). The programs consisted, of strength training, endurance training on a cycle ergometer or a combination of both in the same session 3 times per week over a duration of 12 weeks. Subjects were evaluated on parameters related to muscle strength, muscle activation and serum hormones. There were significant increases in lower-body strength in all groups (P<0.05), with higher increases in SG (67%) than CG (41%) and both were higher than EG (25%) (p<0.01). Only SG and CG increased upper-body strength (p<0.01), with no significant difference between the 2 groups. Furthermore, there were significant decreases in free testosterone in EG after training. Significant increases in isometric strength and maximal muscle activation (p<0.05) as well as decreases in the submaximal muscle activation to the same load, were only seen in SG (p<0.05). The present results suggest that the interference effect observed due to concurrent strength and endurance training could be related to impairment of neural adaptations.
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Affiliation(s)
- E L Cadore
- Federal University of Rio Grande do Sul, Physical Education School, Porto Alegre, Brazil.
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Mendanha DM, Ferreira HD, Felício LP, Silva EM, Pereira DG, Nunes WB, Carvalho S. Modulatory effect of Byrsonima verbascifolia (Malpighiaceae) against damage induced by doxorubicin in somatic cells of Drosophila melanogaster. Genet Mol Res 2010; 9:69-77. [PMID: 20092036 DOI: 10.4238/vol9-1gmr678] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Byrsonima verbascifolia, popularly known in Brazil as murici, is a medicinal plant widely used in the treatment of bacterial and viral infections, Chagas's disease, diarrhea, bronchitis, cough and fever, as well as for protection of the intestinal mucosa. Since chemotherapy and radiotherapy, broadly employed in the treatment of cancer, can have undesirable side effects, such as inducing DNA damage in normal cells, it would be useful to investigate compounds that inhibit or reduce these effects. A lyophilized water extract of murici, used at three different concentrations (25, 50, and 100 mg/mL), was tested to determine if it could reduce damage induced by the antineoplastic compound doxorubicin in somatic cells of Drosophila melanogaster, analyzed by SMART/wing. The frequency of mutant spots in descendants from standard and high bioactivation crosses was significantly reduced by treatment with murici extract. Further studies are needed using other experimental models, to determine if murici has the potential to be employed by cancer patients receiving chemotherapy.
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Affiliation(s)
- D M Mendanha
- Instituto de Ciências Biológicas, Departamento de Biologia Geral, Universidade Federal de Goiás, Goiânia, GO, Brasil
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Pompeu DR, Silva EM, Rogez H. Optimisation of the solvent extraction of phenolic antioxidants from fruits of Euterpe oleracea using Response Surface Methodology. Bioresour Technol 2009; 100:6076-82. [PMID: 19581082 DOI: 10.1016/j.biortech.2009.03.083] [Citation(s) in RCA: 116] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/16/2007] [Revised: 03/03/2009] [Accepted: 03/11/2009] [Indexed: 05/04/2023]
Abstract
Fruits of Euterpe oleracea (FEO) are currently known as elements that present a very high antioxidant activity (AAO), as measured by the Oxygen Radical Absorbance Capacity. They are particularly rich in total phenolics (TP) and total anthocyanins (TA). Response Surface Methodology was used to optimise the solvent extraction of phenolic antioxidants from FEO, using a second-order polynomial equation to describe the experimental data for TP, TA, and AAO. In order to determine the best solid-to-liquid ratio and time of extraction, some preliminary studies were conducted. A rotatable central composite design with three variables (ethanol proportion, hydrochloric acid concentration and temperature) was then used. The results showed a good fit to the proposed model (R(2)>0.89). TP and TA, as well as TA and AAO, showed significant correlations (P<0.05). The optimised conditions that maximized the yields of phenolic compounds (TP and TA) and AAO from FEO were: ethanol proportion between 70% and 80%, hydrochloric acid concentration between 0.065 and 0.074 mol/L and a temperature of 58 degrees C.
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Affiliation(s)
- D R Pompeu
- Faculdade de Engenharia de Alimentos, Universidade Federal do Pará, av. Perimetral s/n, 66.095-780 Belém-PA, Brazil
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Silva EM, Martins SF, Milagres AMF. Extraction of manganese peroxidase produced by Lentinula edodes. Bioresour Technol 2008; 99:2471-5. [PMID: 17583498 DOI: 10.1016/j.biortech.2007.04.064] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/12/2005] [Revised: 04/30/2007] [Accepted: 04/30/2007] [Indexed: 05/15/2023]
Abstract
Lentinula edodes, commonly called shiitake, is considered a choice edible mushroom with exotic taste and medicinal quality. L. edodes grows very well and produces a range of enzymes when cultivated on eucalyptus residues. Development of appropriate experimental procedures for recovery and determination of enzymes became a widely important cash crop. In this work, enzymes produced by L. edodes were extracted using different pH buffer and determined regarding peroxidases and proteases. Lignin peroxidase (LiP) was not detected in the extracts based on veratryl alcohol or azure B oxidation. Proteases were very low while Mn-peroxidases (MnP) predominated. The optimal pH for MnP recovery was 5.0, under agitation at 25 degrees C. The oxidation of phenol red decreased after dark-colored small compounds or ions were eliminated by dialysis. The extract of L. edodes contained components of high molecular weight, such as proteases or high polyphenol, that could be involved in the LiP inactivation. L. edodes sample previously submitted to dialysis was also joined to LiP of Phanerochaete chrysosporium and a total inhibition of LiP was observed.
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Affiliation(s)
- E M Silva
- Department of Biotechnology, Engineering School of Lorena - University of São Paulo, Lorena - SP, CP 116, CEP 12 602 810, Brazil
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Freitas JS, Silva EM, Rossi A. Identification of nutrient-dependent changes in extracellular pH and acid phosphatase secretion in Aspergillus nidulans. Genet Mol Res 2007; 6:721-729. [PMID: 18050093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
The present study was designed to identify nutrient-dependent changes in extracellular pH and acid phosphatase secretion in the biA1 palC4 mutant strain of Aspergillus nidulans. The palC4 mutant was selected as lacking alkaline phosphatase, but having substantially increased acid phosphatase activity when grown on solid minimal medium under phosphate starvation, pH 6.5. Gene palC was identified as a putative member of a conserved signaling cascade involved in ambient alkaline sensing whose sole function is to promote the proteolytic activation of PacC at alkaline pH. We showed that both poor growth and conidiation of the palC4 mutant strain on solid medium, alkaline pH, were relative to its hypersensitivity to Tris (hydroxymethyl) aminomethane buffer. Also, the secretion of acid phosphatase was repressed when both the wild-type and palC4 mutant strains were grown in low-phosphate yeast extract liquid medium, pH 5.0, indicating that the secretion of this enzyme is not necessary to regenerate inorganic phosphate from the organic phosphate pool present in yeast extract.
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Affiliation(s)
- J S Freitas
- Departamento de Bioquímica e Imunologia, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil
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Duarte DPF, da Costa CP, Cabral AMS, Silva EM, Gilmore DP. Blood pressure regulation in the three-toed sloth, Bradypus variegatus. Comp Biochem Physiol A Mol Integr Physiol 2007; 147:697-702. [PMID: 17329135 DOI: 10.1016/j.cbpa.2007.01.019] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2006] [Revised: 12/21/2006] [Accepted: 01/24/2007] [Indexed: 10/23/2022]
Abstract
The aim of this study was to elucidate the role of the baroreflex in blood pressure control in sloths, Bradypus variegatus, since these animals show labile levels in this parameter. Unanesthetized cannulated sloths were positioned in an experimental chair and the arterial catheter was coupled to a strain gauge pressure transducer. Blood pressure was monitored before, during and after the administration of phenylephrine (0.0625 to 4 microg/kg) and sodium nitroprusside (0.0625 to 2 microg/kg), bringing about changes in mean blood pressure from +/-30 mmHg in relation to control values. The relation between heart rate changes due to blood pressure variation was estimated by linear regression analysis. The slope was considered the reflex baroreceptor gain. The results (means+/-SD) showed that the reflex baroreceptor gain was -0.3+/-0.1 bpm/mmHg (r=0.88) to phenylephrine and -0.5+/-0.1 bpm/mmHg (r=0.92) to sodium nitroprusside, denoting a reduced reflex baroreceptor gain when compared with other mammals, suggesting that in sloths the baroreceptors are minimally involved in the buffering reflex response to these drugs. These findings suggest that the labile blood pressure could be influenced or be a result of this lowering in the reflex baroreceptor gain.
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Affiliation(s)
- D P F Duarte
- Departamento de Fisiologia e Farmacologia, Universidade Federal de Pernambuco, Recife, PE, Brazil
| | - C P da Costa
- Departamento de Fisiologia e Farmacologia, Universidade Federal de Pernambuco, Recife, PE, Brazil.
| | - A M S Cabral
- Departamento de Fisiologia e Farmacologia, Universidade Federal de Pernambuco, Recife, PE, Brazil
| | - E M Silva
- Departamento de Fisiologia e Farmacologia, Universidade Federal de Pernambuco, Recife, PE, Brazil
| | - D P Gilmore
- Departamento de Fisiologia e Farmacologia, Universidade Federal de Pernambuco, Recife, PE, Brazil
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Brienzo M, Silva EM, Milagres AMF. Degradation of eucalypt waste components by Lentinula edodes strains detected by chemical and near-infrared spectroscopy methods. Appl Biochem Biotechnol 2007; 141:37-50. [PMID: 17625265 DOI: 10.1007/s12010-007-9209-1] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2006] [Revised: 06/09/2006] [Accepted: 06/19/2006] [Indexed: 10/23/2022]
Abstract
There are many changes, both qualitative and quantitative, in eucalypt waste during growth and fructification of Lentinula edodes. Wet chemical analysis and near-infrared (NIR) spectroscopy were used in conjunction with multivariate regression and principal components analysis to monitor biodegradation of eucalyptus waste during growth of several L. edodes strains. Weight and component losses of eucalypt residue after biodegradation by L. edodes strains were compared for periods of 1 to 5 mo. Decrease in cellulose, hemicellulose, and lignin contents occurred, however it was not concomitant. Measurement of lignin degradation by NIR and wet chemical analysis indicated its attack in the early stages of biodegradation. Selective lignin degradation by L. edodes was observed up to 2 mo of biodegradation for strains DEBIQ and FEB-14. One group of degraded substrate was identified based on the principal component analysis (PCA) of the data on their biodegradation time. Samples treated for 5 months by L. edodes strains (DEBIQ, UFV or FEB-14) differed from other, but no discrimination was observed among them. By the end of 5 mo, NIR analyses showed decrease of about 18-47% cellulose, 35-47% polyose and 39-60% lignin. These data were used for comparison with those obtained by wet chemical method for the degradation of the substrate by other five L. edodes strains cultivated at the same conditions. NIR calibration developed in this study was proven to be perfectly suitable as an analytical method to predict the changes in lignocellulose composition during biodegradation.
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Affiliation(s)
- M Brienzo
- Dept of Biotechnology, Escola de Engenharia de Lorena-USP, Lorena-SP, Brazil
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Takemoto MLS, Silva EM. Acolhimento e transformações no processo de trabalho de enfermagem em unidades básicas de saúde de Campinas, São Paulo, Brasil. CAD SAUDE PUBLICA 2007; 23:331-40. [PMID: 17221082 DOI: 10.1590/s0102-311x2007000200009] [Citation(s) in RCA: 48] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2005] [Accepted: 05/02/2006] [Indexed: 11/22/2022] Open
Abstract
O presente artigo relata as transformações no trabalho da enfermagem com a incorporação do acolhimento no processo de implementação do Projeto Paidéia de Saúde da Família na Secretaria Municipal de Saúde de Campinas, São Paulo, Brasil, a partir de 2001. Apresenta os dados obtidos por intermédio da realização de observação participante e entrevistas semi-estruturadas na investigação do processo de trabalho de enfermagem por referência ao acolhimento. Baseia suas análises na existência de dois modos diferentes de pensar e operacionalizar o acolhimento: como postura diante dos usuários e suas necessidades e como um dispositivo capaz de reorganizar o processo de trabalho. Além disso, analisa o acolhimento com base nas seguintes questões: organização do processo de trabalho, garantia de acesso, ampliação da demanda, transformações no trabalho de enfermagem, humanização e vínculo.
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de Barros ENC, Silva EM. Vigilância epidemiológica do sarampo e da rubéola no Município de Campinas (SP), Brasil: confiabilidade dos dados. Rev Panam Salud Publica 2006; 19:172-8. [PMID: 16640846 DOI: 10.1590/s1020-49892006000300005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To evaluate and validate the information concerning measles and rubella from the Brazilian National Disease Notification System (BNDNS) (Sistema Nacional de Informação de Agravos de Notificação, or SINAN) for Campinas, a large city in the state of São Paulo, Brazil, using as a reference the data from a control system, the Syndromic Surveillance System for Fever and Exanthem (SSSFE) (Sistema de Vigilância Sindrômica de Febre e Exantema, or VigiFEx), which operated from May 2003 through June 2004. METHOD In our study we compared: (1) annual data from BNDNS for the years 1999 through 2003 and (2) data from BNDNS and data from SSSFE for the period of June 2003 through May 2004. We analyzed the rate of completion for key fields (record number, date of notification, and city of notification) as well as for name of disease, date of first symptoms, name of patient, birth date and age, sex, city of residence, date of investigation, immunization history, presence of exanthem, date at start of exanthem, presence of fever, suspected cases among pregnant women, signs and symptoms, date of collection of first sample, results with the sample, virus isolation, final classification, criteria for confirmation/exclusion of cases, diagnosis of excluded patients, development of the case, and date of closure. The level of agreement between the recorded cases in the two data banks was also analyzed. RESULTS From June 2003 through May 2004, 211 suspected cases of measles or rubella were identified in SSSFE and 275 in BNDNS. All the records had complete information concerning the three key fields. The rate of completion was also 100% for patient name, disease, and city of residence. The completion rate was higher than 95% for date of investigation, measles vaccine, measles and rubella vaccine, and rubella vaccine. A lower completion rate was found for other vaccination variables (number of doses and date of last dose) and for exanthem, fever, and date of start of exanthem. The two information systems were not completely consistent, particularly in terms of variables related to epidemiologic background, clinical data, and case closure. The quality of the SSSFE data was higher. CONCLUSIONS Epidemiologic surveillance, immunization, and laboratory information systems need to undergo routine evaluation to ensure that the data are reliable and can support the planning of public health efforts.
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Affiliation(s)
- Eliana Nogueira Castro de Barros
- Programa de Treinamento em Epidemiologia Aplicada aos Serviços do Sistema Unico de Saúde, Ministério da Saúde, Secretaria de Vigilância em Saúde, Brazil.
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Abstract
Electrocardiograms (ECG) obtained with standard limb leads and augmented unipolar limb leads were recorded from 17 unanesthetized adult sloths. The animals were held in their habitual position in an experimental chair. We determined heart rate and rhythm from the R-R intervals, the amplitude and duration of each wave, and the duration of the segments and intervals of the ECG. The mean electrical axes of P and T waves and QRS complex were calculated on the basis of the amplitude of these waves in leads I, II, III, aV R, aV L, and aV F. The P wave appeared positive in most tracings with low amplitude in lead II, the QRS complex was generally negative in leads aV R, III and aV F, and no arrhythmias were observed. With a mean +/- SD heart rate for all recordings of 81 +/- 18 bpm, the duration of P and T waves, QRS complex, and PR, QT and RR intervals averaged 0.05 +/- 0.02, 0.15 +/- 0.05, 0.07 +/- 0.02, 0.13 +/- 0.02, 0.38 +/- 0.04, and 0.74 +/- 0.17 s, respectively. The ECG shape had a definite configuration on each lead. The angles of the mean +/- SD electrical axes for atrial and ventricular depolarization and ventricular repolarization in the horizontal plane were +34 +/- 68 masculine, -35 +/- 63 masculine, and -23 +/- 68 masculine, respectively. All electrical axes showed great variations and their mean values suggest that, when the sloth is in a seated position, the heart could be displaced by the diaphragm to a semi-horizontal position.
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Affiliation(s)
- E M Silva
- Departamento de Fisiologia e Farmacologia, Universidade Federal de Pernambuco, Av. Professor Morais Rego s/n, 50670-901 Recife, PE, Brazil
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Abstract
AIMS To develop strategies for increasing the growth of Lentinula edodes in eucalyptus residues. To this end, we have examined the effects of cereal brans additions on production of mycelial biomass and enzymes. METHODS AND RESULTS Three isolates of the mushroom shiitake, L. edodes (Berk. Pegler), were evaluated for enzyme and ergosterol production on eucalyptus residue supplemented with 5, 10, 15 and 20% (w/w) of soya, wheat or rice brans. Nitrogen imput on eucalyptus residues accelerated mycelial growth by supplying the L. edodes with this limiting nutrient. High levels of enzymes activities were produced in eucalyptus residues supplemented by soya bran. Comparison of cellulose and xylanase production with manganese peroxidase (MnP) at 20% soya bran indicated that hydrolytic enzymes, but oxidative enzymes were reduced. CONCLUSIONS Mycelial growth measurements revealed that eucalyptus residues supplemented with cereal brans supported fast growth of L. edodes, indicating that mycelium extension is related to the bioavailability of nitrogen. The type and concentration of nutrient supplement has a considerable effect both on substrate colonization and on the type of hydrolytic and oxidative enzymes produced. These characteristics may be useful for mushroom growing. SIGNIFICANCE AND IMPACT OF THE STUDY Lentinula edodes is commercially important for edible mushroom production and supplements which enhance growth and enzymes production might also be beneficial for mushroom yields.
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Affiliation(s)
- E M Silva
- Department of Biotechnology, Faculdade de Engenharia Química de Lorena--Faenquil, Lorena--SP, Brazil
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