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RESUMEN Aedes aegypti L. es el mosquito que transmite el virus de la fiebre amarilla, el dengue, el zika y el chikungunya. La prevención y el control de tales enfermedades generalmente dependen del uso de productos químicos, que causan daños al hombre y al medio ambiente. Por ello, los aceites vegetales con acción larvicida se utilizan como alternativa para controlar este insecto. El objetivo de este trabajo fue evaluar el potencial larvicida de aceites vegetales de Caryocar coriaceum, Mauritia flexuosa, Carapa guianensis, Copaifera langsdorffii, Ricinus communis y Cocos nucifera contra A. aegypti. El experimento se dividió en dos bioensayos. En el primero se realizó un diseño completamente al azar con siete tratamientos (seis aceites vegetales a 500 ppm y un control y cuatro repeticiones). Se evaluó el número de larvas muertas a las 24, 48, 72, 96 y 120 h de exposición. En el segundo bioensayo, se utilizaron los aceites vegetales más eficientes (C. coriaceum y M. flexuosa) en concentraciones 0, 500, 1000, 1500, 2000 y 2500 ppm, con cuatro repeticiones. El número de larvas muertas se evaluó según el primer bioensayo. Todos los aceites utilizados tienen efecto larvicida sobre larvas de A. aegypti de tercer estadio, con mayor eficacia a las 120 h de exposición. Los aceites de C. coriaceum y M. flexuosa mostraron mejor eficacia en el control de larvas, siendo la dosis de 2500 ppm la más recomendada. El LD10, LD50 y LD90 del aceite de M. flexuosa recomendado para controlar larvas son 234, 648 y 1794 ppm, respectivamente.

ABSTRACT Aedes aegyptiL. is the mosquito vector of yellow fever, dengue, zika, and chikungunya viruses. The prevention and control of such diseases usually rely on the use of chemicals, that can cause harm to human health and the environment. Vegetable oils with larvicidal activity are used as an alternative tool to control this insect. This study aimed to evaluate the larvicidal activity of vegetable oils fromCaryocar coriaceum,Mauritia fIexuosa,Carapa guianensis, Copaifera langsdorffii, Ricinus communisandCocos nuciferaagainstA. aegypti larvae. The experiment was divided into two bioassays. In the first, a completely randomized design was used with seven treatments (six vegetable oils at 500 ppm and one control with four replications). The number of dead larvae was evaluated 24, 48, 72, 96, and 120 h after exposure. In the second bioassay, the most efficient vegetable oils from the first bioassay (C. coriaceumandM. flexuosa) were used at the concentrations of 0, 500, 1000, 1500, 2000, and 2500 ppm, with four replications. The number of dead larvae was evaluated according to the first bioassay. All oils used had larvicidal activity on third-instar stage larvae ofA. aegypti, with greater efficiency 120 h after exposure. The oils ofC. coriaceumandM. flexuosaat 2500 ppm had the best efficacy in the larvae control. The LD10, LD50, and LD90 ofM. flexuosaoil recommended for controlling larvae are 234, 648, and 1794 ppm, respectively.

https://doi.org/10.15446/rfnam.v74n2.91486 118 downloads

Theoretical and Experimental Investigations on Inclusion Complex β-Cyclodextrin and Sulcatone: A Cardiovascular Activity Evaluation
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Silva, Ivan S.

; Feitosa, Eduardo L.

; Santos, Márcio E. P.

; Silva, Raiane M.

; Rocha, Márcio S.

; Silva, Francisco I. da

; Lima, Francisco C. A.

; Costa, Ana Maria S.

; Alves, Péricles B.

; Sousa, Samuel A. A. de

; Oliveira, Aldeídia P.

; Lima, Sidney G. de

Journal of the Brazilian Chemical Society

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may 2020, Volume 31 N. 5 Pages 1064 - 1077

Abstract: En | Text: En | PDF: En

In this paper, we have applied state-of-the-art technologies and new investigations were developed focusing on obtaining simple and inexpensive molecules for treating cardiovascular diseases, as they are considered the leading cause of death in the world. For the first time, the inclusion complex of sulcatone (SU) and β-cyclodextrin (β-CD) was achieved (using a spray drier) and characterized making use of spectroscopic, thermal and computational methods. In addition, the system was evaluated regarding its vasorelaxant properties. Evidence of the inclusion complex formation was provided using different techniques, such as X-ray diffraction (XRD), thermogravimetric analysis (TGA), differential scanning calorimetry (DSC), Fourier transform infrared (FTIR), and 1H nuclear magnetic resonance (NMR) spectroscopies and then deduced by pharmacological experiments, which showed significant changes in relation to the initial material.

https://doi.org/10.21577/0103-5053.20190273 403 downloads

Actividad antimutagénica e identificación de compuestos antioxidantes en la planta Poincianella bracteosa (Fabaceae)
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Couto, Anna Catharina Feitosa

; Araújo, Irlana Karen de Pinho

; Lopes, Alyne Pereira

; Couto, Luciana Maria Fortes Magalhães Castelo Branco

; Santos, Pedro Igor Barros

; Sousa, Regina Maria Silva

; Costa, Maria Wlly da Silva

; Nascimento, Francisco Danilo Fernandes do

; Oliveira, Maria das Dores Alves de

; Costa Júnior, Joaquim Soares da

; Martins, Francielle Alline

; Almeida, Pedro Marcos

Revista de Biología Tropical

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dec 2019, Volume 67 N. 6 Pages 1103 - 1113

Abstract: Es En | Text: Es En | PDF: Es | PDF: En

Resumen Introducción: Poincianella bracteosa (Tul.) L.P. Queiroz. (Fabaceae), conocida como catingueira, es tradicionalmente utilizada en la medicina para tratar diarrea, hepatitis y anemia. Sin embargo, no hay estudios sobre los efectos tóxico genéticos de la P. bracteosa. Objetivo: En el presente estudio se tuvo como objetivo investigar el perfil fitoquímico y el potencial mutagénico y antimutagénico del extracto acuoso de la cáscara de P. bracteosa en Allium cepa y Mus musculus. Métodos: El extracto de la cáscara fue diluido en agua destilada para fornecer las cuatro concentraciones (2, 4, 8 y 16 mg/ml) utilizadas en el bioensayo A. cepa y las tres dosis (10, 20 y 40 mg / Kg) fueron administradas a los ratones (5 animales por grupo). El perfil fito-químico fue realizado por el test colorimétrico para identificar los principales metabólitos secundarios en el extracto de la cáscara. Tras el tratamiento, 5 000 células meristemáticas fueron analizadas para determinar el índice mitótico, el promedio de alteraciones cromosómicas y el porcentaje de reducción de daños. Para ratones, tras 24, 48 y 72 h, la sangre de la cola de cada animal fue recolectado para la preparación de dos láminas por animal. Para cada animal, 2 000 eritrocitos normocromáticos por ratón fueron evaluados para establecer el número de micronúcleos y el efecto protector. Se analizaron los dados por el test de Kruskal-Wallis (P < 0.05). El estudio fito-químico del extracto detectó azúcares reductores y taninos. Resultados: Ninguna de las concentraciones del extracto fue citotóxica y en todos los tratamientos (pre, simultáneo y después) fue observado el efecto citoprotetor en A. cepa. El promedio total de las alteraciones cromosómicas en todas las concentraciones apuntó actividad no mutagénica de la cáscara. El porcentaje de reducción del daño fue observada en los tratamientos pre (de 77.6 al 90.5 %), simultáneo (del 95.6 al 114.7 %) y tras (de 84.8 al 117.7 %). En los ratones, ninguna de las dosis del extracto presentó efecto mutagénico y el porcentaje de reducción del daño osciló de -21.2 al 78.6 % (pre); de 27.5 al 101.3 % (simultánea) y de 85.5 al 120.6 % (tras-tratamiento). Probablemente, los fito-químicos presentes en el extracto no interfirieron en el ciclo celular (A. cepa), tampoco causaron daños al DNA (A. cepa y ratones) y presentaron efecto protector en las dos especies estudiadas. Los datos observados apuntan la importancia del extracto de la cáscara de P. bracteosa para inhibición del daño y quimio prevención. Sin embargo, más estudios deben ser realizados para garantizar su efecto protector sobre el material genético.

ABSTRACT Introduction: Poincianella bracteosa (Tul.) L.P. Queiroz. (Fabaceae), known as catingueira, is traditionally used in medicine to treat diarrhea, hepatitis and anemia. However, there are no studies on their toxicogenetic effects. Objective: The present study aimed to investigate the phytochemical profile as well as the mutagenic and antimutagenic potential of P. bracteosa aqueous bark extract in Allium cepa and Mus musculus. Methods: The extract from barks was diluted in distilled water to yield the four concentrations (2, 4, 8 and 16 mg/ml) used in the A. cepa bioassay and the three doses (10, 20 and 40 mg/Kg) administered to the mice (five animals per group). The phytochemical profile was performed by the colorimetric test to identify the main secondary metabolites in the bark extract. After treatment, five-thousand meristematic cells were analyzed to determine the mitotic index, the mean number of chromosome alterations and the percentage of damage reduction. For mice, after 24, 48 and 72 h, tail blood was collected from each animal for the preparation of two slides per animal. For each animal, 2 000 normochromatic erythrocytes per mice were evaluated to establish the number of micronuclei and the protective effect. Data were analyzed by Kruskal-Wallis test (P < 0.05). Results: The phytochemical analysis of the extract detected reducing sugars and tannins. None of the concentrations of extract was cytotoxic and the cytoprotective effect was observed in A. cepa for all treatments (pre-, simultaneous and post-). The total mean of chromosome alterations in all concentrations indicated a non-mutagenic activity of the bark. The percentage of damage reduction was observed in the pre- (77.6 to 90.5 %), simultaneous (95.6 to 114.7 %) and post- (84.8 to 117.7 %) treatments. In mice, none of the dosages of extract presented mutagenic effect and the percentage of damage reduction varied from -21.16 to 78.63 % (pre-); from 27.51 to 101.28 % (simultaneous) and from 85.47 to 120.63 % (post-treatment). Conclusions: Probably, the phytochemicals in the extract did not interfere with the cell cycle (A. cepa) nor caused damage to the DNA (A. cepa and mice), and exhibited protective effect in both studied species. The observed data indicate the importance of P. bracteosa bark extract for the inhibition of damage and chemoprevention. However, more studies should be carried out to ensure its protective effect on the genetic material.

https://doi.org/10.15517/rbt.v67i6.33883

Use of infrared thermography in Quarter Horse submitted to team roping
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Gerardi, Bianca

; Denadai, Daniela S.

; Pereira, Mariana S.

; Chaves, Arthur A.

; Barbosa, João P.B.

; Peiró, Juliana R.

; Feitosa, Francisco L.F.

; Mendes, Luiz C.N.

Pesquisa Veterinária Brasileira

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jul 2019, Volume 39 N. 7 Pages 530 - 537

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO: Os objetivos do presente estudo foram verificar se as temperaturas corpóreas e locais se alteram após exercício de alta intensidade e curta duração (prova de laço em dupla) e se treinamentos distintos podem influenciar nestas alterações. Foram utilizados 12 animais, machos e fêmeas, com idade entre 3 e 6 anos e peso médio de 450kg. Os animais foram divididos em dois grupos: treino regular (GTR) e treino esporádico (GTE). As aferições da temperatura por meio de termografia infravermelha foram feitas por uma câmera termal específica. As medições das temperaturas das regiões ocular, toracolombar, tendíneas distais (membros torácicos e pélvicos) e garupa foram realizadas 30 minutos antes, imediatamente depois, uma, duas, seis e 24 horas após a simulação de competição. No GTR houve aumento de temperatura ocular duas horas após o exercício, retornando ao basal apenas 24 horas depois. No GTE o aumento ocorreu imediatamente após o exercício e retornando ao basal duas horas depois. As temperaturas da região dos tendões dos membros pélvicos e garupa (lado direito) elevaram-se imediatamente após o exercício e não retornaram ao basal após 24 horas. O exercício de laço em dupla aumentou as temperaturas superficiais nas regiões distolateral de membros torácicos e pélvicos, garupa e região toracolombar de ambos os grupos e da temperatura ocular do GTE. A frequência de treinamento influenciou o perfil de temperatura superficial na região distal de membros pélvicos, garupa e toracolombar.

ABSTRACT: This study aimed to verify whether the body and local temperatures change after high-intensity, short-duration exercise (team roping) and whether different pieces of training influence these changes. To this end, twelve animals, males and females, aged 3-6 years, with an average weight of 450 kg, were used. The horses were divided into two groups: regular training (RTG) and sporadic training (STG). The surface temperatures were assessed using a specific thermal camera. Temperatures of the ocular, thoracolumbar, distal tendon (thoracic and pelvic limbs) and croup regions were measured 30 min before, immediately after, and one, two, six and 24 hours after competition simulation. In the RTG, there was an increase in surface eye temperature two hours after exercise, returning to baseline level 24 hours later. In the STG, increase in eye temperature occurred immediately after exercise and returned to baseline level two hours later. Temperature of the pelvic limb tendons and croup (right side) rose immediately after exercise and did not return to baseline level 24 hours later. Team roping exercise increased the surface temperature of the distolateral thoracic and pelvic limb, croup and thoracolumbar regions in both groups and the eye temperature in the STG. Training frequency influenced the surface temperature profile in the distolateral pelvic limb, croup and thoracolumbar regions.

https://doi.org/10.1590/1678-5150-pvb-5790 942 downloads

Human Heat stress risk prediction in the Brazilian semiarid Region based on the Wet-Bulb Globe Temperature
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OLIVEIRA, BEATRIZ FÁTIMA A. DE

; SILVEIRA, ISMAEL HENRIQUE

; FEITOSA, RENATO C.

; HORTA, MARCO AURÉLIO P.

; JUNGER, WASHINGTON L.

; HACON, SANDRA

Anais da Academia Brasileira de Ciências

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2019, Volume 91 N. 3 elocation e20180748

Abstract: En | Text: En | PDF: En

Abstract: Objective: the aim of this study is to map thermal stress risks for human health at the São Francisco River Basin (SFRB) in the Semiarid region, for climatic scenarios RCP 4.5 and 8.5. Methods: The heat stress conditions were defined by the Wet Bulb Globe Temperature (WBGT) indicator and by the average number of annual days in which the WBGT values exceeded the 90th percentile of the reference period. The WBGT was estimated for the climate scenarios RCP 4.5 (intermediate) and 8.5 (pessimistic) for the period 2011-2090 comparing to the period of reference (1961-2005). Results: The projections show that for the pessimistic scenario practically all municipalities of the SFRB region can reach values of WBGT that indicate a high risk for heat stress in the period 2071-2099. For this same scenario and period, the municipalities of the Lower and Under-average regions may present values of WBGT above the 90th percentile of the reference period in more than 90% of the days/year. Conclusions: These results show that, if the emission of greenhouse gases continues in the present proportions, some municipalities of the SFRB region may present a high risk for heat stress affecting the work capacity and the practice of physical exercises.

https://doi.org/10.1590/0001-3765201920180748 1366 downloads

Attractive activity of plant extracts for the oviposition of Aedes aegypti L. (Diptera: Culicidae)
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Leite Alves, Antônio Carlos

; Iarley da Silva, Toshik

; Roberto de Azevedo, Francisco

; Rocha Virgulino, Renata

; Trummer Leandro Costa, Clarice Estácio

; Valmir Feitosa, José

; Pereira Lima, Estelita

; Azevedo, Raul

Idesia (Arica)

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jul 2018, Volume 36 N. 2 Pages 225 - 231

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

ABSTRACT Aedes aegypti is one of the most important culicidae species for public health, since it transmits the viruses for yellow fever, dengue fever, chikungunya and zika. With the purpose of analyzing the effect of plant extracts on the oviposition of this vector in ovitraps, 100 ovitraps were set containing an attractive plant substrate and a pressed wooden palette vertically installed on the pot for female oviposition. The traps were randomly distributed in 10 neighborhoods of Crato, Ceará, Brazil. To determine the best extract, water from the supply network, distilled water, sewage and aqueous extracts of plant leaves from guava (Psidium guajava L.), papaya (Carica papaya L), cassava (Manihot esculenta Grantz), cashew tree (Anacardium occidentale L.), sorghum (Sorghum bicolor L., Moench) and grass hay (Cynodon nlemfluensis Vanderyst) were used. The substrates were prepared at the Laboratory of Agricultural Entomology at the Center of Agricultural Sciences and Biodiversity of the Federal University of Cariri (UFCA). Leaves were collected from the plants and crushed using a blender and then mixed with water at a concentration of 50 g of each substrate per liter of water. The material was stored for seven days in a dark room to facilitate the reactions and avoid the photoinactivation of active compounds. To determinate the best concentration, guava leaves were used subject to the same treatment of the first experiment, at concentrations of 0.5, 1; 5, 10, 25, 50, and 75 g of substrate per liter of water. Traps with sewage water showed the highest attractiveness for the oviposition of A. aegypti and the extract of guava leaves showed the highest percentage of egg attractiveness for the vector mosquito. These results can be useful to guide the adoption of new entomological surveillance and control methods of A. aegypti.

RESUMEN Aedes aegypti es una de las especies de culícidos más importantes para la salud pública, pues es transmisor de los virus de la fiebre amarilla, dengue, chikungunya y zika. Intentando analizar el efecto de extractos vegetales sobre la ovoposición de ese vector en trampas de ovoposición, fueron instaladas 100 trampas conteniendo en su interior sustrato atrayente de un vegetal y una paleta de madera prensada insertada en la posición vertical de la pared del vaso para que la hembra realice la postura. Las trampas fueron distribuidas, al azar, en 10 barrios de Crato-CE. Para determinar el mejor extracto fueron utilizadas agua de la red de suministro, agua destilada, desagüe y extractos acuosos de las hojas del guayabo (Psidium guajava L.), papayo (Carica papaya L.), mandioca (Manihot esculenta Crantz), anacardo (Anacardium occidentale L.), sorgo (Sorghum bicolor L., Moench) y heno de la gramínea (Cynodon nlemfluemsis Vanderyst). Los sustratos fueron preparados en el Laboratorio de Entomología Agrícola, en el Centro de Ciencias Agrarias y de Biodiversidad (CCAB), de la Universidad Federal de Cariri (UFCA). Las hojas fueron extraídas de la planta y enseguida, trituradas en una licuadora y mezcladas con agua en concentración de 50 g de cada sustrato por litro de agua. El material pasó siete días en ambiente oscuro para facilitar las reacciones y evitar la foto inactivación de los ingredientes activos. Para determinar la mejor concentración fueron utilizadas hojas del guayabo sometidas a las mismas etapas del primer experimento, aplicadas en las concentraciones de 0,5; 1; 5; 10; 25; 50 y 75 g del sustrato por litro de agua. Trampas cebadas con agua de desagüe manifiestan mayor atractividad para la ovoposición del A. aegypti y el extracto de la hoja del guayabo presenta mayor porcentaje de atractividad de huevos del mosquito vector. Estos resultados pueden ser útiles para orientar la adopción de métodos de vigilancia entomológica con ovotrampas y control del A. aegypti.

560 downloads

Recommendations of the Brazilian Society of Rheumatology for the diagnosis and treatment of chikungunya fever. Part 2 - Treatment
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Marques, Claudia Diniz Lopes

; Duarte, Angela Luzia Branco Pinto

; Ranzolin, Aline

; Dantas, Andrea Tavares

; Cavalcanti, Nara Gualberto

; Gonçalves, Rafaela Silva Guimarães

; Rocha Junior, Laurindo Ferreira da

; Valadares, Lilian David de Azevedo

; Melo, Ana Karla Guedes de

; Freire, Eutilia Andrade Medeiros

; Teixeira, Roberto

; Neto, Francisco Alves Bezerra

; Medeiros, Marta Maria das Chagas

; Carvalho, Jozélio Freire de

; Santos, Mario Sergio F.

; Océa, Regina Adalva de L. Couto

; Levy, Roger A.

; Andrade, Carlos Augusto Ferreira de

; Pinheiro, Geraldo da Rocha Castelar

; Abreu, Mirhelen Mendes

; Verztman, José Fernando

; Merenlender, Selma

; Ribeiro, Sandra Lucia Euzebio

; Costa, Izaias Pereira da

; Pileggi, Gecilmara

; Trevisani, Virginia Fernandes Moça

; Lopes, Max Igor Banks

; Brito, Carlos

; Figueiredo, Eduardo

; Queiroga, Fabio

; Feitosa, Tiago

; Tenório, Angélica da Silva

; Siqueira, Gisela Rocha de

; Paiva, Renata

; Vasconcelos, José Tupinambá Sousa

; Christopoulos, Georges

Revista Brasileira de Reumatologia

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2017, Volume 57 Suppl. 2 Pages s438 - s451

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo A febre chikungunya tem se tornado um importante problema de saúde pública nos países onde ocorrem as epidemias, visto que metade dos casos evolui com artrite crônica, persistente e incapacitante. Os dados na literatura sobre terapêuticas específicas nas diversas fases da artropatia ocasionada pela infecção pelo vírus chikungunya (CHIKV) são limitados, não existem estudos randomizados de qualidade que avaliem a eficácia das diferentes terapias. Há algumas poucas publicações sobre o tratamento das manifestações musculoesqueléticas da febre chikungunya, porém com importantes limitações metodológicas. Os dados atualmente disponíveis não permitem conclusões favoráveis ou contrárias a terapêuticas específicas, bem como uma adequada avaliação quanto à superioridade entre as diferentes medicações empregadas. O objetivo deste trabalho foi elaborar recomendações para o tratamento da febre chikungunya no Brasil. Foi feita uma revisão da literatura com seleção de artigos baseados em evidência, nas bases de dados Medline, SciELO, PubMed e Embase e de resumos de anais de congressos, além da opinião dos especialistas para dar apoio às decisões tomadas para definir as recomendações. Para a definição do grau de concordância foi feita uma metodologia Delphi, em duas reuniões presenciais e várias rodadas de votação on line. Este artigo refere-se à parte 2 das Recomendações da Sociedade Brasileira de Reumatologia para Diagnóstico e Tratamento da Febre Chikungunya, que trata especificamente do tratamento.

Abstract Chikungunya fever has become an important public health problem in countries where epidemics occur because half of the cases progress to chronic, persistent and debilitating arthritis. Literature data on specific therapies at the various phases of arthropathy caused by chikungunya virus (CHIKV) infection are limited, lacking quality randomized trials assessing the efficacies of different therapies. There are a few studies on the treatment of musculoskeletal manifestations of chikungunya fever, but these studies have important methodological limitations. The data currently available preclude conclusions favorable or contrary to specific therapies, or an adequate comparison between the different drugs used. The objective of this study was to develop recommendations for the treatment of chikungunya fever in Brazil. A literature review was performed via evidence-based selection of articles in the databases Medline, SciELO, PubMed and Embase and conference proceedings abstracts, in addition to expert opinions to support decision-making in defining recommendations. The Delphi method was used to define the degrees of agreement in 2 face-to-face meetings and several online voting rounds. This study is part 2 of the Recommendations of the Brazilian Society of Rheumatology (Sociedade Brasileira de Reumatologia - SBR) for the Diagnosis and Treatment of chikungunya fever and specifically addresses treatment.

https://doi.org/10.1016/j.rbre.2017.06.004 38509 downloads

10.

Recommendations of the Brazilian Society of Rheumatology for diagnosis and treatment of Chikungunya fever. Part 1 - Diagnosis and special situations
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Marques, Claudia Diniz Lopes

; Duarte, Angela Luzia Branco Pinto

; Ranzolin, Aline

; Dantas, Andrea Tavares

; Cavalcanti, Nara Gualberto

; Gonçalves, Rafaela Silva Guimarães

; Rocha Junior, Laurindo Ferreira da

; Valadares, Lilian David de Azevedo

; Melo, Ana Karla Guedes de

; Freire, Eutilia Andrade Medeiros

; Teixeira, Roberto

; Bezerra Neto, Francisco Alves

; Medeiros, Marta Maria das Chagas

; Carvalho, Jozélio Freire de

; Santos, Mario Sergio F.

; Océa, Regina Adalva de L. Couto

; Levy, Roger A.

; Andrade, Carlos Augusto Ferreira de

; Pinheiro, Geraldo da Rocha Castelar

; Abreu, Mirhelen Mendes

; Verztman, José Fernando

; Merenlender, Selma

; Ribeiro, Sandra Lucia Euzebio

; Costa, Izaias Pereira da

; Pileggi, Gecilmara

; Trevisani, Virginia Fernandes Moça

; Lopes, Max Igor Banks

; Brito, Carlos

; Figueiredo, Eduardo

; Queiroga, Fabio

; Feitosa, Tiago

; Tenório, Angélica da Silva

; Siqueira, Gisela Rocha de

; Paiva, Renata

; Vasconcelos, José Tupinambá Sousa

; Christopoulos, Georges

Revista Brasileira de Reumatologia

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2017, Volume 57 Suppl. 2 Pages s421 - s437

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo A febre chikungunya tem se tornado um importante problema de saúde pública nos países onde ocorrem as epidemias. Até 2013, as Américas haviam registrado apenas casos importados quando, em outubro desse mesmo ano, foram notificados os primeiros casos na Ilha de Saint Martin, no Caribe. No Brasil, os primeiros relatos autóctones foram confirmados em setembro de 2014 e até a semana epidemiológica 37 de 2016 já haviam sido registrados 236.287 casos prováveis de infecção pelo chikungunya vírus (CHIKV), 116.523 confirmados sorologicamente. As mudanças ambientais causadas pelo homem, o crescimento urbano desordenado e o número cada vez maior de viagens internacionais têm sido apontados como os fatores responsáveis pela reemergência de epidemias em grande escala. Caracterizada clinicamente por febre e dor articular na fase aguda, em cerca de metade dos casos existe evolução para a fase crônica (além de três meses), com dor persistente e incapacitante. O objetivo deste trabalho foi elaborar recomendações para diagnóstico e tratamento da febre chikungunya no Brasil. Para isso, foi feita revisão da literatura nas bases de dados Medline, SciELO e PubMed, para dar apoio às decisões tomadas para definir as recomendações. Para a definição do grau de concordância foi feita uma metodologia Delphi, em duas reuniões presenciais e várias rodadas de votação on line. Foram geradas 25 recomendações, divididas em três grupos temáticos: (1) diagnóstico clínico, laboratorial e por imagem; (2) situações especiais e (3) tratamento. Na primeira parte estão os dois primeiros temas e o tratamento na segunda.

Abstract Chikungunya fever has become a relevant public health problem in countries where epidemics occur. Until 2013, only imported cases occurred in the Americas, but in October of that year, the first cases were reported in Saint Marin island in the Caribbean. The first autochthonous cases were confirmed in Brazil in September 2014; until epidemiological week 37 of 2016, 236,287 probable cases of infection with Chikungunya virus had been registered, 116,523 of which had serological confirmation. Environmental changes caused by humans, disorderly urban growth and an ever-increasing number of international travelers were described as the factors responsible for the emergence of large-scale epidemics. Clinically characterized by fever and joint pain in the acute stage, approximately half of patients progress to the chronic stage (beyond 3 months), which is accompanied by persistent and disabling pain. The aim of the present study was to formulate recommendations for the diagnosis and treatment of Chikungunya fever in Brazil. A literature review was performed in the MEDLINE, SciELO and PubMed databases to ground the decisions for recommendations. The degree of concordance among experts was established through the Delphi method, involving 2 in-person meetings and several online voting rounds. In total, 25 recommendations were formulated and divided into 3 thematic groups: (1) clinical, laboratory and imaging diagnosis; (2) special situations; and (3) treatment. The first 2 themes are presented in part 1, and treatment is presented in part 2.

https://doi.org/10.1016/j.rbre.2017.05.006 37996 downloads

11.

Diretriz de Telecardiologia no Cuidado de Pacientes com Síndrome Coronariana Aguda e Outras Doenças Cardíacas
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Oliveira Junior, Mucio Tavares de

; Canesin, Manoel Fernandes

; Marcolino, Milena Soriano

; Ribeiro, Antonio Luiz Pinho

; Carvalho, Antonio Carlos de Camargo

; Reddy, Shankar

; Santos, Adson Roberto França dos

; Fernandes, Alfredo Manoel da Silva

; Amaral, Amaury Zatorre

; Rezende, Ana Carolina de

; Nechar Junior, Antonio

; Nascimento, Bruno Ramos do

; Pastore, Carlos Alberto

; Wen, Chao Lung

; Gualandro, Danielle Menosi

; Napoli, Domingos Guilherme

; França, Francisco Faustino A. C.

; Feitosa-Filho, Gilson Soares

; Saad, Jamil Abdalla

; Pilli, Jeanne

; Paula, Leonardo Jorge Cordeiro de

; Lodi-Junqueira, Lucas

; Cesar, Luis Antonio Machado

; Bodanese, Luiz Carlos

; Gutierrez, Marco Antonio

; Alkmim, Maria Beatriz Moreira

; Nunes, Mauricio Batista

; Medeiros, Orlando Otávio de

; Moreno, Ramon Alfredo

; Gundim, Rosângela Simões

; Montenegro, Sergio Tavares

; Nazima, Willyan Issamu

Arquivos Brasileiros de Cardiologia

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jun 2015, Volume 104 N. 5 Pages 1 - 26

Abstract: Pt | Text: Pt | PDF: Pt

https://doi.org/10.5935/abc.20150057 8085 downloads

12.

NOVEL SUPERABSORBENT HYDROGEL COMPOSITE BASED ON POLY(ACRYLAMIDE-CO-ACRYLATE)/NONTRONITE: CHARACTERIZATION AND SWELLING PERFORMANCE
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Leitão, Renan C. F.

; Moura, Cícero P. de

; Silva, Lindomar R. D. da

; Ricardo, Nágila M. P. S.

; Feitosa, Judith P. A.

; Muniz, Edvani C.

; Fajardo, André R.

; Rodrigues, Francisco H. A.

Química Nova

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mar 2015, Volume 38 N. 3 Pages 370 - 377

Abstract: En | Text: En | PDF: En

A novel superabsorbent hydrogel (SH) composite based on a poly(acrylamide-co-acrylate) matrix filled with nontronite (NONT), a Fe(III)-rich member of the smectite group of clay minerals, is described in this manuscript. A variety of techniques, including FTIR, XRD, TGA, and SEM/EDX, were utilized to characterize this original composite. Experimental data confirmed the SH composite formation and suggested NONT was completely dispersed in the polymeric matrix. Additionally, NONT improved the water uptake capacity of the final material, which exhibited fast absorption, low sensitivity to the presence of salt, high water retention and a pH sensitive properties. These preliminary data showed that the original SH composite prepared here possesses highly attractive properties for applications in areas such as the agriculture field, particularly as a soil conditioner.

https://doi.org/10.5935/0100-4042.20150008 2216 downloads

13.

Avaliação da vitalidade de cordeiros nascidos de partos eutócicos e cesarianas
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Bovino, Fernanda

; Camargo, Diogo G. de

; Araújo, Marcelo A. de

; Costa, Felipe de P.

; Santos, Paulo Sérgio P. dos

; Mendes, Luiz Claudio N.

; Peiró, Juliana R.

; Feitosa, Francisco Leydson F.

Pesquisa Veterinária Brasileira

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dec 2014, Volume 34 Suppl. 1 Pages 11 - 16

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo: O trabalho teve como objetivo avaliar a vitalidade de cordeiros nascidos de parto normal e de cesariana, ao longo das primeiras 48 horas de vida, por meio da pontuação no escore Apgar, do seu comportamento e da aferição dos parâmetros vitais. Os animais foram divididos em três grupos, sendo o primeiro constituído por cordeiros nascidos de parto normal (NORMAL) e os outros dois de cesarianas, porém com dois protocolos anestésicos diferentes, ou seja, por meio de anestesias inalatória (INAL) e total intravenosa (ATI). Os animais do grupo NORMAL obtiveram pontuação maior no escore Apgar. Ao nascimento e aos 15 minutos, 93,75% dos cordeiros do grupo NORMAL obtiveram pontuação máxima (7-8), enquanto que nenhum dos animais nascidos de cesarianas atingiu essa pontuação, ao nascimento. Aos 15 minutos, 25,00% dos animais do grupo INAL recebeu a mesma soma de pontos. A frequência cardíaca permaneceu praticamente inalterada para ambos os grupos, com tendência à diminuição dos valores, às 24 horas, para animais do grupo ATI. A frequência respiratória (FR) ao nascimento foi significativamente menor nos animais nascidos de cesarianas (26±25mpm, INAL; 5±5mpm, ATI), encontrando-se, porém, próxima aos valores dos animais do grupo NORMAL, aos 60 minutos. Constatou-se tendência à diminuição nos valores de temperatura até os 15 minutos de vida em todos os grupos, prolongando-se, até os 60 minutos, nos animais pertencentes ao grupo ATI. Os animais nascidos de cesarianas possuem vitalidade inferior aos nascidos de partos normais.

Abstract: The aim of this study was to evaluate vitality of lambs born by normal delivery and cesarean section, during 48 hours of life, by means of APGAR score, behavior and vital parameters. The first group was formed with lambs born by normal delivery (NORMAL) and the other two groups were formed with lambs born by cesarean sections, but with two different anesthetic protocols, one used inhalation anesthesia (INAL) and the other total intravenous anesthesia (TIVA). Lambs in the NORMAL group obtained higher pontuation in Apgar score. At birth and 15 minutes, 93.75% of lambs NORMAL group obtained maximum score (7-8), while no lambs born by cesarean section obtained this score at birth. At 15 minutes, 25.00% of the lambs INAL group received the same score. The heart rate remained virtually unchanged for both groups, with a tendency to decrease values, at 24 hours for group TIVA animals. The respiratory rate at birth for the animals delivered by cesarean section (26±25 bpm, INAL; 5±5 bpm, TIVA) was significantly lower than for the ones of the normal delivery. Nevertheless, that value at 60 minutes was found quite close. A tendency for decreasing temperature values was verified until the 15 minutes in all groups, lasting until 60 minutes in animals in the TIVA group. Lambs born by c-section have lower vitality than lambs born by normal delivery.

https://doi.org/10.1590/S0100-736X2014001300003 1596 downloads

14.

Investigation of urinary abnormalities and risk factors for kidney disease in the World Kidney Day campaigns in Northeast Brazil
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Araújo, Sônia M.H.A.

; Ribeiro, Maria Zenaide D.

; Lima, Rafael S. A.

; Silva Junior, Geraldo B.

; Jacinto, Camilla N.

; Cruz Neto, Moises Francisco da

; Feitosa Junior, Valdenor N.

; Girão, Marília M. V.

; Daher, Elizabeth F.

Revista da Associação Médica Brasileira

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oct 2014, Volume 60 N. 5 Pages 479 - 483

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Objetivo: a doença renal crônica (DRC) é um problema crescente no mundo em razão do crescimento exponencial do diabetes mellitus, da hipertensão e de outros fatores de risco. O objetivo deste estudo é investigar alterações urinárias e fatores de risco para doença renal na população geral. Métodos: este estudo foi realizado a partir de dados coletados durante as campanhas anuais do Dia Mundial do Rim, em Fortaleza, Ceará, Brasil, entre 2009 e 2012. A população buscou atendimento espontaneamente nos stands montados em locais de alto tráfego de pessoas. Resultados: entre 2.637 indivíduos entrevistados, a média de idade foi de 50,7±15,7 anos, sendo 53% do gênero masculino. Os principais fatores de risco encontrados foram sedentarismo (60,7%), obesidade (22,7%) e tabagismo (19,8%). Pressão arterial (PA) > 140x90 mmHg foi encontrada em 877 casos (33%). Aumento da PA foi encontrado pela primeira vez em 527 casos (19,9%). Doenças cardiovasculares foram relatadas por 228 indivíduos (8,6%). Diabetes foi relatado por 343 indivíduos (13%). Glicemia capilar > 200 mg/dL foi encontrada em 127 casos (4,8%) e > 200 mg/dL pela primeira vez em 30 (1,13%). O exame de urina foi realizado por 1.151 pessoas, sendo encontrada proteinúria em 269 casos (23,3%). Proteinúria foi mais frequente em pessoas com hipertensão (77,3% vs. 55,8%, p = 0,0001), diabetes mellitus (22,7% vs. 15,2%, p = 0,005) e em idosos (42,1% vs. 30,7%, p = 0,0007). Conclusão: fatores de risco para DRC são frequentes na população geral. Muitos indivíduos tinham hipertensão e diabetes e não sabiam disso. É importante a realização de ações como o Dia Mundial do Rim com o objetivo de detectar precocemente potenciais candidatos à DRC.

Objective: chronic kidney disease (CKD) is an increasing common problem in the world due to the exponential growth of diabetes mellitus, hypertension and other risk factors. The aim of this study is to investigate urinary abnormalities and risk factors for kidney disease in the general population. Methods: this study was performed from data collected during the annual World Kidney Day (WKD) campaigns, in Fortaleza, Ceará, Brazil, between 2009 and 2012. The population sought assistance spontaneously in stands placed in high people-traffic areas. Results: among 2,637 individuals interviewed, the mean age was 50.7±15.7 years and 53% were male. The main risk factors found were sedentarism (60.7%), obesity (22.7%) and smoking (19.8%). Blood pressure (BP) > 140x90 mmHg was found in 877 (33%). Increased BP was found for the first time in 527 cases (19.9%). Cardiovascular diseases were reported in 228 (8.6%). Diabetes was related by 343 (13%). Capillary blood glucose > 200 mg/dL was found in 127 (4.8%) and it was > 200 mg/dL for the first time in 30 (1.13%). Urinalysis was performed in 1,151 people and found proteinuria in 269 (23.3%). Proteinuria was most frequent in hypertension people (77.3% vs. 55.8%, p=0.0001), diabetes mellitus (22.7% vs. 15.2%, p=0.005) and elderly (42.1% vs. 30.7%, p=0.0007). Conclusion: risk factors for CKD are frequent in the general population. Many individuals had hypertension and diabetes and did not know this. It is important to regularly perform actions like WKD in order to early detect potential candidates for CKD.

https://doi.org/10.1590/1806-9282.60.05.017 1756 downloads

15.

I posicionamento brasileiro em hipertensão arterial e diabetes mellitus
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Alessi, Alexandre

; Bonfim, Alexandre Vidal

; Brandão, Andrea A.

; Feitosa, Audes

; Amodeo, Celso

; Alves, Claudia Rodrigues

; Brasil, David P.

; Souza, Dilma do SM

; Barbosa, Eduardo

; Consolim-Colombo, Fernanda Marciano

; Borelli, Flávio

; Fonseca, Francisco Helfenstein

; Lopes, Heno F.

; Chaves, Hilton

; Bortolotto, Luis Aparecido

; Martin, Luis C.

; Scala, Luiz Cesar Nazário

; Mota-Gomes, Marco Antonio

; Malachias, Marcus Vinícius Bolívar

; Izar, Maria Cristina

; Fonseca, Marília Izar Helfenstein

; Neves, Mário Fritsch Toros

; Morais, Nelson Siqueira

; Passarelli Jr, Oswaldo

; Jardim, Paulo Cesar Veiga

; Toscano, Paulo Roberto

; Miranda, Roberto Dischinger

; Franco, Roberto

; Betti, Roberto Tadeu Barcellos

; Pedrosa, Rodrigo Pinto

; Povoa, Rui

; Carneiro, Sérgio Baiocchi

; Jardim, Thiago

; Barroso, Weimar Kunz Sebba

Arquivos Brasileiros de Cardiologia

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jun 2013, Volume 100 N. 6 Pages 491 - 501

Abstract: Pt | Text: Pt | PDF: Pt

https://doi.org/10.5935/abc.20130123 8219 downloads Cited 2 times in SciELO

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