Resumo O tratamento da doença de Parkinson (DP) constitui um desafio, especialmente por ser considerado muito individualizado. A Academia Brasileira de Neurologia (ABN) identificou a necessidade de disseminar o conhecimento sobre o manejo do tratamento da DP, adaptando as melhores evidências à realidade brasileira. Assim, foi realizada uma revisão sobre as principais orientações de tratamento publicadas, baseada nas recomendações elaboradas por um grupo de especialistas em transtornos do movimento do departamento científico da ABN.

ABSTRACT The treatment of Parkinson's disease (PD) is challenging, especially since it is considered highly individualized. The Brazilian Academy of Neurology has recognized the need to disseminate knowledge about the management of PD treatment, adapting the best evidence to the Brazilian reality. Thus, the main published treatment guidelines were reviewed based on the recommendations of group from the Movement Disorders Scientific Department of the Brazilian Academy of Neurology.

Abstract: Tradescantia pallida (Commelinaceae) has shown promising antibacterial, antioxidant and anticancer activities. This study aimed at extracting hexane from T. pallida (HE-TP) aerial parts to identify and quantify its volatile compounds by GC-MS and GC-FID and at evaluating its antifungal and antiproliferative activities. (E)-4-Methoxycynnamic acid (50.2%), 2,5-di-tert-butyl-1,4-benzoquinone (13.7%) and epijuvabione (10.4%) were the major components identified in HE-TP. HE-TP was incorporated into PDA medium, poured into Petri dishes and transferred to mycelial discs of pathogens. Percentages of inhibition of fungal growth were determined. HE-TP showed remarkable antifungal potential at the dose of 400 µL since it inhibited 100% of Penicillium digitatum and Sclerotinia sclerotiorum growth and 92.6% of Rhizopus stolonifer growth. Besides, HE-TP demonstrated cytotoxic activity against different human tumor cell lines with IC50 values between 231.43 and 428.76 µg/mL. Therefore, results showed that HE-TP has potential against fungi of agronomic interest and tumor cells.

Brazil has the greatest plant diversity in the world. Many species exhibit a wide range of phytochemical compounds which can be exploited in food, agronomic, pharmacological and medicinal plant industries. Therefore, the chemical composition and in vitro bioactivities of volatile oil from Psidium firmum fresh leaves (PfVO) were investigated for the first time. GC-FID and GC-MS analyses revealed 28 compounds in PfVO. The major ones were α-selinene (20.8%), β-caryophyllene (16.5%) and nerolidol (10.4%). Results showed that PfVO affected the growth of Leishmania amazonensis promastigote forms in a dose-dependent manner; its IC50 value was 14.05 µg/mL. PfVO also exhibited antibacterial activity against Salmonella enteritidis, Yersinia enterocolitica, Staphylococcus aureus, Pseudomonas aeruginosa and Listeria monocytogenes; MIC values ranged from 25 μg/mL to 250 μg/mL. Moreover, PfVO promoted normal cell growth inhibition at 61.02 ± 1.97 µg/mL. Antiproliferative activity was observed against human tumor cell lines; IC50 values of MCF-7 cells, HeLa cells and M059J cells were 47.91 µg/mL, 73.78 µg/mL and 41.94 µg/mL, respectively. Results provided strong evidence of the promising potential of PfVO as a nature-based antileishmanial, antibacterial and antiproliferative agent.

Resumo Este trabalho tem por objetivo investigar, pela primeira vez, as atividades antituberculose, antileishmania e antiproliferativa in vitro dos óleos essenciais (OEs) obtidos de folhas e flores de S. odoratissima. Avaliamos a atividade antimicobacteriana em termos da Concentração Inibitória Mínima (CIM). Os OEs mostraram ser antimicrobianos ativos contra M. tuberculosis, com valores de CIM de 150 µg/mL (folhas) e 162,5 µg/mL (flores). Os óleos apresentam significativa atividade antiparasitária contra a forma promastigota de L. amazonensis, com valores de CI50 (50% de inibição do crescimento) de 14,36 ± 2,02 (folhas) e 19,89 ± 2,66 µg/mL (flores). A atividade antiproliferativa em linhagem celular normal (GM07492A, fibroblastos de pulmão) e tumorais (MCF-7, HeLa e M059J) foi realizada utilizando o ensaio XTT; os resultados foram expressos a partir do cálculo da Concentração Inibitória de 50% do crescimento celular (CI50) e o índice de seletividade foi calculado. OEs de folhas e flores apresentaram um CI50 de 502,97 ± 40,33 µg/mL e 370,60 ± 2,01 µg/mL para a linhagem GM07492A, respectivamente. Observou-se atividade antiproliferativa contra todas as linhagens celulares tumorais humanas, com valores de CI50 significativamente inferiores aos obtidos para a linhagem celular normal, demonstrando valores de CI50 para a linhagem MCF-7 (367,57 ± 4,46 µg/mL para OEs folhas e 357,70 ± 1,85 µg/mL para OEs flores) e M059J (492,53 ± 56,67 µg/mL para OEs folhas e 324,90 ± 6,72 µg/mL para OEs flores). Estes resultados in vitro mostraram que OEs de S. odoratissima podem ser um possível candidato que atue como agente antimicobacteriano, antiparasitário e antitumoral.

Abstract This paper aims to investigate, for the first time, in vitro antitubercular, antileishmanial and antiproliferative activities of essential oils (EOs) from S. odoratissima leaves and flowers - grown in midwestern Brazil - against Mycobacterium tuberculosis, promastigote forms of Leishmania amazonensis and human tumor cell lines. Antimycobacterial activity of EOs was evaluated in terms of the minimal inhibitory concentration (MIC). EOs from leaves and flowers showed to be active antimicrobials against M. tuberculosis, since MIC values were 150 µg/mL and 162.5 µg/mL, respectively. Both EOs exhibited significant activity against promastigote forms of L. amazonensis; IC50 values (50% growth inhibition) were 14.36 ± 2.02 (EOs from leaves) and 19.89 ± 2.66 µg/mL (EOs from flowers). Antiproliferative activity in normal (GM07492A, lung fibroblasts) and tumor (MCF-7, HeLa and M059J) cell lines was performed by the XTT assay; results were expressed as IC50 (50% cell growth inhibition) and the selective index was calculated. IC50 values of EOs from leaves and flowers obtained in normal cell lines for were 502.97 ± 40.33 µg/mL and 370.60 ± 2.01 µg/mL, respectively. Antiproliferative activity was observed against human tumor cell lines, whose IC50 values were significantly lower than those obtained in normal cell lines of MCF-7 cells (367.57 ± 4.46 µg/mL-EOs from leaves and 357.70 ± 1.85 µg/mL-EOs from flowers) and M059J cells (492.53 ± 56.67 µg/mL-EOs from leaves and 324.90 ± 6.72 µg/mL-EOs from flowers), thus, indicating selectivity. These in vitro results showed that EOs from S. odoratissima may be an antimycobacterial, antiparasitic and antitumor agent.

Abstract Propolis is a resinous substance collected and processed by Apis mellifera from parts of plants, buds and exudates. In Minas Gerais (MG) state, Brazil, green propolis is produced from the collection of resinous substance found in shoot apices of Baccharis dracunculifolia. This paper aims to investigate the chemical composition and in vitro antioxidant, anti-Helicobacter pylori, antimycobacterial and antiproliferative activities of essential oil (EO) from Brazilian green propolis (BGP-EO). The oil showed high antibacterial activity against H. pylori (MIC = 6.25 µg/mL), Mycobacterium avium (MIC = 62.5 µg/mL) and M. tuberculosis (MIC = 64 µg/mL). Its antioxidant activity was evaluated in vitro by both DPPH (IC50 = 23.48 µg/mL) and ABTS (IC50 = 32.18 µg/mL) methods. The antiproliferative activity in normal (GM07492A, lung fibroblasts) and tumor cell lines (MCF-7, HeLa and M059J) was analyzed by the XTT assay. BGP-EO showed inhibition of normal cell growth at 68.93 ± 2.56 µg/mL. Antiproliferative activity was observed against human tumor cell lines, whose IC50 values were 56.17, 66.43 and -65.83 µg/mL for MCF-7, HeLa and M059J cells, respectively. Its major constituents, which were determined by GC-FID and GC-MS, were carvacrol (20.7 %), acetophenone (13.5 %), spathulenol (11.0 %), (E)-nerolidol (9.7 %) and β-caryophyllene (6.2 %). These results showed the effectiveness of BGP-EO as a natural product which has promising biological activities.

ABSTRACT Propolis, is a bee product collected from exudates and flower buds of several plants, has strong aroma and several biological applications. This study aimed at evaluating the chemical composition and in vitro antioxidant, antibacterial and cytotoxic properties of volatile oil from Brazilian brown propolis. It was extracted by hydrodistillation and analyzed by gas chromatography-flame ionization detection and gas chromatography-mass spectrometry. Volatile oil from brown propolis exhibited strong antibacterial activity against H. pylori (MIC 3.25 µg/ml), Mycobacterium tuberculosis (MIC 50 µg/ml) and M. avium (MIC 62.5 µg/ml). It was evaluated in vitro for antioxidant activity by DPPH (IC50 25.0 µg/ml) and ABTS (IC50 30.1 µg/ml) methods. Its cytotoxic property was evaluated in normal (human fibroblasts, GM07429A) and tumor (MCF-7-human breast adenocarcinoma; HeLa-human cervical adenocarcinoma and M059J-human glioblastoma) cell lines. IC50 values were 81.32 µg/ml for GM07429A and 85.00, 129.40 and 84.12 µg/ml for MCF-7, HeLa and M059J cells, respectively. Three major dereplicated components of volatile oil from brown propolis were acetophenone (15.2%), nerolidol (13.3%), and spathulenol (11.6%). Our results contribute to a better understanding of the chemical and biological properties of Brazilian brown propolis and provide evidence for its potential medicinal use.

RESUMO: Com o processo de urbanização, ocorreu aumento da disseminação de doenças veiculadas por artrópodes, sendo os mais comuns as formigas. A presença delas é mais frequente pelo seu tamanho, por sua facilidade de locomoção e por sua forma de vida social. Assim, podem atuar como vetores mecânicos de bactérias endossimbiontes e patogênicas, ocasionando contaminação em alimentos e no ambiente hospitalar. Os objetivos deste artigo foram isolar e identificar bactérias contaminantes dos gêneros Escherichia sp., Staphylococcus sp. e Salmonella sp. em formigas operárias circulantes no entorno de uma lanchonete de intenso fluxo de pessoas. Foram coletados rastros de formigas no período vespertino, amostradas em quatro pontos do pátio no entorno da lanchonete. Após a coleta, as bactérias foram identificadas por cultivo em meio de cultura Caldo Triptona de Soja para enriquecimento e meios específicos. Dos quatro pontos coletados no entorno da lanchonete, dois apresentaram crescimento de Staphylococcus epidermidis. Este estudo identificou a presença de S. epidermidis em formigas operárias em uma lanchonete localizada em uma área de grande circulação de pessoas, indicando que elas podem ser vetores de contaminação em estabelecimentos de comércio de alimentos.

ABSTRACT: Out of the urbanization process, there was an increase in the spread of diseases carried by arthropods, and the most common are the ants. Their presence is related to its size, ease of locomotion and form of social life. Therefore, they can act as mechanical vectors of obligatory endosymbiont bacteria and pathogen ones as food contamination, and contamination of hospital environment. The purposes of this article was to isolate and identify contaminating bacteria of the genera Escherichia sp., Staphylococcus sp. and Salmonella sp. on ants workers circulating around a diner of high movement of people. Ant tracks were collected in the afternoon, sampled at four points to around the patio of the cafe. After the collection, the bacteria were identified, by growing in culture medium for enrichment and Tryptic Soy Broth - specific means. Of the four collected points around the diner, two of them showed growth of Staphylococcus epidermidis. This study identified the presence S. epidermidis on ants workers vectors in a cafeteria located in an area of great movement of persons indicating that the ants can be vectors of contamination in food trade.

O desenvolvimento e a padronização de métodos confiáveis para a detecção de Mycobacterium tuberculosis em amostras clínicas é um objetivo importante nos laboratórios de todo o mundo. Neste trabalho, fragmentos de pulmão e baço de paciente que morreu com o diagnóstico de tuberculose miliar foram usados para avaliar a influência do tipo de fixador e dos protocolos de fixação e inclusão em parafina na performance da PCR. Fragmentos de tecido foram fixados por quatro h a 48 h, usando formalina não tamponada a 10% ou formalina tamponada a 10% e incluídos em parafina pura ou misturada a cera de abelha. As amostras foram submetidas a PCR para amplificação do gene da beta-actina humana e, separadamente, para amplificação da sequência de inserção IS6110, específica do complexo M. tuberculosis. O resultado da amplificação do gene da beta-actina foi positivo em todas as amostras. Não foram gerados amplicons na PCR-IS6110 em amostras de tecido pulmonar fixadas usando formalina não tamponada a 10% e incluídas em parafina com cera de abelha. Em conclusão, fatores inibitórios combinados interferiram na detecção de M. tuberculosis em material de arquivo. É importante controlar estes fatores inibitórios para poder implementar o diagnóstico molecular em laboratórios de patologia.

Development and standardization of reliable methods for detection of Mycobacterium tuberculosis in clinical samples is an important goal in laboratories throughout the world. In this work, lung and spleen fragments from a patient who died with the diagnosis of miliary tuberculosis were used to evaluate the influence of the type of fixative as well as the fixation and paraffin inclusion protocols on PCR performance in paraffin embedded specimens. Tissue fragments were fixed for four h to 48 h, using either 10% non-buffered or 10% buffered formalin, and embedded in pure paraffin or paraffin mixed with bee wax. Specimens were submitted to PCR for amplification of the human beta-actin gene and separately for amplification of the insertion sequence IS6110, specific from the M. tuberculosis complex. Amplification of the beta-actin gene was positive in all samples. No amplicons were generated by PCR-IS6110 when lung tissue fragments were fixed using 10% non-buffered formalin and were embedded in paraffin containing bee wax. In conclusion, combined inhibitory factors interfere in the detection of M. tuberculosis in stored material. It is important to control these inhibitory factors in order to implement molecular diagnosis in pathology laboratories.

Este trabalho avaliou, através da macroscopia, histopatologia e bacteriologia, fígados de frangos (Gallus gallus) condenados no abate. Cem fígados de frango foram coletados na linha de inspeção. Noventa deles tinham sido condenados por apresentarem alterações macroscópicas. Dez fígados não apresentavam alterações macroscópicas. As coletas foram feitas em dois abatedouros localizados no Estado do Rio Grande do Sul. No laboratório, fez-se detalhada descrição das alterações macroscópicas dos fígados condenados e exames histopatológicos e bacteriológicos complementares. Para a descrição macroscópica, os seguintes parâmetros foram avaliados: forma, coloração, tamanho, consistência, odor e presença de lesões visíveis. Foram observados fígados com alterações na cor, forma, tamanho e/ou consistência em 47/90 amostras; fígados marrom-pálidos e com outras alterações macroscópicas associadas perfizeram 19/90 amostras; 5/90 fígados estavam amarelos ou amarelados e com outras alterações macroscópicas associadas; 19/90 fígados estavam verdes ou esverdeados e com outras alterações macroscópicas associadas. Os principais diagnósticos histopatológicos foram de colângio-hepatite heterofílica multifocal, degeneração e/ou necrose hepatocelular centrolobular e em ponte, hepatite necrosante aleatória, pericolangite heterofílica multifocal e peri-hepatite fibrinosa subaguda difusa acentuada. A bacteriologia foi direcionada para pesquisa de Escherichia coli, Salmonella spp. e Staphylococcus sp. Utilizando-se cultivo direto das amostras de fígado em meios de cultura seletivos, isolou-se E. coli em 26/100 amostras e Staphylococcus sp. em 24/100 amostras. Para pesquisa de salmonelas, utilizou-se a metodologia convencional preconizada para esta bactéria, entretanto não houve isolamento de nenhuma espécie deste gênero. Através das avaliações realizadas pode-se confirmar o predomínio de lesões sugestivas de infecção bacteriana nos fígados condenados.

Gross, microscopic, and bacteriologic evaluations of broiler chicken livers condemned at slaughter were performed. One hundred broiler livers were sampled. Ninety of them had gross lesions and were condemned by the meat inspection service. Ten of them were grossly normal. The sampling was done in two processing plants located in the State of Rio Grande do Sul, Brazil. For the gross evaluation, the following parameters were considered: shape, color, size, texture, odor, and the presence of other visible lesions. Livers with changes in color, shape, size and/or texture were 47/90; brown-pale livers with other associated macroscopic lesions were 19/90; yellow or yellowish livers with other associated gross lesions were 5/90; and green or greenish livers with other associated lesions were 19/90. The main microscopic diagnoses consisted of multifocal heterophilic colangio-hepatitis, degeneration and/or centrilobular to bridging hepatocellular necrosis, random necrotizing hepatitis and multifocal heterophylic pericolangitis. The bacteriological evaluation was oriented to finding of Escherichia coli, Salmonella spp. and Staphylococcus sp. It was carried out by direct culture of the liver samples in selective culture media. E. coli was isolated in 26/100 samples and Staphylococcus sp. in 24/100 samples. For culturing of Salmonella spp., the conventional method indicated for this bacteria was utilized. However, there was no isolation of any species of the Salmonella genus. In all the three evaluations, a high incidence of lesions suggestive of bacterial infections was observed in the condemned livers.

Com o objetivo de avaliar as causas de mortalidade de filhotes de ema de uma propriedade, pesquisou-se megabactéria em esfregaços de moelas de oito emas, corados pelo método de Gram, associado a exame histopatológico. Os exames foram positivos para megabactéria em quatro emas. A confirmação de megabacteriose em emas no Rio Grande do Sul é de grande importância, pois a enfermidade pode gerar grandes perdas econômicas. Salienta-se a necessidade de maiores investigações nos diferentes criatórios, tendo em vista a elevada mortalidade inicial dos filhotes relatada pelos criadores, podendo ser a megabacteriose uma das causas.

To evaluate the causes of high mortality in great rhea chicks, we performed a study searching for megabacteria in Gram stained smear of eight great rhea gizzards, also examined by histopathology. The results were positive in four great rhea. The confirmation of megabacteriosis in great rhea in Rio Grande do Sul State, Brazil, has great importance, because the disease could be causing severe economic losses. We emphasize the need of further studies in the different great rhea farms to investigate the possible role of megabacteriosis in the high mortality of great rhea chicks.

Em 30 pacientes com pênfigo foliáceo, a freqüência da estrongiloidíase foi de 40,0%, através de três exames de Baermann-Moraes. No "Hospital do Pênfigo", em Uberaba, as freqüências da estrongiloidíase nos funcionários (n = 14) e escolares (n = 47) da Escola-creche, anexa, também foram altas, respectivamente 35,7% e 23,4%. Em 7 (58,3 %) das 12 amostras do solo, do jardim/pátio do "Hospital", foram observadas formas de vida livre do Strongyloides stercoralis. O fator ambiental e a predisposição dos pacientes foram associados à alta transmissão da estrongiloidíase.

In 30 patients with foliaceous pemphigus the frequency of strongyloidiasis was 40%, by three Baermann- Moraes examination. In the "Hospital do Penfigo", for patients with pemphigus of Uberaba, the frequencies of strongyloidiasis in the employees (n = 14) and students (n=47), of the annexed nursery, also were high, respectively 35.7 % and 23.4%. In 7(58.3) of 12 samples from the soil of the hospital courtyard were found free-life forms of Strongyloides. The environmental factor and the susceptibility of the pacients were associated with the high transmission of the strongyloidiasis.