Low-Level Laser Therapy in the Treatment of Diabetic Ulcers: an Evidence Problem

Introdução: A Diabetes Mellitus representa a principal causa de amputação dos membros inferiores, com importantes custos económicos para os serviços de saúde. O principal factor de risco para a amputação é o desenvolvimento de úlceras diabéticas, sendo acompanhada de uma elevada taxa de mortalidade aos cinco anos. A isquemia por afecção do território macrovascular é um factor fisiopatológico essencial no desenvolvimento de úlceras isquémicas. Os tratamentos existentes são prolongados e associados a elevadas taxas de insucesso e recidiva, exigindo a combinação de múltiplas modalidades terapêuticas. A laserterapia de baixa potência tem sido usada como terapêutica adjuvante do pé diabético, desde a década de 60 do século XX, devido aos seus hipotéticos efeitos estimuladores da microcirculação e da reparação tecidular. Material e Métodos: Identificação de estudos científicos publicados através de uma pesquisa bibliográfica da Pubmed, The Cochrane Library e Cochrane Controlled Trials Register. Discussão e Conclusões: A evidência existente é favorável para modelos celulares in vitro, mas conflituosa em modelos animais e populações humanas. Existe uma grande heterogeneidade metodológica, que pode ser responsável pelos resultados discordantes. São propostas orientações para estudos futuros neste âmbito, nomeadamente a caracterização detalhada das úlceras e os parâmetros de tratamento com laser. São necessários estudos bem controlados, duplamente ocultos e aleatorizados. Seguindo o primum non nocere, a laserterapia pode ser utilizada como terapêutica adjuvante no tratamento do pé diabético, uma vez que é incruenta, de rápida aplicação e de baixo custo, sem efeitos adversos significativos

Predominance of KPC-3 in a Survey for Carbapenemase-Producing Enterobacteriaceae in Portugal

Free PMC Article: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4432220/Among the 2,105 Enterobacteriaceae tested in a survey done in Portugal, 165 were nonsusceptible to carbapenems, from which 35 (26 Klebsiella pneumoniae, 3 Escherichia coli, 2 Enterobacter aerogenes, and 3 Enterobacter cloacae isolates and 1 Klebsiella oxytoca isolate) were confirmed to be carbapenemase producers by the presence of 30 Tn4401d-blaKPC-3, 4 intI3-blaGES-5, and one intI1-blaVIM-2 gene, alone or in combination with other bla genes. The dissemination of blaKPC-3 gene carried by an IncF plasmid suggests lateral gene transfer as a major mechanism of dissemination.V. Manageiro was supported by grant SFRH/BPD/77486/2011 from the Fundação para a Ciência e a Tecnologia, Lisbon, Portugal. J. Almeida was supported by grant BRJ-SUB/01/2012 from the National Institute of Health Dr. Ricardo Jorge, Lisbon, Portugal. R. A. Bonomo was supported by the National Institute of Allergy and Infectious Diseases of the National Institutes of Health under awards R01 AI100560 and R01 AI063517, and by the Cleveland Department of Veterans Affairs, the Veterans Affairs Merit Review Program, and the Geriatric Research Education and Clinical Center VISN 10. We thank the Fundação para a Ciência e a Tecnologia (FCT) for project grant PEst-OE/AGR/UI0211/2011-2014, Strategic Project UI211- 2011-2014

Esquistossomose mansônica autóctone no Distrito Federal, Brasil

Seven autochthonous cases of schistosomiasis mansoni are described in this paper. All of them refer to children, 3 to 13 years old, living in Planaltina, Federal District, Brazil. Five out of the seven cases belong to the same family living for 14 years in Planaltina. For the last 4 years this family has lived in a wooden hut 40 meters distant from a breeding place of B. glabrata. Of the 229 snails examined, two were naturallv infected with S. mansoni.Sete casos autóctones de esquistossomose mansônica são descritos no Distrito Federal (Brasil). Todos os casos são de crianças cujas idades variavam de 3 a 13 anos e que habitavam área suburbana da cidade de Planaltina. Cinco destes casos pertencem a uma mesma família vivendo às margens de um criadouro de Biomphalaria glabrata onde foram encontrados dois caramujos infectados por Schistosoma mansoni em 229 examinados

Cardiovascular dysfunction in obesity and new diagnostic imaging techniques: the role of noninvasive image methods

Obesity is a major public health problem affecting adults and children in both developed and developing countries. This condition often leads to metabolic syndrome, which increases the risk of cardiovascular disease. A large number of studies have been carried out to understand the pathogenesis of cardiovascular dysfunction in obese patients. Endothelial dysfunction plays a key role in the progression of atherosclerosis and the development of coronary artery disease, hypertension and congestive heart failure. Noninvasive methods in the field of cardiovascular imaging, such as measuring intima-media thickness, flow-mediated dilatation, tissue Doppler, and strain, and strain rate, constitute new tools for the early detection of cardiac and vascular dysfunction. These techniques will certainly enable a better evaluation of initial cardiovascular injury and allow the correct, timely management of obese patients. The present review summarizes the main aspects of cardiovascular dysfunction in obesity and discusses the application of recent noninvasive imaging methods for the early detection of cardiovascular alterations

Chicken feather keratin peptides for the control of keratinocyte migration

FAO estimates that in 2030 the poultry meat production could reach 120 million tons, which is a challenge in terms of waste management. Feathers are mainly composed of keratin, an important biomaterial. Using feathers as a source of keratin will minimize the waste generated, while contributing to supply an important material for several industries, such as pharmaceutical and biomedical. The peptides were extracted from the feathers by microbial degradation. In this study, we evaluated the peptides effect on keratinocyte metabolic activity and migration. The influence of these peptides on non-activated and activated macrophages was also assessed. It was demonstrated that depending on the keratin peptide fraction in contact with keratinocytes, it is possible to modulate the migration rate of the keratinocytes. Peptide fraction with low molecular weight increases migration, while peptides with a high range of molecular sizes decreases it. Some peptide fractions induce the secretion of TNF- in non-activated macrophages and not on activated macrophages, demonstrating that these peptides should only be placed in contact with cells, in the context of an ongoing inflammatory process. This work is a step forward on the understanding of keratin peptides influence on keratinocytes and immune cells system cells, macrophages.This research was funded by the Portuguese Foundation for Science and Technology (FCT) under the scope of the strategic funding of UIDB/04469/2020 unit. It was also was financed by the Portuguese Mass Spectrometry Network, integrated in the National Roadmap of Research Infrastructures of Strategic Relevance (ROTEIRO/0028/2013; LISBOA-01-0145-FEDER-022125) and the MAC 2014-2020-MAC/1.1b/042-INTERREG V A España-Portugal, “BIOTRANSFER 2: Transferencia de la investigación biotecnológica orientada a rentabilidad empresarial y movilización de flujos de negocio 2”.info:eu-repo/semantics/publishedVersio

Influence of dry season on social wasp communities (Hymenoptera: Polistinae) in Deciduous Forest

 The seasonal deciduous forest, also known as dry forest, is characterized by the deciduity of tree species and two well-defined seasons which cause drastic changes in its physiognomy, and the seasonality of rainy periods directly impacts the forest’s biological communities. Social wasps (Vespidae: Polistinae) are well documented. However, some ecosystems in which they occur, such as the deciduous forest, are still subsampled. This study aimed to assess the response of social wasp communities to the dry season in a deciduous forest in the Mata Seca State Park, in the North of the state of Minas Gerais, Brazil. Insects were collected over 24 days divided into four field campaigns, each with six continuous days of collection (February, May, July, and November 2021), encompassing one campaign per season. All specimens were sacrificed and stored in 70% alcohol and later dry mounted for identification. The Kruskal-Wallis (KW) H test was performed to verify the difference between species richness, number of total colonies, and number of colonies of each tribe in relation to the collection station. In total, 131 colonies of eight species were located, particularly Polybia occidentalis (Olivier, 179), with 39 colonies, Polistes versicolor (Olivier, 1791), with 33, Mischocyttarus cassununga, with 21, and Protonectarina sylveirae (Saussure, 1854), with 13. Six species, five of which were from the Epiponini tribe, were collected in the four seasons. The responses of social wasps to the periods of drought in the deciduous forest vary with tribe. While Epiponini populations can keep colonies active in the dry season, Polistini cannot. Meanwhile, P. versicolor responds positively to the onset of the rainy season, increasing its population

Compact molecular disc and ionized gas outflows within 350 pc of the active nucleus of Mrk 1066

We present stellar and gaseous kinematics of the inner 350 pc radius of the Seyfert galaxy Mrk1066 derived from J and Kl bands data obtained with the Gemini NIFS at a spatial resolution of 35 pc. The stellar velocity field is dominated by rotation in the galaxy plane but shows an S-shape distortion along the galaxy minor axis which seems to be due to an oval structure seen in an optical continuum image. Along this oval, between 170 and 280 pc from the nucleus we find a partial ring of low sigma (~50 km/s) attributed to an intermediate age stellar population. Fro measurements of the emission-line fluxes and profiles ([PII]1.19um, [FeII]1.26um, Pa-beta and H2 2.12um), we have constructed maps for the gas centroid velocity, velocity dispersion, as well as channel maps. The velocity fields for all emission lines are dominated by a similar rotation pattern to that observed for the stars, but are distorted by the presence of two structures: (i) a compact rotating disc with radius r~70 pc; (ii) outflows along the radio jet which is oriented approximately along the galaxy major axis. The compact rotating disc is more conspicuous in the H2 emitting gas, which presents the smallest sigma values and most clear rotation pattern, supporting a location in the galaxy plane. We estimate a gas mass for the disc of ~10^7Msun. The H2 kinematics further suggests that the nuclear disc is being fed by gas coming from the outer regions. The outflow is more conspicuous in the [FeII] emitting gas, which presents the highest sigma values (up to 150 km/s) and the highest blue and redshifts of up to 500 km/s, while the highest stellar rotation velocity is only 130 km/s. We estimate a mass-outflow rate in ionized gas of 0.06 Msun/yr. The derived kinematics for the emitting gas is similar to that observed in previous studies supporting that the H2 is a tracer of the AGN feeding and the [FeII] of its feedback.Comment: Accepted by MNRAS; 18 pages; 15 figue