11,807 research outputs found
Costs Associated with Malaria in Pregnancy in the Brazilian Amazon, a Low Endemic Area Where Plasmodium vivax Predominates.
BACKGROUND: Information on costs associated with malaria in pregnancy (MiP) in low transmission areas where Plasmodium vivax predominates is so far missing. This study estimates health system and patient costs of MiP in the Brazilian Amazon. METHODS/PRINCIPAL FINDINGS: Between January 2011 and March 2012 patient costs for the treatment of MiP were collected through an exit survey at a tertiary referral hospital and at a primary health care centre in the Manaus metropolitan area, Amazonas state. Pregnant and post-partum women diagnosed with malaria were interviewed after an outpatient consultation or at discharge after admission. Seventy-three interviews were included in the analysis. Ninety-six percent of episodes were due to P. vivax and 4% to Plasmodium falciparum. In 2010, the total median costs from the patient perspective were estimated at US 216.29 for an outpatient consultation and an admission, respectively. When multiple P. vivax infections during the same pregnancy were considered, patient costs increased up to US 103.51 for a P. vivax malaria episode and US 118.51 and US 17,038.50, of which 92.4% (US$ 15,741.14) due to P. vivax infection. CONCLUSION: Despite being an area of low risk malaria transmission, MiP is responsible for a significant economic burden in Manaus. Especially when multiple infections are considered, costs associated with P. vivax are higher than costs associated with P. falciparum. The information generated may help health policy decisions for the current control and future elimination of malaria in the area
Enraizamento de estacas de mirtilo provenientes de ramos lenhosos.
bitstream/item/31070/1/Comunicado-133.pd
Cell death induced by the application of alternating magnetic fields to nanoparticle-loaded dendritic cells
In this work, the capability of primary, monocyte-derived dendritic cells
(DCs) to uptake iron oxide magnetic nanoparticles (MNPs) is assessed and a
strategy to induce selective cell death in these MNP-loaded DCs using external
alternating magnetic fields (AMFs) is reported. No significant decrease in the
cell viability of MNP-loaded DCs, compared to the control samples, was observed
after five days of culture. The amount of MNPs incorporated into the cytoplasm
was measured by magnetometry, which confirmed that 1 to 5 pg of the particles
were uploaded per cell. The intracellular distribution of these MNPs, assessed
by transmission electron microscopy, was found to be primarily inside the
endosomic structures. These cells were then subjected to an AMF for 30 min, and
the viability of the blank DCs (i.e., without MNPs), which were used as control
samples, remained essentially unaffected. However, a remarkable decrease of
viability from approximately 90% to 2-5% of DCs previously loaded with MNPs was
observed after the same 30 min exposure to an AMF. The same results were
obtained using MNPs having either positive (NH2+) or negative (COOH-) surface
functional groups. In spite of the massive cell death induced by application of
AMF to MNP-loaded DCs, the amount of incorporated magnetic particles did not
raise the temperature of the cell culture. Clear morphological changes at the
cell structure after magnetic field application were observed using scanning
electron microscopy. Therefore, local damage produced by the MNPs could be the
main mechanism for the selective cell death of MNP-loaded DCs under an AMF.
Based on the ability of these cells to evade the reticuloendothelial system,
these complexes combined with an AMF should be considered as a potentially
powerful tool for tumour therapy.Comment: In Press. 33 pages, 11 figure
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