Adaptive response of neonatal sepsis-derived Group B Streptococcus to bilirubin

This work was funded by the Neonatal Unit Endowment Fund, Aberdeen Maternity Hospital. RH is funded by a career researcher fellowship from NHS Research Scotland. SG was funded by the MRC Flagship PhD programme. We are grateful for the support of Dr Phil Cash and Aberdeen Proteomics, at University of Aberdeen, in completing this project. Supplementary information accompanies this paper at https://doi.org/10.1038/s41598-018-24811-3.Peer reviewedPublisher PD

Galectin-3, histone deacetylases, and Hedgehog signaling:Possible convergent targets in schistosomiasis-induced liver fibrosis

Schistosomiasis affects approximately 240 million people in the world. Schistosoma mansoni eggs in the liver induce periportal fibrosis and hepatic failure driven by monocyte recruitment and macrophage activation, resulting in robust Th2 response. Here, we suggested a possible involvement of Galectin-3 (Gal-3), histone deacetylases (HDACs), and Hedgehog (Hh) signaling with macrophage activation during Th1/Th2 immune responses, fibrogranuloma reaction, and tissue repair during schistosomiasis. Gal-3 is highly expressed by liver macrophages (Kupffer cells) around Schistosoma eggs. HDACs and Hh regulate macrophage polarization and hepatic stellate cell activation during schistosomiasis-associated fibrogenesis. Previously, we demonstrated an abnormal extracellular matrix distribution in the liver that correlated with atypical monocyte-macrophage differentiation in S. mansoni-infected, Gal-3-deficient (Lgals3-/-) mice. New findings explored in this review focus on the chronic phase, when wild-type (Lgals3+/+) and Lgals3-/- mice were analyzed 90 days after cercariae infection. In Lgals3-/- infected mice, there was significant inflammatory infiltration with myeloid cells associated with egg destruction (hematoxylin and eosin staining), phagocytes (specifically Kupffer cells), numerically reduced and diffuse matrix extracellular deposition in fibrotic areas (Gomori trichrome staining), and severe disorganization of collagen fibers surrounding the S. mansoni eggs (reticulin staining). Granuloma-derived stromal cells (GR cells) of Lgals3-/- infected mice expressed lower levels of alpha smooth muscle actin (α-SMA) and eotaxin and higher levels of IL-4 than Lgals3+/+ mice (real-time PCR). The relevant participation of macrophages in these events led us to suggest distinct mechanisms of activation that culminate in defective fibrosis in the liver of Lgals3-/- infected mice. These aspects were discussed in this review, as well as the possible interference between Gal-3, HDACs, and Hh signaling during progressive liver fibrosis in S. mansoni-infected mice. Further studies focused on macrophage roles could elucidate these questions and clear the potential utility of these molecules as antifibrotic targets

Síndrome do desfiladeiro cérvico torácico: relato de caso

A Síndrome do Desfiladeiro Cérvico Torácico (SDCT) é uma entidade clínica com sintomatologia diversa, decorrente de compressão anormal do plexo braquial, na região do desfiladeiro torácico. Esta compressão é exercida, na maioria das vezes, pelo músculo escaleno anterior, mas pode resultar também da existência de bandas musculofibróticas, alteração da morfologia da primeira costela, costelas cervicais e músculos anômalos. A SDCT pode ser classificada nos tipos arterial, venoso e neurogênico.  Neste trabalho, relatamos dois casos de pacientes com sintomatologia e presença de costela cervical que foram operadas e tiveram resultado satisfatório. A SDCT acomete mais mulheres entre 20-50 anos, com vários fatores contribuintes, chegando a limitar as atividades diárias e laborais. O tratamento clínico, frequentemente, é a conduta inicial, com o objetivo de aliviar os sintomas. Em geral, o tratamento cirúrgico tem indicação em alguns casos dependendo da sua apresentação. Apesar da SDCT ser uma condição rara, é importante considerá-la no diagnóstico diferencial de pacientes com queixas de dor e parestesias em membros superiores

Microalgae biomass as an alternative ingredient in cookies: sensory, physical and chemical properties, antioxidant activity and in vitro digestibility

Microalgae can be regarded as an alternative and promising food ingredient due to their nutritional composition, richness in bioactive compounds, and because they are considered a sustainable protein source for the future. The aim of this work was to evaluate microalgae (Arthrospira platensis F & M-C256, Chlorella vulgaris Allma, Tetraselmis suecica F & M-M33 and Phaeodactylum tricornutum F & M-M40) as innovative ingredients to enhance functional properties of cookies. Two biomass levels were tested and compared to control: 2% (w/w) and 6% (w/ w), to provide high levels of algae-bioactives. The cookies sensory and physical properties were evaluated during eight weeks showing high color and texture stability. Cookies prepared with A. platensis and C. vulgaris presented significantly (p < 0.05) higher protein content compared to the control, and by sensory analysis A. platensis cookies were preferred. Besides, A. platensis also provided a structuring effect in terms of cookies texture. All microalgae-based cookies showed significantly higher (p < 0.05) total phenolic content and in vitro antioxidant capacity compared to the control. No significant difference (p < 0.05) in in vitro digestibility between microalgae cookies and the control was foundinfo:eu-repo/semantics/publishedVersio

Growth, sensory and chemical characterization of Mediterranean yellowtail (Seriola dumerili) fed diets with partial replacement of fish meal by other protein sources

[EN] An 84-day trial was performed to assess the use of alternative protein sources in Seriola dumerili. Three diets were used, FM100 diet, as a control diet without fishmeal substitution, and FM66 and FM33 diets with a fishmeal replacement of 330 g/kg and 660 g/kg, respectively. At the end of experiment, fish fed the FM66 diet showed the no differences in growth, nutritional parameters and fatty acid composition. Heavy metals present some differences but are always lower than risk levels. In sensory analysis, differences between diets appeared in pH and color, and also in some texture parameters between FM33 and the other two diets. No differences appeared between diets related to flavor. In summary, long periods of feeding with high fish meal substitution diets, affects Seriola dumerili growth; despite this the quality of the fillet was not affected even with a 66 % of substitution.This project was financed by "Generalitat Valenciana. Ayudas para grupos de investigacion consolidables."Monge-Ortiz, R.; Martínez-Llorens, S.; Lemos-Neto, M.; Falco, S.; Pagán Moreno, MJ.; Godoy-Olmos, S.; Jover Cerda, M.... (2020). Growth, sensory and chemical characterization of Mediterranean yellowtail (Seriola dumerili) fed diets with partial replacement of fish meal by other protein sources. Aquaculture Reports. 18:1-10. https://doi.org/10.1016/j.aqrep.2020.100466S11018Abbas, K. A., Mohamed, A., Jamilah, B., & Ebrahimian, M. (2008). A Review on Correlations between Fish Freshness and pH during Cold Storage. American Journal of Biochemistry and Biotechnology, 4(4), 416-421. doi:10.3844/ajbbsp.2008.416.421Álvarez, A., García García, B., Garrido, M. D., & Hernández, M. D. (2008). The influence of starvation time prior to slaughter on the quality of commercial-sized gilthead seabream (Sparus aurata) during ice storage. Aquaculture, 284(1-4), 106-114. doi:10.1016/j.aquaculture.2008.07.025AMIARD, J., AMIARDTRIQUET, C., BARKA, S., PELLERIN, J., & RAINBOW, P. (2006). Metallothioneins in aquatic invertebrates: Their role in metal detoxification and their use as biomarkers. Aquatic Toxicology, 76(2), 160-202. doi:10.1016/j.aquatox.2005.08.015Baeverfjord, G., Refstie, S., Krogedal, P., & Åsgård, T. (2006). Low feed pellet water stability and fluctuating water salinity cause separation and accumulation of dietary oil in the stomach of rainbow trout (Oncorhynchus mykiss). Aquaculture, 261(4), 1335-1345. doi:10.1016/j.aquaculture.2006.08.033Baeza-Ariño, R., Martínez-Llorens, S., Nogales-Mérida, S., Jover-Cerda, M., & Tomás-Vidal, A. (2014). Study of liver and gut alterations in sea bream,Sparus aurataL., fed a mixture of vegetable protein concentrates. Aquaculture Research, 47(2), 460-471. doi:10.1111/are.12507Bell, J. G., McEvoy, J., Tocher, D. R., McGhee, F., Campbell, P. J., & Sargent, J. R. (2001). Replacement of Fish Oil with Rapeseed Oil in Diets of Atlantic Salmon (Salmo salar) Affects Tissue Lipid Compositions and Hepatocyte Fatty Acid Metabolism. The Journal of Nutrition, 131(5), 1535-1543. doi:10.1093/jn/131.5.1535Benedito-Palos, L., Navarro, J. C., Sitjà-Bobadilla, A., Gordon Bell, J., Kaushik, S., & Pérez-Sánchez, J. (2008). High levels of vegetable oils in plant protein-rich diets fed to gilthead sea bream (Sparus aurataL.): growth performance, muscle fatty acid profiles and histological alterations of target tissues. British Journal of Nutrition, 100(5), 992-1003. doi:10.1017/s0007114508966071Bjerkeng, B., Refstie, S., Fjalestad, K. T., Storebakken, T., Rødbotten, M., & Roem, A. J. (1997). Quality parameters of the flesh of Atlantic salmon (Salmo salar) as affected by dietary fat content and full-fat soybean meal as a partial substitute for fish meal in the diet. Aquaculture, 157(3-4), 297-309. doi:10.1016/s0044-8486(97)00162-2De Francesco, M., Parisi, G., Médale, F., Lupi, P., Kaushik, S. J., & Poli, B. M. (2004). Effect of long-term feeding with a plant protein mixture based diet on growth and body/fillet quality traits of large rainbow trout (Oncorhynchus mykiss). Aquaculture, 236(1-4), 413-429. doi:10.1016/j.aquaculture.2004.01.006DE FRANCESCO, M., PARISI, G., PÉREZ-SÁNCHEZ, J., GÓMEZ-RéQUENI, P., MÉDALE, F., KAUSHIK, S. J., … POLI, B. M. (2007). Effect of high-level fish meal replacement by plant proteins in gilthead sea bream (Sparus aurata) on growth and body/fillet quality traits. Aquaculture Nutrition, 13(5), 361-372. doi:10.1111/j.1365-2095.2007.00485.xEstruch, G., Collado, M. C., Peñaranda, D. S., Tomás Vidal, A., Jover Cerdá, M., Pérez Martínez, G., & Martinez-Llorens, S. (2015). Impact of Fishmeal Replacement in Diets for Gilthead Sea Bream (Sparus aurata) on the Gastrointestinal Microbiota Determined by Pyrosequencing the 16S rRNA Gene. PLOS ONE, 10(8), e0136389. doi:10.1371/journal.pone.0136389Estruch, G., Collado, M. C., Monge-Ortiz, R., Tomás-Vidal, A., Jover-Cerdá, M., Peñaranda, D. S., … Martínez-Llorens, S. (2018). Long-term feeding with high plant protein based diets in gilthead seabream (Sparus aurata, L.) leads to changes in the inflammatory and immune related gene expression at intestinal level. BMC Veterinary Research, 14(1). doi:10.1186/s12917-018-1626-6Estruch, G., Tomás-Vidal, A., El Nokrashy, A. M., Monge-Ortiz, R., Godoy-Olmos, S., Jover Cerdá, M., & Martínez-Llorens, S. (2018). Inclusion of alternative marine by-products in aquafeeds with different levels of plant-based sources for on-growing gilthead sea bream (Sparus aurata, L.): effects on digestibility, amino acid retention, ammonia excretion and enzyme activity. Archives of Animal Nutrition, 72(4), 321-339. doi:10.1080/1745039x.2018.1472408Estruch, G., Martínez-Llorens, S., Tomás-Vidal, A., Monge-Ortiz, R., Jover-Cerdá, M., Brown, P. B., & Peñaranda, D. S. (2020). Impact of high dietary plant protein with or without marine ingredients in gut mucosa proteome of gilthead seabream (Sparus aurata, L.). Journal of Proteomics, 216, 103672. doi:10.1016/j.jprot.2020.103672Fountoulaki, E., Vasilaki, A., Hurtado, R., Grigorakis, K., Karacostas, I., Nengas, I., … Alexis, M. N. (2009). Fish oil substitution by vegetable oils in commercial diets for gilthead sea bream (Sparus aurata L.); effects on growth performance, flesh quality and fillet fatty acid profile. Aquaculture, 289(3-4), 317-326. doi:10.1016/j.aquaculture.2009.01.023Francis, G., Makkar, H. P. ., & Becker, K. (2001). Antinutritional factors present in plant-derived alternate fish feed ingredients and their effects in fish. Aquaculture, 199(3-4), 197-227. doi:10.1016/s0044-8486(01)00526-9Korkmaz Görür, F., Keser, R., Akçay, N., & Dizman, S. (2012). Radioactivity and heavy metal concentrations of some commercial fish species consumed in the Black Sea Region of Turkey. Chemosphere, 87(4), 356-361. doi:10.1016/j.chemosphere.2011.12.022Hu, L., Yun, B., Xue, M., Wang, J., Wu, X., Zheng, Y., & Han, F. (2013). Effects of fish meal quality and fish meal substitution by animal protein blend on growth performance, flesh quality and liver histology of Japanese seabass (Lateolabrax japonicus). Aquaculture, 372-375, 52-61. doi:10.1016/j.aquaculture.2012.10.025Izquierdo, M. S., Obach, A., Arantzamendi, L., Montero, D., Robaina, L., & Rosenlund, G. (2003). Dietary lipid sources for seabream and seabass: growth performance, tissue composition and flesh quality. Aquaculture Nutrition, 9(6), 397-407. doi:10.1046/j.1365-2095.2003.00270.xIzquierdo, M. S., Montero, D., Robaina, L., Caballero, M. J., Rosenlund, G., & Ginés, R. (2005). Alterations in fillet fatty acid profile and flesh quality in gilthead seabream (Sparus aurata) fed vegetable oils for a long term period. Recovery of fatty acid profiles by fish oil feeding. Aquaculture, 250(1-2), 431-444. doi:10.1016/j.aquaculture.2004.12.001Jover, M., Garcı́a-Gómez, A., Tomás, A., De la Gándara, F., & Pérez, L. (1999). Growth of mediterranean yellowtail (Seriola dumerilii) fed extruded diets containing different levels of protein and lipid. Aquaculture, 179(1-4), 25-33. doi:10.1016/s0044-8486(99)00149-0Martínez-Llorens, S., Baeza-Ariño, R., Nogales-Mérida, S., Jover-Cerdá, M., & Tomás-Vidal, A. (2012). Carob seed germ meal as a partial substitute in gilthead sea bream (Sparus aurata) diets: Amino acid retention, digestibility, gut and liver histology. Aquaculture, 338-341, 124-133. doi:10.1016/j.aquaculture.2012.01.029MARTINS, D. A., VALENTE, L. M. P., & LALL, S. P. (2011). Partial replacement of fish oil by flaxseed oil in Atlantic halibut (Hippoglossus hippoglossus L.) diets: effects on growth, nutritional and sensory quality. Aquaculture Nutrition, 17(6), 671-684. doi:10.1111/j.1365-2095.2011.00869.xMatallanas, J., Casadevall, M., Carrasson, M., Bolx, J., & Fernandez, V. (1995). The Food of Seriola Dumerili (Pisces: Carangidae) in the Catalan Sea (Western Mediterranean). Journal of the Marine Biological Association of the United Kingdom, 75(1), 257-260. doi:10.1017/s0025315400015356Monge-Ortiz, R., Tomás-Vidal, A., Gallardo-Álvarez, F. J., Estruch, G., Godoy-Olmos, S., Jover-Cerdá, M., & Martínez-Llorens, S. (2018). Partial and total replacement of fishmeal by a blend of animal and plant proteins in diets for Seriola dumerili : Effects on performance and nutrient efficiency. Aquaculture Nutrition, 24(4), 1163-1174. doi:10.1111/anu.12655Monge-Ortiz, R., Tomás-Vidal, A., Rodriguez-Barreto, D., Martínez-Llorens, S., Pérez, J. A., Jover-Cerdá, M., & Lorenzo, A. (2017). Replacement of fish oil with vegetable oil blends in feeds for greater amberjack (Seriola dumerili) juveniles: Effect on growth performance, feed efficiency, tissue fatty acid composition and flesh nutritional value. Aquaculture Nutrition, 24(1), 605-615. doi:10.1111/anu.12595Mourente, G., & Bell, J. G. (2006). Partial replacement of dietary fish oil with blends of vegetable oils (rapeseed, linseed and palm oils) in diets for European sea bass (Dicentrarchus labrax L.) over a long term growth study: Effects on muscle and liver fatty acid composition and effectiveness of a fish oil finishing diet. Comparative Biochemistry and Physiology Part B: Biochemistry and Molecular Biology, 145(3-4), 389-399. doi:10.1016/j.cbpb.2006.08.012Nanton, D. A., Vegusdal, A., Rørå, A. M. B., Ruyter, B., Baeverfjord, G., & Torstensen, B. E. (2007). Muscle lipid storage pattern, composition, and adipocyte distribution in different parts of Atlantic salmon (Salmo salar) fed fish oil and vegetable oil. Aquaculture, 265(1-4), 230-243. doi:10.1016/j.aquaculture.2006.03.053O’Fallon, J. V., Busboom, J. R., Nelson, M. L., & Gaskins, C. T. (2007). A direct method for fatty acid methyl ester synthesis: Application to wet meat tissues, oils, and feedstuffs. Journal of Animal Science, 85(6), 1511-1521. doi:10.2527/jas.2006-491Olsen, R. L., & Toppe, J. (2017). Fish silage hydrolysates: Not only a feed nutrient, but also a useful feed additive. Trends in Food Science & Technology, 66, 93-97. doi:10.1016/j.tifs.2017.06.003De Paiva, E. L., Alves, J. C., Milani, R. F., Boer, B. S., Quintaes, K. D., & Morgano, M. A. (2016). Sushi commercialized in Brazil: Organic Hg levels and exposure intake evaluation. Food Control, 69, 115-123. doi:10.1016/j.foodcont.2016.04.029Panserat, S., Hortopan, G. A., Plagnes-Juan, E., Kolditz, C., Lansard, M., Skiba-Cassy, S., … Corraze, G. (2009). Differential gene expression after total replacement of dietary fish meal and fish oil by plant products in rainbow trout (Oncorhynchus mykiss) liver. Aquaculture, 294(1-2), 123-131. doi:10.1016/j.aquaculture.2009.05.013Piazzon, M. C., Calduch-Giner, J. A., Fouz, B., Estensoro, I., Simó-Mirabet, P., Puyalto, M., … Pérez-Sánchez, J. (2017). Under control: how a dietary additive can restore the gut microbiome and proteomic profile, and improve disease resilience in a marine teleostean fish fed vegetable diets. Microbiome, 5(1). doi:10.1186/s40168-017-0390-3Regost, C., Arzel, J., Robin, J., Rosenlund, G., & Kaushik, S. . (2003). Total replacement of fish oil by soybean or linseed oil with a return to fish oil in turbot (Psetta maxima). Aquaculture, 217(1-4), 465-482. doi:10.1016/s0044-8486(02)00259-4Robaina, L., Izquierdo, M. ., Moyano, F. ., Socorro, J., Vergara, J. ., & Montero, D. (1998). Increase of the dietary n−3/n−6 fatty acid ratio and addition of phosphorus improves liver histological alterations induced by feeding diets containing soybean meal to gilthead seabream, Sparus aurata. Aquaculture, 161(1-4), 281-293. doi:10.1016/s0044-8486(97)00276-7Serradell, A., Torrecillas, S., Makol, A., Valdenegro, V., Fernández-Montero, A., Acosta, F., … Montero, D. (2020). Prebiotics and phytogenics functional additives in low fish meal and fish oil based diets for European sea bass (Dicentrarchus labrax): Effects on stress and immune responses. Fish & Shellfish Immunology, 100, 219-229. doi:10.1016/j.fsi.2020.03.016Shimeno, S., Masumoto, T., Hujita, T., Mima, T., & Ueno, S. (1993). Protein Source for Fish Feed-V. Alternative Protein Sources for Fish Meal in Diets of Young Yellowtail. NIPPON SUISAN GAKKAISHI, 59(1), 137-143. doi:10.2331/suisan.59.137Sitjà-Bobadilla, A., Peña-Llopis, S., Gómez-Requeni, P., Médale, F., Kaushik, S., & Pérez-Sánchez, J. (2005). Effect of fish meal replacement by plant protein sources on non-specific defence mechanisms and oxidative stress in gilthead sea bream (Sparus aurata). Aquaculture, 249(1-4), 387-400. doi:10.1016/j.aquaculture.2005.03.031SLOTH, J. J., JULSHAMN, K., & LUNDEBYE, A.-K. (2005). Total arsenic and inorganic arsenic content in Norwegian fish feed products. Aquaculture Nutrition, 11(1), 61-66. doi:10.1111/j.1365-2095.2004.00334.xStergiou, K. I., & Karpouzi, V. S. (2001). Reviews in Fish Biology and Fisheries, 11(3), 217-254. doi:10.1023/a:1020556722822Thakur, D. P., Morioka, K., Itoh, N., Wada, M., & Itoh, Y. (2009). Muscle biochemical constituents of cultured amberjack Seriola dumerili and their influence on raw meat texture. Fisheries Science, 75(6), 1489-1498. doi:10.1007/s12562-009-0173-2TOMAS, A., DE LA GANDARA, F., GARCIA-GOMEZ, A., PEREZ, L., & JOVER, M. (2005). Utilization of soybean meal as an alternative protein source in the Mediterranean yellowtail, Seriola dumerili. Aquaculture Nutrition, 11(5), 333-340. doi:10.1111/j.1365-2095.2005.00365.xTomás‐Vidal, A., Monge‐Ortiz, R., Jover‐Cerdá, M., & Martínez‐Llorens, S. (2019). Apparent digestibility and protein quality evaluation of selected feed ingredients in Seriola dumerili. Journal of the World Aquaculture Society, 50(4), 842-855. doi:10.1111/jwas.12597Torstensen, B. E., Bell, J. G., Rosenlund, G., Henderson, R. J., Graff, I. E., Tocher, D. R., … Sargent, J. R. (2005). Tailoring of Atlantic Salmon (Salmo salar L.) Flesh Lipid Composition and Sensory Quality by Replacing Fish Oil with a Vegetable Oil Blend. Journal of Agricultural and Food Chemistry, 53(26), 10166-10178. doi:10.1021/jf051308iTurchini, G. M., Moretti, V. M., Mentasti, T., Orban, E., & Valfrè, F. (2007). Effects of dietary lipid source on fillet chemical composition, flavour volatile compounds and sensory characteristics in the freshwater fish tench (Tinca tinca L.). Food Chemistry, 102(4), 1144-1155. doi:10.1016/j.foodchem.2006.07.003Valente, L. M. P., Linares, F., Villanueva, J. L. R., Silva, J. M. G., Espe, M., Escórcio, C., … Peleteiro, J. B. (2011). Dietary protein source or energy levels have no major impact on growth performance, nutrient utilisation or flesh fatty acids composition of market-sized Senegalese sole. Aquaculture, 318(1-2), 128-137. doi:10.1016/j.aquaculture.2011.05.026Watanabe, K., Ura, K., Yada, T., Kiron, V., Satoh, S., & Watanabe, T. (2000). Energy and protein requirements of yellowtail for maximum growth and maintenance of body weight. Fisheries Science, 66(6), 1053-1061. doi:10.1046/j.1444-2906.2000.00168.

Prevalence of human T-lymphotropic virus type 1 and 2 among blood donors in Manaus, Amazonas State, Brazil

Introduction: Human T-lymphotropic virus type 1 and 2 (HTLV-1/2) is endemic in Brazil, but few studies have investigated the seroprevalence of HTLV and its subtypes among blood donors in the capital city Manaus, Amazonas State, Brazil. Aim: To estimate the seroprevalence of HTLV-1/2 and to identify circulating subtypes among blood donors in Manaus. Materials and Methods: Blood donors (2001-2003) were screened for HTLV-1/2 antibodies by ELISA. Positive results were confirmed and subtyped by Western blot assays. Prevalence rates were calculated and compared with demographic data. Results: Among the 87,402 individuals screened, 116 (0.13%) were seropositive for HTLV-1/2. A second sample (76/116) was collected and retested by HTLV-1/2 ELISA, of which only 41/76 were positive. Western blot confirmed HTLV infection in 24/41 retested blood donors [HTLV-1 (n=16), HTLV-2 (n=5) and HTLV-untypable (n=3)]. Discussion: HTLV-1 and HTLV-2 are prevalent among blood donors in Manaus. However, additional studies are needed to comprehend the epidemiology of HTLV-1/2 in Amazonas not only to understand the pathophysiology of the disease providing adequate medical assistance, but also to reduce or block virus transmission. © 2017, Instituto de Medicina Tropical de Sao Paulo. All rights reserved

Manejo cirúrgico de pacientes traumatizados por lesões elétricas: uma abordagem da fase aguda do trauma elétrico

The aim of this study is to disassemble, through scientific articles and government exposure, the main concepts related to electric shock injury. And as secondary objectives, to address a perspective of adequate treatment in this scenario and surgical steps in the management of patients traumatized by electric shock. An in-depth search of articles was carried out in the Scientific Electronic Library Online (SciELO) and PubMed databases, with the following Health Sciences Descriptors (DeCS):Electric burns; Shock; Debridement; Hydration; Amputation. Articles were selected between the periods of 2000 to 2023, in Portuguese, to increase the level of relevance and quality of the review, given the scarcity of scientific studies on the subject. It is concluded with the analysis of these studies that the early medical intervention of an electrical trauma is essential. The correct management, before 15 days, can positively corroborate the survival rates of these patients, avoiding possible complications. However, the proportion of the accident can affect medical management, representing a problem for patients, attributing greater symptoms.El objetivo de este estudio es desmontar, a través de artículos científicos y exposición gubernamental, los principales conceptos relacionados con la lesión por descarga eléctrica. Y como objetivos secundarios, abordar una perspectiva de tratamiento adecuado en este escenario y pasos quirúrgicos en el manejo de pacientes traumatizados por descarga eléctrica. Se realizó una búsqueda exhaustiva de artículos en las bases de datos Scientific Electronic Library Online (SciELO) y PubMed, con los siguientes Descriptores en Ciencias de la Salud (DeCS): Quemaduras eléctricas; Choque; desbridamiento; Hidratación; Amputación. Los artículos fueron seleccionados entre los períodos de 2000 a 2023, en portugués, para aumentar el nivel de relevancia y calidad de la revisión, dada la escasez de estudios científicos sobre el tema. Se concluye con el análisis de estos estudios que la intervención médica temprana de un trauma eléctrico es fundamental. El correcto manejo, antes de los 15 días, puede corroborar positivamente las tasas de supervivencia de estos pacientes, evitando posibles complicaciones. Sin embargo, la proporción del accidente puede afectar el manejo médico, representando un problema para los pacientes, atribuyéndoles mayor sintomatología.Objetivo desse estudo é desmontar, por meio de artigos científicos e exposição governamentais, os principais conceitos que tangem a lesão por choque elétrico. E como objetivos secundários, abordar uma perspectiva de tratamento adequado nesse cenário e etapas cirúrgicas do manejo de pacientes traumatizados por choque elétrico. Foi realizada uma profunda pesquisa de artigos nas bases de dados Scientific Electronic Library Online (SciELO) e PubMed, com os seguintes Descritores em Ciências daSaúde(DeCS):Queimaduraselétricas;&nbsp;Choque;&nbsp;Desbridamento;&nbsp;Hidratação;&nbsp;Amputação. Foram selecionados artigos entre os períodos de 2000 a 2023, no idioma Português, para ampliar o nível de relevância e a qualidade da revisão, visto a escassez de estudos científicos sobre a temática. Conclui-se com a análise desses estudos que, a intervenção médica precoce de um trauma elétrico é essencial. O manejo correto, antes dos 15 dias, pode corroborar positivamente com as taxas de sobrevida desses pacientes, evitando possíveis complicações. Contudo, a proporção do acidente pode afetar a conduta médica, representando um problema para os pacientes, atribuindo maiores sintomas

Development of new microalgae-based sourdough "crostini": functional aspects of Arthrospira platensis (spirulina) addition

The aim of this work was to evaluate the influence of Arthrospira platensis F&M-C256 (spirulina) incorporation on the nutritional and functional properties of “crostini”, a leavened bakery product largely consumed in Italy and Europe. Sourdough was used as leavening and fermentation agent and three concentrations of A. platensis F&M-C256 were tested: 2%, 6% and 10% (w/w). Despite a lower volume increase compared to the control, the A. platensis F&M-C256 “crostini” doughs reached a technological appropriate volume after fermentation. At the end of fermentation, no significant differences in microorganisms concentrations were observed. A. platensis F&M-C256 “crostini” showed higher protein content compared to the control. Considering the European Commission Regulation on nutritional claims, “crostini” incorporated with 6% and 10% biomass can be claimed to be a “source of protein”. Six and ten percent A. platensis “crostini” also presented significantly higher antioxidant capacity and phenolics. A significantly lower value of in vitro dry matter and protein digestibility between A. platensis F&M-C256 “crostini” and the control was found. The overall acceptability decreased with increasing A. platensis F&M-C256 addition. The combination of spirulina biomass addition and the sourdough technology led to the development of a novel microalgae-based bakery product with nutritional and functional featuresinfo:eu-repo/semantics/publishedVersio