25 research outputs found

    Tliflectomia parcial para tratamento de intussuscepção ceco-cólica em equino

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    7th Drug hypersensitivity meeting: part two

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    Metformin attenuates the exacerbation of the allergic eosinophilic inflammation in high fat-diet-induced obesity in mice

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    A positive relationship between obesity and asthma has been well documented. The AMP-activated protein kinase (AMPK) activator metformin reverses obesity-associated insulin resistance (IR) and inhibits different types of inflammatory responses. This study aimed to evaluate the effects of metformin on the exacerbation of allergic eosinophilic inflammation in obese mice. Male C57BL6/J mice were fed for 10 weeks with high-fat diet (HFD) to induce obesity. The cell infiltration and inflammatory markers in bronchoalveolar lavage (BAL) fluid and lung tissue were evaluated at 48 h after ovalbumin (OVA) challenge. HFD obese mice displayed peripheral IR that was fully reversed by metformin (300 mg/kg/day, two weeks). OVA-challenge resulted in higher influx of total cell and eosinophils in lung tissue of obese mice compared with lean group. As opposed, the cell number in BAL fluid of obese mice was reduced compared with lean group. Metformin significantly reduced the tissue eosinophil infiltration and prevented the reduction of cell counts in BAL fluid. In obese mice, greater levels of eotaxin, TNF-α and NOx, together with increased iNOS protein expression were observed, all of which were normalized by metformin. In addition, metformin nearly abrogated the binding of NF-κB subunit p65 to the iNOS promoter gene in lung tissue of obese mice. Lower levels of phosphorylated AMPK and its downstream target acetyl CoA carboxylase (ACC) were found in lung tissue of obese mice, which were restored by metformin. In separate experiments, the selective iNOS inhibitor aminoguanidine (20 mg/kg, 3 weeks) and the anti-TNF-α mAb (2 mg/kg) significantly attenuated the aggravation of eosinophilic inflammation in obese mice. In conclusion, metformin inhibits the TNF-α-induced inflammatory signaling and NF-κB-mediated iNOS expression in lung tissue of obese mice. Metformin may be a good pharmacological strategy to control the asthma exacerbation in obese individuals.Fundação de Amparo à Pesquisa do Estado de São Paulo, 2012/14225-

    The Portuguese Severe Asthma Registry: Development, Features, and Data Sharing Policies

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    The Portuguese Severe Asthma Registry (Registo de Asma Grave Portugal, RAG) was developed by an open collaborative network of asthma specialists. RAG collects data from adults and pediatric severe asthma patients that despite treatment optimization and adequate management of comorbidities require step 4/5 treatment according to GINA recommendations. In this paper, we describe the development and implementation of RAG, its features, and data sharing policies. The contents and structure of RAG were defined in a multistep consensus process. A pilot version was pretested and iteratively improved. The selection of data elements for RAG considered other severe asthma registries, aiming at characterizing the patient's clinical status whilst avoiding overloading the standard workflow of the clinical appointment. Features of RAG include automatic assessment of eligibility, easy data input, and exportable data in natural language that can be pasted directly in patients' electronic health record and security features to enable data sharing (among researchers and with other international databases) without compromising patients' confidentiality. RAG is a national web-based disease registry of severe asthma patients, available at asmagrave.pt. It allows prospective clinical data collection, promotes standardized care and collaborative clinical research, and may contribute to inform evidence-based healthcare policies for severe asthma.The authors thank all members of the REAG (Rede de Especialistas em Asma Grave), namely, Ana Morete, Ana Sofia Barroso, António Reis, Aurora Carvalho, Carmen Botelho, Catarina Ferreira, Cláudia Pinto, Dolores Moniz, Elza Tomás, Emília Alvares, Eugénia Almeida, Filipe Inácio, Isabel Car-rapatoso, Isabel Pereira, Jorge Romariz, José Pedro Moreira da Silva, Leonor Cunha, Luísa Barata, Luísa Geraldes, Luísa Semedo, Madalena Emiliano, Manuel Barbosa, Margarida Raposo, Maria José Silvestre, Mariana Mendes, Marta Dias Sousa, Nuno Sousa, Orlando Santos, Paula Duarte, Rosário Ferreira, Sofia Furtado, and Vítor Teixeira. RAG was financed by an unrestricted grant from Novartis Farma-Produtos Farmacêuticos, S.A., which had no participation in any part of the development and implementation of the registry and has no access to the stored data for any purpose. The first author is financed by a PhD Grant (PD/BD/113665/2015) and financed by the European Social Fund and national funds of MCTES (Ministério da Ciência, Tecnologia e Ensino Superior)through FCT (Funda¸cão para a Ciência e Tecnologia, I.P) PhD Programme Ref. PD/0003/2013-Doctoral Programme in Clinical and Health Services Research (PDICSS). The publication of this article was supported by ERDF (European Regional Development Fund) through the operation POCI-01-0145-FEDER-007746 funded by the Programa Operacional Com-petitividade e Internacionalizac¸ão – COMPETE2020 and by National Funds through FCT - Fundação para a Ciência e a Tecnologia within CINTESIS, R&D Unit (reference UID/IC/4255/2013)

    Anatomia foliar de quatro espécies do gênero Cattleya Lindl. (Orchidaceae) do Planalto Central Brasileiro Foliar anatomy of four species of genus Cattleya Lindl. (Orchidaceae) of the Brazilian Central Planalt

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    As espécies analisadas (Cattleya araguaiensis Pabst, C. bicolor Lindl., C. nobilior Rchb. e C. walkeriana Gardn.) apresentam epiderme uniestratificada em ambas as faces da lâmina foliar, ocorrendo estômatos na face abaxial; deposição de cera epicuticular em crostas, escamas, flocos e plaquetas; em C. araguaiensis ocorrem estegmatas incrustados nas células epidérmicas; em todas as espécies ocorre hipoderme com células de paredes espessadas; mesofilo bifacial, compacto; células paliçádicas atípicas, com barras de espessamento; feixes vasculares colaterais dispostos alternadamente, acompanhados por bainha de fibras; cordões fibrosos acompanhados por estegmatas ocorrem longitudinalmente na lâmina foliar; presença de ráfides. Os aspectos descritos revelam acentuada xeromorfia, em função de economia de água.<br>The analyzed species (Cattleya araguaiensis Pabst, C. bicolor Lindl., C. nobilior Rchb. e C. walkeriana Gardn.) present unistratified epidermis at both surfaces with stomata at abaxial surface; deposition of epicuticular wax in crusts, scales, granules and plates; C. araguaiensis presents stegmata at epidermal cells; others characteristics present at all species are: hypodermis cells with thick walls; bifacial and compact mesophyll; atipic cells ofpalisade parenchyma with thichness bars; collateral vascular bundles alternate accompanied by sheath fibers; cordon fibers accompanied by stegmata in the foliar blade; raphids. The described aspects reveal accentuate xeromorphy for water economy
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