Percepção de esforço e dispneia em pediatria: revisão das escalas de avaliação

Design of the study: literature review. Objective: to review and present different scales used to evaluate the perceived exertion and dyspnea in children and adolescents. Methodology: a literature review to researching in the electronic databases: Medline / PubMed and SPORTDiscus (EBSCO), no date restriction in the period of February to May 2013.Used the following keywords: child, Perceived exertion, dyspnea, scale. Publications that used and validated perceived exertion and / or dyspnea scales specific to children and adolescents were considered. Results: 154 studies were found, of which 12 were included in this review. Were identified a total of 15 validated scales in English and one in Portuguese, with the majority of them to build on the Borg scale. Each has its own peculiarities, considering the type of exercise and activity to be performed, the clinical situation to be assessed and the child’s age. Its proper application can portray reliable information and facilitate the active participation of this age group during different activities, assisting in the care and science. Conclusions: there is no scale considered the gold standard so far. All scales are elaborated with figures, verbal and numerical descriptors, to facilitate understanding of the children and allow them to have their own understanding of dyspnea and effort.Modelo do estudo: revisão bibliográfica. Objetivo: revisar e apresentar diferentes escalas utilizadas para avaliação da percepção de esforço e dispneia em crianças e adolescentes. Metodologia: revisão bibliográfica com consulta nas bases de dados: Medline/PubMed e SPORTDiscus (EBSCO), sem restrição de data, realizada no período de fevereiro a maio de 2013. Foram utilizados os descritores: child, perceived exertion, dyspnea, scale. Consideradas publicações que validaram e utilizaram escalas de percepção de esforço e/ou dispneia específicas para crianças e adolescentes. Resultados: foram encontrados 154 estudos, dos quais 12 foram incluídos nessa revisão. Identificou-se um total de 15 escalas validadas na língua inglesa e 1 em português, sendo que a maioria delas utiliza como base a escala de Borg. Cada uma possui particularidades, considerando o tipo de exercício e atividade que será desempenhada, a situação clinica a ser avaliada e idade da criança. Sua adequada aplicação pode retratar informações confiáveis e viabilizar a participação ativa desse grupo etário durante diferentes atividades, auxiliando na área assistencial e cientifica. Conclusões: não há nenhuma escala considerada padrão ouro até o momento. Todas são elaboradas com Figuras, descritores verbais e numéricos, para facilitar a compreensão das crianças e permitir que as mesmas tenham entendimento das próprias sensações de dispneia e de esforço

Serum cortisol level and depression severity in a sample of Brazilian elders

Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior (Capes)Fundacao de Amparo a Pesquisa do Estado de Sao Paulo (Fapesp)Capes FoundationMinistry of Education of Brazil, BrasiliaFapesp AgencyCapes Agency"National Counsel of Technological and Scientific Development" (CNPq - Researcher Level 1C)Univ Sao Paulo, Med Sch FMUSP, Old Age Res Grp Proter, Inst Psychiat, Sao Paulo, SP, BrazilUniv Sao Paulo, Med Sch FMUSP, Old Age Res Grp Proter, Dept Psychiat, Sao Paulo, SP, BrazilUniv Melbourne, Dept Psychiat, Austin Hlth, Heidelberg, Vic, AustraliaFed Univ Sao Paulo Unifesp, Dept Prevent Med, Sao Paulo, SP, BrazilFed Univ Sao Paulo Unifesp, Dept Prevent Med, Sao Paulo, SP, BrazilFAPESP: 04/09586-9FAPESP: 2014/05467-7FAPESP: 2014/05467-7CAPES: BEX 0893/14-5Ministry of Education of Brazil, Brasilia: DF 70040-20Web of Scienc

Peptidylprolyl isomerase C (Ppic) regulates invariant Natural Killer T cell (iNKT) differentiation in mice

© 2021 The Authors. European Journal of Immunology published by Wiley-VCH GmbH. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.Peptidyl-prolyl cis-trans isomerase C (Ppic) is expressed in several bone marrow (BM) hematopoietic progenitors and in T-cell precursors. Since the expression profile of Ppic in the hematoimmune system was suggestive that it could play a role in hematopoiesis and/or T lymphocyte differentiation, we sought to test that hypothesis in vivo. Specifically, we generated a Ppic-deficient mouse model by targeting the endogenous locus by CRISPR/Cas9 and tested the requirement of Ppic in hematopoiesis. Several immune cell lineages covering BM progenitors, lymphocyte precursors, as well as mature cells at the periphery were analyzed. While most lineages were unaffected, invariant NKT (iNKT) cells were reduced in percentage and absolute cell numbers in the Ppic-deficient thymus. This affected the most mature stages in the thymus, S2 and S3, and the phenotype was maintained at the periphery. Additionally, immature transitional T1 and T2 B lymphocytes were increased in the Ppic-deficient spleen, but the phenotype was lost in mature B lymphocytes. In sum, our data show that Ppic is dispensable for myeloid cells, platelets, erythrocytes, αβ, and γδ T lymphocytes in vivo in the steady state, while being involved in B- and iNKT cell differentiation.This work was supported by the Instituto Gulbenkian de Ciência (IGC) of the Calouste Gulbenkian Foundation, and the Portuguese National Research Council (Fundação para a Ciência e Tecnologia [FCT]) Grant PTDC/BIA-BID/30925/2017 to VCM, that also supports the salary of RSP. VCM is supported by an individual contract awarded by FCT (CEECIND/03106/2018). CVR is a PhD student of the IGC Integrative Biology and Biomedicine (IBB) PhD Program and supported by an individual FCT PhD Fellowship ref. PD/BD/139190/2018. This work had the support of the research infrastructures Congento LISBOA-01-0145-FEDER-022170 and PPBI-POCI-01-0145-FEDER-022122, both cofinanced by FCT and Lisboa2020, under PORTUGAL2020 agreement (European Regional Development Fund).info:eu-repo/semantics/publishedVersio

Quality and safety conditions of flocked oats (Avena sativa L.) stored in bags: Poster

Oats (Avena sativa L.) have reached the healthy food market worldwide due to its special nutrients composition and fiber high quality. Therefore, quality & safety control is a must, both during the storage and commercialization stages. The current study evaluated the physicochemical characteristics (flakes size/variation %, pH, moisture content-mc, water activity-aw), living organisms (insects & mites / mycoflora - fungi load& genera identification), mycotoxins(ochratoxin A – OTA / zearalenone – ZON / aflatoxins – AFLs / esterigmatocistin – EST)andthe storage conditions of flocked oats stored inbags.Regarding the oats physicochemical characteristics, flakes particle size varied, however most of the samples present size uniformityand only one sample had high percentage of residue. That indicates high insects and other living organisms activity (consumption / proliferation) of oats starch and other nutrients. The analysis through stereomicroscope showed intense presence of insects and mites. Samples were seen also sheltering those living organisms (27%), which are not allowed by regulation (no soils, parasites and larvae presence). As expected, mc (10.8-13.2%) and/or aw (0.61-0.90) varied, however they kept on the safer levels (< 13% / 0.90) insects/mites and fungi growth wise. With respect to pH, it varied from4.1to 5.85, indicating some rancidity/fermentation reactions taking place, thus changes in organoleptic parameters. The total fungi load ranged from 3x102 to 1.29x105 CFU/g, with Aspergillus and Rhizopusthe genera more identified. Only one sample was toxin contaminated (OTA - 80 µg/kg). Insects are known vectors of fungal spores and can spread their hyphae on their dead/live skeleton, apart from mites that can trigger allergies in humans and animals. Therefore, current data demonstrate that despite the storage conditions control application, living organisms can occur in flocked oats (stored in bags) and it is necessary to apply decontamination methods to control/prevent their proliferation.Oats (Avena sativa L.) have reached the healthy food market worldwide due to its special nutrients composition and fiber high quality. Therefore, quality & safety control is a must, both during the storage and commercialization stages. The current study evaluated the physicochemical characteristics (flakes size/variation %, pH, moisture content-mc, water activity-aw), living organisms (insects & mites / mycoflora - fungi load& genera identification), mycotoxins(ochratoxin A – OTA / zearalenone – ZON / aflatoxins – AFLs / esterigmatocistin – EST)andthe storage conditions of flocked oats stored inbags.Regarding the oats physicochemical characteristics, flakes particle size varied, however most of the samples present size uniformityand only one sample had high percentage of residue. That indicates high insects and other living organisms activity (consumption / proliferation) of oats starch and other nutrients. The analysis through stereomicroscope showed intense presence of insects and mites. Samples were seen also sheltering those living organisms (27%), which are not allowed by regulation (no soils, parasites and larvae presence). As expected, mc (10.8-13.2%) and/or aw (0.61-0.90) varied, however they kept on the safer levels (< 13% / 0.90) insects/mites and fungi growth wise. With respect to pH, it varied from4.1to 5.85, indicating some rancidity/fermentation reactions taking place, thus changes in organoleptic parameters. The total fungi load ranged from 3x102 to 1.29x105 CFU/g, with Aspergillus and Rhizopusthe genera more identified. Only one sample was toxin contaminated (OTA - 80 µg/kg). Insects are known vectors of fungal spores and can spread their hyphae on their dead/live skeleton, apart from mites that can trigger allergies in humans and animals. Therefore, current data demonstrate that despite the storage conditions control application, living organisms can occur in flocked oats (stored in bags) and it is necessary to apply decontamination methods to control/prevent their proliferation

Evaluation of the effects of Quercetin and Kaempherol on the surface of MT-2 cells visualized by atomic force microscopy

AbstractThis study investigated the anti-viral effects of the polyphenolic compounds Quercetin and Kaempherol on the release of HTLV-1 from the surface of MT-2 cells. Atomic force microscopy (AFM) was used to scan the surface of the MT-2 cells. MT-2 cells were fixed with 100% methanol on round glass lamina or cleaved mica and dried under UV light and laminar flow. The images were captured on a Multimode equipment monitored by a NanoScope IIId controller from Veeco Instruments Inc operated in tapping mode and equipped with phase-imaging hardware. The images demonstrated viral budding structures 131±57nm in size, indicating profuse viral budding. Interestingly, cell-free viruses and budding structures visualized on the surface of cells were less common when MT-2 was incubated with Quercetin, and no particles were seen on the surface of cells incubated with Kaempherol. In summary, these data indicate that HTLV-1 is budding constantly from the MT-2 cell surface and that polyphenolic compounds were able to reduce this viral release. Biological samples were analyzed with crude cell preparations just after cultivation in the presence of Quercetin and Kaempherol, showing that the AFM technique is a rapid and powerful tool for analysis of antiviral activity of new biological compounds

Genetic and virulence characterization of colistin-resistant and colistin-sensitive A. baumannii clinical isolates.

Treatment of infections caused by A. baumannii is becoming a challenge due to the ability to develop multidrug-resistance, virulence, and high mortality. We described the colistin resistance and virulence genes present in sixA. baumannii clinical isolates using WGS, expression by qPCR, and virulence in the Galleria mellonella model. The colistin-resistant isolates were assigned as ST233 and the colistin-susceptible isolates as ST236 and ST407. The colistin-resistant isolates contained mutations within PmrA/PmrB, and the pmrA showed up-regulation in all of them. Only one colistin-resistant isolate indicating virulence in G. mellonella. This particular isolate belonged to a different clone, and it was the only isolate that presented non-synonymous mutations in pmrB. Colistinresistance in A. baumannii isolates seems to be caused by up-regulation of pmrA gene. Only one isolate appeared to be virulent in the G. mellonella model. This finding indicating low virulence in isolates belonging to emerging clones circulating in our hospital

Investigating dimensionality and measurement bias of DSM-5 alcohol use disorder in a representative sample of the largest metropolitan area in South America

Background: Given the recent launch of a new diagnostic classification (DSM-5) for alcohol use disorders (AUD), we aimed to investigate its dimensionality and possible measurement bias in a non-U.S. sample. Methods: The current analyses were restricted to 948 subjects who endorsed drinking at least one drink per week in the past year from a sample of 5037 individuals. Data came from São Paulo Megacity Project (which is part of World Mental Health Surveys) collected between 2005 and 2007. First, exploratory factor analysis (EFA) was carried out to test for the best dimensional structure for DSM-5-AUD criteria. Then, item response theory (IRT) was used to investigate the severity and discrimination properties of each criterion of DSM-5-AUD. Finally, differential criterion functioning (DCF) were investigated by socio-demographics (income, gender, age, employment status, marital status and education). All analyses were performed in Mplus software taking into account complex survey design features. Results: The best EFA model was a one-dimensional model. IRT results showed that the criteria “Time Spent” and “Given Up” have the highest discrimination and severity properties, while the criterion “Larger/Longer” had the lowest value of severity, but an average value of discrimination. Only female gender had DCF both at criterion- and factor-level, rendering measurement bias. Conclusion: This study reinforces the existence of a DSM-5-AUD continuum in the largest metropolitan area of South America, including subgroups that had previously higher rates of alcohol use (lower educational/income levels). Lower DSM-5-AUD scores were found in women

Prevalence of health, nutrition, and environment-related claims in the Brazilian packaged food supply

The study examined whether foods with nutritional claims were more likely to be high in critical nutrients. Twenty to thirty percent of caloric intake in Brazil is through ultra-processed foods (UPF). Increased consumption of UPF is associated with weight gain, hypertension, and all causes of mortality. Front-of-package (FoP) nutritional labeling can improve consumers’ ability to assess the healthfulness of products and help them make healthier choices. Nutrition claims were the most prevalent (28.5%), followed by health claims (22.1%), and environment-related claims (5.2%)

Valproic acid influences the expression of genes implicated with hyperglycaemia-induced complement and coagulation pathways

Because the liver plays a major role in metabolic homeostasis and secretion of clotting factors and inflammatory innate immune proteins, there is interest in understanding the mechanisms of hepatic cell activation under hyperglycaemia and whether this can be attenuated pharmacologically. We have previously shown that hyperglycaemia stimulates major changes in chromatin organization and metabolism in hepatocytes, and that the histone deacetylase inhibitor valproic acid (VPA) is able to reverse some of these metabolic changes. In this study, we have used RNA-sequencing (RNA-seq) to investigate how VPA influences gene expression in hepatocytes. Interesting, we observed that VPA attenuates hyperglycaemia-induced activation of complement and coagulation cascade genes. We also observe that many of the gene activation events coincide with changes to histone acetylation at the promoter of these genes indicating that epigenetic regulation is involved in VPA action11CONSELHO NACIONAL DE DESENVOLVIMENTO CIENTÍFICO E TECNOLÓGICO - CNPQFUNDAÇÃO DE AMPARO À PESQUISA DO ESTADO DE SÃO PAULO - FAPESP304668/2014-12010/50015-6; 2012/03238-5; 2014/10198-5; 2015/10356-2NHMRC; International Joint Program. Professor Sam El-Osta is a National Health and Medical Research Council; Senior Research Fello