Situação das Unidades de Terapia Intensiva do Extremo Norte do Brasil: distribuição de leitos e análise de equidade

Introduction:TIntensive care units (ICU) have grown considerably and have become responsible for a large part of the consumptionof resources in health systems. This study aimed to survey the number of ICU beds in the city of Boa Vista-RR with regard to theirquantity, geographic location, sponsoring entity, type of service, clientele and treatment, as well as the averages of occupation andpermanence. In addition to promoting epidemiological data in order to contribute to the improvement of the number of beds for the municipality. Methods: This is a study of a bibliographic review of a descriptive nature on the subject of surveying the number ofICU beds in the state of Roraima. We analyzed the distribution and characteristics of intensive care unit beds, as well as the averageoccupancy and length of stay. Development: This is a study of a bibliographic review of a descriptive nature on the subject ofsurveying the number of ICU beds in the state of Roraima. We analyzed the distribution and characteristics of intensive care unitbeds, as well as the average occupancy and length of stay. Conclusion:TThis is a study of a bibliographic review of a descriptivenature on the subject of surveying the number of ICU beds in the state of Roraima. We analyzed the distribution and characteristicsof intensive care unit beds, as well as the average occupancy and length of stay.Introdução:As unidades de terapia intensiva (UTI) cresceram consideravelmente e tornaram-se responsáveis por grande partedo consumo de recursos dos sistemas de saúde. Este estudo teve como objetivo realizar o levantamento do número de leitosdas UTIs do município de Boa Vista-RR no que se refere à sua quantidade, localização geográfica, entidade mantenedora, tipode atendimento, de clientela e de tratamento, assim como as médias de ocupação e de permanência. Além de promover dadosepidemiológicos com intuito de contribuir para a melhora de oferta do número de leitos para o município. Métodos: Trata-se deestudo de uma revisão bibliográfica de natureza descritiva sobre o tema levantamento do número de leitos de UTI do estado deRoraima. Foram analisados a distribuição e as características dos leitos de unidade de terapia intensiva, assim como as medias deocupação e permanência. Desenvolvimento: Trata-se de estudo de uma revisão bibliográfica de natureza descritiva sobre o temalevantamento do número de leitos de UTI do estado de Roraima. Foram analisados a distribuição e as características dos leitos deunidade de terapia intensiva, assim como as medias de ocupação e permanência. Conclusão: Trata-se de estudo de uma revisãobibliográfica de natureza descritiva sobre o tema levantamento do número de leitos de UTI do estado de Roraima. Foram analisadosa distribuição e as características dos leitos de unidade de terapia intensiva, assim como as medias de ocupação e permanência

Ferromagnetic Levan Composite: An Affinity Matrix to Purify Lectin

A simple and inexpensive procedure used magnetite and levan to synthesize a composite recovered by a magnetic field. Lectins from Canavalia ensiformis (Con A) and Cratylia mollis (Cramoll 1 and Cramoll 1, 4) did bind specifically to composite. The magnetic property of derivative favored washing out contaminating proteins and recovery of pure lectins with glucose elution. Cramoll 1 was purified by this affinity binding procedure in two steps instead of a previous three-step protocol with ammonium sulfate fractionation, affinity chromatography on Sephadex G-75, and ion exchange chromatography through a CM-cellulose column

β-cyclodextrin/isopentyl caffeate inclusion complex: synthesis, characterization and antileishmanial activity

Isopentyl caffeate (ICaf) is a bioactive ester widely distributed in nature. Our patented work has shown promising results of this molecule against Leishmania. However, ICaf shows poor solubility, which limits its usage in clinical settings. In this work, we have proposed the development of an inclusion complex of ICaf in -cyclodextrin (-CD), with the aim to improve the drug solubility, and thus, its bioavailability. The inclusion complex (ICaf:-CD) was developed applying three distinct methods, i.e., physical mixture (PM), kneading (KN) or co-evaporation (CO) in different molar proportions (0.25:1, 1:1 and 2:1). Characterization of the complexes was carried out by thermal analysis, Fourier-transform infrared spectroscopy (FT-IR), scanning electron microscopy (SEM) and molecular docking. The ICaf:-CD complex in a molar ratio of 1:1 obtained by CO showed the best complexation and, therefore, was selected for further analysis. Solubility assay showed a marked improvement in the ICaf:-CD (CO, 1:1) solubility profile when compared to the pure ICaf compound. Cell proliferation assay using ICaf:-CD complex showed an IC50 of 3.8 and 2.7 µg/mL against L. amazonesis and L. chagasi promastigotes, respectively. These results demonstrate the great potential of the inclusion complex to improve the treatment options for visceral and cutaneous leishmaniases.This research was funded by Banco do Nordeste (grant FUNDECI/2016.0015), Coordenação Aperfeiçoamento de Pessoal de Nivel Superior (CAPES) and Fundação de Ámparo à Pesquisa do Estado de Sergipe (FAPITEC) (PROCESSO: 88887.159533/2017-00 extração, encapsulação e caracterização de bioativos para o interesse biotecnologico). Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq 301964/2019-0 Chamada 06/2019, and Chamada CNPq nº 01/2019) and from the Portuguese Science and Technology Foundation (FCT) project UIDB/04469/2020 (strategic fund).info:eu-repo/semantics/publishedVersio

Evaluation of MCM-2 Expression in TMA Cervical Specimens

Background:Minichromosome maintenance proteins (MCM) are highly expressed in actively replicating cells. The need for biological markers for cervical carcinoma and its precursor lesions is emerging. Our main aim was to determine the immunohistochemical expression of MCM-2 in HIV-positive and -negative dysplastic cervical specimens. Methods:Immunohistochemical analysis of MCM-2 was performed in a total of 352 cervical TMA specimens of normal control, low-grade CIN, high-grade CIN and invasive tumor. 38 specimens were from HIV-positive women. A receiver operating characteristic (ROC) curve was constructed to determine the best cutoff to diagnose high-grade CIN and invasive cervical cancer. Results:In the progression from normal epithelium to high-grade CIN and invasive tumor we found significant differences in the MCM-2 expression (p,0.05). Based on the ROC curve of 80% with an area under the curve (AUC) of 0.78, expression of MCM-2 to diagnose high-grade CIN and invasive tumor resulted in sensitivity of 81%, specificity of 66%, a positive predictive value (PPV) of 86% and a negative predictive value (NPV) of 57%. HIV-positive cervices revealed a decreasing expression of MCM-2 in both LGCIN and HGCIN compared with HIV-negative specimens (p,0.0001). Conclusions:The present study suggests that immunohistochemical MCM-2 may not be a promising biomarker for diagnosing high-grade CIN and invasive cance

Chapter 19: Drivers and Ecological Impacts of Deforestation and Forest Degradation

Deforestation, the complete removal of an area’s forest cover; and forest degradation, the significant loss of forest structure, functions, and processes; are the result of the interaction between various direct drivers, often operating in tandem. By 2018, the Amazon biome had lost approximately 870,000 km2 of its original forest cover, mainly due to agricultural expansion. Other direct drivers of forest loss include the opening of new roads, construction of hydroelectric dams, exploitation of minerals and oil, and urbanization. Impacts of deforestation range from local to global, including local changes in landscape configuration, climate, and biodiversity; regional impacts on hydrological cycles; and global increase of greenhouse gas emissions. Of the remaining Amazonian forests, 17% are degraded, corresponding to approximately 1,036,080 km2. Various anthropogenic drivers, including understory fires, edge effects, selective logging, hunting, and climate change can cause forest degradation. Degraded forests have significantly different structure, microclimate, and biodiversity as compared to undisturbed ones. These forests tend to have higher tree mortality, lower carbon stocks, more canopy gaps, higher temperatures, lower humidity, higher wind exposure, and exhibit compositional and functional shifts in both fauna and flora. Degraded forests can come to resemble their undisturbed counterparts, but this depends on the type, duration, intensity, and frequency of the disturbance event. In some cases, this may prohibit the return to a historic baseline. Avoiding further loss and degradation of Amazonian forests is crucial to ensure they continue to provide valuable and life-supporting ecosystem services

Safeguarding human–wildlife cooperation

Human–wildlife cooperation occurs when humans and free-living wild animals actively coordinate their behavior to achieve a mutually beneficial outcome. These interactions provide important benefits to both the human and wildlife communities involved, have wider impacts on the local ecosystem, and represent a unique intersection of human and animal cultures. The remaining active forms are human–honeyguide and human–dolphin cooperation, but these are at risk of joining several inactive forms (including human–wolf and human–orca cooperation). Human–wildlife cooperation faces a unique set of conservation challenges, as it requires multiple components—a motivated human and wildlife partner, a suitable environment, and compatible interspecies knowledge—which face threats from ecological and cultural changes. To safeguard human–wildlife cooperation, we recommend: (i) establishing ethically sound conservation strategies together with the participating human communities; (ii) conserving opportunities for human and wildlife participation; (iii) protecting suitable environments; (iv) facilitating cultural transmission of traditional knowledge; (v) accessibly archiving Indigenous and scientific knowledge; and (vi) conducting long-term empirical studies to better understand these interactions and identify threats. Tailored safeguarding plans are therefore necessary to protect these diverse and irreplaceable interactions. Broadly, our review highlights that efforts to conserve biological and cultural diversity should carefully consider interactions between human and animal cultures

Prevalence of non-communicable diseases in Brazilian children: follow-up at school age of two Brazilian birth cohorts of the 1990's

<p>Abstract</p> <p>Background</p> <p>Few cohort studies have been conducted in low and middle-income countries to investigate non-communicable diseases among school-aged children. This article aims to describe the methodology of two birth cohorts, started in 1994 in Ribeirão Preto (RP), a more developed city, and in 1997/98 in São Luís (SL), a less developed town.</p> <p>Methods</p> <p>Prevalences of some non-communicable diseases during the first follow-up of these cohorts were estimated and compared. Data on singleton live births were obtained at birth (2858 in RP and 2443 in SL). The follow-up at school age was conducted in RP in 2004/05, when the children were 9-11 years old and in SL in 2005/06, when the children were 7-9 years old. Follow-up rates were 68.7% in RP (790 included) and 72.7% in SL (673 participants). The groups of low (<2500 g) and high (≥ 4250 g) birthweight were oversampled and estimates were corrected by weighting.</p> <p>Results</p> <p>In the more developed city there was a higher percentage of non-nutritive sucking habits (69.1% vs 47.9%), lifetime bottle use (89.6% vs 68.3%), higher prevalence of primary headache in the last 15 days (27.9% vs 13.0%), higher positive skin tests for allergens (44.3% vs 25.3%) and higher prevalence of overweight (18.2% vs 3.6%), obesity (9.5% vs 1.8%) and hypertension (10.9% vs 4.6%). In the less developed city there was a larger percentage of children with below average cognitive function (28.9% vs 12.2%), mental health problems (47.4% vs 38.4%), depression (21.6% vs 6.0%) and underweight (5.8% vs 3.6%). There was no difference in the prevalence of bruxism, recurrent abdominal pain, asthma and bronchial hyperresponsiveness between cities.</p> <p>Conclusions</p> <p>Some non-communicable diseases were highly prevalent, especially in the more developed city. Some high rates suggest that the burden of non-communicable diseases will be high in the future, especially mental health problems.</p

Estimating genomic instability mediated by Alu retroelements in breast cancer

Alu-PCR is a relatively simple technique that can be used to investigate genomic instability in cancer. This technique allows identification of the loss, gain or amplification of gene sequences based on the analysis of segments between two Alu elements coupled with quantitative and qualitative analyses of the profiles obtained from tumor samples, surgical margins and blood. In this work, we used Alu-PCR to identify gene alterations in ten patients with invasive ductal breast cancer. Several deletions and insertions were identified, indicating genomic instability in the tumor and adjacent normal tissue. Although not associated with specific genes, the alterations, which involved chromosomal bands 1p36.23, 1q41, 11q14.3, 13q14.2, occurred in areas of well-known genomic instability in breast and other types of cancer. These results indicate the potential usefulness of Alu-PCR in identifying altered gene sequences in breast cancer. However, caution is required in its application since the Alu primer can produce non-specific amplification