Identification by MALDI-TOF MS of Sporothrix brasiliensis isolated from a subconjunctival infiltrative lesion in an immunocompetent patient

Sporotrichosis is a globally distributed subcutaneous fungal infection caused by dimorphic fungi belonging to the Sporothrix species complex that affects the skin of limbs predominantly, but not exclusively. A rare case of ocular sporotrichosis in an immunocompetent Brazilian patient from the countryside of Rio de Janeiro State is reported. A 68-year-old woman presented with a subconjunctival infiltrative lesion in the right eye with pre-auricular lymphadenopathy of onset 4 months ago that evolved to suppurative nodular lesions on the eyelids. Conjunctival secretion was evaluated by histopathological examination and inoculated on Sabouraud Dextrose Agar (SDA). Histopathology showed oval bodies within giant cells and other mononucleated histiocytes. Fungus grown on SDA was identified as Sporothrix sp. by morphological observations. The isolated strain was finally identified by Matrix-Assisted Laser Desorption/Ionization Time-of-Flight Mass Spectrometry (MALDI-TOF MS) associated with an in-house database enriched with reference Sporothrix complex spectra. The strain presented a MALDI spectrum with the ion peaks of the molecular mass profile of S. brasiliensis. The patient was adequately treated with amphotericin B subsequently replaced by itraconazole. Due to scars left by the suppurative process, the patient presented poor final visual acuity. The present work presents an overview of ocular sporotrichosis and discusses the diagnostic difficulty that can lead to visual sequelae in these cases.Financial support for this work by Fundação de Amparo à Pesquisa do Rio de Janeiro [FAPERJ] (Grants: INST E-26/010.001784/2016; JCNE E-26/203.301/2017), by Conselho Nacional de Desenvolvimento Científico e Tecnológico [CNPq] (Grant Proc. 409227/2016-1). This study was financed in part by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - Brasil (CAPES). MALDI-TOF MS analyses were partially developed using equipment funded by CONICYT/Chile through the project Fondequip EQM160054 2016. The Universidad de La Frontera (Temuco, Chile) partially funded this work through the Project DIUFRO PIA19-0001. Furthermore, this study was also supported by FCT under the scope of the strategic funding of UID/BIO/04469/2019 unit and BioTecNorte operation (NORTE-01-0145-FEDER-000004) funded by the European Regional Development Fund under the scope of Norte2020 - Programa Operacional Regional do Norte.info:eu-repo/semantics/publishedVersio

Data identification of drug use in medical prescriptions of a private hospital at Campo Grande, Mato Grosso Do Sul, Brazil

Rational prescription occurs when patients receive the appropriate drug in adequate dose for the necessary period of time and it represents the safest and cheaper pharmacotherapy. The aim of this study was to identify the information about drug use in medical prescriptions at a private hospital. It was prescribed 2100 medicines between March 2006 and February 2007 and 44.48 % of these were prescribed by Generic medication name. The average number of drugs per prescription was 7.42. Prescriptions of at least one injectable drug or antibiotic were found in 58,00 % and 80,20 % of prescriptions, respectively. Half of prescribed drugs were part of the National List of Essential Drugs (50,33 %) and the Municipal List of Essential Drugs (55,24 %), both version 2006. The prevailing therapeutic classes were the analgesics (8.09 %) and anti-emetics (4.61 %). Incomplete medical prescriptions difficult drug use and hinder the service efficiency, putting at risk the quality of user assistance.Colegio de Farmacéuticos de la Provincia de Buenos Aire

Liposomal formulations of mistletoe produced by centrifugal technologies and cell proliferation analysis of both mistletoe extracts and isolated mistletoe lectin I = Liposomale Formulierung von Mistelextrakten durch Zentrifugationsverfahren und Analyse der Zellproliferation von Gesamtextrakten und isoliertem Mistellektin I

Um Liposomen aus Nanoemulsionen herzustellen, wird ein Zentrifugationsverfahren entwickelt, das eine hohe Einkapselungseffizienz und asymmetrische Membranen ermöglicht. Heparin-Komplexe werden für die Bildung einer stabilen Schutzschicht verwendet. Um die Erprobung der liposomalen Formulierungen in vitro und in vivo zu ermöglichen, wurden Mistelpräparate mit unterschiedlicher Viscotoxin-(VT) und Mistellektin-(ML) Zusammensetzung sowie isoliertes ML°I an Maus-Zelllinien erprobt. Ein Proliferationstest wurde durchgeführt, um die inhibierenden Konzentrationen (IC50) zu ermitteln und sensitive Zelllinien für in vivo Experimente auszuwählen. abnobaVISCUM (AV) Pini Präparate, die den geringsten Gesamtgehalt an ML und eine Dominanz von ML III aufweisen, zeigten bei B16-F10 Melanomzellen eine stärkere Inhibierung der Proliferation im Vergleich zu den ML I reichen Präparaten AV Fraxini und Quercus. Für AV Fraxnini und AV Quercus wurde gezeigt, dass die Zytotoxizität überwiegend auf ML I zurückzuführen ist und ML I daher als potentieller Wirkstoff zur Verkapselung in Liposomen geeignet ist. Auf isoliertes ML I reagiert die getestete Kolonkarzinomzelllinie C26 deutlich empfindlicher als die aggressive B16-F10 Melanomzelllinie. Diese Ergebnisse erlauben den Vergleich eines sensitiven mit einem aggressiven Tumormodell in vivo. Im Vergleich zu C26 ist die Makrophagenzelllinie RAW264.7 relativ unempfindlich gegenüber isoliertem ML I. Die Ergebnisse deuten auf die Möglichkeit einer gezielten Therapie von z.B. Kolontumoren hin, bei der die Immunfunktionen intakt bleiben

Current Trends and Challenges in the Clinical Translation of Nanoparticulate Nanomedicines: Pathways for Translational Development and Commercialization

The use of nanotechnology in medicine has the potential to have a major impact on human health for the prevention, diagnosis, and treatment of diseases. One particular aspect of the nanomedicine field which has received a great deal of attention is the design and development of nanoparticulate nanomedicines (NNMs) for drug delivery (i.e., drug-containing nanoparticles). NNMs are intended to deliver drugs via various mechanisms: solubilization, passive targeting, active targeting, and triggered release. The NNM approach aims to increase therapeutic efficacy, decrease the therapeutically effective dose, and/or reduce the risk of systemic side effects. In order to move a NNM from the bench to the bedside, several experimental challenges need to be addressed. This review will discuss the current trends and challenges in the clinical translation of NNMs as well as the potential pathways for translational development and commercialization. Key issues related to the clinical development of NNMs will be covered, including biological challenges, large-scale manufacturing, biocompatibility and safety, intellectual property (IP), government regulations, and overall cost-effectiveness in comparison to current therapies. These factors can impose significant hurdles limiting the appearance of NNMs on the market, irrelevant of whether they are therapeutically beneficial or not

Effects of Glyphosate-Based Herbicide on Primary Production and Physiological Fitness of the Macroalgae Ulva lactuca

The use of glyphosate-based herbicides (GBHs) worldwide has increased exponentially over the last two decades increasing the environmental risk to marine and coastal habitats. The present study investigated the effects of GBHs at environmentally relevant concentrations (0, 10, 50, 100, 250, and 500 µg·L −1 ) on the physiology and biochemistry (photosynthesis, pigment, and lipid composition, antioxidative systems and energy balance) of Ulva lactuca, a cosmopolitan marine macroalgae species. Although GBHs cause deleterious effects such as the inhibition of photosynthetic activity, particularly at 250 µg·L −1 , due to the impairment of the electron transport in the chloroplasts, these changes are almost completely reverted at the highest concentration (500 µg·L −1 ). This could be related to the induction of tolerance mechanisms at a certain threshold or tipping point. While no changes occurred in the energy balance, an increase in the pigment antheraxanthin is observed jointly with an increase in ascorbate peroxidase activity. These mechanisms might have contributed to protecting thylakoids against excess radiation and the increase in reactive oxygen species, associated with stress conditions, as no increase in lipid peroxidation products was observed. Furthermore, changes in the fatty acids profile, usually attributed to the induction of plant stress response mechanisms, demonstrated the high resilience of this macroalgae. Notably, the application of bio-optical tools in ecotoxicology, such as pulse amplitude modulated (PAM) fluorometry and laser-induced fluorescence (LIF), allowed separation of the control samples and those treated by GBHs in different concentrations with a high degree of accuracy, with PAM more accurate in identifying the different treatments.info:eu-repo/semantics/publishedVersio

Identification of Eschweilenol C in derivative of Terminalia fagifolia Mart. and green synthesis of bioactive and biocompatible silver nanoparticles

A green synthetic route was developed to prepare silver nanoparticles (AgNPs) in aqueous solution for biological applications. Eschweilenol C, a compound derivative ellagic acid was identified as the main constituent of the aqueous fraction of the ethanolic extract of Terminalia fagifolia Mart. by NMR analysis. In the green synthesis, the ethanolic extract of T. fagifolia and its aqueous fraction were used to promote silver reduction and nanoparticle stabilization. The synthesized AgNPs presented a spherical or polygonal morphology shape by TEM analysis and AgNPs showed high levels of antioxidant and considerable antibacterial and antifungal activities. Synthesized nanoparticles presented significant antioxidant activity by sequestration of DPPH and ABTS radicals, in addition to iron reduction (FRAP assay) and measurement of antioxidant capacity in ORAC units, in addition, AgNP synthesized with the aqueous fraction also demonstrated antioxidant potential in microglial cells. Gram-positive and Gram-negative bacteria were susceptible to growth inhibition by the nanoparticles, among which the AgNPs formed by the ethanolic extract was the most effective. The data obtained by AFM images suggested that AgNPs could lead to the lysis of bacteria and subsequent death. The antifungal assays showed high efficiency against yeasts and dermatophytes. This work represents the first description of antifungal activity by AgNPs against Fonsecaea pedrosoi, the etiologic agent of chromoblastomycosis. In relation to biocompatibility, the AgNPs induced lower haemolysis than AgNO3.We thank Herbert Kogler and Reinhard Wimmer for the identification of Eschweilenol C. The NMR laboratory at Aalborg University is supported by the Obel Family, SparNord and Carlsberg foundations.The authors are grateful to Carla Eiras (LIMAV/CT/UFPI) and to FCT and EU for financial support through project UID/QUI/50006/2013– POCI-01-0145-FEDER-007265 from COMPETE and projectNORTE-01-0145-FEDER-000011 from COMPETE. Thanks to Andreia Pinto for help with the TEM measurements at Instituto de Medicina Molecular (IMM). This work was supported by the Histology and Comparative Pathology Laboratory of the IMMinfo:eu-repo/semantics/publishedVersio

Fluoxetine induces photochemistry-derived oxidative stress on Ulva lactuca

Emerging pollutants impose a high degree of stress on marine ecosystems, compromising valuable resources, the planet and human health. Pharmaceutical residues often reach marine ecosystems, and their input is directly related to human activities. Fluoxetine is an antidepressant, and one of the most prescribed selective serotonin reuptake inhibitors globally and has been detected in aquatic ecosystems in concentrations up to 40 μg L−1 . The present study aims to evaluate the impact of fluoxetine ecotoxicity on the photochemistry, energy metabolism and enzyme activity of Ulva lactuca exposed to environmentally relevant concentrations (0.3, 0.6, 20, 40, and 80 μg L−1 ). Exogenous fluoxetine exposure induced negative impacts on U. lactuca photochemistry, namely on photosystem II antennae grouping and energy fluxes. These impacts included increased oxidative stress and elevated enzymatic activity of ascorbate peroxidase and glutathione reductase. Lipid content increased and the altered levels of key fatty acids such as hexadecadienoic (C16:2) and linoleic (C18:2) acids revealed strong correlations with fluoxetine concentrations tested. Multivariate analyses reinforced the oxidative stress and chlorophyll a fluorescence-derived traits as efficient biomarkers for future toxicology studies.info:eu-repo/semantics/publishedVersio

Avaliação da Vergonha em Adolescentes: ‘The Other as Shamer Scale’

Shame, as a self-conscious, multidimensional and socially focused emotion, plays a central role in the mental health of individuals. In adolescents, shame is also a frequent experience and its assessment is important for research and clinical practice. This study aims to validate a brief measure of external shame (Other as Shamer Scale – brief version for adolescents: (OASB-A). The participants were 834 adolescents with a mean age of 15 years. The final model of the OASB-A (8 items), obtained through CFA, presents a good fit to the data. The OASB-A shows a good internal consistency and an adequate temporal reliability. The OASB-A also reveals significant correlations with traumatic shame experiences (IES-R) and psychopathological symptoms (DASS-21). The OASB-A is an economic and reliable measure to assess external shame in adolescents

Multivariate optimization and validation of an analytical method for the determination of cadmium in wines employing ET AAS

This work describes the optimization and validation of a direct method employing electrothermal atomic absorption spectrometry (ET AAS) for the determination of cadmium in wine. The optimization step was carried out using a two-level full factorial design, involving the followings factors: pyrolysis time (10 s) and temperature (600 ºC), atomization temperature (1300 ºC) and modifier mass (15 µg). Under the optimized conditions, a characteristic mass of 0.7 pg and limits of detection and quantification of 0.030 and 0.100 µg L-1, respectively, were obtained using a sample volume of 20 µL. The precision expressed as relative standard deviation (RSD %) was 0.30, 0.37 and 0.49% for wines with cadmium concentrations of 1.286, 0.266 and 0.356 µg L-1, respectively. The accuracy of the new direct determination methodology applying ET AAS was assessed by comparison with an acid digestion methodology, also with determination by ET AAS, using five wine samples. The proposed method was applied for the determination of cadmium in 30 Brazilian wine samples. The cadmium content varied from 0.146 to 1.563 µg L-1; all these values are lower than the permissible maximum level stipulated by the International Organization of Vine and Wine (OIV) and also by Brazilian legislation, which is 10 µg L-1.O presente trabalho descreve a otimização e validação de um método para determinação direta de cádmio em amostras de vinho por espectrometria de absorção atômica com atomização eletrotérmica (ET AAS). A otimização foi realizada empregando um planejamento fatorial completo de 2 níveis, incluindo os fatores: tempo (10 s) e temperatura de pirólise (600 ºC), temperatura de atomização (1300 ºC) e massa de modificador (15 µg). Sob as condições otimizadas, foi encontrada uma massa característica de 0,7 pg, limite de detecção e quantificação de 0,030 e 0,100 µg L-1, respectivamente, para um volume de amostra de 20 µL. A precisão foi de 0,30, 0,37 e 0,49% (RSD) para amostras de vinho com concentrações de 1,286, 0,266 e 0.356 µg L-1, respectivamente. A exatidão da metodologia de determinação direta empregando ET AAS foi avaliada por comparação usando um método de digestão ácida e determinação também por ET AAS para cinco amostras de vinho. O método foi aplicado para determinação de cádmio em 30 amostras de vinhos brasileiros. A concentração de cádmio variou de 0,146 a 1,563 µg L-1, cujos valores estão abaixo do nível máximo permitido pela Organização Internacional de Vinha e Vinho (OIV) e pela legislação brasileira, 10 µg L-1.788794Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES

Speech Perception Changes in the Acoustically Aided, Nonimplanted Ear after Cochlear Implantation: A Multicenter Study

In recent years there has been an increasing percentage of cochlear implant (CI) users who have usable residual hearing in the contralateral, nonimplanted ear, typically aided by acoustic amplification. This raises the issue of the extent to which the signal presented through the cochlear implant may influence how listeners process information in the acoustically stimulated ear. This multicenter retrospective study examined pre- to postoperative changes in speech perception in the nonimplanted ear, the implanted ear, and both together. Results in the latter two conditions showed the expected increases, but speech perception in the nonimplanted ear showed a modest yet meaningful decrease that could not be completely explained by changes in unaided thresholds, hearing aid malfunction, or several other demographic variables. Decreases in speech perception in the nonimplanted ear were more likely in individuals who had better levels of speech perception in the implanted ear, and in those who had better speech perception in the implanted than in the nonimplanted ear. This raises the possibility that, in some cases, bimodal listeners may rely on the higher quality signal provided by the implant and may disregard or even neglect the input provided by the nonimplanted ear