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Active tuberculosis in inflammatory bowel disease patients under treatment from an endemic area in Latin America

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World Journal of Gastroenterology 2020年第44期26卷 6993-7004页

作者： Flora Maria Lorenzo Fortes Ney Boa Sorte Victor D Mariano Laila D Andrade Fernanda A Oliveira Monique CA santos Claudia Ivanilda N dos santos Catharina A Passos Mila P Pacheco Valdiana C Surlo Neogelia P de almeida Jaciane AM Fontes Andrea M Pimentel Raquel Rocha Genoile Oliveira santana Pharmaceutical Sciences Pos-graduation Program State University of BahiaSalvadorBA 40460-120Brazil Outpatient Gastroenterology Unit General Hospital Roberto SantosSalvadorBA 40286-901Brazil Life Sciences department State University of BahiaSalvadorBA 41150-000Brazil department of Medicine FTC UniversitySalvadorBA 41741-590Brazil department of Sciences of Nutrition School of NutritionFederal University of BahiaSalvadorBA 41701-035Brazil

BACKGROUND There has been an increase in cases of inflammatory bowel disease(IBD)in recent *** is also greater access and availability of immunosuppressive and biological agents,which increase the risk of opportunistic infection despite improving the quality of life and promoting mucosal ***(TB)remains a public health problem,and it has a high incidence in several ***,knowledge of the risk of developing TB in patients with IBD is *** To evaluate the risk of active TB in patients with IBD under treatment from an endemic area in Latin *** A standard questionnaire included demographic variables,clinical aspects of IBD disease,history of active TB during treatment,active TB characteristics and evolution,initial screening and results and time from the start of anti-tumor necrosis factor alpha(TNFα)to TB *** Azathioprine,anti-TNFα and the combination of these two drugs were associated with a higher risk of active TB *** TNFα blockers increased the relative risk of developing active TB compared to other *** four multivariable models showed that the use of TNFα blockers alone or in combination with azathioprine was an important risk factor for the incidence of active *** adjustment for sex,age,type of IBD and latent TB,anti-TNFα with azathioprine increased the relative risk to 17.8 times more than conventional *** TB,which was diagnosed 3 mo after the start of anti-TNFα,was the most *** Treatment with anti-TNFα increased the risk of active TB in IBD patients from an endemic area in Latin *** risk was increased when anti-TNFα was combined with *** time from the beginning of the treatment to the active TB diagnosis suggests a new TB infection.

关键词： Inflammatory bowel disease Therapy Tumor necrosis factor alpha Relative risk Tuberculosis Latent tuberculosis

Crohn's disease in one mixed-race population in Brazil

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World Journal of Gastroenterology 2007年第33期13卷 4489-4492页

作者： Genoile Oliveira santana Luiz Guilherme Costa Lyra Tamara Celi almeida santana Lidiane Bianca dos Reis Jorge Carvalho Guedes Maria Betania Toralles André Castro Lyra Gastrohepatology Unit Federal University of Bahia Brazil Gastrohepatology Unit Hospital San Rafael BahiaBrazil Gastrohepatology Unit Federal University of Bahia Brazil Department of Medicine Federal University of Bahia Brazil Gastrohepatology Unit Hospital San Rafael BahiaBrazil department of Medicine Federal University of Bahia Brazil Gastrohepatology Unit Federal University of Bahia Brazil Department of Medicine Federal University of Bahia Brazil Genetic Unit Federal University of Bahia Brazil

AIM： To evaluate the classification and severity of Crohn＇s disease in different racial groups. METHODS： Patients with Crohn＇s disease from the outpatient clinic of the University Hospital Prof. Edgard santos were enrolled in the study. This hospital is a reference centre for inflammatory bowel disease. Race was determined using self-identification. The Vienna＇s classification was applied for all subjects. The severity of Crohn＇s disease was determined according to the number of surgical procedures, hospital admissions in the last year and treatment with steroids and immunosuppressors. Statistical analysis was calculated using t test for means,χ^2 or F for proportions. A P value 〈 0.05 was considered to be significant. RESULTS： Sixty-five patients were enrolled. Non-white patients were more frequently diagnosed with Crohn＇s disease in the age less than 40 years than white patients. The behaviour of disease was similar in both groups with a high frequency of the penetrating form. There was a tendency for non-white patients to have a greater frequency of hospital admissions in the last year compared to white subjects. Non-whites also had a higher rate of colonic and upper gastrointestinal involvement, and were also more frequently on treatment with immunossupressors than white patients although this difference was not statistically significant. CONCLUSION： Non-white patients with Crohn＇s disease had an earlier diagnosis and appeared to have had a more severe disease Dresentation than white patients.

关键词： Racial group Brazil Race Inflammatory bowel disease Crohn's disease

Thalidomide induces mucosal healing in Crohn's disease: Case report

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World Journal of Gastroenterology 2011年第45期17卷 5028-5031页

作者： Márcio Rios Leite Sandra Sousa santos André Castro Lyra Jaciane Mota Genoile Oliveira santana department of Gastroenterology Prof. Edgard Santos University Hospital Federal University of Bahia Salvador department of Gastrohepatology So Rafael Hospital Monte Tabor Foundation So Marcos Avenue

Crohn's disease is a chronic inflammatory disorder of the gastrointestinal tract that is defi ned by relapsing and remitting episodes. Tumor necrosis factor alpha (TNF-α) appears to play a central role in the pathophysiology of the disease. Standard therapies for inflammatory bowel disease fail to induce remission in about 30% of patients. Biological therapies have been associated with an increased incidence of infections, especially infection by Mycobacterium tuberculosis (Mtb). Thalidomide is an oral immunomodulatory agent with anti-TNF-α properties. Recent studies have suggested that thalidomide is effective in refractory luminal and fistulizing Crohn's disease. Thalidomide costimulates T lymphocytes, with greater effect on CD8+ than on CD4+ T cells, which contributes to the protective immune response to Mtb infection. We present a case of Crohn's disease with gastric, ileal, colon and rectum involvement as well as steroid dependency, which progressed with loss of response to infliximabafter three years of therapy. The thorax computed tomography scan demonstrated a pulmonary nodule suspected to be Mtb infection. The patient was started on thalidomide therapy and exhibited an excellent response.

关键词： Anti-tumor necrosis factor alpha Crohn’s disease Mucosal healing Mycobacterium tuberculosis Thalidomide

Spouting behavior of binary particle mixtures of different densities: Fluid dynamics and particle segregation

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Particuology 2019年第1期17卷 58-66页

作者： K.G. santos R.C. santana D.L. Souza V.V. Murata M.A.S. Barrozo Federal University ofTriangulo Mineiro Chemical Engineering DepartmentUniverdecidade CampusUberabaMGBrazil Federal University of Uberlandia Chemical Engineering SchoolUberlandiaMG. Brazil

Numerous industrial applications of spouted beds involve a mixture of granular particles, where differences in particle size, density, and shape can cause particle segregation, affecting the quality of flow and decreasing product homogeneity. The aim of this study was to investigate the particle segregation and fluid dynamics of a conical spouted bed operating with a binary mixture of particles of different densities. Using glass beads and polyethylene particles with a diameter of 4 mm, we determined the effects of the mass fraction of denser particles and static bed height on the minimum spouting condition and mixture index. The pressure drop and airflow in the minimum spouting condition increased with an increase in bed height or jetsam concentration. Regarding particle segregation, the jetsam particles tended to concentrate near the bottom, at the spout–annulus interface because they have a shorter trajectory than the lighter particles in the fountain region. Jetsam-rich mixtures with high initial static bed heights exhibited more efficient particle mixing, excluding those at the bottom of the bed.

关键词： density Segregation Spouted bed Binary mixtures

Influence of nutritional status in the postoperative period of patients with inflammatory bowel disease

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World Journal of Gastrointestinal Pharmacology and Therapeutics 2021年第5期12卷 90-99页

作者： Raquel Rocha Geisa de J santos Genoile santana department of Sciences of Nutrition School of NutritionFederal University of BahiaSalvador 40110-150BahiaBrazil department of Life Sciences State University of BahiaSalvador 40110060BahiaBrazil

Inflammatory bowel diseases(IBDs)are a group of chronic inflammatory diseases that affect the gastrointestinal tract,including Crohn's disease(CD)and ulcerative *** is a treatment option,and more than half of the patients with CD will undergo surgical interventions over the course of the *** complications are common in IBD patients,the most frequent being intraabdominal sepsis,infection of the surgical site,and adynamic ileum,and nutritional status is a factor that can influence postoperative *** studies have shown that malnutrition,obesity,sarcopenia,and myosteatosis are predictors of surgical ***,most were retrospective studies with small patient samples and heterogeneity of clinical and nutritional assessment methods,which limit the extrapolation of ***,knowing the pathophysiological mechanisms of IBD and identifying the best parameters for assessing nutritional status are essential for prompt implementation of adequate nutritional interventions.

关键词： Inflammatory bowel diseases Crohn disease Ulcerative colitis Nutritional status Postoperative complications Surgery

Immune response modulation in inflammatory bowel diseases by Helicobacter pylori infection

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World Journal of Gastroenterology 2023年第30期29卷 4604-4615页

作者： gabriella Feilstrecker Balani Mariana dos santos Cortez Jayme Euclydes Picasky da Silveira Freitas Fabrício Freire de Melo Ana Carla Zarpelon-Schutz Kádima Nayara Teixeira Campus Toledo Universidade Federal do ParanáToledo 85.919-899ParanáBrazil Campus Anísio Teixeira Universidade Federal da BahiaInstituto Multidisciplinar em SaúdeVitória da Conquista 45.029-094BahiaBrazil Programa de Pós-graduação em Biotecnologia-Setor Palotina Universidade Federal do ParanáPalotina 85.950-000ParanáBrazil Programa Multicêntrico de Pós-graduação em Bioquímica e Biologia Molecular-Setor Palotina Universidade Federal do ParanáPalotina 85.950-000ParanáBrazil

Many studies point to an association between Helicobacter pylori(***)infection and inflammatory bowel diseases(IBD).Although controversial,this association indicates that the presence of the bacterium somehow affects the course of *** appears that *** infection influences IBD through changes in the diversity of the gut microbiota,and hence in local chemical characteristics,and alteration in the pattern of gut immune *** gut immune response appears to be modulated by *** infection towards a less aggressive inflammatory response and the establishment of a targeted response to tissue ***,a T helper 2(Th2)/macrophage M2 response is stimulated,while the Th1/macrophage M1 response is *** immunomodulation appears to be associated with intrinsic factors of the bacteria,such as virulence factors-such oncogenic protein cytotoxin-associated antigen A,proteins such *** neutrophil-activating protein,but also with microenvironmental changes that favor permanence of *** in the *** changes include the increase of gastric mucosal pH by urease activity,and suppression of the stomach immune response promoted by evasion mechanisms of the ***,there is a causal relationship between *** infection and components of the innate immunity such as the NLR family pyrin domain containing 3 inflammasome that directs IBD toward a better prognosis.

关键词： Cytotoxin-associated antigen A oncoprotein Gut microbiota Helicobacter pylori Helicobacter pylori neutrophilactivating protein Immunological modulation Inflammatory bowel disease NLR family pyrin domain containing 3 inflammasome

Association of Helicobacter pylori infection and giardiasis: Results from a study of surrogate markers for fecal exposure among children

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World Journal of Gastroenterology 2005年第18期11卷 2759-2763页

作者： Edson Duarte Moreira Jr Victor Bastos Nassri Rafaela Sousa santos Junísia Ferraz Matos Wilson Andrade de Carvalho Célia Stolve Silvani Círia santana e Sant'Ana Núcleo de Apoio à Pesquisa Fundac■o Irm■ Dulce Salvador Bahia Brazil Centro de Pesquisas Goncalo Moniz Fundac■o Oswaldo Cruz Salvador Bahia Brazil Diretoria Científica e Laboratório do Hospital S■o Rafael Salvador Bahia Brazil Núcleo de Apoio à Pesquisa Fundac■o Irm■Dulce Salvador Bahia Brazil Centro de Pesquisas Goncalo Moniz Fundac■o Oswaldo Cruz Salvador Bahia Brazil Diretoria Científica e Laboratório do Hospital S■o Rafael Salvador Bahia Brazil Diretoria Científica e Laboratório do Hospital S■o Rafael Salvador Bahia Brazil Diretoria Científica e Laboratório do Hospital S(?)o Rafael Salvador Bahia Brazil Núcleo de Apoio à Pesquisa Fundac(?)o Irm(?) Dulce Salvador Bahia Brazil

AIM: To investigate whether Helicobacter pylori (H pylori) infection is associated with hepatitis A virus (HAV) infection, presence of enteroparasites, and other surrogates of fecal exposure. METHODS: We conducted a cross-sectional study in 121 children consecutively admitted at a pediatric hospital in Salvador, Brazil. H pyloriand HAV infection were identified by the presence of serum antibodies. Stool specimens were examined for the presence of ova and parasites. A structured questionnaire inquiring about sanitary conditions and life style was applied to each subject. RESULTS: Fifty-one of the 121 children (42.1%) were found to be seropositive for H pylori, and 45 (37.2%) for HAV. The seroprevalence of Hpyloriand HAV both increased significantly with age. Cross-tabulation of data showed that 26 (21.5%) were seropositive and 51 (42.1%) were negative for both H py/lriand HAV antibodies (x^2=7.18, OR=2.8, CI 1.30-5.97). The age adjusted OR for an HAV-infected child being H pylori positive was 2.3 (CI 1.02-5.03). The agreement between H pylori and HAV seropositivity was fair (k=0.24). After controlling for possible confounding, the variables remaining independently associated with seropositivity to H pylori were age, presence of Giardia lamblia in feces (OR=3.2, 95%CI, 1.1-9.5) and poor garbage disposal quality (OR=2.4, 95%CI, 1.1-5.1). CONCLUSION: Our data suggest that H pylori infection is associated with surrogate markers of fecal exposure. Thus, we conclude that the fecal-oral route is relevant in the transmission of HP among children in an urban setting of a developing country. The association observed between G. lamblia and H pylori infection may have several explanations. Further studies to investigate this relationship are warranted.

关键词： H pylori Hepatitis A virus Epidemiology Transmission Enteroparasites Brazil

Effects of chemical sterilization of the culture media,porous membranes and luminosity on in vitro culture of Eucalyptus grandis×Eucalyptus urophylla

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Journal of Forestry Research 2021年第4期32卷 1587-1598页

作者： Letícia Vaz Molinari denys Matheus santana Costa Souza Maria Lopes Martins Avelar Sérgio Bruno Fernandes Douglas santos Gonçalves Júlio Cézar Tannure Faria Dulcineia de Carvalho Gilvano Ebling Brondani department of Forestry Sciences Federal University of LavrasLavrasMinas GeraisBrazil

Hybrid combinations of Eucalyptus have increased due to expansion of plantations into unconventional areas and to the search for higher quality ***,most of these species have difficulties surviving in vitro *** chlorine and sealing systems are often used to reduce contamination and increase gas *** aim of the present study is to evaluate the establishment,multiplication,elongation and adventitious rooting of *** × *** clones(C1 and C2) and four active chlorine concentrations(0.000%,0.001%,0.003%,and 0.005%) were tested in the establishment and multiplication *** sealing forms(W/M,1/M and 3/M) and the same four active chlorine concentrations were applied to the elongation *** luminosities(dark and light)and three sealings(W/M,1/M and 3/M) were tested during adventitious *** chlorine concentration of0.005% led to the lowest fungal contamination rate and to the highest in vitro *** chlorine concentration of 0.003% resulted in the greatest length and highest number of shoots per explant in the multiplication *** were no phytotoxicity problems and the quality of plants grown in an environment with active chlorine was maintained in comparison with those grown in an *** increase in gas exchange in ventilation systems had a positive impact on the in vitro growth and development of plants.

关键词： Asepsis Cloning Gas exchange In vitro propagation

Soil Attributes and Production of Eucalyptus in Monoculture and Silvopastoral Systems in the North of Minas Gerais, Brazil

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Journal of Agricultural Science and Technology(B) 2016年第6期6卷 361-370页

作者： Pedro Henrique Lopes santana Leidivan almeida Frazao Leonardo David Tuffi santos Luiz Amaldo Femandes Regynaldo Arruda Sampaio Centro de Ciencias Agrarias e Engenharias Universidadade Federal do Espirito Santo Alegre Espirito Santo 29500000 Brazil Instituto de Ciencias Agrarias Universidade Federal de Minas Gerais Montes Claros Minas Gerais 39404547 Brazil

The objective of this study was to evaluate the chemical and physical attributes of soil, and the productivity of Eucalyptus cultivated in monoculture and silvopastoral systems. The experiment started in 2009 and evaluated the following four systems： native vegetation system （Cerrado）, a degraded pasture, a Eucalyptus urograndis monoculture （E. urophylla x E. grandis） and a silvopastoral system （E. urograndis combined with Brachiaria brizantha cv. ＂Marandu＂）. The experimental design used was completely randomized. In each system, four soil samples were collected from the 0-20 cm depth layer, and the chemical and physical attributes of the soil were evaluated. The diameters of all Eucalyptus trees at 1.30 m above the ground as well as the total height were measured. Subsequently, the trees dimensions were measured and their individual volumes obtained by applying the Smalian formula. The correlation between the parameters for Eucalyptus production and soil attributes was established using the Pearson＇s correlation coefficient method. The planting of Eucalyptus in monoculture and silvopastoral systems contributed to the improvement of the soil＇s chemical and physical attributes, which indicates the potential of these systems for recovery of degraded pastures. The silvopastoral system yielded the highest average volume of wood per tree （0.2228 m^3）, with a productivity of 111.4 m^3/ha. The Eucalyptus monoculture yielded 0.1895 m^3 per tree and 315.71 m^3/ha due to the higher density of the crop. The growth and productivity of Eucalyptus showed highly correlation with the soil attributes, thus suggesting that well-managed crops are an indicator of the soil quality recovery.

关键词： Diameter at breast weight forest-livestock integration system forest production soil quality.