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Inflammatory bowel disease in an underdeveloped region of Northeastern Brazil

World Journal of Gastroenterology 2015年第4期21卷 1197-1206页

作者： José miguel Luz parente Claudio Saddy Rodrigues Coy Viriato Campelo mírian perpétua palha dias parente Leonardo Araújo Costa Renata mendes da Silva Celso Stephan José murilo Robilotta Zeitune Center for Health Sciences Federal University of Piaui (Universidade Federal do Piauí - UFPI)TeresinaPiauí 64049-550Brazil Department of Surgery School of Medical SciencesState University of Campinas (Universidade Estadual de Campinas)CampinasS?o Paulo 13083-970Brazil Center of Health Sciences State University of Piaui (Universidade Estadual do Piauí - UESPI)TeresinaPiauí 64001-280Brazil Federal University of Piaui (Universidade Federal do Piauí - UFPI) TeresinaPiauí 64049-550Brazil Department of Public Health School of Medical SciencesState University of Campinas (Universidade Estadual de Campinas - Unicamp)CampinasS?o Paulo 13083-970Brazil Department of Internal medicine School of Medical SciencesState University of Campinas (Universidade Estadual de Campinas - Unicamp)CampinasS?o Paulo 13083-970Brazil

AIm: To evaluate the demographic characteristics and clinical phenotypes of inflammatory bowel disease(IBD) in a geographic area in Northeastern ***: This retrospective study was conducted at the Hospital of the Federal University of Piauí in Northeastern Brazil. Demographic characteristics and clinical phenotypes of IBD were analyzed in relation to the time of diagnostic confirmation, which was defined as the date of disease onset. Data were collected between January 2011 and December 2012 and included all census patients 18 years of age or older during that period for whom there was diagnostic confirmation of Crohn's disease(CD), ulcerative colitis(UC), or unclassified colitis according to the montreal criteria. We also analyzed the period of time between the onset of clinical manifestations and the diagnosis of IBD(delay in the diagnosis). Statistical analyses included means and standard deviations for numeric variables and the Pearson χ2 adherence test for nominal variables. The annual index occurrence and overall prevalence of IBD at our institution were also calculated, with P values mographic characteristics of all patients with IBD showed a female to male ratio of 1.3:1.0 and a mean age of35.2(SD = 14.5) years. In addition, the majority of patients were miscegenated(171, 67.9%), had received higher education(157, 62.4%), lived in urban areas(217, 86.1%), and were under the age of 40 years(97, 62.5%). For patients with CD, according to the montreal classification, the predominant features present from the onset of disease were an age between 17 and 40 years(A2); colonic disease location(L2); and nonstricturing, nonfistulizing disease behavior(B1). However, approximately one-quarter of all CD patie

关键词： Inflammatory bowel diseases Crohn’s disease Ulcera

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Real-world disease activity and sociodemographic,clinical and treatment characteristics of moderate-to-severe inflammatory bowel disease in Brazil

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World Journal of Gastroenterology 2021年第2期27卷 208-223页

作者： Cyrla Zaltman Rogério Serafim Parra Ligia Yukie Sassaki Genoile Oliveira Santana maria de Lourdes Abreu Ferrari Sender J miszputen Heda m B S Amarante Roberto Luiz Kaiser Junior Cristina Flores Wilson R Catapani Josémiguel Luz parente mauro Bafutto Odery Ramos Carolina D Gonçalves Isabella miranda Guimaraes Jose J R da Rocha marley R Feitosa Omar Feres Rogerio Saad-Hossne Francisco Guilherme Cancela Penna Pedro Ferrari Sales Cunha Tarcia NF Gomes Rodrigo Bremer Nones mikaell Alexandre Gouvea Faria mírian perpétua palha dias parente António S Scotton Rosana Fusaro Caratin Juliana Senra Júlio maria Chebli Department of Internal medicine Federal University of Rio de JaneiroRio de Janeiro 21941-913Brazil Department of Surgery and Anatomy Ribeirão Preto Medical SchoolUniversity of São PauloRibeirao Preto 14049-900São PauloBrazil Department of Internal medicine São Paulo State University(UNESP)Medical SchoolBotucatu 18618-687São PauloBrazil IBD Unit Federal University of BahiaSalvador 41150-000BahiaBrazil Department of Clinical medicine Medical SchoolUniversidade Federal de Minas GeraisBelo Horizonte 30130-100Minas GeraisBrazil Department of Gastroenterology Escola Paulista de MedicinaSão Paulo 04023-900Brazil Hospital de Clinicas Universidade Federal do ParanaCuritiba 80060-900ParanaBrazil Department of Proctology Beneficencia Portuguesa Hospital/Kaiser Day HospitalSao Jose do Rio Preto 15015110São PauloBrazil Department of Gastroenterology and Hepatology Sciences Hospital de ClínicasUniversidade Federal do Rio Grande do SulPorto Alegre 90560002Rio Grande do SulBrazil Department of Gastroenterology Faculdade de Medicina do ABCSanto Andre 09060-870São PauloBrazil Department of General medicine Gastroenterology UnitUniversity HospitalFederal University of PiauiTeresina 64049-550PiauíBrazil Department of Gastroenterology Faculdade de MedicinaUniversidade Federal de GoiásGoiania 74535-170GoiasBrazil Department of Surgery Botucatu Medical School at São Paulo State University(UNESP)Botucatu 18618687São PauloBrazil Department of Gastroenterology UNIFESPSão Paulo 04040-002Brazil IBD unit Gastroenterology DepartmentHospital Nossa Senhora das GraçasCuritiba 80810-040ParanaBrazil Department of Proctology Kaiser Hospital DiaSao Jose do Rio Preto 15015-110São PauloBrazil Health Sciences Center Epidemiology UnitState University of PiauiTeresina 64001-280PiauíBrazil Department of Gastroenterology CMIP Centro Mineiro de PesquisaJuiz de Fora 36010-570Minas GeraisBrazil Scientific Affairs Takeda Pharmaceuticals BrazilSão Paulo 04709-011Brazil Clinical Research Takeda Pharma

BACKGROUND Understanding the treatment landscape of inflammatory bowel diseases(IBD)is essential for improving disease management and patient *** is the largest Latin American country,and it presents socioeconomic and health care differences across its geographical *** country has the highest increase in IBD incidence and prevalence in Latin America,but information about the clinical and treatment characteristics of IBD is *** To describe the sociodemographic,clinical,and treatment characteristics of IBD outpatients in Brazil overall and in the Southeast,South and Northeast/midwest *** multicenter,cross-sectional study with a 3-year retrospective chart review *** with moderate-to-severe Crohn’s disease(CD)or ulcerative colitis(UC)were consecutively enrolled between October 2016 and February *** CD at enrollment was defined as a Harvey Bradshaw Index≥8 or a CD Activity Index≥220 or a calprotectin level>200μg/g or an active result based on colonoscopy suggestive of inadequate control during the previous year;active UC was defined as a partial mayo score≥*** statistics were used to analyze all *** In a total of 407 included patients,CD was more frequent than UC,both overall(264 CD/143 UC patients)and by region(CD:UC ratios of 2.1 in the Southeast,1.6 in the South and 1.2 in the Northeast/midwest).The majority of patients were female(54.2%of CD;56.6%of UC),and the mean ages were 45.9±13.8 years(CD)and 42.9±13.0 years(UC).The median disease duration was 10.0(range:0.5-45)years for both IBD *** enrollment,44.7%[95%confidence interval(CI):38.7-50.7]of CD patients and 25.2%(95%CI:18.1-32.3)of UC patients presented with active *** than 95%of IBD patients were receiving treatment at enrollment;CD patients were commonly treated with biologics(71.6%)and immunosuppressors(67.4%),and UC patients were commonly treated with mesalazine[5-Aminosalicylic acid(5-ASA)]derivates(69.9%)and

关键词： Inflammatory bowel disease Crohn's disease Ulcerative colitis Disease activity Epidemiology Treatment

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Brazilian maize Landraces Silks as Source of Lutein: An Important Carotenoid in the Prevention of Age-Related macular Degeneration

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Food and Nutrition Sciences 2012年第11期3卷 1609-1614页

作者： Shirley Kuhnen Paulo Fernando dias Juliana Bernardi Ogliari marcelo maraschin Biochemistry and Animal morphophysiology Laboratory Departament of Zootechny and Rural Development CCA Federal University of Santa Catarina (UFSC) Florianopolis-SC Brazil Laboratory of Studies in Bioactivity and Animal morphogenesis Departament of Cell Biology Embriology and Genetics CCB Block-D Federal University of Santa Catarina (UFSC) Florianopolis-SC Brazil Plant morphogenesis and Biochemistry Laboratory CCA Federal University of Santa Catarina (UFSC) Florianopolis-SC Brazil. Studying Group in Agricultural Biodiversity Departament of Phytotechny CCA Federal University of Santa Catarina (UFSC) Florianopolis-SC Brazil

The carotenoid composition of the silk tissue of Zea mays (L.) has not been investigated despite its large occurrence in maize grains. For the purpose of evaluating maize silk as a source of carotenoids, samples from eight landraces developed and cultivated in Southern Brazil were assayed. The silk samples were harvested from individual plants through the fourth and seventh day after they emerged, frozen in liquid N2, and lyophilized. The carotenoids were extracted with a meOH/toluene solution (1:1, v/v), 30 min, and saponified (15% KOH, 12 h, 40℃). The RP-HPLC-UV-visible analysis revealed lutein as the main carotenoid (88.75%) in maize silks, with a wide range of contents (dry weight), i.e. 39.11 ?g?g-1 (palha Roxa 18) to 176.12 ?g?g-1 (Língua de Papagaio) among the studied genotypes. Smaller amounts of trans-β-carotene, α-carotene, and zeaxanthin were also detected. The results revealed that in parallel to the claimed high genetic variability of maize landraces, a quite variable carotenoidic composition of silk tissue seems to occur in the germoplasm cultivated in Southern Brazil. Taking into account the usage of lutein for the prevention of several pathologies, especially the age related macular degeneration, some maize landraces (e.g. Língua de Papagaio and Rosado) might be interesting sources of a lutein-rich extract that could add value to an underutilized biomass.

关键词： Lutein maize Landraces Silks

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