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Angiotensin Ⅱ-derived reactive oxygen species underpinning the processing of the cardiovascular reflexes in the medulla oblongata

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Neuroscience Bulletin 2011年第4期27卷 269-274页

作者： valdir a.braga Eduardo Colombari Mariana G.Jovita 坎皮纳联邦大学制药技术实验室圣保罗州立大学生理学与病理学系

The brainstem is a major site in the central nervous system involved in the processing of the cardiovascular reflexes such as the baroreflex and the peripheral chemoreflex. The nucleus tractus solitarius and the rostral ventrolateral medulla are 2 important brainstem nuclei, and they play pivotal roles in autonomic cardiovascular regulation. Angiotensin II is one of the neurotransmitters involved in the processing of the known that one of the mechanisms by which angiotensin II exerts cardiovascular reflexes within the brainstem. It is well- its effect is via the activation of pathways that generate reactive oxygen species （ROS）. In the central nervous system, ROS are reported to be involved in several pathological dis- eases such as hypertension, heart failure and sleep apnea. However, little is known about the role of ROS in the processing of the cardiovascular reflexes within the brainstem. The present review mainly discussed some recent findings documenting a role for ROS in the processing of the baroreflex and the peripheral chemoreflex in the brainstem.

关键词： angiotensin Ⅱ superoxide, rostral ventrolateral medulla nucleus tractus solitarius baroreflex peripheralchemoreflex

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Risk Factors Associated with Acinetobacter baumannii Infections in Patients in an Intensive Care Unit of a Public Hospital in Paraná

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Advances in Infectious Diseases 2022年第1期12卷 90-105页

作者： Mirian Carla Bortolamedi da Silva Maria Helena Brandeleiro Werlang valdir Spada Júnior Guilherme Welter Wendt Ana Paula Vieira Franciele Ani Caovilla Follador Léia Carolina Lucio Cleide Viviane Busanello Martins Kérley braga Pereira Bento Casaril Paulo Cezar Nunes Fortes Lirane Elize Defante Ferreto Post-Graduante Program Health Sciences University of Wester Paraná (UNIOESTE) Francisco Beltr&#227 o Brazil State of the Health of Paraná (SESA-PR) Francisco Beltr&#227 o Brazil

To identify risk factors for A. baumannii infection in patients hospitalized in an Intensive Care Unit (ICU) of a tertiary public hospital in Paraná, Brazil, a retrospective paired case-control study (ratio 1:2) was conducted from January 2018 to December 2020. Patients in the case group were hospitalized in the ICU with A. baumanni (n = 68 cases) and were compared with patients in the control group, without infection by A. baumannii (n = 136). Both were matched by age (±10 years), sex, and ICU stay (±5 days). Conditional multiple logistic regression was used to determine statistically significant risk factors based on the results of bivariate analyses. Mortality was higher in infected (cases) than in non-infected patients (51.5% vs. 39.7%). The incidence and bacterial resistance increased annually. At bivariate analysis, cases had longer hospital stays (median 35 vs. 22 days, p A. baumannii and antimicrobial resistance. There is need for surveillance, and constant evaluation of control actions. Risk factors were colonization, previous hospitalization, and hospitalization time. This is essential for the decision-making of professionals and optimization of prevention, control, and therapeutic management actions.

关键词： Acinetobacter baumannii Risk-Factors Infection Intensive Care

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