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Epidemiology and Clinical Features of Mycobacterium avium Complex Pulmonary Disease in a Brazilian Amazon Cohort

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Advances in Microbiology 2024年第6期14卷 287-302页

作者： Jose Tadeu Colares Monteiro Adriana Rodrigues Barretto Ruan Seguin Azevedo Quaresma bianca Miranda Gouveia Ismari Perini Furlaneto Victória Menezes da Costa Yan Corrêa Rodrigues Layana Rufino Ribeiro Ricardo J. de Paula Souza e Guimarães Alex Brito Souza ana Roberta Fusco da Costa Karla Valéria Batista Lima Joao de Barros Barreto University Hospital Federal University of Par Belm Brazil Center for Biological and Health Sciences Ph.D. Program in Parasitic Biology in the Amazon Region (PPGBPA) State University of Par (UEPA) Belm Brazil Department of Medicine Centro Universitrio do Par CESUPA Belm Brazil Bacteriology and Mycology Section Evandro Chagas Institute (SABMI/IEC) Ministry of Health Ananindeua Brazil Geoprocessing Laboratory Evandro Chagas Institute/SVSA/MS Ananineua Brazil

The incidence of Mycobacterium avium complex pulmonary disease (MACPD) has been globally increasing. The present study aims to provide a comprehensive analysis of clinical characteristics and treatment response among patients in the Amazon region of Brazil and conduct a retrospective cohort study at a prominent referral hospital in the State of Par, Brazil, from 2012 to 2020. The M. avium group represented 58.9% of cases, followed by M. intracellulare (35.7%), M. colombiense (3.6%), and M. chimaera (1.8%). The majority of patients (73.2%) were female and with an average age of 63 years. Primary clinical manifestations included persistent cough and sputum production. The Charlson comorbidity index (CCI) averaged 2.47, with 36.3% of patients having a CCI score equal to higher than 3. Notably, over 70% of patients had received treatment for pulmonary tuberculosis before initiating treatment for MAC infection. The fibrocavitary radiologic form was the most prevalent (55.4%), frequently exhibiting a bilateral distribution (53.6%). Antimicrobial susceptibility revealed a significant prevalence of MAC resistance to drugs in the therapeutic regimen. Despite this, most of the patients experienced clinical improvement (50%). In conclusion, this study highlights a higher prevalence of MAC infections among middle-aged women, with a history of pulmonary tuberculosis treatment and presenting the fibrocavitary radiological form was predominant.

关键词： MACDP Nontuberculous Mycobacteria Mycobacterium avium Lung Disease

The Role of States in Controlling the Obesity Epidemic, and a Personal Autonomy to Decide

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Open Journal of Endocrine and Metabolic Diseases 2017年第1期7卷 35-43页

作者： Priscila Rosa da Fonseca ana Maria Anjo Toloi Larissa bianca Paiva Cunha de Sá Alberto Krayyen Arbex Division of Endocrinology IPEMED Medical School S&atilde o Paulo Brazil Diabetology Department MalteserKrankenhaus St. Franziskus-Hospital Flensburg Germany PPGBIOS Funda&ccedil ã o Oswaldo Cruz Rio de Janeiro Brazil

Obesity has reached pandemic proportions in the world. Who is to blame for this: the person or the State (or both?). An increase in diseases associated with excess weight is also worldwide reported, such as Diabetes, Hypertension and some types of cancers. Therefore, the economic impacts of these comorbidities are an important issue to be discussed by States and citizens. Although the World Health Organization (WHO) has set and classified obesity as a disease more than 30 years ago, the American Medical Society was until recently (2010) not so sure about this definition. This article discusses the relevance of the implementation of public health policies for prevention and control of obesity, along with the possible ethical limitations to these actions, considering the autonomy of individuals regarding their health.

关键词： Obesity Comorbidities Public Health Policies Autonomy of the Citizen

Seed Germination and Production of Erythrina mulungu and Erythrina velutina Plantlets

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American Journal of Plant Sciences 2014年第5期5卷 535-540页

作者： ana Maria Soares Pereira Verena Trevizani Alves Souza Juliana da Silva Coppede Suzelei de Castro Franca bianca Waléria Bertoni ana Valéria Vieira de Souza Department of Biotechnology University of Ribeirao PretoRibeirão PretoBrazil Embrapa Semiárido Centro de Pesquisa Agropecuaria do Tropico Semi-AridoPetrolinaBrazil

Species of the genus Erythrina are frequently used as ornamental plants and in projects to restore degraded areas. Also, extracts from its shoots and stems are popularly used as a herbal medicine with validated activity on the central nervous system. The objective of this study was to evaluate E. mulungu and E. velutina seed germination and seedling development potential aiming commercial scale production of those species. Seeds stored for one or twelve months at 10°C ± 2°C were sown in sand, soil or Plantmax? substrates and evaluated for germination and seedling development. Subsequently, seedlings sprouted in Plantmax? were transferred to polyethylene bags and kept in greenhouse, under direct sunlight for plant development (plant height, stem diameter and root length pivoting) evaluations. Four-month-old plantlets were transplanted to the field and after a period of one year the collar diameter and shoot height (of each plant were measured. Seed germination rates of both species grown in soil and in Plantmax? were significantly high (over 80%). Storing seeds for 1 month did not inhibit germination. However, seeds stored for twelve months had germination reduced by more than a quarter. The development of plants in greenhouse and in the field was satisfactory, indicating the viability of producing E. mulungu and E. velutina on a commercial scale, in order to meet the expanding market demand for herbal medicines.

关键词： Medicinal Plants Herbal Medicines Cerrado Caatinga Rhizobium

Antimicrobial Activity and Rates of Tannins in Stryphnodendron adstringens *** Collected in the Brazilian Cerrado

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American Journal of Plant Sciences 2013年第11期4卷 2193-2198页

作者： Giovana Maria Lanchoti Fiori ana Lucia Fachin Valéria SCCorrea bianca Waleria Bertoni Silvana Giuliatti Saulo Franca Amui Suzelei de Castro Franca ana Maria Soares Pereira University of Ribeirao Preto—UNAERP Ribeirao PretoBrazil Reserve EcoCerrado Brazil AraxáBrazil Department of Genetics University of Sao Paulo—USPRibeirao PretoBrazil

Inner bark extracts of Stryphnodendron adstringens, a leguminous tree species known as Barbatimão, are often incorporated to phytotherapic formulations due to their antimicrobial and healing activities. In this study, extracts from S. adstringens accessions collected in 12 distinct locations were investigated in order to determine the rates of tannins in inner barks and to validate S. adstringens antibacterial and antifungal effectiveness. Yields of tannins were quantified by colorimetric assay following methodology described in the Brazilian Pharmacopoeia and the antimicrobial activity was determined by microdilution technique proposed by the National Committee for Clinical Laboratory Standards using S. adstringens hydroalcoholic and aqueous extracts and semi-purified fractions. Investigated extracts did not present significant antibacterial activity though aqueous extracts exhibited antifungal effect against both Trichophyton rubrum mutant and clinical strains (MIC 156 μg/mL). A positive correlation between tannin concentration and antifungal activity was observed and the accessions collected in Delfinópolis (MG) were considered elite.

关键词： Cerrado Barbatimao Genetic Diversity Phytoterapy

Flash microbiocide:A Rapid and Economic Method for Determination of MBC and MFC

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American Journal of Plant Sciences 2013年第4期4卷 850-852页

作者： Camila Hernandes Juliana da Silva Coppede bianca Waléria Bertoni Suzelei de Castro Franca ana Maria Soares Pereira Unity of Biotechnology University of Ribeirao PretoRibeirao PretoBrazil

Although nowadays there are methods for determining the Minimal Bactericidal Concentration and Minimal Fungicidal Concentration, it is indispensable that?the establishment of innovative methodologies?could be more practical and cheaper. The new methodology Flash microbiocide is an assay in which one aliquot from 96 well plate of Minimal Inhibitory Concentration test is transferred to another plate containing different culture medium. The correspondence with the reference methods described in the National Committee for Clinical Laboratory Standards (NCCLS-CLSI) document M26-A was achieved, denoting the efficiency of this fast and simple method.

关键词： Antimicrobial Activity Minimal Inhibitory Concentration Minimal Bactericidal Concentration Minimal Fungicidal Concentration Methodology

Dunnigan-Type Familial Partial Lipodystrophy: Understanding and Treating the Syndrome

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Open Journal of Endocrine and Metabolic Diseases 2017年第1期7卷 22-34页

作者： ana Raisa Jatahy Santos Sabrina Pinto Ferreira Moacir Benazzi Mara Capra Helen Paula Apparicio Medeiros ana Luísa de Jesus Mirella Hansen de Almeida Larissa bianca Paiva Cunha de Sá Alberto Krayyem Arbex Division of Endocrinology IPEMED Medical School Rio de Janeiro Brazil Porto Velho Garrison Hospital—HGuPV Porto Velho Brazil Division of Endocrinology Central Air Force Hospital Rio de Janeiro Brazil Diabetology Department Malteser Krankenhaus St. Franziskus-Hospital Flensburg Germany

Dunnigan-type partial lipodystrophy, which is characterized by a number of metabolic alterations, change in body fat distribution, and autosomal dominant inheritance pattern, is rare in the general population. Objective: To report the case of an adolescent with clinical and laboratory findings suggestive of Dunnigan-type partial lipodystrophy. Methods: Case report and literature review. Results: A 15-year-old adolescent presented at the clinic complaining of darkening of skin folds on her trunk and back. During physical examination, the presence of serious acanthosis nigricans in her cervical region, axillae, and intergluteal space was noted. Hirsutism in androgen-dependent areas was also observed, as well as relevant reduction of subcutaneous adipose tissue in the limbs, gluteal region, abdomen, and trunk and fat accumulation in the face and chin. Discussion. Dunnigan-type familial partial lipodystrophy is a rare dominant autosomal disease resulting from a heterozygous missense mutation in the LMNA gene, known as LPF type 2 (Dunnigan variant), which encodes the nuclear protein A/C-type lamin. It is characterized by the progressive disappearance of the subcutaneous adipose tissue in the limbs, gluteal region, abdomen, and trunk, with onset in puberty, followed by fat accumulation in other areas such as the face, chin, labia majora, and intra-abdominal region, leading to hypertrophy that may mimic the Cushing’s syndrome phenotype. Affected patients display marked insulin resistance and may consequently develop diabetes mellitus, acanthosis nigricans, hirsutism, and polycystic ovary syndrome. Conclusion: This case report highlights the importance of suspecting Dunnigan-type familial partial lipodystrophy in clinical practice. Early clinical diagnosis allows for measures that minimize the severe metabolic disorders associated with this disease and, consequently, these adolescents’ self-esteem issues.

关键词： Dunnigan-Type Familial Partial Lipodystrophy Insulin Resistance Heterozygous Mutation

Where to seek help? Barriers to beginning treatment during the first-episode psychosis

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International Journal of Nursing Sciences 2018年第3期5卷 249-254页

作者： Isabela dos Santos Martin bianca Cristina Ciccone Giacon Kelly Graziani Giacchero Vedana ana Carolina Guidorizzi Zanetti Lorena Fendrich Sueli Aparecida Frari Galera Department of Psychiatric Nursing and Human Sciences of University of Sao Paulo Ribeirao Preto College of NursingBrazil Federal University of Mato Grosso do Sul Brazil

Objective:As decreasing the duration of untreated psychosis has been highlighted as key indicator in relation to improved prognosis,this study aims to identify the access barriers to beginning early treatment of young people in first-episode psychosis(FEP),based on family reports on the experience of perceiving illness and ***:A qualitative research was carried out with 12 relatives of 12 young people passing through their first psychiatric hospital admission as a result of their *** interviews were used for data collection and thematic content method for data ***:Barriers to beginning treatment were lack of knowledge and difficulty in recognizing mental illness,lack of knowledge on where to seek specialized treatment,and stigma and resistance to psychiatric ***:It was demonstrated that the family members are protagonists in the search for treatment of young people in their FPE,given that the initiative for seeking treatment came from them.

关键词： Caregivers Family Mental health Psychiatry Psychotic disorders

In Vitro Propagation and Conservation of Zeyheria montana Mart:An Endangered Medicinal Plant

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American Journal of Plant Sciences 2013年第3期4卷 519-523页

作者： bianca Waléria Bertoni Rita Maria Moraes Laura Lemo Previdelli Paulo Sérgio Pereira Suzelei de Castro Franca ana Maria Soares Pereira UNAERP—Unidade de Biotecnologia de Plantas Medicinais Ribeirao PretoBrasil National Center for Natural Products Research The University of MississippiOxfordUSA

Roots of Zeyheriamontana, a species native to the savanna (Cerrado) region of central Brazil, produce lapachol, a naphthoquinone with anticancer activity. Lapachol is also the precursor of β-lapachone, a novel drug candidate for preventive and adjuvant cancer therapies. The leaves of Z. montana are a renewable source of ursolic acid and oleanoic acid, compounds known for their anticancer, antioxidant and antimicrobial properties. The potential prophylactic use of β-lapachone, as well as the medicinal properties of ursolic acid, highlights the importance of this study on ***’s germplasm conservation. Multiple shoots were induced on Woody Plant media with supplemented 0.1 mg·L-1 of thidiazuron (TDZ). Rooting was promoted on half strength WP (Woody Plant media containing 1.0 mg·L-1 of Indolbutiric acid-IBA). Plantlet acclimatization to ex-vitro condition was done at a 70% success rate using different substrates. It was possible to store ***’s elite germplasm using in vitro cultures of media containing 2% sucrose plus 4% sorbitol for six months without subcultures.

关键词： Cerrado Bignoniaceae Micropropagation Germplasm Storage Lapachol and Triterpenes

Screening Test for Antibiotics in Medicinal Plants(STAMP):Using Powdered Plant Materials Instead of Extracts

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American Journal of Plant Sciences 2013年第12期4卷 2340-2350页

作者： Marielle Cascaes Inácio Fabio Carmona Tiago Antunes Paz Maysa Furlan Fernando Arcanjo da Silva bianca Waléria Bertoni Suzelei de Castro Franca ana Maria Soares Pereira Departamento de Producao Vegetal Faculdade de Ciências AgronomicasUniversidade Estadual Paulista“Júlio de Mesquita Filho”BotucatuBrasil Departamento de Puericultura e Pediatria Faculdade de Medicina de Ribeirao PretoUniversidade de Sao PauloRibeirao PretoBrasil Departamento de Química Orgânica Instituto de QuímicaUniversidade Estadual Paulista“Júlio de Mesquita Filho”AraraquaraBrasil Unidade de Biotecnologia Universidade de Ribeirao PretoRibeirão PretoBrasil

Plants are a rich source of antibiotics, but screening all the existing plant species for biological activity using current methods can be time and resource consuming. The present study is to investigate whether powdered plant materials would perform as well as plant extracts in the screening of plants with antimicrobial activity. In the new method proposed (STAMP), we compared in vitro antimicrobial activity of powdered plant materials from 12 species against bacteria and fungi. We confirmed these results with their corresponding aqueous (wet) and hydro-alcoholic extracts and one species testing the antimicrobial activity of two isolated compounds. Compared with hydro-alcoholic extracts, screening using the powdered plant materials correctly identified the majority of the species with antimicrobial activity against Candida albicans (sensitivity 91%, specificity 86%), C. parapsilosis (sensitivity 100%, specificity 67%), and Staphylococcus aureus (sensitivity 64%, specificity 86%). For bacteria, the method performed better in a pH of 9.0. The antimicrobial activity of two compounds isolated from one species (maytenin and netzahualcoyone) confirmed the results. In conclusion, the use of powdered plant materials for screening plants with antimicrobial properties is a cheap, widely available, technically easy, time sparing, reproducible, and sensitive method and can significantly shorten the time and money spent during drug development.

关键词： Herbal Drug Botanical Drug Phytotherapics Natural Products