RESUMO
Health literacy (HL) is defined as a cognitive and social skill that determines the motivation and ability of individuals to understand and use information to promote and maintain proper health. Inadequate HL has been associated with worse outcomes in diabetes control, poor self-care, and higher hospitalization rates for some chronic diseases. We hypothesized that HL influences the prevalence of diabetic retinopathy (DR) among individuals with type 2 diabetes mellitus (T2DM) and that inadequate glycemic control would mediate this association. This was a cross-sectional study carried out with 288 participants of the "Brazilian Diabetes Study" cohort. Inclusion criteria were people diagnosed with T2DM aged between 40 and 70 years and ability to read and write. In the adequate HL group, DR was found in 16.5% of participants and in the inadequate HL group, it was found in 32.8% (P=0.0081). Individuals with inadequate HL had a higher risk of having DR, and this association was still statistically significant after adjusting for HbA1c, low-density lipoprotein cholesterol, systolic blood pressure, and diastolic blood pressure. In conclusion, HL is related to DR without the mediation of classical clinical variables.
Assuntos
Diabetes Mellitus Tipo 2 , Retinopatia Diabética , Letramento em Saúde , Humanos , Adulto , Pessoa de Meia-Idade , Idoso , Estudos Transversais , BrasilRESUMO
Health literacy (HL) is defined as a cognitive and social skill that determines the motivation and ability of individuals to understand and use information to promote and maintain proper health. Inadequate HL has been associated with worse outcomes in diabetes control, poor self-care, and higher hospitalization rates for some chronic diseases. We hypothesized that HL influences the prevalence of diabetic retinopathy (DR) among individuals with type 2 diabetes mellitus (T2DM) and that inadequate glycemic control would mediate this association. This was a cross-sectional study carried out with 288 participants of the "Brazilian Diabetes Study" cohort. Inclusion criteria were people diagnosed with T2DM aged between 40 and 70 years and ability to read and write. In the adequate HL group, DR was found in 16.5% of participants and in the inadequate HL group, it was found in 32.8% (P=0.0081). Individuals with inadequate HL had a higher risk of having DR, and this association was still statistically significant after adjusting for HbA1c, low-density lipoprotein cholesterol, systolic blood pressure, and diastolic blood pressure. In conclusion, HL is related to DR without the mediation of classical clinical variables.
RESUMO
Numerical models are an alternative to measurements of x-ray energy spectra when validated by comparative methods that assess the similarity of experimental and calculated spectra. In this work, we compared x-ray energy spectra using several methodologies and determined the methodology with highest statistical power among them. Experiments and Monte Carlo (MC) simulations were used to generate a set of 65 experimental and simulated x-ray mammography spectra pairs typically used in mammography applications. They were generated using Tungsten and Molybdenum targets and Molybdenum and Rhodium filters. The x-ray beams were transmitted through breast tissue equivalent material (bTEM) plates with different glandularities and thicknesses, and the transmitted beam was detected using solid-state x-ray spectrometry with a Cadmium Telluride (CdTe) diode. The MC simulations used the PENELOPE code. Additional uncertainties, beyond that from counting, were propagated using the MC method. Quantitative comparative methods based on the [Formula: see text] statistics, the first and second half-value layers, the mean energy, the effective energy, and the non-parametric u-test were applied and their specificity (true negative rate) was assessed. The polyenergetic normalized glandular dose (DgNp) to a 6 cm breast of 50/50 glandularity was derived from the spectra. In this work, the [Formula: see text] statistics attained the highest score; therefore, it is the most indicated metric for the x-ray energy spectra comparative evaluations. The contribution of the additional uncertainties was important, being responsible for up to 98% of the spectra total uncertainty and shifting the mean of the evaluated [Formula: see text] to 1.2(1), compatible with its expected value. The use of non-parametric test is discouraged by our results, since it failed to distinguish spectra pairs that resulted in up to 72% discrepant DgNp.
Assuntos
Compostos de Cádmio/química , Mamografia/instrumentação , Mamografia/métodos , Telúrio/química , Algoritmos , Simulação por Computador , Reações Falso-Positivas , Feminino , Humanos , Processamento de Imagem Assistida por Computador , Modelos Estatísticos , Modelos Teóricos , Molibdênio , Método de Monte Carlo , Distribuição Normal , Reprodutibilidade dos Testes , Ródio , Sensibilidade e Especificidade , Espectrofotometria , Tungstênio , Incerteza , Raios XAssuntos
Colo Sigmoide/patologia , Doenças do Colo/etiologia , Doenças do Colo/patologia , Neoplasias do Colo/complicações , Neoplasias do Colo/patologia , Intussuscepção/etiologia , Intussuscepção/patologia , Reto/patologia , Idoso de 80 Anos ou mais , Colonoscopia , Feminino , Humanos , Prolapso Retal/etiologia , Prolapso Retal/patologiaRESUMO
Hancornia speciosa Gomes (Apocynaceae) is a fruit tree, popularly known as mangabeira, and it is widely distributed throughout Brazil. Several parts of the plant are used in folk medicine, and the leaf and bark extracts have anti-inflammatory, antihypertensive, antidiabetic, and antimicrobial properties. In this study, we investigated the chemical composition of the ethanolic extract of Hancornia speciosa leaves (EEHS) and its antioxidant, antimicrobial, and cytotoxic activities as well as the mechanisms involved in cell death. The chemical compounds were identified by liquid chromatography coupled to mass spectrometry (LC-MS/MS). The antioxidant activity of the EEHS was investigated using the method that involves the scavenging of 2,2-diphenyl-1-picrylhydrazyl free radicals as well as the inhibition of oxidative hemolysis and lipid peroxidation induced by 2,2'-azobis (2-amidinopropane) in human erythrocytes. The antimicrobial activity was determined by calculating the minimum inhibitory concentration, minimum bactericidal concentration, minimum fungicidal concentration, and zone of inhibition. Kasumi-1 leukemic cells were used to assess the cytotoxic activity and mechanisms involved in cell death promoted by the EEHS. The chemical compounds identified were quinic acid, chlorogenic acid, catechin, rutin, isoquercitrin, kaempferol-rutinoside, and catechin-pentoside. The EEHS demonstrated antioxidant activity via the sequestration of free radicals, inhibition of hemolysis, and inhibition of lipid peroxidation in human erythrocytes incubated with an oxidizing agent. The antimicrobial activity was observed against American Type Culture Collection (ATCC) and hospital strains of bacteria and fungi, filamentous fungi and dermatophytes. The cytotoxic activity of the EEHS was induced by apoptosis, reduction of the mitochondrial membrane potential, and activation of cathepsins. Together, these results indicate the presence of phenolic compounds and flavonoids in the EEHS and that their antioxidant, antimicrobial, and cytotoxic activities in acute myeloid leukemia cells are mediated by apoptosis.
Assuntos
Anti-Infecciosos/farmacologia , Antioxidantes/farmacologia , Apocynaceae/química , Citotoxinas/farmacologia , Fenóis/farmacologia , Extratos Vegetais/farmacologia , Anti-Infecciosos/isolamento & purificação , Antioxidantes/isolamento & purificação , Compostos de Bifenilo/antagonistas & inibidores , Candida albicans/efeitos dos fármacos , Candida albicans/crescimento & desenvolvimento , Catequina/isolamento & purificação , Linhagem Celular Tumoral , Sobrevivência Celular/efeitos dos fármacos , Ácido Clorogênico/isolamento & purificação , Citotoxinas/isolamento & purificação , Eritrócitos/citologia , Eritrócitos/efeitos dos fármacos , Bactérias Gram-Negativas/efeitos dos fármacos , Bactérias Gram-Negativas/crescimento & desenvolvimento , Bactérias Gram-Positivas/efeitos dos fármacos , Bactérias Gram-Positivas/crescimento & desenvolvimento , Hemólise/efeitos dos fármacos , Humanos , Quempferóis/isolamento & purificação , Testes de Sensibilidade Microbiana , Fenóis/isolamento & purificação , Picratos/antagonistas & inibidores , Extratos Vegetais/química , Folhas de Planta/química , Quercetina/análogos & derivados , Quercetina/isolamento & purificação , Ácido Quínico/isolamento & purificação , Rutina/isolamento & purificaçãoRESUMO
BACKGROUND: Previous studies indicate a possible association between early emotional trauma (EET) and the development of anxiety disorders (ADs) in adult life. However, no previous studies have compiled the findings of such studies and analyzed their statistical significance. Therefore, the objective of this study was to conduct a systematic literature review and meta-analysis to determine possible associations between EET and three ADs (panic, generalized anxiety, and social anxiety disorders). METHODS: A systematic search was conducted in PubMed, PsycInfo, and Scielo with no publication date limitations. A total of 2127 studies were found, 32 studies of which were selected for the systematic review and 13 studies of which were selected for the meta-analysis. RESULTS: High prevalence rates of different EETs were observed among the individuals with ADs (median: 18%-45%). The results of the meta-analysis indicated that individuals with EETs were 1.9- to 3.6-fold more likely to develop ADs compared with a control group of healthy individuals. Emotional traumas were the main risk factor for social anxiety disorder. However, no specific associations were found for the other ADs. CONCLUSIONS: EET is a risk factor for ADs, underscoring the importance of preventive measures to combat the development of these disorders. Moreover, the identification of EETs among patients with ADs is essential for implementing remedial measures to minimize the impact and damage arising from this association by decreasing the risk and severity of symptoms and to improve the response rate to treatment of ADs.
Assuntos
Transtornos de Ansiedade , Trauma Psicológico , Adulto , Idade de Início , Transtornos de Ansiedade/epidemiologia , Transtornos de Ansiedade/etiologia , Transtornos de Ansiedade/psicologia , Criança , Humanos , Prevalência , Trauma Psicológico/complicações , Trauma Psicológico/epidemiologia , Psicopatologia , Fatores de Risco , Estresse Psicológico/psicologiaRESUMO
Avaliaram-se hambúrgueres de aparas de jacaré-do-pantanal (Caiman yacare) quanto à composição centesimal, cor e análise sensorial. O delineamento foi inteiramente ao acaso, em três tratamentos: T1= sem defumação; T2= defumação a quente e T3= defumação líquida, e nove repetições. As aparas foram moídas e condimentadas para o hambúrguer. Os hambúrgueres para defumação a quente foram colocados no defumador 60 min a 60ºC com gerador de fumaça por fricção. Foi pulverizada fumaça líquida, sobre os produtos (T3), e estes foram colocados em desidratador por 60 min a 60ºC. Houve diferença significativa quanto à composição centesimal entre os hambúrgueres defumados, T2 = 43,1% e T3 = 60,9%, e verificou-se menor teor de umidade em relação aos sem defumação, 73,3%. A proteína, 39,9%, e as cinzas, 6,1%, foram mais altas nos defumados a quente. Os hambúrgueres defumados a quente apresentaram menor luminosidade, 42,05, e maiores valores do croma a*, 14,65, e b*, 28,57, em relação aos demais tratamentos. As variáveis sensoriais foram significativas para sabor, textura e aceitação geral. Os produtos defumados a quente apresentaram a pior aceitação. Concluiu-se que a defumação a quente proporciona produtos com menor teor de umidade, com pigmentação mais intensa, porém menos aceitos pelos provadores.
Hamburgers made from minced meat of Pantanal caiman (Caiman yacare) were evaluated for their centesimal composition, color and sensory perception. The experiment was structured in a completely randomized design with three treatments (T1 = no smoke; T2 = smoked with hot smoke and T3 = smoked with liquid smoke), with nine repetitions each. The meat was minced and seasoned for the hamburgers. The hamburgers destined to hot smoking were placed in the smoker (60 min at 60ºC) with smoke generated through friction. The liquid smoke was sprayed in the samples (T3), next they were placed in dehydrators (60 min at 60ºC). There was a significant difference in centesimal composition, the smoked hamburgers (T2 = 43.1% and T3 = 60.9%) presenting significantly less moisture than non-smoked products (73.3%). Protein (39.9%) and ash (6.1%) were higher for the hot-smoked samples. The hot-smoked hamburgers had less luminosity (42.05) and higher values of chroma a* (14.65) and b* (28.57) than the other treatments. The sensorial parameters evaluated were significant for flavor, texture and general acceptance. The hot-smoked products had the worst acceptance. It was concluded that the hot smoke provided products with less moisture and higher pigmentation, but with less acceptance from the judges.
Assuntos
Animais , Carne/análise , Alimentos , Jacarés e CrocodilosRESUMO
Avaliaram-se hambúrgueres de aparas de jacaré-do-pantanal (Caiman yacare) quanto à composição centesimal, cor e análise sensorial. O delineamento foi inteiramente ao acaso, em três tratamentos: T1= sem defumação; T2= defumação a quente e T3= defumação líquida, e nove repetições. As aparas foram moídas e condimentadas para o hambúrguer. Os hambúrgueres para defumação a quente foram colocados no defumador 60 min a 60ºC com gerador de fumaça por fricção. Foi pulverizada fumaça líquida, sobre os produtos (T3), e estes foram colocados em desidratador por 60 min a 60ºC. Houve diferença significativa quanto à composição centesimal entre os hambúrgueres defumados, T2 = 43,1% e T3 = 60,9%, e verificou-se menor teor de umidade em relação aos sem defumação, 73,3%. A proteína, 39,9%, e as cinzas, 6,1%, foram mais altas nos defumados a quente. Os hambúrgueres defumados a quente apresentaram menor luminosidade, 42,05, e maiores valores do croma a*, 14,65, e b*, 28,57, em relação aos demais tratamentos. As variáveis sensoriais foram significativas para sabor, textura e aceitação geral. Os produtos defumados a quente apresentaram a pior aceitação. Concluiu-se que a defumação a quente proporciona produtos com menor teor de umidade, com pigmentação mais intensa, porém menos aceitos pelos provadores.(AU)
Hamburgers made from minced meat of Pantanal caiman (Caiman yacare) were evaluated for their centesimal composition, color and sensory perception. The experiment was structured in a completely randomized design with three treatments (T1 = no smoke; T2 = smoked with hot smoke and T3 = smoked with liquid smoke), with nine repetitions each. The meat was minced and seasoned for the hamburgers. The hamburgers destined to hot smoking were placed in the smoker (60 min at 60ºC) with smoke generated through friction. The liquid smoke was sprayed in the samples (T3), next they were placed in dehydrators (60 min at 60ºC). There was a significant difference in centesimal composition, the smoked hamburgers (T2 = 43.1% and T3 = 60.9%) presenting significantly less moisture than non-smoked products (73.3%). Protein (39.9%) and ash (6.1%) were higher for the hot-smoked samples. The hot-smoked hamburgers had less luminosity (42.05) and higher values of chroma a* (14.65) and b* (28.57) than the other treatments. The sensorial parameters evaluated were significant for flavor, texture and general acceptance. The hot-smoked products had the worst acceptance. It was concluded that the hot smoke provided products with less moisture and higher pigmentation, but with less acceptance from the judges.(AU)
Assuntos
Animais , Alimentos , Carne/análise , Jacarés e CrocodilosRESUMO
Cancer has become the leading cause of death in developing countries due to increased life expectancy of the population and changes in lifestyle. Studies on active principles of plant have motivated researchers to develop new antitumor agents that are specific and effective for treatment of neoplasms. Kaurane diterpenes are considered important compounds in the development of new and highly effective anticancer chemotherapeutic agents due to their cytotoxic properties in the induction of apoptosis. We evaluated the cytotoxic and apoptotic activity of the epimer of kaurenoic acid (EKA) isolated from the medicinal plant Croton antisyphiliticus (Euphorbiaceae) toward tumor cell lines HeLa and B-16 and normal fibroblasts 3T3. Based on analyses with the MTT test, EKA showed cytotoxic activity, with half maximal inhibitory concentration values of 59.41, 68.18 and 60.30 µg/mL for the B-16, HeLa and 3T3 cell lines, respectively. The assay for necrotic or apoptotic cells by differential staining showed induction of apoptosis in all three cell lines. We conclude that EKA is not selective between tumor and normal cell lines; the mechanism of action of EKA is induction of apoptosis, which is part of the innate mechanism of cell defense against neoplasia.
Assuntos
Antineoplásicos/toxicidade , Apoptose/efeitos dos fármacos , Croton/química , Diterpenos/toxicidade , Extratos Vegetais/toxicidade , Animais , Antineoplásicos/química , Linhagem Celular Tumoral , Diterpenos/química , Células HeLa , Humanos , Concentração Inibidora 50 , Melanoma Experimental , Camundongos , Células NIH 3T3 , Extratos Vegetais/químicaRESUMO
The objective of this study was to evaluate gastric emptying (GE) in pediatric patients with functional constipation. GE delay has been reported in adults with functional constipation. Gastric emptying studies were performed in 22 children with chronic constipation, fecal retention and fecal incontinence, while presenting fecal retention and after resuming regular bowel movements. Patients (18 boys, median age: 10 years; range: 7.2 to 12.7 years) were evaluated in a tertiary pediatric gastroenterology clinic. Gastric half-emptying time of water (reference range: 12 ± 3â min) was measured using a radionuclide technique immediately after first patient evaluation, when they presented fecal impaction (GE1), and when they achieved regular bowel movements (GE2), 12 ± 5 weeks after GE1. At study admission, 21 patients had reported dyspeptic symptoms, which were completely relieved after resuming regular bowel movements. Medians (and interquartile ranges) for GE1 and GE2 were not significantly different [27.0 (16) and 27.5 (21) min, respectively (P = 0.10)]. Delayed GE seems to be a common feature among children with chronic constipation and fecal retention. Resuming satisfactory bowel function and improvement in dyspeptic symptoms did not result in normalization of GE data.