Botucatu, Brazil
Botucatu, Brazil
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Ravelli A.,University of Genoa | Ravelli A.,Instituto Giannina Gaslini | Minoia F.,Instituto Giannina Gaslini | Davi S.,Instituto Giannina Gaslini | And 112 more authors.
RMD Open | Year: 2016

Objective: To identify which laboratory tests that change over time are most valuable for the timely diagnosis of macrophage activation syndrome (MAS) complicating systemic juvenile idiopathic arthritis (sJIA). Methods: A multistep process, based on a combination of expert consensus and analysis of real patient data, was conducted. A panel of experts was first asked to evaluate 115 profiles of patients with MAS, which included the values of laboratory tests at the pre-MAS visit and at MAS onset, and the change in values between the two time points. The experts were asked to choose the 5 laboratory tests in which change was most important for the diagnosis of MAS and to rank the 5 selected tests in order of importance. The relevance of change in laboratory parameters was further discussed and ranked by the same experts at a consensus conference. Results: Platelet count was the most frequently selected test, followed by ferritin level, aspartate aminotransferase (AST), white cell count, neutrophil count, and fibrinogen and erythrocyte sedimentation rate. Ferritin was most frequently assigned the highest score. At the end of the process, platelet count, ferritin level and AST were the laboratory tests in which the experts found change over time to be most important. Conclusions: We identified the laboratory tests in which change over time is most valuable for the early diagnosis of MAS in sJIA. The dynamics of laboratory values during the course of MAS should be further scrutinised in a prospective study in order to establish the optimal cut-off values for their variation.

Milbradt E.L.,Botucatu | Okamoto A.S.,Botucatu | Rodrigues J.C.Z.,Botucatu | Garcia E.A.,São Paulo State University | And 3 more authors.
Poultry Science | Year: 2014

A study was conducted to investigate the effects of organic acids (OA) and competitive exclusion product (CE) on growth performance, intestinal morphology, and concentration of volatile fatty acids in the cecal content. The experiment lasted for 10 wk. Four hundred twenty 1-d-old female commercial cross turkey poults (British United Turkeys, BUT Big 9) were distributed into 4 treatments with 5 replicates/ pen of 21 birds each. The birds were fed a basal diet without growth promoter (control), diet with lincomycin (44 mg/kg), diet with organic acids (2 g/kg), and diet with product of CE (109 cfu/kg). Dietary levels of other nutrients, housing, and general management practices were similar for all treatments. On the first week (d 0-7), the BW and BW gain of the birds that fed diets with OA were lower than in the control group. In the fattening phase (d 28-70), the feed intake of the OA-treated group was lower than compared with the control. The birds that received diet with OA and CE product presented higher concentrations of propionic acid, at 14 d, and butyric acid in cecal content at 28, 56, and 70 d, compared with the control. Dietary inclusion of additives had no significant effects on intestinal villus height, crypt depth, and villus:crypt ratio. Organic acids had negative effects either on early gain or feed intake throughout the study. Because the test was conducted under controlled experimental conditions, the additives that showed results similar to those found by using antibiotics should be studied further in commercial farms to obtain results that can be incorporated into practice. © 2014 Poultry Science Association Inc.

del Giglio A.,ABC | Abdala B.,ABC | Ogawa C.,ABC | Amado D.,ABC | And 4 more authors.
Revista da Associacao Medica Brasileira | Year: 2012

Objective: Patients and their relatives often look for information about their diseases on the internet. Diabetes mellitus (DM), systemic arterial hypertension (SAH), and acute myocardial infarction (AMI) are the most prevalent in Brazil, thus, information on these pathologies is extremely searched for on the internet. For this reason, this study attempted to evaluate the quality of information available in Portuguese on the Web regarding these disorders. Methods: The first 20 websites in Portuguese for each disease through the Google® search algorithm were selected. The Discern Questionnaire (DQ) and Health on the Net (HON) were used as tools in order to evaluate the quality of information. To assess adequacy, international and Brazilian guidelines for different co-morbidities were used. Results: When evaluating the information content available, 45%, 95%, and 85% of pages had the definition of DM, SAH, and AMI, respectively. Only 25% of the websites regarding the three co-morbidities had specific information on diagnosis and treatment. Only 15%, 20%, and 10% of the websites had HON certification, respectively. Using the DQ approach, scores higher than 50% were obtained in 70% of the DM websites, in 65% of SAH websites, and in 55% of the AMI websites. Conclusion: The available information in Portuguese on the internet regarding the three pathologies selected (DM, SAH, and AMI) is quite often inadequate and insufficient. © 2012 Elsevier Editora Ltda. All rights reserved.

Menezes K.M.,Federal University of Rio Grande do Norte | Pereira J.V.,State University of Paraíba | Nobrega D.R.M.,State University of Paraíba | de Freitas A.F.R.,Health Science University | And 2 more authors.
Pesquisa Brasileira em Odontopediatria e Clinica Integrada | Year: 2014

Objective: To evaluate the antimicrobial and ant-adherent in vitro activity of tannins isolated from Anacardium occidentale Linn. (Cashew) on dental biofilm bacteria. Material and Methods: Streptococcus mutans ATCC 25175, Streptococcus mitis ATCC 903, Streptococcus sanguis ATCC 15300, Streptococcus oralis ATCC 10557, Streptococcus salivarius ATCC 7073 and Lactobacillus casei ATCC 9595 samples were used in this study. The tests were performed by the solid medium dilution method to determine the Minimum Inhibitory Concentration (MIC). The Minimum Inhibitory Concentration of Adherence (MICA) of bacteria to glass was determined in the presence of 5% sucrose. As a positive control, 0.12% chlorhexidine gluconate was used. The substances were tested at concentrations of 1:1 (pure solution) up to 1:512. Data were analyzed using descriptive statistics and the SPSS software, version 15.0. Results: Tannins isolated from Anacardium occidentale Linn. (cashew) formed inhibition halos ranging from 11 to 17 mm in diameter and were capable of inhibiting the growth of bacteria tested at concentrations of 1:4 (S mutans), 1:16 (S mitis), 1:8 (S sanguis), 1:4 (S oralis), 1:8 (S salivarius) and 1:2 (L casei). The tannin solution was effective in inhibiting the adherence of microorganisms to glass, and its effect on Streptococcus sanguis (1:512) and Lactobacillus casei (1:512) stood out, showing ant-adherent effect at all concentrations tested. Conclusion: Tannin isolates produced in vitro antimicrobial and ant-adherent activity on dental biofilm-forming bacteria and can be considered as an alternative treatment in infectious processes in clinical dentistry. © 2014, Association of Support to Oral Health Research (APESB). All rights reserved.

PubMed | Botucatu and São Paulo State University
Type: Historical Article | Journal: Revista brasileira de cirurgia cardiovascular : orgao oficial da Sociedade Brasileira de Cirurgia Cardiovascular | Year: 2015

To provide a brief review of the development of cardiopulmonary bypass.A review of the literature on the development of extracorporeal circulation techniques, their essential role in cardiovascular surgery, and the complications associated with their use, including hemolysis and inflammation.The advancement of extracorporeal circulation techniques has played an essential role in minimizing the complications of cardiopulmonary bypass, which can range from various degrees of tissue injury to multiple organ dysfunction syndrome. Investigators have long researched the ways in which cardiopulmonary bypass may insult the human body. Potential solutions arose and laid the groundwork for development of safer postoperative care strategies.Steady progress has been made in cardiopulmonary bypass in the decades since it was first conceived of by Gibbon. Despite the constant evolution of cardiopulmonary bypass techniques and attempts to minimize their complications, it is still essential that clinicians respect the particularities of each patients physiological function.

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