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Abstract This paper presented the preparation, characterization, and adsorption properties of Brazil nut shell activated carbon for catechol removal from aqueous solutions. The equilibrium adsorption of catechol molecules on this activated was experimentally quantified at pH 6 and temperatures ranging from 25 to 55 °C, and at 25 °C and pH ranging from 6 to 10. These results were utilized to elucidate the role of surface functionalities through statistical physics calculations. All these experimental adsorption isotherms were fitted and interpreted via a monolayer model with one energy, which was chosen as the optimal model. Model physicochemical parameters, which may be categorized as stereographic parameters such as the maximum adsorbed quantity (Q M ), the number of adsorbed catechol molecules per one Brazil nut shell activated carbon binding site (n), and the number of effectively occupied binding sites (N M ) and energetic parameter such as the half saturation concentration (C HS ), were analyzed. Microscopically speaking, these modeling results were employed to stereographically and energetically investigate the phenol derivative adsorption mechanism. The maximum catechol adsorbed quantities on this activated carbon ranged from 89.98 to 103.16 mg/g under the tested operating conditions. The adsorption of catechol molecules was found to be exothermic where the maximum adsorbed quantity augmented with solution temperature and the maximum adsorption efficiency was found 103.16 mg/g at 55 °C. In addition, it was found that the catechol molecules were adsorbed with nonparallel orientations on the activated carbon adsorbent since the numbers of catechol molecules per site were superior to 1 (1.10 0) and physical (ΔE

Abstract This study employed lignin-sulfonated (LS) to develop biobased carbon materials (LS-Cs) through a sulfur-doping approach to enhance their physicochemical properties, adsorption capabilities, and energy storage potentials. Various characterization techniques, including BET surface area analysis, SEM imaging, XPS, Raman spectroscopy, and elemental composition (CHNS), were employed to assess the quality of the LS-Cs adsorbent and electrode samples. Response Surface Methodology (RSM) was utilized for optimizing the two main properties (specific surface area, ABET, and mesopore area, AMESO) by evaluating three independent factors (i.e., activation temperature, ZnCl2:LS ratio, and sulfur content). According to the statistical analysis, ABET and AMESO were affected by ZnCl2 and sulfur content, while the pyrolysis temperature did not affect the responses in the studied conditions. It was found that increasing the ZnCl2 and sulfur contents led to an increment of the ABET and AMESO values. The LS-C materials exhibited very high ABETvalues up to 1993 m2 g−1 and with predominantly mesoporous features. The S-doping resulted in LS-Cs with high sulfur contents in their microstructures up to 15% (wt%). The LS-C materials were tested as adsorbents for sodium diclofenac (DCF) adsorption and reactive orange 16 dye (RO-16) and as electrodes for supercapacitors. The LS-Cs exhibited excellent adsorption capacity values for both molecules (197–372 mg g−1) for DCF, and (223–466 mg g−1) for RO-16. When tested as electrodes for supercapacitors, notably, LS-C3, which is a doped sample with sulfur, exhibited the best electrochemical performance, e.g. high specific capacitance (156 F/g at 50 mV/s), and delivered an excellent capacitance after 1000 cycles (63 F/g at 1 A/g), which denotes the noteworthy capacitive behavior of the S-doped electrode. Thus, the present work suggests an eco-friendly resource for developing effective, productive carbon materials for adsorbent and electrodes for SC application. However, further studies on the complete application of these materials as adsorbents and electrodes are needed for a deeper understanding of their behavior in environmental and energy storage applications.

Abstract The development of supporting materials based on carbon nanotubes (CNTs) impregnated with iron nanoparticles via a sustainable and green synthesis employing plant extract of Punica granatum L. leaves was carried out for the iron nanoparticle modification and the following impregnation into the carbon nanotubes composites (CNT-Fe) that were also coated with polypyrrole (CNT-Fe + PPy) for use as electrode for supercapacitor and triboelectric nanogenerators. The electrochemical characterization of the materials by cyclic voltammetry (CV) and galvanostatic charge–discharge (GCD) assays revealed that the CNT-Fe + PPy gave rise to better performance due to the association of double-layer capacitance behavior of carbon derivative in association with the pseudocapacitance contribution of PPy resulting in an areal capacitance value 202 mF/ cm2 for the overall composite. In terms of the application of electrodes in triboelectric nanogenerators, the best performance for the composite of CNT-Fe + PPy was 60 V for output voltage and power density of 6 μW/cm2. The integrated system showed that the supercapacitors can be charged directly by the nanogenerator from 0 to 42 mV in 300 s. The successful green synthesis of iron nanoparticles on CNT and further PPy coating provides a feasible method for the design and synthesis of high-performance SCs and TENGs electrode materials. This work provides a systematic approach that moves the research front forward by generating data that underpins further research in self-powered electronic devices.

Abstract X-ray sources have a strong social impact, being implemented for biomedical research, material and environmental sciences. Nowadays, compact and accessible sources are made using lasers. We report evidence of nontrivial spectral-angular correlations in a laser-driven betatron X-ray source. Furthermore, by angularly-resolved spectral measurements, we detect the signature of spatial phase modulations by the electron trajectories. This allows the lateral coherence function to be retrieved, leading to the evaluation of the coherence area of the source, determining its brightness. Finally, the proposed methodology allows the unprecedented reconstruction of the size of the X-ray source and the electron beam emittance in the two main emission planes in a single shot. This information will be of fundamental interest for user applications of new radiation sources.

Abstract This study explores the fabrication of nanofibers using different types of gelatins, including bovine, porcine, and fish gelatins. The gelatins exhibited distinct molecular weights and apparent viscosity values, leading to different entanglement behavior and nanofiber production. The electrospinning technique produced nanofibers with diameters from 47 to 274 nm. The electrospinning process induced conformational changes, reducing the overall crystallinity of the gelatin samples. However, porcine gelatin nanofibers exhibited enhanced molecular ordering. These findings highlight the potential of different gelatin types to produce nanofibers with distinct physicochemical properties. Overall, this study sheds light on the relationship between gelatin properties, electrospinning process conditions, and the resulting nanofiber characteristics, providing insights for tailored applications in various fields.

Abstract There has been a lot of attention on water pollution by dyes in recent years because of their serious toxicological implications on human health and the environment. Therefore, the current study presented a novel polyethylene glycol-functionalized graphene oxide/chitosan composite (PEG-GO/CS) to remove dyes from aqueous solutions. Several characterization techniques, such as SEM, TEM, FTIR, TGA/DTG, XRD, and XPS, were employed to correlate the structure–property relationship between the adsorption performance and PEG-GO/CS composites. Taguchi’s (L25) approach was used to optimize the batch adsorption process variables [pH, contact time, adsorbent dose, and initial concentration of methyl orange (MO)] for maximal adsorption capacity. pH = 2, contact time = 90 min, adsorbent dose = 10 mg/10 mL, and MO initial concentration = 200 mg/L were found to be optimal. The material has a maximum adsorption capacity of 271 mg/g for MO at room temperature. With the greatest R2 = 0.8930 values, the Langmuir isotherm model was shown to be the most appropriate. Compared to the pseudo-first-order model (R2 = 0.9685), the pseudo-second-order model (R2 = 0.9707) better fits the kinetic data. Electrostatic interactions were the dominant mechanism underlying MO sorption onto the PEG/GO-CS composite. The as-synthesized composite was reusable for up to three adsorption cycles. Thus, the PEG/GO-CS composite fabricated through a simple procedure may remove MO and other similar organic dyes in real contaminated water.

Abstract The occurrence of methyl carbamates of phosphatidylethanolamines and phosphatidylserines in the lipid extract of mitochondria obtained from mouse embryonic fibroblasts was ascertained by hydrophilic interaction liquid chromatography with electrospray ionization single and multi-stage mass spectrometry, performed using sinergically a high resolution (quadrupole-Orbitrap) and a low resolution (linear ion trap) spectrometer. Two possible routes to the synthesis of methyl carbamates of phospholipids were postulated and evaluated: (i) a chemical transformation involving phosgene, occurring as a photooxidation by-product in the chloroform used for lipid extraction, and methanol, also used for the latter; (ii) an enzymatic methoxycarbonylation reaction due to an accidental bacterial contamination, that was unveiled subsequently on the murine mitochondrial sample. A specific lipid extraction performed on a couple of standard phosphatidyl-ethanolamines/-serines, based on purposely photo-oxidized chloroform and deuterated methanol, indicated route (i) as negligible in the specific case, thus highlighting the enzymatic route related to bacterial contamination as the most likely source of methyl carbamates. The unambiguous recognition of the latter might represent the starting point toward a better understanding of their generation in biological systems and a minimization of their occurrence when an artefactual formation is ascertained.

Pharmacovigilance plays a central role in safeguarding public health by continuously monitoring the safety of vaccines, being critical in a climate of vaccine hesitancy, where public trust is paramount. Pharmacovigilance strategies employed to gather information on adverse events following immunization (AEFIs) include pre-registration data, media reports, clinical trials, and societal reporting. Early detection of AEFIs during clinical trials is crucial for thorough safety analysis and preventing serious reactions once vaccines are deployed. This review highlights the importance of societal reporting, encompassing contributions from community members, healthcare workers, and pharmaceutical companies. Technological advancements such as quick response (QR) codes can facilitate prompt AEFI reporting. While vaccines are demonstrably safe, the possibility of adverse events necessitates continuous post-marketing surveillance. However, underreporting remains a challenge, underscoring the critical role of public engagement in pharmacovigilance. This narrative review comprehensively examines and synthesizes key aspects of virus vaccine pharmacovigilance, with special considerations for specific population groups. We explore applicable legislation, the spectrum of AEFIs associated with major vaccines, and the unique challenges and perspectives surrounding pharmacovigilance in this domain.

Abstract In this research, the solid–liquid adsorption systems for MSAC (PbFe2O4 spinel-activated carbon)-phenol and pristine activated carbon-phenol were scrutinized from the thermodynamics and statistical physics (sta-phy) viewpoints. Experimental results indicated that MSAC composite outperformed pristine AC for the uptake of phenol from waste streams. By increasing the process temperature, the amount of phenol adsorbed onto both adsorbents, MSAC composite and pristine AC, decreased. Thermodynamic evaluations for MSAC demonstrated the spontaneous and exothermic characteristics of the adsorption process, while positive values of ΔG for pristine AC indicated a non-spontaneous process of phenol adsorption in all temperatures. In a mechanistic investigation, statistical physics modeling was applied to explore the responsible mechanism for phenol adsorption onto the MSAC composite and pristine AC. The single-layer model with one energy was the best model to describe the experimental data for both adsorbents. The adsorption energies of phenol onto both adsorbents were relatively smaller than 20 kJ/mol, indicating physical interactions. By increasing temperature from 298 to 358 K, the value of the absorbed amount of phenol onto the MSAC composite and pristine AC at saturation (Qsat) decreased from 158.94 and 138.91 to 115.23 and 112.34 mg/g, respectively. Mechanistic studies confirm the significant role of metallic hydroxides in MSAC to facilitate the removal of phenol through a strong interaction with phenol molecules, as compared with pristine activated carbon.

The COVID-19 pandemic and the consequent emergence of new SARS-CoV-2 variants of concern necessitates the determination of populational serum potency against the virus. Here, we standardized and validated an imaging-based method to quantify neutralizing antibodies against lentiviral particles expressing the spike glycoprotein (pseudovirus). This method was found to efficiently quantify viral titers based on ZsGreen-positive cells and detect changes in human serum neutralization capacity induced by vaccination with up to two doses of CoronaVac, Comirnaty, or Covishield vaccines. The imaging-based protocol was also used to quantify serum potency against pseudoviruses expressing spikes from Delta, Omicron BA.1.1.529, and BA.4/5. Our results revealed increases in serum potency after one and two doses of the vaccines evaluated and demonstrated that Delta and Omicron variants escape from antibody neutralization. The method presented herein represents a valuable tool for the screening of antibodies and small molecules capable of blocking viral entry and could be used to evaluate humoral immunity developed by different populations and for vaccine development.

Abstract A novel lead ferrite-magnetic activated carbon (lead ferrite-MAC) composite was developed using the chemical co-precipitation method. Instrumental analyses such as X-ray diffraction (XRD), scanning electron microscopy (SEM), Fourier-transform infrared spectroscopy (FTIR), and Brunauer–Emmett–Teller (BET) analysis were performed to characterize adsorbent. The uptake of phenol from aqueous solutions using the developed adsorbent was compared to that of pristine activated carbon. The maximum adsorption capacity of lead ferrite-MAC composite (145.708 mg/g) was more than that of pristine activated carbon (116.606 mg/g) due to the metal hydroxides coated on activated carbon since they improve the retention of phenol on the available active sites of adsorbent and create an additional electrostatic interaction with the phenol adsorbate. Regarding the high value of the coefficient of determination (R 2) and adjusted determination coefficient (R 2 adj ), coupled with the lower values of average relative error (ARE) and minimum squared error (MSE), it can be found that the isothermal data for the lead ferrite-MAC adsorbent were in agreement with the isotherm models of Redlich-Peterson and Langmuir. From the kinetic viewpoint, pseudo-second-order and linear driving force models explained the phenol adsorption data for both adsorbents. The reusability tests for lead ferrite-MAC composite revealed that after six cycles, 85% of the initial adsorption capacity was maintained. The developed adsorbent can be successfully applied to uptake phenol from aqueous solutions.

Nucleic acid-based therapies have the potential to address numerous diseases that pose significant challenges to more traditional methods. RNA-based therapies have emerged as a promising avenue, utilizing nanoformulation treatments to target a range of pathologies. Nanoformulation offers several advantages compared to other treatment modalities, including targeted delivery, low toxicity, and bioactivity suitable for drug loading. At present, various types of nanoformulations are available, such as liposomes, polymeric nanoparticles (NPs), magnetic NPs, nanoshells, and solid lipid nanoparticles (SLNs). RNA-based therapy utilizes intracellular gene nanoparticles with messenger RNA (mRNA) emerging prominently in cancer therapy and immunotechnology against infectious diseases. The approval of mRNA-based technology opens doors for future technological advancements, particularly self-amplifying replicon RNA (repRNA). RepRNA is a novel platform in gene therapy, comprising viral RNA with a unique molecular property that enables the amplification of all encoded genetic information countless times. As a result, repRNA-based therapies have achieved significant levels of gene expression. In this context, the primary objective of this study is to furnish a comprehensive review of repRNA and its applications in nanoformulation treatments, with a specific focus on encapsulated nanoparticles. The overarching goal is to provide an extensive overview of the use of repRNA in conjunction with nanoformulations across a range of treatments and therapies.

Abstract Aleutian mink disease virus (AMDV) is one the most relevant pathogens of domestic mink, where it can cause significant economic losses, and wild species, which are considered a threat to mink farms. Despite their relevance, many aspects of the origin, evolution, and geographic and host spreading patterns of AMDV have never been investigated on a global scale using a comprehensive biostatistical approach. The present study, benefitting from a large dataset of sequences collected worldwide and several phylodynamic-based approaches, demonstrates the ancient origin of AMDV and its broad, unconstrained circulation from the initial intercontinental spread to the massive among-country circulation, especially within Europe, combined with local persistence and evolution. Clear expansion of the viral population size occurred over time until more effective control measures started to be applied. The role of frequent changes in epidemiological niches, including different hosts, in driving the high nucleotide and amino acid evolutionary rates was also explored by comparing the strengths of selective pressures acting on different populations. The obtained results suggest that the viral passage among locations and between wild and domesticated animals poses a double threat to farm profitability and animal welfare and health, which is particularly relevant for endangered species. Therefore, further efforts must be made to limit viral circulation and to refine our knowledge of factors enhancing AMDV spread, particularly at the wild-domestic interface.

Abstract Salicylic acid (SAL) has recently been shown to induce biofilm formation in Staphylococcus aureus and to affect the expression of virulence factors. This study was aimed to investigate the effect of SAL on the regulatory agr system and its impact on S. aureus biofilm formation. The agr quorum-sensing system, which is a central regulator in S. aureus pathogenicity, plays a pivotal role in the dispersal of S. aureus mature biofilms and contributes to the creation of new colonization sites. Here, we demonstrate that SAL impairs biofilm dispersal by interfering with agr expression. As revealed by our work, protease and surfactant molecule production is diminished, and bacterial cell autolysis is also negatively affected by SAL. Furthermore, as a consequence of SAL treatment, the S. aureus biofilm matrix revealed the lack of extracellular DNA. In silico docking and simulation of molecular dynamics provided evidence for a potential interaction of AgrA and SAL, resulting in reduced activity of the agr system. In conclusion, SAL stabilized the mature S. aureus biofilms, which may prevent bacterial cell dissemination. However, it may foster the establishment of infections locally and consequently increase bacterial persistence leading to therapeutic failure.

Dogs are known to host several tick-borne pathogens with zoonotic potential; however, scant information is available on the epidemiology of these pathogens in low-income tropical countries and in particular in sub-Saharan Africa. With the aim of investigating a wide range of tick-borne pathogens (i.e., Rickettsia spp., Anaplasma spp., Erhlichia spp., Borrelia spp., Hepatozoon spp. and Babesia spp.), 273 blood samples were collected from dogs in selected districts of Ethiopia and analyzed by real-time and/or end-point PCR. The results of the study showed that Hepatozoon canis was the most prevalent pathogen (53.8%), followed by Anaplasma phagocythophilum (7.0%), Babesia canis rossi (3.3%), Ehrlichia canis (2.6%) and Anaplasma platys (2.2%). Furthermore, five samples tested positive for Borrelia spp., identified as Borrelia afzelii (n = 3) and Borrelia burgdorferi (n = 2), and two samples for Rickettsia spp., identified as Rickettsia conorii (n = 1) and Rickettsia monacensis (n = 1). The finding of Anaplasma phagocythophilum and different species of the genera Borrelia and Rickettsia with zoonotic potential was unexpected and alarming, and calls for further investigation on the roles of dogs and on the tick, species acting as vector in this specific context. Other pathogens (Hepatozoon canis, Babaesia canis rossi, Anaplasma platys, Ehrlichia canis) are already known to have an important impact on the dogs’ health but have minor zoonotic potential as they were rarely or never reported in humans. Dogs from rural areas were found to be at higher risk for different pathogens, probably due to the presence of other wild canids in the same environment. The findings of the present study contribute to a better knowledge of the epidemiology of tick-borne pathogens, which is relevant to human and animal health.

Background: Mortality from cardiovascular disease (CVD) is increased in rheumatoid arthritis, not explained by traditional cardiovascular risk factors (CVRF), suggesting a role of inflammation. This process would occur early. The common sonographic markers of subclinical atherosclerosis (SA), are increased carotid intima-media thickness (cIMT) or the presence of carotid atherosclerotic plaque and they are closely related to CVD.Aims: To evaluate sonographic markers and cardiovascular risk factors in early Arthritis (EA).A case control study of patients with EA, defined by 3 joints swollen with Conclusions: Ultrasound evidence of atherosclerosis subclinical markers was not found in this study, suggesting that this process may occur after a year of diagnosis.

Splenic abscess is a rare but extremely dangerous condition generally spreading from a local, or systemic, focus of infection. We present the case of a young immunocompetent female admitted with sepsis and multiple splenic abscesses. The patient had a recent left ear piercing on the tragus complicated by an ear infection. The presence of a solitary parotid abscess, the absence of other infectious foci on computed tomography scan, the negativity of blood cultures and the absence of endocarditis vegetations led us to think that the most likely culprit was a hematogenous dissemination from the left tragus. The patient was successfully treated with intravenous antibiotics. There had been no need of splenectomy or any other procedure. This rather unique case underscores that splenic abscess should be suspected when a long-lasting fever and pain in the left hypochondrium are present, even when an apparently innocuous invasive procedure, such as a body piercing, is performed.

The cryoglobulinemic syndrome is produced by precipitating immunoglobulins at low temperatures. Its production is associated with several causes, such as lymphoproliferative disorders, chronic infections and autoimmune disorders. However, the etiology is unknow. There are three types of cryoglobulins. Type II and III are the mixed. Type III produce a systemic vasculitis with diverse clinical manifestations. Palpable purpura is the most common, accompanied by arthralgia, neuropathy and type I membranoproliferative glomerulonephritis. We present a case of a 71 years old male patient with renal failure, nephritic syndrome, arterial hypertension and palpable purpuric skin lesions in members, thorax and abdomen. During hospitalization essential mixed cryoglobulinemia associated with cutaneous leukocytoclastic vasculitis and type I membranoproliferative glomerulonephritis was diagnosed. Complementary methods, treatment instituted and the patient's clinical course are described.

Antecedentes: Las infecciones son las complicaciones más frecuentes en los pacientes quemados. Los hongos filamentosos ocupan un lugar incierto dentro de las estadísticas nosocomiales; existen escasos datos sobre la prevalencia de las mismas, los agentes causales y el desenlace de los que las padecen. Objetivos: El objetivo fue evaluar prevalencia de la infección por hongos filamentosos (IHF) en pacientes internados en la unidad terapia intensiva de quemados (UTIQ), revisar algunas características clínicas, epidemiológicas, microbiológicas y evolución de estos pacientes; conocer la frecuencia y distribución de las especies fúngicas aisladas.Materiales y métodos: Estudio retrospectivo y descriptivo. Se incluyeron todos los individuos que ingresaron a la terapia intensiva de pacientes quemados (2012-2015), con cultivo positivo para hongos filamentosos en biopsias de piel y escaras.Resultados: Un total de 168 de pacientes ingresaron en la unidad intensiva de quemados en un período de 3 años. El 17% desarrolló IHF (29/168) y el 90% fueron grandes quemados. Se recuperaron 29 hongos filamentosos (93% de exámenes microscópicos positivos): Aspergillus spp (24%), Fusarium spp (14%), Mucor spp (3%) y diversos géneros de hongos negros (58%). El 95% presentó entre 1 y 4 infecciones bacterianas además de la infección fúngica en piel. El 24% de los pacientes con IHF falleció. La causa de la muerte fue shock cardiogénico irreversible con falla multiorgánica.Conclusiones: La infección por hongos filamentosos se presentó en el 17% de los pacientes quemados. Los principales hongos causantes de infección fúngica fueron dematiáceos. La mortalidad entre los pacientes fue del 24%, siendo Fusarium el hongo hallado en el mayor número de muertes (50%).

Knowledge on the presence of Cytauxzoon sp. and Hepatozoon spp. in Italy is scant and mostly limited to a few areas of Northern and Southern regions, respectively. The present study updated the current epidemiological scenario by investigating the occurrence of these protozoa in domestic cats from three broad regions of North-Eastern Italy. Blood samples from cats at risk of vector-borne diseases were processed by PCR to detect Cytauxzoon and Hepatozoon DNA. Blood smears were observed for haemoparasite inclusions. The influence of cat individual data (e.g., provenance, management, indoor/outdoor lifestyle) on the prevalence of haemoprotozoan infections was statistically evaluated. Among 158 cats, Cytauxzoon and Hepatozoon DNA were detected in 6 (3.8%) and 26 (16.5%) animals, respectively. No Hepatozoon gamonts were detected in blood smears, whereas all Cytauxzoon PCR-positive samples were microscopically positive, though with low levels of parasitaemia. Two species of Hepatozoon were identified, Hepatozoon felis (n = 10) and Hepatozoon silvestris (n = 16). Hepatozoon silvestris prevalence values were significantly (p < 0.05) higher in the region Friuli Venezia Giulia and in stray cats. Cytauxzoon sp. was detected in 6/39 (15.4%) stray cats from Friuli Venezia Giulia (Trieste province). These data add new information on the occurrence of these neglected protozoa in domestic cats’ populations.

Cardiovascular risk is increased in Rheumatoid Arthritis and it is associated with higher morbility and mortality. Few studies have evaluated the lipid profile in early arthritis (EA). Aims: To study the lipid profile in patients with EA and its association with disease activity (DA). Methods: We studied 31 patients with diagnosis of EA and a control group, with age, gender and cardiovascular risk factors matched, who were attended to Rheumatology Unit at Córdoba Hospital from January 2011 to May 2013. We evaluated demographic data, lipid profile and DA by DAS28. Results: 31 patients were included with mean age of 42.3 years old, 87% female , the cholesterol level was 191.9 mg/dl, HDL 54, LDL 115.8, Triglycerides 117,6; and 31 patients were included in the control group with average age of 42.7 years old, and cholesterol level of 198.7 mg / dl, HDL 56.9 LDL 122.6, Triglycerides 99.6 (p NS). Regards disease activity, in the low DA group the Cholesterol level was 196.3 , LDL 115.8, HDL 62 y triglycerides 95.17, and in the Moderate and High DA the Cholesterol level was 190 mg/ dl, LDL 115, HDL 52 y triglycerides 122,9 (p NS) CONCLUSIONS : The lipid profile was normal and it was not associated with DA in EA patients.

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La terapia a largo plazo con ciclofosfarnida combinada con esteroides mejora la sobrevida renal en pacientes con Nefritis Lúpica Proliferativa, pero con efectos tóxicos considerables. En años recientes, el Micofenolato Mofetil (MM?) un inmunosupresor usado en trasplante, parece ser efectivo en casos selectos de Nefritis Lúpica. Métodos Describiremos 6 pacientes con Nefritis Lúpica clase IV y y según OMS que por distintas razones debieron ser tratados con MM? como droga de rescate. El mismo estabilizó la función renal, controló la actividad del LES y permitió la disminución o suspensión del corticoide. Resultados En tres casos se logró remisión completa, dos presentaron remisión parcial y tuvimos un fracaso por plaquetopenia y leucopenia severa con sepsis grave a punto de partida de una neumopatía; en este paciente se suspendió el tratamiento. Uno de ellos presentó un herpes zóster que se trató con Aciclovir y la suspensión transitoria de MM?.. Conclusión EL MM? fue efectivo para conseguir remisiones en la NL y mantener inactivo el LES, por lo que se lo debiera considerar como terapia de rescate, o bien para tratamiento de mantenimiento luego de la inducción con ciclofosfamida, o directamente como terapia de inducción en aquellos pacientes donde la fertilidad es un factor importante. Seguimientos a largo plazo de las pacientes son necesarios para evaluar su efectividad en la sobreviva renal, como ya ha sido demostrado con la Ciclofosfamida.

ABSTRACT Objective To verify the presence of variants in HNF1B in a sample of the Brazilian population selected according to the presence of renal cysts associated with hyperglycemia. Subjects and methods We evaluated 28 unrelated patients with clinical suspicion of HNF1B mutation because of the concomitant presence of diabetes mellitus (DM) or prediabetes and renal cysts. Genotyping was accomplished using Sanger sequencing or multiplex ligation-dependent probe amplification (MLPA). In positive cases, available relatives were recruited. Results We found two patients with HNF1B mutations. The first presented the variant p.Pro328Leufs*48(c.983delC) and had DM, renal cysts, and hypomagnesemia. The second presented a heterozygous whole gene deletion in HNF1B, DM, renal cysts, body and tail pancreatic agenesis, and hypomagnesemia; this alteration was also found in his two siblings and his father. Conclusion The recruitment of suspected cases of HNF1B gene mutations in Brazilians due to hyperglycemia and renal cysts presents two positive cases. Our cases contribute to the annotation of clinical and biochemical phenotypes of this rare form of maturity-onset diabetes of the young (MODY).

El Loxoscelismo es producido por la picadura accidental de la araña del género Loxosceles, de distribución mundial. El envenenamiento puede ocasionar lesiones dermonecróticas y menos frecuentemente una enfermedad sistémica, que puede ser fatal El mecanismo de acción del veneno es multifactorial. Las características dermonecróticas resultan de efectos directos del veneno sobre las células y componentes de la membrana basal, como también sobre la matriz extracelular. La interacción inicial entre el veneno y los tejidos, causa activación del complemento, migración de polimorfonucleares neutrófilos, liberación de enzimas proteolíticas, citoquinas, agregación plaquetaria, y alteraciones del flujo sanguíneo que resultan en edema e isquemia, con desarrollo de necrosis. No hay un tratamiento definitivo para el loxoscelismo, sin embargo el uso precoz del antiveneno específico, disminuye el tamaño de la lesión y limita la enfermedad sistémica Presentamos un caso de loxoscelismo cutáneo-visceral con insuficiencia renal, y evolución desfavorable.

Porcine circovirus 2 (PCV-2) is one of the most impactful and widespread pathogens of the modern swine industry. Unlike other DNA viruses, PCV-2 is featured by a remarkable genetic variability, which has led to the emergence and recognition of different genotypes, some of which (PCV-2a, 2b, and 2d) have alternated over time. Currently, PCV-2d is considered the most prevalent genotype, and some evidence of differential virulence and vaccine efficacy have been reported. Despite the potential practical relevance, the data on PCV-2 epidemiology in Italy are quite outdated and do not quantify the actual circulation of this genotype in Italy. In the present study, 82 complete ORF2 sequences were obtained from domestic pigs and wild boars sampled in Northern Italy in the period 2013−2018 and merged with those previously obtained from Italy and other countries. A combination of phylogenetic, haplotype network, and phylodynamic analyses were used to genotype the collected strains and evaluate the temporal trend and the spatial and host spread dynamics. A rising number of PCV-2d detections was observed in domestic pigs, particularly since 2013, reaching a detection frequency comparable to PCV-2b. A similar picture was observed in wild boars, although a lower sequence number was available. Overall, the present study demonstrates the extreme complexity of PCV-2 molecular epidemiology in Italy, the significant spread across different regions, the recurrent introduction from foreign countries, and the frequent occurrence of recombination events. Although a higher viral flux occurred from domestic to wild populations than vice versa, wild boars seem to maintain PCV-2 infection and spread it over relatively long distances.

Resumo Objetivo: analisar as tendências da força de trabalho de cirurgiões-dentistas no Brasil, no período de 2007 a 2014. Métodos: estudo de séries temporais com dados do Cadastro Nacional de Estabelecimentos de Saúde (CNES) e da Fundação Instituto Brasileiro de Geografia e Estatística (IBGE); regressões lineares generalizadas de Prais-Winstein foram utilizadas para estimar as tendências temporais e calcular a variação percentual anual da força de trabalho de cirurgiões-dentistas no período estudado. Resultados: houve crescimento do número de cirurgiões-dentistas atuando como clínicos gerais e especialistas, em média 12,7% e 17,3% ao ano, respectivamente; a expansão da força de trabalho de clínico geral (0,5%) e de especialista (11,6%) foi menor no setor público, em relação ao setor privado (24,5% e 30,3%, respectivamente). Conclusão: o número de cirurgiões-dentistas é elevado, embora estejam desigualmente distribuídos em ambos setores de atuação, o que pode implicar barreiras no acesso aos cuidados odontológicos no Brasil.

Estudo transversal, envolvendo 887 primigestas com o objetivo de analisar os fatores associados ao uso de medicamentos na gestação no Município de Rio Branco, Acre, Brasil. As informações tiveram como base uma entrevista e o cartão de pré-natal. Os medicamentos foram classificados de acordo com o Sistema Anatômico Terapêutico Químico (ATC), da Organização Mundial da Saúde, e com a categoria de risco do Food and Drug Administration (Estados Unidos). A média de idade foi 21 anos, a média do uso de medicamentos foi 2,42; os medicamentos mais consumidos foram os antianêmicos (47,5%), suplementos e vitaminas (18,7%), analgésicos (13,8%) e antibióticos (10,5%). Na categorização de risco, 69,3% pertenciam à categoria A; 22,3% à B; 7,6% à C e 0,8% à D. A chance de ter sido exposta à utilização de medicamentos de risco foi maior nas primigestas na unidade B (RC = 2,10; IC95%: 1,26-3,50), na faixa etária de 19 a 24 anos (RC = 2,79; IC95%: 1,58-4,93) e com prescrição médica (RC = 1,86; IC95%: 1,18-2,95). Os medicamentos essenciais foram menos utilizados entre as mulheres com maior renda familiar (RC = 0,63; IC95%: 0,42-0,96), e que realizaram o pré-natal na rede privada (RC = 0,53; IC95%: 0,38-0,74).

O objetivo deste estudo foi estimar a prevalência das disfunções sexuais antes e durante a gravidez por meio de um estudo transversal, realizado com 778 primigestas, com companheiro, que pariram nas duas maternidades de Rio Branco, Acre, Brasil, entre 1º de fevereiro e 31 de julho de 2010, utilizando entrevista no pós-parto. A mediana de idade das primigestas foi de 20 anos, 45% eram adolescentes, 19% possuíam escolaridade até o ensino fundamental; 30% tinham trabalho remunerado, 86,5% utilizaram o serviço público (SUS) para os partos. A prevalência de disfunção sexual foi de 23,9% antes da gravidez e de 67,7% na gravidez. Antes da gestação, a falta de desejo sexual foi de 20,2% e, na gestação, de 51%. A diminuição da lubrificação vaginal durante a gestação foi de 29,1%, a dispareunia foi de 1,2% antes da gestação e de 14,4% na gestação, 3,3% tiveram insatisfação sexual antes da gravidez, e 10,8%, na gestação. Os achados indicam que as mulheres estudadas apresentaram maior prevalência de disfunção sexual durante a primeira gravidez do que no período anterior a essa gestação.

Squamous cell carcinoma of the skin (SCC) represents one of the most common cancers in the general population and is associated with a substantial risk of metastasis. Previous work uncovered the functional role of CYFIP1 in epithelial tumors as an invasion inhibitor. It was down-regulated in some cancers and correlated with the metastatic properties of these malignant cells. We investigated its role and expression mechanisms in SCC. We analyzed the expression of CYFIP1 in patient derived SCC, primary keratinocytes and SCC cell lines, and correlated it to the differentiation and NOTCH1 levels. We analyzed the effects of Notch1 manipulation on CYFIP1 expression and confirmed the biding of Notch1 to the CYFIP1 promoter. CYFIP1 expression was down-regulated in SCC and correlated inversely with histological differentiation of tumors. As keratinocyte differentiation depends on Notch1 signaling, we investigated the influence of Notch1 on CYFIP1 expression. CYFIP1 mRNA was highly increased in human Notch1-overexpressing keratinocytes. Further manipulation of the Notch1 pathway in keratinocytes impacted CYFIP1 levels and chromatin immunoprecipitation assay confirmed the direct binding of Notch1 to the CYFIP1 promoter. CYFIP1 may be a link between loss of differentiation and invasive potential in malignant keratinocytes of cutaneous squamous cell carcinoma.

Cutaneous squamous cell carcinoma (SCC) is the second most common human skin cancer with a rapidly increasing incidence among the Caucasian population. Among the many regulators, responsible for cancer progression and growth, microRNAs (miRNA) are generally accepted as key players by now. In our current study we found that microRNA-181a (miR-181a) shows low abundance in SCC compared to normal epidermal skin. In vitro, miRNA downregulation in normal primary keratinocytes induced increased proliferation, while in vivo miR-181a downregulation in HaCaT normal keratinocytes showed tumor-like growth increase up to 50%. Inversely, upregulation of these miRNAs in cancer cells lead to reduced cellular proliferation and induction of apoptosis in vitro. An in vivo therapeutic model with induced miR-181a expression in SCC13 cancer cells reduced tumor formation in mice by 80%. Modulation of miR-181a levels showed an inverse correlation with the proto-oncogene KRAS both on mRNA and protein level by direct interaction. Knockdown of KRAS mimicked the anti-proliferative effects of miR-181a overexpression in patient-derived SCC cells and abolished the enhanced viability of HaCaT cells following miR-181a knockdown. Furthermore, phospho-ERK levels correlated with KRAS levels, suggesting that the observed effects were mediated via the MAPK signaling pathway. miR-181a seemed regulated during keratinocyte differentiation probably in order to amplify the tumor suppressive character of differentiation. Taken together, miR-181a plays a crucial tumor suppressive role in SCC by targeting KRAS and could be a promising candidate for a miRNA based therapy.