133 results on '"Costa GL"'
Search Results
2. EXPERIÊNCIA DE VIDA REAL NO USO DO CAPLACIZUMAB NA EXACERBAÇÃO DE PÚRPURA TROMBOCITOPÊNICA TROMBÓTICA ADQUIRIDA
- Author
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Costa, GL, primary, Farias, JSH, additional, Campos, G, additional, Abreu, MEB, additional, Becker, LF, additional, Walz, MM, additional, Santin, MS, additional, Veroneze, B, additional, and Quadros, GMS, additional
- Published
- 2023
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3. LEUCEMIA AGUDA DE CÉLULAS DENDRÍTICAS PLASMOCITÓIDES – SOBREVIDA SUPERANDO EXPECTATIVAS SEM TRANSPLANTE ALOGÊNICO
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Becker, LF, primary, Costa, GL, additional, Munhoz, EC, additional, Abreu, MEB, additional, Santin, MS, additional, Walz, MM, additional, Carmo, LAPD, additional, Beltrame, MP, additional, Veroneze, B, additional, and Guerrero, NCR, additional
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- 2023
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4. NEUTROPENIA CRÔNICA ASSOCIADA AO FENÓTIPO FY (AB-) EM ADULTO - UM RELATO DE CASO
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Costa, GL, primary, Abreu, MEB, additional, Becker, LF, additional, Campos, G, additional, and Veroneze, B, additional
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- 2023
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5. DIAGNÓSTICO DIFERENCIAL NAS DOENÇAS HEMATOLÓGICAS – SÍNDROME LINFOPROLIFERATIVA AUTOIMUNE
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Becker, LF, primary, Costa, GL, additional, Carmo, LAPD, additional, Campos, G, additional, Beltrame, MP, additional, Abreu, MEB, additional, Santin, MS, additional, Walz, MM, additional, Veroneze, B, additional, and Vasconcelos, RS, additional
- Published
- 2023
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6. EOSINOFILIA ASSOCIADA À MASTOCITOSE SISTÊMICA - RELATO DE CASO
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Quadros, GMS, primary, Becker, LF, additional, Costa, GL, additional, Abreu, MEB, additional, Beltrame, MP, additional, Carmo, LAP, additional, and Kozonoe, MM, additional
- Published
- 2022
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7. O IMPACTO DA PANDEMIA DE COVID-19 NO DIAGNÓSTICO DE NEOPLASIAS HEMATOLÓGICAS NO ESTADO DA PARAÍBA: UM COMPARATIVO DE TRÊS ANOS
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Costa, GL, primary and Abreu, MEB, additional
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- 2022
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8. LINFOMA DO TECIDO LINFOIDE ASSOCIADO À MUCOSA ISOLADO INTRAVERTEBRAL - UM RELATO DE CASO
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Costa, GL, primary, Veroneze, B, additional, and Camargo, JFC, additional
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- 2022
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9. APRESENTAÇÃO ATÍPICA DE LINFOMA DE CÉLULAS T EM ADULTO - UM RELATO DE CASO
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Costa, GL, primary, Becker, LF, additional, Veroneze, B, additional, Quadros, GMS, additional, and Campos, G, additional
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- 2022
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10. NEOPLASIA DE CÉLULAS T IMATURAS EM ADULTO DIAGNOSTICADA A PARTIR DE DERRAME PERICÁRDICO - RELATO DE CASO
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Quadros, GMS, primary, Becker, LF, additional, Costa, GL, additional, Veroneze, B, additional, Munhoz, EC, additional, Beltrame, MP, additional, Fava, F, additional, Pereira, CO, additional, and Siqueira, JVB, additional
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- 2022
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11. COMPARATIVO DE DIAGNÓSTICO E MORTALIDADE EM IDOSOS POR LEUCEMIAS NO ESTADO DO PARANÁ ANTES E DEPOIS DA PANDEMIA DE COVID-19
- Author
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Costa, GL, primary, Veroneze, B, additional, and Abreu, MEB, additional
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- 2022
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12. HISTIOCITOSE DE CÉLULAS DE LANGERHANS COM ACOMETIMENTO DE SISTEMA NERVOSO CENTRAL EM ADULTO: UM RELATO DE CASO
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Camargo, LS, Costa, GL, Rocha, BMR, Castagnoli, MM, and Zardo, RLDG
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- 2024
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13. Variation in Human Cytochrome P-450 Drug-Metabolism Genes: A Gateway to the Understanding of Plasmodium vivax Relapses (vol 11, e0160172, 2016)
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Silvino, ACR, Costa, GL, Faustino de Araujo, FC, Ascher, DB, Valente Pires, DE, Fernandes Fontes, CJ, Carvalho, LH, Alves de Brito, CF, Sousa, TN, Silvino, ACR, Costa, GL, Faustino de Araujo, FC, Ascher, DB, Valente Pires, DE, Fernandes Fontes, CJ, Carvalho, LH, Alves de Brito, CF, and Sousa, TN
- Abstract
[This corrects the article DOI: 10.1371/journal.pone.0160172.].
- Published
- 2018
14. Variation in Human Cytochrome P-450 Drug-Metabolism Genes: A Gateway to the Understanding of Plasmodium vivax Relapses
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Renia, L, Rios Silvino, AC, Costa, GL, Faustino de Araujo, FC, Ascher, DB, Valente Pires, DE, Fernandes Fontes, CJ, Carvalho, LH, Alves de Brito, CF, Sousa, TN, Renia, L, Rios Silvino, AC, Costa, GL, Faustino de Araujo, FC, Ascher, DB, Valente Pires, DE, Fernandes Fontes, CJ, Carvalho, LH, Alves de Brito, CF, and Sousa, TN
- Abstract
Although Plasmodium vivax relapses are classically associated with hypnozoite activation, it has been proposed that a proportion of these cases are due to primaquine (PQ) treatment failure caused by polymorphisms in cytochrome P-450 2D6 (CYP2D6). Here, we present evidence that CYP2D6 polymorphisms are implicated in PQ failure, which was reinforced by findings in genetically similar parasites, and may explain a number of vivax relapses. Using a computational approach, these polymorphisms were predicted to affect the activity of CYP2D6 through changes in the structural stability that could lead to disruption of the PQ-enzyme interactions. Furthermore, because PQ is co-administered with chloroquine (CQ), we investigated whether CQ-impaired metabolism by cytochrome P-450 2C8 (CYP2C8) could also contribute to vivax recurrences. Our results show that CYP2C8-mutated patients frequently relapsed early (<42 days) and had a higher proportion of genetically similar parasites, suggesting the possibility of recrudescence due to CQ therapeutic failure. These results highlight the importance of pharmacogenetic studies as a tool to monitor the efficacy of antimalarial therapy.
- Published
- 2016
15. Altera??es nas caracter?sticas da ?gua de produ??o em processo de inje??o de CO2 e recupera??o de metano em camada de carv?o
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Costa, Gl?ucia dos Santos, Ketzer, Jo?o Marcelo Medina, and CPF:64476073034
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ENGENHARIA DE MATERIAIS ,ENGENHARIAS [CNPQ] ,CARV?O ,CAPTURA DE CARBONO - Abstract
O crescente desenvolvimento econ?mico mundial, seguido pelo aumento da demanda energ?tica, interligado ? depend?ncia do uso de combust?veis f?sseis, tem contribu?do para o aumento da concentra??o na atmosfera de um dos gases respons?veis pelo efeito estufa: o di?xido de carbono (CO2). Nesse contexto, a t?cnica de Recupera??o Avan?ada de Metano em Camada de Carv?o (ECBM) com inje??o de CO2 surge como uma proposta promissora para amenizar essa situa??o, pois h? concomitantemente recupera??o de metano (usado para produ??o de energia) e armazenamento de di?xido de carbono (contribuindo para mitiga??o do efeito estufa). Esse processo envolve a produ??o de ?gua, a qual cont?m in?meros ?ons dissolvidos (Na+, Ca+2, Cl-, SO4 -2) e elementos tra?o. Portanto, ? necess?rio o estudo e eventual tratamento dessa ?gua antes do descarte, pois esse ? um aspecto que pode inviabilizar a aplica??o dessa tecnologia. Experimentos laboratoriais foram realizados para observar altera??es na composi??o da ?gua de produ??o gerada durante o processo de dewatering, por inje??o de CO2. Amostras de carv?o dos estados do RS, SC e PR foram analisadas. Observou-se elevada concentra??o do ?on SO4 -2 e dos elementos Fe, Zn, Al e Ni, em rela??o ? legisla??o, assim como valores elevados de SDT (mgxL-1) para a Jazida Le?o - Buti?. Concluiu-se que h? necessidade de tratamento da ?gua recuperada em um processo de CBM/ECBM, para as Jazidas analisadas, pois os limites estabelecidos pela legisla??o para os par?metros analisados s?o extrapolados. The growing global economic development, followed by increased energy demand, interconnected on the dependence of fossil fuels, has contributed to an increased concentration of greenhouse gases in the atmosphere, mainly carbon dioxide (CO2). In this context, the Enhanced Coalbed Methane (ECBM) with CO2 injection technique, emerges as a promising proposal to alleviate this situation, because as is results in methane recovery (used for energy production) and storage of carbon dioxide (contributing to mitigating the greenhouse effect). This process involves production of formation water, which may contain numerous dissolved ions (Na+, Ca+2, Cl-, SO4-2) and trace elements. Therefore, study of this water and eventually treatment is necessary, this being one aspect that could undermine the application of this technology. Laboratory experiments were conducted to observe possible changes in the composition and properties of produced water generated during dewatering process with CO2 injection. Coal samples from the states of RS, SC and PR were analyzed. There was a high concentration of SO4-2 ions and the elements Fe, Zn, Al and Ni, in accordance with legislation, as well as high values of TDS (mgxL-1) for the field Le?o - Buti?. It was concluded that there is a need for treatment of reclaimed water in a process of CBM/ECBM, for the fields analyzed because the limits established by law for the analyzed parameters are extrapolated.
- Published
- 2012
16. Retrovirally-engineered antigen-specific T cells home to the inflamed joints and suppress collagen-induced arthrtis
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Nakajima, A, Seroogy, CM, Sandora, MR, Tarner, IH, Costa, GL, Taylor-Edwards, C, Bachman, MH, Contag, CH, and Garrison-Fathman, C
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Meeting Abstract - Published
- 2001
17. Use of butorphanol as a local anaesthetic for pain management in calves undergoing umbilical hernia repair.
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Interlandi C, Spadola F, Neve VC, Tabbì M, Di Pietro S, Giudice E, Macrì D, and Costa GL
- Abstract
The aim of the study was to compare the analgesic efficacy of butorphanol and lidocaine, alone or in combination, in calves undergoing surgical repair of umbilical hernia. The study was conducted in 60 calves of different breeds. Xylazine 0.3 mg/kg was administered intramuscularly to all animals in the study. The animals were then divided into three groups ( n = 20) that received different treatments with lidocaine at 4.5 mg/kg and butorphanol at 0.02 mg/kg. The L group received lidocaine both by infiltration of the surgical planes and intraperitoneally, the B group received butorphanol both by infiltration of the surgical planes and intraperitoneally, and finally the LB group received lidocaine by infiltration of the surgical planes and butorphanol intraperitoneally. Heart and respiratory rates, haemoglobin oxygen saturation, non-invasive blood pressure and temperature were recorded during surgery. Response to the surgical stimulus was scored on a cumulative numerical scale that included percentage changes in HR, RR and SAP. Postoperative pain was assessed by three independent observers, blinded to treatment, using the UNESP-Botucatu Unidimensional Composite Pain Scale (UNESP-Botucatu UCPS-IV) for the assessment of postoperative pain in cattle. The course of physiological variables was appropriate for patients under anaesthesia. No subject required rescue intraoperative analgesia. In group L, 4 subjects at 40 m and 5 subjects at 50 m required postoperative rescue analgesia. Both butorphanol alone and the combination of butorphanol and lidocaine showed excellent intraoperative and postoperative scores. Furthermore, this combination did not cause any cardiopulmonary or other adverse effects. Based on the results of this study, both butorphanol alone and the co-administration of butorphanol and lidocaine administered locally proved to be safe and effective in providing adequate and long-lasting analgesia in calves, helping to reduce postoperative discomfort and maintaining adequate animal welfare., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2024 Interlandi, Spadola, Neve, Tabbì, Di Pietro, Giudice, Macrì and Costa.)
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- 2024
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18. Can Productive Aptitude and Age Affect Circulating Serotonin, Total Thyroid Hormones, and Cortisol Patterns in Cows?
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Bruschetta G, Bionda A, Giunta RP, Costa GL, Fazio E, Licata P, and Bruno F
- Abstract
Cattle productivity, whether in terms of meat yield or milk production, is intricately regulated by a multitude of factors. Among them, hormone concentrations play a significant role, reflecting the complex interplay between endocrine regulation and physiological processes that ultimately determine the efficiency and yield of production. High concentrations of 5-hydroxytriptamine (5-HT) are associated with a reduced metabolic load at the onset of lactation and a lower milk yield. Thyroid hormones (THs) and cortisol also affect several metabolic pathways, including carbohydrate, protein, and lipid metabolism. The aim of this study was to assess if milk or meat aptitudes and age influence circulating 5-HT, THs, and cortisol concentrations, investigating the possible interactions among these parameters. The research was performed on 46 healthy cows of three different breeds. Enzyme-linked immunosorbent assay (ELISA) methods were used to quantify circulating 5-HT and cortisol concentrations, and an immunochemiluminescent analyzer was used for THs. For parameters exhibiting non-normal distributions, an ANCOVA model using age, aptitude, and their interaction as fixed factors was applied. Significant lower T3 concentrations were recorded in dairy cows than in meat cows. Moreover, T4 significantly decreased with advancing age both in cows aimed at milk and meat production. Lastly, T4 was positively correlated with T3 and 5-HT in meat production-oriented cows.
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- 2024
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19. Occurrence and health risk assessment of mineral composition and aflatoxin M1 in cow milk samples from different areas of Sicily, Italy.
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Messina L, Licata P, Bruno F, Litrenta F, Costa GL, Ferrantelli V, Peycheva K, Panayotova V, Fazio F, Bruschetta G, Tabbì M, and Nava V
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- Animals, Risk Assessment, Sicily, Cattle, Trace Elements analysis, Food Contamination analysis, Chromatography, High Pressure Liquid, Milk chemistry, Aflatoxin M1 analysis, Minerals analysis
- Abstract
This study aimed to determine 16 mineral elements (Cd, Pb, As, Na, Mg, Al, Ca, K, Cr, Mn, Fe, Ni, Cu, Zn and Se) using inductively coupled plasma mass spectrometry (ICP-MS) and a direct mercury analyzer (DMA-80) for Hg evaluation. Aflatoxin M1 was determined by high-performance liquid chromatography with fluorescence detection (HPLC-FLD) in cow milk samples. This research considered 180 milk samples, 20 by province (Palermo, Catania, Messina), collected for a period of three years (2020-2022) to assess the potential risks for consumer, the safety status and nutritional quality related to mineral intake by consuming of milk. All samples showed a Pb concentration below the limit reported by European Regulation 915/2023. Cadmium and Hg concentrations were below the Limit Of Quantification (LOQ) in all samples analyzed. The milk samples analyzed proved to be a good source of Ca (up to 44.5 % of the dietary reference values), with well percentages also for Na (up to 7.6 %), K (up to 23.1 %) and Mg (up to 11.1 %). Regarding trace elements, the results reported that chromium requires attention; its value was always higher than 168.8 % in all samples analyzed. Levels of arsenic and lead were up to 20.2 % and up 7.1 % respectively. Aflatoxin M1 concentrations were below the limit of detection (< 0,009 mcg/kg) in all milk analyzed. Therefore, further studies are needed to safeguard consumer health, the quality of the product and to assess the state of animal health., Competing Interests: Declaration of Competing Interest All authors declare that there are no conflicts of interest in the development, drafting and publication of the following manuscript., (Copyright © 2024. Published by Elsevier GmbH.)
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- 2024
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20. Oxidative stress in relation to serotonin under general anaesthesia in dogs undergoing ovariectomy.
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Bruschetta G, Leonardi F, Licata P, Iannelli NM, Fernàndez-Parra R, Bruno F, Messina L, and Costa GL
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- Animals, Dogs, Female, Malondialdehyde blood, Ovariectomy veterinary, Oxidative Stress drug effects, Anesthesia, General veterinary, Anesthesia, General adverse effects, Serotonin blood, Meloxicam pharmacology, Meloxicam administration & dosage
- Abstract
Abdominal surgery such as ovariectomy is a traumatic event that can cause oxidative stress. The aim of the present study was to evaluate the concentration of serotonin in relation to ovariectomy-induced oxidative stress in dogs undergoing general anesthesia. Thirty-two female dogs, under general anesthesia, received meloxicam before surgery (0.2 mgkg
-1 SC) and after surgery (0.1 mgkg-1 OS every 24 h). The physiological, hematological, and biochemical parameters: glycemia, aspartate transaminase (AST), alanine aminotransferase (ALT), total protein, albumin and BUN were evaluated. Oxidative stress was determined by malondialdehyde (MDA) assay, catalase (CAT), superoxide dismutase (SOD), myeloperoxidase (MPO) and butyrylcholinesterase (BuChe) at baseline, 36 and 48 h after the last administration of meloxicam. Serotonin (5-HT) concentration was also evaluated at baseline, 36 and 48 h after the last administration of meloxicam. Responses to surgical stimulus were evaluated. Physiological and hematological parameters they fell within the normal ranges for anesthetized dogs. Glycemia increased, albumin levels decreased after surgery. No rescue analgesia was required. MDA and 5-HT concentrations significantly increased from the baseline at 36 and 48 h after surgery ( p < .001). 5-HT levels could be used as an indicator for oxidative stress induced by surgery and it might be employed for objectively quantifying the well-being of the surgical patient.- Published
- 2024
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21. Endoscopic techniques for early diagnosis of cloacal pathologies and sex determination in blue spotted tree monitor ( Varanus macraei) and Cuming's water monitor ( Varanus cumingi) .
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Spadola F, Arezzo di Trifiletti EM, Marino M, Oliveri M, Knotek Z, and Costa GL
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- Animals, Female, Male, Cloaca, Sex Determination Analysis veterinary, Sex Determination Analysis methods, Endoscopy veterinary, Endoscopy methods
- Abstract
This article attempts to present, for the first time, the usefulness and feasibility of using endoscopic techniques in the cloacal region of Varanus cumingi and Varanus macraei . This method can serve both diagnostic and therapeutic purposes, as well as offering an early approach to sex determination through the observation of the urodeum which in males ends in a blind end while in females it consists of two ostia which represent the outlets of the oviducts. In this context, commonly employed sex determination techniques, such as post-cloacal spur detection, have shown unreliability. The study involved the examination of ten specimens, approximately one year old, from a private breeding farm, following a complete clinical evaluation to confirm their general state of health. All subjects underwent sedation, which allowed the evaluation of anatomical structures, the health status of the cloaca and the determination of sex. This study and its findings may provide a critical basis for addressing population declines of these species, particularly for V. macraei, which has already been classified as 'endangered' by the IUCN.
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- 2024
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22. Predictors of Mortality in Patients with Cardiac Device-Related Infective Endocarditis.
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Oliveira GB, Fae IG, Carvalho VT, Pinto PHOM, Duque RAS, Gelape FA, Cambraia FSL, Costa GL, Diamante LC, Bráulio R, Gelape CL, Sousa MR, Ferrari TCA, and Nunes MCP
- Abstract
Infective endocarditis (IE) associated with implantable cardiac devices (ICD) is a serious disease with high mortality rates. The increased number of ICD implants has led to increased ICD infection rates. The aim of this study was to characterize clinical, laboratory profiles and the prognosis of cardiac-device-related endocarditis (CDIE), as well as to identify predictors of in-hospital death. A total of 274 patients with IE were included in a prospective cohort (2007-2019). From these, 82 patients (30%) had CDIE (46 pacemakers, 23 cardioverter defibrillators, and 13 cardiac resynchronization therapy devices). Predisposed conditions; clinical, laboratory and echocardiographic parameters; etiologic agents; and in-hospital outcomes were evaluated. The mean age was 55.8 ± 16.4 years, where 64.6% were male. Among the clinical manifestations at diagnosis, the most prevalent were heart failure (67.9%), fever (60.5%), anorexia/hyporexia (44.4%), and heart murmur (37.5%). The median serum C-reactive protein (CRP) level at diagnosis was 63 mg/L (interquartile range [IQR] 20-161). Etiological agents were identified through positive blood cultures in 55% of cases. The main etiologic agents were negative-coagulase staphylococci (19.5%) and Staphylococcus aureus (18.3%). Vegetation was identified in 74 patients (90.1%). In-hospital mortality was 28%. CRP concentrations at diagnosis were identified as markers of disease severity (odds ratio [OR] 1.006; 95%CI 1.001-1.011; p = 0.016), and the worsening of heart failure was associated with unfavorable outcomes (OR 3.105; 95%CI 1.397-6.902; p = 0.005). Unlike what is traditionally accepted, CDIE does not have a better prognosis.
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- 2024
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23. Exploring T-Cell Immunity to Hepatitis C Virus: Insights from Different Vaccine and Antigen Presentation Strategies.
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Costa GL and Sautto GA
- Abstract
The hepatitis C virus (HCV) is responsible for approximately 50 million infections worldwide. Effective drug treatments while available face access barriers, and vaccine development is hampered by viral hypervariability and immune evasion mechanisms. The CD4+ and CD8+ T-cell responses targeting HCV non-structural (NS) proteins have shown a role in the viral clearance. In this paper, we reviewed the studies exploring the relationship between HCV structural and NS proteins and their effects in contributing to the elicitation of an effective T-cell immune response. The use of different vaccine platforms, such as viral vectors and virus-like particles, underscores their versability and efficacy for vaccine development. Diverse HCV antigens demonstrated immunogenicity, eliciting a robust immune response, positioning them as promising vaccine candidates for protein/peptide-, DNA-, or RNA-based vaccines. Moreover, adjuvant selection plays a pivotal role in modulating the immune response. This review emphasizes the importance of HCV proteins and vaccination strategies in vaccine development. In particular, the NS proteins are the main focus, given their pivotal role in T-cell-mediated immunity and their sequence conservation, making them valuable vaccine targets.
- Published
- 2024
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24. Effect of surgery on oxidative stress and endogenous tocopherol concentrations in juvenile female dogs.
- Author
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Costa GL, Leonardi F, Licata P, Tabbì M, Iannelli N, Iannelli D, Macrì D, Bruno F, Ferrantelli V, Nava V, Interlandi C, and Bruschetta G
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- Animals, Female, Dogs surgery, Dogs physiology, Ovariectomy veterinary, Malondialdehyde blood, Malondialdehyde metabolism, Oxidative Stress, Tocopherols metabolism
- Abstract
Background: Surgery such as ovariectomy causes an inflammatory and oxidative stress. This study was designed to evaluate endogenous tocopherol levels in response to surgical oxidative stress induced by abdominal surgery (ovariectomy) in thirty-two juvenile female dogs. The dogs received meloxicam before surgery (0.2 mg/kg SC) and after surgery (0.1 mg/kg OS every 24 h), 0.03 mg/kg of atropine sulfate (IM), and propofol 4 mg/kg intravenously (IV). General anesthesia was maintained with sevoflurane. Physiological, hematological and biochemical parameters, malondialdehyde (MDA) and α-, δ-, γ-tocopherols were evaluated at baseline, 36 and 48 h after surgery., Results: The physiological parameters remained within normal ranges. Blood glucose concentration increased, while the albumin levels decreased after surgery. Rescue analgesia was not required. MDA levels increased above the baseline at 36 and 48 h after surgery (P < 0.001). The α-, δ-, and γ-tocopherol concentrations decreased from baseline at 36 and 48 h after surgery (P < 0.001)., Conclusions: Surgery in juvenile female dogs revealed oxidative, increased MDA concentrations, reduced tocopherol levels, and had a clinically insignificant influence on homeostasis., (© 2024. The Author(s).)
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- 2024
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25. Surgical Site Infiltration with Comfort-in Device and Traditional Syringe in Dogs Undergoing Regional Mastectomy: Evaluation of Intra- and Postoperative Pain and Oxidative Stress.
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Costa GL, Bruno F, Leonardi F, Licata P, Macrì F, Fernández Parra R, Bruschetta G, Nava V, Pugliese M, and Spadola F
- Abstract
The surgical site infiltration of a local anesthetic is defined as the direct injection of a drug. This study aimed to compare the effects of surgical site infiltration with 4 mg kg
-1 lidocaine using a Comfort-in device and traditional syringe on oxidative status and intra- and postoperative pain in dogs undergoing regional mastectomy. Sixty adult female dogs divided into C (Comfort-in device), S (traditional syringe), and CTR (control) groups received 2 µg kg-1 dexmedetomidine and 4 mg kg-1 tramadol IM, 5 mg kg-1 tiletamine/zolazepam IV, and isoflurane. The physiological and anesthesiological parameters were measured. The assessment of intra- and postoperative responses to the surgical stimulus was performed using a cumulative pain scale (CPS score of 0-4) and the Colorado Pain Scale (CSU-CAPS score of 0-4). The hematological and biochemical parameters and inflammatory oxidative status were measured. The CPS scores showed no significant differences between the C and S groups ( p = 0.236), while the comparison between the CTR, C, and S groups, respectively, showed a significant difference ( p < 0.001). The postoperative analgesia scores were significantly lower in the C group compared to those of the S and CTR groups ( p < 0.001). In the C group, no subject received rescue analgesia during the intra- and postoperative periods. The level of oxidative inflammatory stress was lower in group C than those in S and CTR groups, and no side effects were observed in all the groups.- Published
- 2024
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26. Screening of Candida spp. in wastewater in Brazil during COVID-19 pandemic: workflow for monitoring fungal pathogens.
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Corrêa-Moreira D, da Costa GL, de Lima Neto RG, Pinto T, Salomão B, Fumian TM, Mannarino CF, Prado T, Miagostovich MP, de Souza Ramos L, Souza Dos Santos AL, and Oliveira MME
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- Brazil epidemiology, Humans, SARS-CoV-2 genetics, SARS-CoV-2 isolation & purification, Biofilms, Environmental Monitoring methods, Pandemics, Wastewater microbiology, Wastewater virology, Candida isolation & purification, Candida genetics, Candida classification, COVID-19 epidemiology, COVID-19 virology, Workflow
- Abstract
Fungal diseases are often linked to poverty, which is associated with poor hygiene and sanitation conditions that have been severely worsened by the COVID-19 pandemic. Moreover, COVID-19 patients are treated with Dexamethasone, a corticosteroid that promotes an immunosuppressive profile, making patients more susceptible to opportunistic fungal infections, such as those caused by Candida species. In this study, we analyzed the prevalence of Candida yeasts in wastewater samples collected to track viral genetic material during the COVID-19 pandemic and identified the yeasts using polyphasic taxonomy. Furthermore, we investigated the production of biofilm and hydrolytic enzymes, which are known virulence factors. Our findings revealed that all Candida species could form biofilms and exhibited moderate hydrolytic enzyme activity. We also proposed a workflow for monitoring wastewater using Colony PCR instead of conventional PCR, as this technique is fast, cost-effective, and reliable. This approach enhances the accurate taxonomic identification of yeasts in environmental samples, contributing to environmental monitoring as part of the One Health approach, which preconizes the monitoring of possible emergent pathogenic microorganisms, including fungi., (© 2024. The Author(s).)
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- 2024
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27. Impact of Neurological Complications on Long-Term Outcomes in Patients with Infective Endocarditis.
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Pinto PHOM, Fae IG, Oliveira GB, Duque RAS, Oliveira MVM, Barbalho LSM, Parreiras AO, Gelape FA, Cambraia FSL, Costa GL, Diamante LC, Bráulio R, Gelape CL, Teixeira-Carvalho A, Ferrari TCA, and Nunes MCP
- Abstract
Neurological complications are frequent during the active course of infective endocarditis (IE), and they are associated with high in-hospital mortality rates. However, limited data exist on the prognostic value of these complications for late outcomes. This study aimed to assess the long-term impact of neurological complications in patients surviving an IE episode. A total of 263 consecutive IE patients admitted to a tertiary care center between 2007 and 2022 were prospectively included. Neurological complications at admission included transient ischemic attack (TIA), ischemic stroke, hemorrhagic stroke, intracerebral abscess, and meningitis. The primary outcome was a composite of overall mortality or heart valve surgery. Of the patients, 34.2% died in the hospital, leaving 173 survivors for long-term follow-up. Over a median of 3.5 years, 29 patients died, and 13 (9%) underwent cardiac surgery, resulting in an overall adverse event rate of 30%. Neurological complications independently predicted long-term adverse outcomes (hazard ratio (HR) 2.237; 95% CI 1.006-4.976), after adjusting for age, chronic kidney disease (CKD), and heart failure (HF) development. In an IE patient cohort, neurological complications at admission, which is a complication directly related to the IE process, were independent predictors of long-term outcomes.
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- 2024
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28. Detection of Hanseniaspora opuntiae in anovaginal samples of pregnant women in Rio de Janeiro, Brazil-a case report.
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Pinto TN, Oliveira LMA, da Costa GL, Costa NS, Francisco EC, Pinto TCA, and Oliveira MME
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- Adult, Female, Humans, Pregnancy, Young Adult, Brazil, Diabetes, Gestational microbiology, Diabetes, Gestational diagnosis, DNA, Ribosomal genetics, Sequence Analysis, DNA, Streptococcus agalactiae isolation & purification, Streptococcus agalactiae genetics, Streptococcus agalactiae classification, Vagina microbiology, Pregnancy Complications, Infectious microbiology, Pregnancy Complications, Infectious diagnosis, Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization
- Abstract
In this study, we report the first isolation of Hanseniaspora opuntiae obtained from four pregnant women in Brazil. Clinical isolates were obtained from four samples taken between 35 and 37 gestational weeks, as part of the routine antenatal care for maternal colonization screening for Streptococcus agalactiae group B. The patients were immunocompetent, with two of them diagnosed with gestational diabetes mellitus. Species identification was performed by MALDI-TOF MS and rDNA sequencing. While Hanseniaspora species have not traditionally been considered a typical opportunist pathogen, our findings emphasize the importance of investigating and screening for Hanseniaspora in pregnant populations, highlighting H. opuntiae as a potential agent of human infections., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2024 Pinto, Oliveira, da Costa, Costa, Francisco, Pinto and Oliveira.)
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- 2024
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29. Intraoperative Isoflurane End-Tidal Concentration during Infusion of Fentanyl, Tramadol, or Fentanyl-Tramadol Combination in Cats.
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Interlandi C, Bruno F, Tabbì M, Macrì F, Di Pietro S, Giudice E, Licata P, Macrì D, Zappone V, and Costa GL
- Abstract
The aim of this study was to evaluate the end-tidal concentration of isoflurane required, clinical parameters, intraoperative antinociceptive effect, and postoperative analgesia in cats undergoing ovariohysterectomy, receiving fentanyl, tramadol, or fentanyl/tramadol. Sixty-six cats in three groups, were premedicated with dexmedetomidine and infused with one of the following treatments: fentanyl, tramadol, or fentanyl/tramadol combination. Anesthesia was induced with alfaxolone and maintained with isoflurane, titrated to keep heart rate, respiratory rate and systolic arterial pressure within target values recorded at endotracheal intubation. An intraoperative cumulative scale was performed. Postoperatively, a short form of the Glasgow Composite Measure Pain Scale Feline was used at 2, 12, and 24 h. The groups were similar for age, weight, dose of dexmedetomidine, and alfaxalone administered. A greater reduction in the end-tidal isoflurane fraction was observed with the combined fentanyl/tramadol infusion than with either fentanyl or tramadol alone. No differences in the end-tidal isoflurane fraction were found between fentanyl or tramadol alone. Hemodynamic stability associated with minimal cardiopulmonary changes, low response to noxious intraoperative stimulation, and low postoperative pain scores were also observed with the fentanyl/tramadol combination. The fentanyl/tramadol combination provided a reduction in the end-tidal isoflurane fraction compared with fentanyl or tramadol alone.
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- 2024
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30. Improved quality of life and pain relief in mature horses with osteoarthritis after oral transmucosal cannabidiol oil administration as part of an analgesic regimen.
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Interlandi C, Tabbì M, Di Pietro S, D'Angelo F, Costa GL, Arfuso F, Giudice E, Licata P, Macrì D, Crupi R, and Gugliandolo E
- Abstract
The aim of this study was to evaluate the effect of oral cannabidiol (CBD) administration in addition to a conventional analgesic protocol on the clinical signs of 20 horses with mild joint osteoarthritis. The horses were randomly assigned to either the control group (C group) or the cannabidiol group (CBD group). Both groups were treated with phenylbutazone for 5 days. The CBD group received 0.03 mg/kg cannabidiol in hemp oil orally once daily for 14 days in addition to phenylbutazone treatment. All subjects were monitored for clinical parameters, oxidative status and blood counts. Pain and quality of life were also assessed using the Horse Chronic Pain Scale (HCPS). The CBD group showed a significant reduction in heart rate, respiratory rate, white blood cell count and oxidative stress (malondialdehyde lipid peroxidation). A significant reduction in HCPS scores was seen in both groups. Lower scores were recorded in the CBD group (3 med; range: 2/4) than in the C group (7 med; range: 4/10). The addition of a cannabidiol-based product to an analgesic protocol was well tolerated and showed positive effects on the treated subjects, improving their quality of life and pain relief., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The author(s) declared that they were an editorial board member of Frontiers, at the time of submission. This had no impact on the peer review process and the final decision., (Copyright © 2024 Interlandi, Tabbì, Di Pietro, D’Angelo, Costa, Arfuso, Giudice, Licata, Macrì, Crupi and Gugliandolo.)
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- 2024
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31. Polymyxin Resistance in Salmonella : Exploring Mutations and Genetic Determinants of Non-Human Isolates.
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Vieira T, Dos Santos CA, de Jesus Bertani AM, Costa GL, Campos KR, Sacchi CT, Cunha MPV, Carvalho E, da Costa AJ, de Paiva JB, Rubio MDS, Camargo CH, and Tiba-Casas MR
- Abstract
Until 2015, polymyxin resistance was primarily attributed to chromosomal mutations. However, with the first report of mobile colistin resistance ( mcr-1 ) in commensal Escherichia coli from food animals in China, the landscape has changed. To evaluate the presence of polymyxin resistance in Salmonella spp., a drop screening test for colistin and polymyxin B was carried out on 1156 isolates of non-human origin (animals, food, and the environment), received in Brazil, between 2016 and 2021. Subsequently, 210 isolates with resistant results in the drop test were subjected to the gold-standard test (broth microdilution) for both colistin and polymyxin B. Whole-genome sequencing (WGS) of 102 resistant isolates was performed for a comprehensive analysis of associated genes. Surprisingly, none of the isolates resistant to colistin in the drop test harbored any of the mcr variants ( mcr-1 to mcr-10 ). WGS identified that the most common mutations were found in pmrA (n= 22; T89S) and pmrB (n = 24; M15T, G73S, V74I, I83A, A111V). Other resistance determinants were also detected, such as the aac ( 6 ')- Iaa gene in 72 isolates, while others carried beta-lactamase genes ( bla
TEM-1 blaCTX-M-2 , blaCMY-2 ). Additionally, genes associated with fluoroquinolone resistance ( qnrB19 , qnrS1 , oqxA/B ) were detected in 11 isolates. Colistin and polymyxin B resistance were identified among Salmonella from non-human sources, but not associated with the mcr genes. Furthermore, the already-described mutations associated with polymyxin resistance were detected in only a small number of isolates, underscoring the need to explore and characterize unknown genes that contribute to resistance.- Published
- 2024
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32. A novel report on the emerging and zoonotic neurotropic fungus Trichosporon japonicum in the brain tissue of the endangered Brazilian guitarfish (Pseudobatos horkelii) off the southeastern coast of Brazil.
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Peixoto-Rodrigues MC, da Costa GL, Pinto TN, Adesse D, Oliveira MME, and Hauser-Davis RA
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- Animals, Brazil, Fungi, Brain, Basidiomycota
- Abstract
Yeast infections have gained significant attention in the field of marine biology in recent years. Among the broad diversity of marine organisms affected by these infections, elasmobranchs (sharks and rays) have emerged as highly susceptible, due to climate change effects, such as increasing water temperatures and pollution, which can alter the composition and abundance of fungal communities. Additionally, injuries, or compromised immune systems resulting from pollution or disease may increase the likelihood of fungal infections in elasmobranchs. Studies are, however, still lacking for this taxonomic group. In this context, this study aimed to screen yeast species in cell cultures obtained from the brain of artisanally captured Pseudobatos horkelii, a cartilaginous fish that, although endangered, is highly captured and consumed worldwide. Fungi were isolated during an attempt to establish primary cultures of elasmobranch neural cells. Culture flasks were swabbed and investigated using morphological, phenotypic, and molecular techniques. Two isolates of the emerging opportunistic pathogen Trichosporon japonicum were identified, with high scores (1.80 and 1.85, respectively) by the MALDI-ToF technique. This is the first report of the basidiomycetous yeast T. japonicum in Pseudobatos horkelii in Brazil. This finding highlights the need for further research to determine the potential impact on elasmobranch health, ecology, as well as on commercial fisheries., (© 2023. The Author(s).)
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- 2023
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33. Tramadol vs. Lidocaine Administered Intraperitoneally and in Incisional Lines for the Intraoperative and Postoperative Pain Management of Romifidine-Telazol-Anesthetized Swine Undergoing Umbilical Hernia Repair.
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Costa GL, Spadola F, Di Pietro S, Nava V, Licata P, Giudice E, Leonardi F, Bruno F, Messina L, Macrì F, Macrì D, Ferrantelli V, Tabbì M, and Interlandi C
- Abstract
The aim of the study was to compare the analgesic efficacy of tramadol and lidocaine for local anesthesia during umbilical hernia repair in swine. The study was performed on 66 large white crossbred swine. The swine received a mixture of tiletamine/zolazepam at 5 mg/kg and romifidine at 80 µg/kg, administered intramuscularly. Then, they were divided into three groups ( n = 22) that received different treatments with lidocaine at 4 mg/kg and tramadol at 4 mg/kg. The LL group received lidocaine both by infiltration of the surgical planes and intraperitoneally. The LT group received lidocaine by infiltration of the surgical planes and tramadol intraperitoneally. The TT group received tramadol both by infiltration of the surgical planes and intraperitoneally. In all groups, the infiltration of the surgical planes into the umbilical region involved both the skin and muscle planes. Heart rate, noninvasive arterial blood pressure, and respiratory frequency were recorded during surgery. The response to the surgical stimulus was evaluated using a cumulative pain scale (the cut-off point for rescue analgesia was set to 10). Postoperative pain was assessed using the UNESP-Botucatu pig composite acute pain scale (the cut-off point was set to 4). The trend of physiological variables was adequate for patients under anesthesia. No subject required intraoperative and postoperative rescue analgesia. Tramadol could therefore be used for pain management in livestock.
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- 2023
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34. Treatment of Canine Disc-Associated Cervical Spondylomyelopathy with a Cervical Distraction-Stabilization Technique (C-LOX Combined with LCP Plate) and Clinical Outcomes.
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Tabbì M, Barillaro G, Interlandi CD, Di Pietro S, Fugazzotto D, Costa GL, Iannelli NM, Macrì D, Ferrantelli V, and Macrì F
- Abstract
Canine disc-associated cervical spondylomyelopathy (DA-CSM) is a form of caudal CSM, characterized by the compression of the spinal cord and nerve roots due to an intervertebral disc protrusion. It is more frequent in large canine breeds. A variety of surgical techniques has been proposed for DA-CSM. The aim of the study was to evaluate the outcomes of a cervical distraction-stabilization technique using an intervertebral anchored fusion device (C-LOX) combined with a locking compression plate (LCP plate) for the treatment of DA-CSM in dogs, based on clinical and radiographical follow-up data. Thirteen dogs affected by DA-CSM were included in the study. After the surgical procedure, an improvement in neurological status was documented in 9/13 cases. This cervical distraction-stabilization technique seems to be a valuable surgical alternative to treat this canine pathology.
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- 2023
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35. A Novel One Health Approach concerning Yeast Present in the Oral Microbiome of the Endangered Rio Skate ( Rioraja agassizii ) from Southeastern Brazil.
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Oliveira MME, Lopes AP, Pinto TN, da Costa GL, Goes-Neto A, and Hauser-Davis RA
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The current climate change scenario caused by anthropogenic activities has resulted in novel environmental pressures, increasing the occurrence and severity of fungal infections in the marine environment. Research on fungi in several taxonomic groups is widespread although not the case for elasmobranchs (sharks and rays). In this context, the aim of the present study was to screen the oral fungal microbiota present in artisanally captured Rioraja agassizii , a batoid that, although endangered, is highly fished and consumed worldwide. Oropharyngeal samples were obtained by swabbing and the samples were investigated using morphological and phenotypic methods by streaking on Sabouraud Dextrose Agar (SDA) and subculturing onto CHROMagar Candida (BD Difco) and CHROMagar Candida Plus (CHROMagar
TM ), as well as molecular techniques by amplification of the ITS1-5.8S-ITS2 ribosomal DNA region and a MALDI-TOF MS assessment. The findings indicated the presence of Candida parapsilosis (seven isolates), Candida duobushaemulonii (one isolate) and Rhodotorula mucilaginosa (three isolates), several of these reported for the first time in Rioraja agassizii . In addition, a 100% agreement between the MALDI-TOF results and partial ITS region sequencing was noted, demonstrating that the MALDI-TOF MS is a rapid and effective alternative for yeast identification in Rioraja agassizii isolates and potentially in other elasmobranch species. These findings highlight the need for further research to determine the potential impact on elasmobranch health, ecology, and commercial fisheries. Furthermore, this research is paramount in a One Health framework and may be employed to predict elasmobranch responses to an evolving ocean, keep healthy populations in check, monitor species, and assess the public health consequences of consuming these species.- Published
- 2023
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36. Performance, carcass, and meat traits of locally adapted Brazilian cattle breeds under feedlot conditions.
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de Carvalho Porto Barbosa M, Fioravanti MCS, Peripolli V, do Egito AA, Juliano RS, Ramos AF, Cardoso D, Laudares KM, Feijó GLD, Prado CS, Júnior RGV, de Oliveira NA, de Paula Rezende PL, Restle J, Costa GL, Costa MFOE, and McManus C
- Subjects
- Cattle genetics, Animals, Brazil, Phenotype, Muscle, Skeletal, Body Composition, Meat, Weight Gain
- Abstract
Little is known about the performance, carcass, and meat traits of locally adapted cattle in Brazil. This study aimed to compare the growth, slaughter, and carcass traits as well as meat quality of two local breeds (Curraleiro Pé-Duro and Pantaneiro) with the Nelore breed. Fifteen 30-month-old steers of each breed were weighted (Curraleiro Pé-Duro = 264.80 kg; Nelore = 346.80 kg; Pantaneiro = 316.20 kg) and raised in a feedlot condition for 112 days, with measurements to assess growth and slaughter, visual and carcass and meat traits. Data were submitted to variance and multivariate analyses. Nelore and Curraleiro Pé-Duro had similar Gluteus medius depths. Pantaneiro and Curraleiro Pé-Duro were superior for leg compactness index (P < 0.05) and had higher eye muscle area than Nelore (P < 0.05). Although there was no difference in daily weight gain and slaughter weight between breeds, Curraleiro Pé-Duro had a lower initial weight (264.80 kg) when compared to Nelore (346.80 kg; P < 0.05). Nelore and Curraleiro Pé-Duro deposited more fat than Pantaneiro (P < 0.05), while Curraleiro Pé-Duro and Pantaneiro had more muscle than Nelore (P < 0.05), which also had more bone and a higher percentage of second-quality cuts (P < 0.05). Meat from Nelore also showed lower succulence than Pantaneiro (P < 0.05) and higher shear force than the other breeds (P < 0.05). Pantaneiro's meat had the most capacity to retain water (P < 0.05), lower shear force (P < 0.05), and was more succulent (P < 0.05) when compared to the other breeds. Multivariate analysis showed that Pantaneiro, Curraleiro Pé-Duro, and Nelore breeds can be considered distinct in growth, carcass, and meat traits, with the local breeds showing superior meat traits. The local breeds Curraleiro Pé-Duro and Pantaneiro presented characteristics similar or better to those of the Nelore, proving to be animals with great productive potential and generate high meat quality under feedlot conditions., (© 2023. The Author(s), under exclusive licence to Springer Nature B.V.)
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- 2023
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37. Molecular BCR::ABL1 Quantification and ABL1 Mutation Detection as Essential Tools for the Clinical Management of Chronic Myeloid Leukemia Patients: Results from a Brazilian Single-Center Study.
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Marin AM, Wosniaki DK, Sanchuki HBS, Munhoz EC, Nardin JM, Soares GS, Espinace DC, de Holanda Farias JS, Veroneze B, Becker LF, Costa GL, Beltrame OC, de Oliveira JC, Cambri G, Zanette DL, and Aoki MN
- Subjects
- Humans, Brazil, Drug Resistance, Neoplasm genetics, Mutation, Protein Kinase Inhibitors pharmacology, Translocation, Genetic, Fusion Proteins, bcr-abl genetics, Leukemia, Myelogenous, Chronic, BCR-ABL Positive diagnosis, Leukemia, Myelogenous, Chronic, BCR-ABL Positive drug therapy, Leukemia, Myelogenous, Chronic, BCR-ABL Positive genetics
- Abstract
Chronic myeloid leukemia (CML) is a well-characterized oncological disease in which virtually all patients possess a translocation (9;22) that generates the tyrosine kinase BCR::ABL1 protein. This translocation represents one of the milestones in molecular oncology in terms of both diagnostic and prognostic evaluations. The molecular detection of the BCR::ABL1 transcription is a required factor for CML diagnosis, and its molecular quantification is essential for assessing treatment options and clinical approaches. In the CML molecular context, point mutations on the ABL1 gene are also a challenge for clinical guidelines because several mutations are responsible for tyrosine kinase inhibitor resistance, indicating that a change may be necessary in the treatment protocol. So far, the European LeukemiaNet and the National Comprehensive Cancer Network (NCCN) have presented international guidelines on CML molecular approaches, especially those related to BCR::ABL1 expression. In this study, we show almost three years' worth of data regarding the clinical treatment of CML patients at the Erasto Gaertner Hospital, Curitiba, Brazil. These data primarily comprise 155 patients and 532 clinical samples. BCR::ABL1 quantification by a duplex-one-step RT-qPCR and ABL1 mutations detection were conducted. Furthermore, digital PCR for both BCR::ABL1 expression and ABL1 mutations were conducted in a sub-cohort. This manuscript describes and discusses the clinical importance and relevance of molecular biology testing in Brazilian CML patients, demonstrating its cost-effectiveness.
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- 2023
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38. Tramadol Administered Intravenously Either as a Bolus or a Slow Injection in Pain Management of Romifidine-Sedated Calves Undergoing Umbilical Hernia Repair.
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Costa GL, Leonardi F, Interlandi C, Licata P, Lizarraga I, Macrì F, Macrì D, Ferrantelli V, and Spadola F
- Abstract
Umbilical hernias in calves occur with relative frequency. Most abdominal surgeries can be performed in cattle using standing sedation and local blocks. Romifidine is widely used in calves, alone or in combination with opioids. Tramadol administered as an intravenous slow injection provided better analgesia than an IV bolus in cows. The aim of the present study was to compare the response to surgical stimulus, and sedative effects of tramadol administered intravenously either as a bolus or a slow injection in romifidinesedated calves. Twenty Frisian calves undergoing umbilical hernia repair received romifidine (0.08 mg/kg IM; time 0) followed by tramadol (1 mg/kg IV) 5 min later either as a bolus ( n = 10, B group) or a slow injection over 10 min ( n = 10, SI group). Surgical area was infiltrated with lidocaine (4 mg/kg). Heart rate (HR), respiratory rate (RR), systolic, dyastolic and mean arterial pressure (SAP, DAP, MAP), sedation scores and response to surgical stimulus were recorded for up to 55 min. After the calves recovered a standing position, postoperative pain scores were assessed for up to 50 min. Sedation scores were significantly higher in the SI group than in the B group at 55 min ( p < 0.05). HR, RR, SAP and response to surgical stimulus were significantly higher in the B group than in the SI group ( p < 0.05). No significant differences were recorded in postoperative pain scores between groups ( p > 0.05). Romifidine IM followed by intravenous tramadol, as a bolus or slow injection and local infiltration with lidocaine provided adequate sedation and analgesia in calves undergoing umbilical hernia repair.
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- 2023
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39. Cerebrospinal fluid: a target of some fungi and an overview.
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Corrêa-Moreira D, Castro R, da Costa GL, Lima-Neto RG, and Oliveira MME
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- Humans, Inflammation, Risk Factors, COVID-19, Meningitis, Cryptococcal, Cryptococcus, HIV Infections complications
- Abstract
Meningitis is a potentially life-threatening infection characterised by the inflammation of the leptomeningeal membranes. The estimated annual prevalence of 8.7 million cases globally and the disease is caused by many different viral, bacterial, and fungal pathogens. Although several genera of fungi are capable of causing infections in the central nervous system (CNS), the most significant number of registered cases have, as causal agents, yeasts of the genus Cryptococcus. The relevance of cryptococcal meningitis has changed in the last decades, mainly due to the increase in the number of people living with human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) and medications that impair the immune responses. In this context, coronavirus disease 19 (COVID-19) has also emerged as a risk factor for invasive fungal infections (IFI), including fungal meningitis (FM), due to severe COVID-19 disease is associated with increased pro-inflammatory cytokines, interleukin (IL)-1, IL-6, and tumour necrosis factor-alpha, reduced CD4-interferon-gamma expression, CD4 and CD8 T cells. The gold standard technique for fungal identification is isolating fungi in the culture of the biological material, including cerebrospinal fluid (CSF). However, this methodology has as its main disadvantage the slow or null growth of some fungal species in culture, which makes it difficult to finalise the diagnosis. In conclusions, this article, in the first place, point that it is necessary to accurately identify the etiological agent in order to assist in the choice of the therapeutic regimen for the patients, including the implementation of actions that promote the reduction of the incidence, lethality, and fungal morbidity, which includes what is healthy in the CNS.
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- 2023
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40. Effect on physiological parameters and anaesthetic dose requirement of isoflurane when tramadol given as a continuous rate infusion vs a single intravenous bolus injection during ovariohysterectomy in dogs.
- Author
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Costa GL, Di Pietro S, Interlandi C, Leonardi F, Macrì D, Ferrantelli V, and Macrì F
- Subjects
- Dogs, Female, Animals, Humans, Tiletamine pharmacology, Zolazepam pharmacology, Acepromazine, Isoflurane, Tramadol, Anesthetics
- Abstract
Background: Tramadol produces a significant reduction in both sevoflurane and isoflurane minimum alveolar concentrations in dogs under experimental conditions. This study aims to compare the effects of tramadol administered as a constant rate infusion (CRI) with those of tramadol administered as a single intravenous bolus on physiological parameters and isoflurane requirements in dogs undergoing ovariohysterectomy., Methods: In this study, forty female dogs undergoing ovariohysterectomy were enrolled. The bitches were anesthetized with 5 mg/kg of tiletamine/zolazepam combined with 0.05 mg/kg of acepromazine intravenously. Anesthesia was maintained with isoflurane delivered in 100% oxygen. The group A (n = 20) received tramadol 4 mg/kg in a single intravenous bolus, whereas the group B (n = 20) received tramadol 1.5 mg/kg in an intravenous bolus followed by tramadol 2.6 mg/kg/h as a CRI. The following parameters were recorded: heart rate, respiratory rate, non-invasive blood pressure, body temperature, EtCO2, SpO2 and inspired and expired concentrations of isoflurane. Parameter measurements were performed from pre-preedication (baseline) to skin suturing., Results: The dogs were healthy subjects that demonstrated no abnormalities on laboratory investigations. Significant tachycardia was recorded after administration of tiletamine/zolazepam combined with acepromazine in both groups. Heart rate decreased after intubation but remained significantly higher compared to baseline values in both groups. Systolic blood pressure significantly decreased in both groups but the recorded values were within the physiological range. Mild reduction in body temperature was recorded in both groups. SpO2 and EtCO2 remained within the physiological range. Isoflurane requirement was significantly lower in the group B compared to the group A. Transient twitching was recorded in two dogs belonging to the group A after tramadol administration., Conclusions: Compared to tramadol given as a single intravenous bolus injection during ovariohysterectomy in dogs, tramadol administered as a CRI reduces isoflurane requirements in dogs anesthetized with tiletamine/zolazepam combined with acepromazine. Both tramadol given as a CRI and a single intravenous bolus injection, induce decrease in heart rate, respiratory rate and in body temperature but the values of these parameters remain within physiological range in dogs undergoing ovariohysterectomy., Competing Interests: The authors have declared that no competing interests exist., (Copyright: © 2023 Costa et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
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- 2023
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41. SARS-CoV-2 Post-Infection and Sepsis by Saccharomyces cerevisiae : A Fatal Case Report-Focus on Fungal Susceptibility and Potential Virulence Attributes.
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Ramos LS, Mokus L, Frota HF, Santos MV, Oliveira SSC, Oliveira MME, Costa GL, Alves AL, Bernardes-Engemann AR, Orofino-Costa R, Aor AC, Branquinha MH, and Santos ALS
- Abstract
The pandemic caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has been responsible for approximately 6.8 million deaths worldwide, threatening more than 753 million individuals. People with severe coronavirus disease-2019 (COVID-19) infection often exhibit an immunosuppression condition, resulting in greater chances of developing co-infections with bacteria and fungi, including opportunistic yeasts belonging to the Saccharomyces and Candida genera. In the present work, we have reported the case of a 75-year-old woman admitted at a Brazilian university hospital with an arterial ulcer in the left foot, which was being prepared for surgical amputation. The patient presented other underlying diseases and presented positive tests for COVID-19 prior to hospitalization. She received antimicrobial treatment, but her general condition worsened quickly, leading to death by septic shock after 4 days of hospitalization. Blood samples collected on the day she died were positive for yeast-like organisms, which were later identified as Saccharomyces cerevisiae by both biochemical and molecular methods. The fungal strain exhibited low minimal inhibitory concentration values for the antifungal agents tested (amphotericin B, 5-flucytosine, caspofungin, fluconazole and voriconazole), and it was able to produce important virulence factors, such as extracellular bioactive molecules (e.g., aspartic peptidase, phospholipase, esterase, phytase, catalase, hemolysin and siderophore) and biofilm. Despite the activity against planktonic cells, the antifungals were not able to impact the mature biofilm parameters (biomass and viability). Additionally, the S. cerevisiae strain caused the death of Tenebrio molitor larvae, depending on the fungal inoculum, and larvae immunosuppression with corticosteroids increased the larvae mortality rate. In conclusion, the present study highlighted the emergence of S. cerevisiae as an opportunistic fungal pathogen in immunosuppressed patients presenting several severe comorbidities, including COVID-19 infection.
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- 2023
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42. Colonized patients by Candida auris : Third and largest outbreak in Brazil and impact of biofilm formation.
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de Melo CC, de Sousa BR, da Costa GL, Oliveira MME, and de Lima-Neto RG
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- Humans, Candida auris, Brazil epidemiology, Proteomics, SARS-CoV-2, Biofilms, Microbial Sensitivity Tests, Antifungal Agents, COVID-19
- Abstract
Objective: To describe the clinical-epidemiological features of patients colonized by Candida auris in the largest outbreak in Brazil and to show the biofilm formation capacity of yeast strains., Methods: Clinical yeasts suspected of C. auris isolated from urine and surveillance samples were seeded on chromogenic media at 30°C and Sabouraud agar at 42°C. matrix-assisted laser desorption/ionization-time of flight mass spectometry was used for reliable identification. After proteomic confirmation, the genomic approach and culture on Chromagar Candida Plus media were carried out. Biofilm formation was investigated based on metabolic activity, and the clinical-epidemiological profile of patients was described., Results: A total of 11 C . auris clinical yeasts from nine patients were identified between the end of December 2021 and March 2022. Two clinical yeasts were isolates from urine and nine clinical yeasts were isolates from axillary and inguinal surveillance swabs. No case is related to previous Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. However, all the yeasts showed a high ability of biofilm formation., Conclusion: C. auris requires great vigilance as its high capacity to colonize and form biofilms contributes to its dissemination. The rapid and precise identification of this species is essential for the management, control, and prevention of infections., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2023 de Melo, de Sousa, da Costa, Oliveira and de Lima-Neto.)
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- 2023
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43. Levobupivacaine Combined with Cisatracurium in Peribulbar Anaesthesia in Cats Undergoing Corneal and Lens Surgery.
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Costa GL, Leonardi F, Interlandi C, Spadola F, Fisichella S, Macrì F, Nastasi B, Macrì D, Ferrantelli V, and Di Pietro S
- Abstract
The aims of the study included evaluating the effects of levobupivacaine combined with cisatracurium on akinesia and mydriasis when administered by peribulbar injection, and evaluating if the chosen dose of cisatracurium is enough to avoid the use of systemic neuromuscular blockade in cats. The animals were divided into four groups as follows: group L received 1.25 mg kg
-1 levobupivacaine administered by peribulbar injection; group LC received the same dose of levobupivacaine combined with 0.01 mg kg-1 of cisatracurium administered by peribulbar injection; group C received 0.01 mg kg-1 of cisatracurium administered by peribulbar injection; group GC received 0.01 mg kg-1 of cisatracurium intravenously. Physiological variables, intraocular pressure, akinesia, and mydriasis were measured before and up to 30 min after peribulbar injection. The onset of akinesia, duration of akinesia, and train of four (TOF) were evaluated. Physiological variables remained in the physiological range in all groups. Effective akinesia and mydriasis were observed in all groups. The (TOF) was 0.9 in all groups. Throughout the study was observed in group LC a shortened onset of akinesia and a prolonging its duration. The peribulbar injection of cisatracurium and levobupivacaine provided effective akinesia and mydriasis, and shortened the onset of akinesia while prolonging its duration.- Published
- 2023
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44. First report of fungal meningoencephalitis by Penicillium chrysogenum in Brazil.
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de Oliveira RVM, Corrêa-Moreira D, Mendes TV, da Costa GL, Vieira RM, Buchele CMN, Lins RS, Ferreira ABTBC, Veira DB, Pedroso RSA, de Faria VTDP, and Oliveira MME
- Subjects
- Humans, Brazil epidemiology, Penicillium chrysogenum genetics, Meningoencephalitis diagnosis, Meningoencephalitis drug therapy, Meningitis, Mycoses, Penicillium genetics
- Abstract
Introduction: Fungal infections of the central nervous system present a variety of clinical syndromes, such as meningitis, encephalitis, raised intracranial pressure with a nonspecific presentation, and, in the last two decades, have increased the incidence of these fungal infections. Fungal meningoencephalitis is frequently associated with Cryptococcus, but this report stands out for presenting one species of Penicillium genus., Objectives: Here, we present the first case of meningoencephalitis associated with brain injury caused by Penicillium chrysogenum, in a patient who is immunocompetent and was admitted to Hospital Naval Marcílio Dias, Rio de Janeiro, Brazil., Methods: To identify the fungal species, we performed phenotypic and genotypic methodologies, from the culture to the sequencing of internal transcribed spacer region, and β-tubulin gene, a rare fungus in cerebrospinal fluid cultures, belonging to the genus Penicillium, was identified., Conclusion: We highlight the importance of the first report of meningoencephalitis caused by P. chrysogenum in a patient who is immunocompetent, registered in Brazil. We also emphasize the need for further studies to determine an effective treatment with the least possible side effects for patients infected by fungi that are rarely related to the most severe forms of invasive infections., Competing Interests: Declaration of competing interest The authors have no competing interests to declare., (Copyright © 2022 The Author(s). Published by Elsevier Ltd.. All rights reserved.)
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- 2023
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45. A comprehensive assessment of leachate contamination at a non-operational open dumpsite: mycoflora screening, metal soil pollution indices, and ecotoxicological risks.
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Junior SFS, Mannarino CF, de Farias Araújo G, Bila DM, Hauser-Davis RA, Saint'Pierre T, da Costa GL, Oliveira MME, Parente CET, Correia FV, and Saggioro EM
- Subjects
- Humans, Environmental Monitoring, Solid Waste analysis, Metals, Waste Disposal Facilities, Soil, Refuse Disposal, Water Pollutants, Chemical analysis
- Abstract
The final disposal of municipal solid waste (MSW) in dumpsites is still a reality worldwide, especially in low- and middle-income countries, leading to leachate-contaminated zones. Therefore, the aim of this study was to carry out soil and leachate physicochemical, microbiological, and toxicological characterizations from a non-operational dumpsite. The L-01 pond samples presented the highest physicochemical parameters, especially chloride (Cl; 4101 ± 44.8 mg L
-1 ), electrical conductivity (EC; 10,452 ± 0.1 mS cm-1 ), and chemical oxygen demand (COD; 760 ± 6.6 mg L-1 ) indicating the presence of leachate, explained by its close proximity to the landfill cell. Pond L-03 presented higher parameters compared to pond L-02, except for N-ammoniacal and phosphorus levels, explained by the local geological configuration, configured as a slope from the landfill cell towards L-03. Seven filamentous and/or yeast fungi genera were identified, including the opportunistic pathogenic fungi Candida krusei (4 CFU) in an outcrop sample. Regarding soil samples, Br, Se, and I were present at high concentrations leading to high soil contamination (CF ≤ 6). Pond L-02 presented the highest CF for Br (18.14 ± 18.41 mg kg-1 ) and I (10.63 ± 3.66 mg kg-1 ), while pond L-03 presented the highest CF for Se (7.60 ± 1.33 mg kg-1 ). The most severe lethal effect for Artemia salina was observed for L-03 samples (LC50 : 79.91%), while only samples from L-01 were toxic to Danio rerio (LC50 : 32.99%). The highest lethality for Eisenia andrei was observed for L-02 samples (LC50 : 50.30%). The applied risk characterization indicates high risk of all proposed scenarios for both aquatic (RQ 375-909) and terrestrial environments (RQ > 1.4 × 105 ). These findings indicate that the investigated dumpsite is contaminated by both leachate and metals, high risks to living organisms and adjacent water resources, also potentially affecting human health., (© 2022. The Author(s), under exclusive licence to Springer Nature Switzerland AG.)- Published
- 2022
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46. Paecilomyces variotti in deep dental caries.
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Daibert FK, Oliveira MM, Lima-Junior JC, da Costa GL, Alves FR, Gonçalves LS, and Pires FR
- Abstract
Paecilomyces variotti ( P. variotti ) is a fungal species found in soil, wood and some foods, and has been associated with some severe systemic infections. P. variotti has not been previously identified in carious tissue, and the aim of the present study is to report the presence of P. variotti in a deep carious lesion discussing its possible local and systemic associations. A 28 year-old male was submitted to extraction of the upper left second premolar (tooth #25) presenting a deep carious lesion. After extraction the tooth was cleaved in its long axis, and the infected dentinal tissue was curetted and submitted to microbiological analysis using CHROMagar® Candida medium and Malt Extract Agar. Macroscopic and microscopic analysis confirmed the presence of P. variotti in the carious tissue. Post-operatory period was uneventful, healing of the dental socket was complete, and the patient remained well during the follow-up period. P. variotti , a fungus not considered saprophyte in the oral cavity, was encountered in a deep caries lesion, and its potential association with local and systemic infections should be considered. Key words: Paecilomyces variotti, dental caries., Competing Interests: Conflicts of interest The authors declare that they have no conflict of interest., (Copyright: © 2022 Medicina Oral S.L.)
- Published
- 2022
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47. Hernioplasty with Peritoneal Flap for the Surgical Treatment of Umbilical Hernia in Swine.
- Author
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Spadola F, Neve VC, Interlandi CD, Spadaro A, Macrì F, Iannelli NM, and Costa GL
- Abstract
Background: Umbilical hernia is one of the most common developmental defects in swine, producing large economic losses for farmers, forced to slaughter animals at a younger age and therefore at a lower weight to prevent fatal complications. This study describes a surgical technique to repair umbilical hernia through the use of autologous prostheses, allowing recovery of the affected animals; Methods: After a general examination of the swine and examination of the lesions, the swine were anesthetized and underwent surgery. The surgery was performed by combining the traditional herniorrhaphy with the inclusion and fixation of a peritoneal flap obtained from the incision of the same hernial sac; Results: Follow-ups were carried out at 7, 30 and 60 days and demonstrated healing in all of the treated subjects; Conclusions: The use of this surgical technique allows for providing resistance to herniorrhaphy performed through the use of a cost-free autologous biomaterial prosthesis, with excellent tissue compatibility. This might allow for reducing significantly the rate of relapses and eliminating the risk of rejection.
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- 2022
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48. Effects of Cisatracurium in Sevoflurane and Propofol Requirements in Dog-Undergoing-Mastectomy Surgery.
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Interlandi C, Di Pietro S, Costa GL, Spadola F, Iannelli NM, Macrì D, Ferrantelli V, and Macrì F
- Abstract
The purpose of the present study was to test whether the addition of cisatracurium in combination with propofol and sevoflurane would result in a change in doses of used anesthetic drugs. Ten dogs (Group A) undergoing elective unilateral mastectomy surgery were included in the study. To induce and maintain anesthesia, subjects received propofol and sevoflurane at varying doses; analgesia was performed with remifentanil. After three months, the same subjects (Group B) underwent contralateral mastectomy and received the same anesthetic protocol with the addition of cisatracurium at a dosage of 0.2 mg/kg−1. The following parameters were monitored during anesthesia: heart rate, systolic blood pressure, end-tidal CO2, oxygen saturation, halogenate requirement, and rectal temperature at baseline (T0), induction (T1), 5 (T5), 10 (T10), 15 (T15), 20 (T20), 25 (T25), 30 (T30), and 35 (T35) time points. In Group A, halogenate requirement was reduced at all the time points other than T1 (p < 0.001); in Group B, the percentage of halogenate requirement was already reduced at T1 and remained constant during the experimental period, showing no significant intragroup differences. The dose requirements of sevoflurane and propofol varied significantly between the two groups, with significantly lower dosages in the Group B (the cisatracurium-treated group). Moreover, patients treated with cisatracurium showed a stable anesthetic plan. The nondepolarizing-muscle-relaxant cisatracurium besylate could be considered a useful adjunct to anesthetic protocols.
- Published
- 2022
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49. Candida guilliermondii as an agent of postpartum subacute mastitis in Rio de Janeiro, Brazil: Case report.
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Pinto TN, Kohn A, da Costa GL, Oliveira LMA, Pinto TCA, and Oliveira MME
- Abstract
Candida spp. can cause mild-to-severe human infections. Certain species have been described as the etiologic agent of human mastitis, inflammation of the breast tissue. Mastitis affects millions of lactating women and can be a source of disease transmission to the infant. In this work, we report the detection of the unusual etiologic agent of human mastitis, Candida guilliermondii , isolated from the milk of a puerperal woman with subacute mastitis in Rio de Janeiro, Brazil. Species identification was performed by MALDI-TOF MS and genetic sequencing. The patient had a full recovery after antifungal therapy., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2022 Pinto, Kohn, da Costa, Oliveira, Pinto and Oliveira.)
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- 2022
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50. Presence of Trypanosoma vivax DNA in cattle semen and reproductive tissues and related changes in sperm parameters.
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Couto LFM, Heller LM, Zapa DMB, de Moura MI, Costa GL, de Assis Cavalcante AS, Ribeiro NB, Bastos TSA, Ferreira LL, Soares VE, Lino de Souza GR, Cadioli FA, and Lopes WDZ
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- Animals, Cattle, DNA, Hematocrit veterinary, Male, Semen, Spermatozoa, Trypanosoma vivax genetics, Cattle Diseases, Trypanosomiasis, African veterinary
- Abstract
The present work investigated the presence of Trypanosoma vivax in semen and reproductive tissues of experimentally infected cattle and evaluated changes in seminal parameters. Two groups of cattle were established: T01 - experimentally infected with T. vivax (n = 8) and T02 - not experimentally infected with T. vivax (n = 8). After infection, blood (every seven days until 182 days post-infection - DPI), semen (7, 14, 35, 56, 70, 120 and 182 DPI) and reproductive tissue (after euthanasia, 182 DPI) were collected to search for T. vivax using different techniques, including PCR, Woo and Brener. Seminal parameters, including turbulence, motility, concentration, and vigor, were also analyzed. Packed cell volume (PCV) of the animals was determined weekly and weight gain was calculated. The PCR revealed T. vivax DNA in 7/56 semen samples of post-infection T01 cattle. Trypanosoma vivax DNA was detected in the semen of 5/8 animals at 7, 14, 56, 70 and 120 DPI, in the testis of four, and in the epididymis and fat located around the testis of two others. Trypomastigote forms of T. vivax were not found in any semen sample. Sperm of T01 cattle had lower turbulence (p ≤ 0.05) at 7, 14, 35, 56, 120 and 182 DPI, lower vigor (p ≤ 0.05) at 120 DPI and more sperm abnormalities (p ≤ 0.05) than T02. Digital dermatitis was observed among T01 cattle. Animals of T01 had lower PCV values than did those of T02 for most of the evaluations performed and T02 animals gained more weight during the experiment. The results highlight the presence of T. vivax DNA in semen of infected cattle and the importance of this disease for male breeding cattle. Further research is needed to determine whether T. vivax can be sexually transmitted in cattle., (Copyright © 2022 Elsevier B.V. All rights reserved.)
- Published
- 2022
- Full Text
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