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Objective: To validate the General Medication Adherence Scale (GMAS) in Brazilian Portuguese for hypertensive patients., Methods: The GMAS-English was translated into Brazilian Portuguese and adapted for cultural appropriateness by a translation process and expert panel. A cross-sectional study was conducted in northeast Brazilian cardiology divisions of public and private hospitals, interviewing hypertensive patients. Reliability was assessed using Cronbach's alpha, intraclass correlation, and Pearson's correlation. Convergent validity was tested against the BMQ using chi-square. Criterion validity was assessed by comparing GMAS with blood pressure control using chi-square., Results: The GMAS was translated and adapted according to standard procedures. In a validation study with 167 hypertensive patients, Cronbach's alpha was 0.79, and Pearson's correlation showed significant test-retest reliability ( p  < 0.001). Convergent validity with BMQ was significant (p < 0.001), with 89.4 % sensitivity for behaviors considered adherent (High adherence and good adherence), but between the strata that measure low adherence (Partial adherence, low adherence and very low adherence), the specificity rate was 50 %. Criterion validity between GMAS and blood pressure control was not observed., Conclusion: The Brazilian Portuguese version of the GMAS exhibited good consistency and reproducibility, modest agreement with BMQ scale and did not demonstrate acceptable criterion validity for hypertensive patients., 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., (© 2024 The Authors.)

Purpose: Our study aimed to explore real-world treatment scenarios for children and adolescents with neurotrophic tropomyosin receptor kinase (NTRK)-fused tumors, emphasizing access, responses, side effects, and outcomes., Patients and Methods: Pooled clinical data from 17 pediatric cases (11 soft-tissue sarcomas, five brain tumors, and one neuroblastoma) treated with larotrectinib and radiologic images for 14 patients were centrally reviewed. Testing for gene fusions was prompted by poor response to treatment, tumor progression, or aggressiveness., Results: Six different NTRK fusion subtypes were detected, and various payment sources for testing and medication were reported. Radiologic review revealed objective tumor responses (OR) in 11 of 14 patients: Complete responses: two; partial responses: nine; and stable disease: three cases. Grades 1 or 2 Common Terminology Criteria for Adverse Events adverse effects were reported in five patients. Regarding the entire cohort's clinical information, 15 of 17 patients remain alive (median observation time: 25 months): four with no evidence of disease and 11 alive with disease (10 without progression). One patient developed resistance to the NTRK inhibitor and died from disease progression while another patient died due to an unrelated cause., Conclusion: This real-world study confirms favorable agnostic tumor OR rates to larotrectinib in children with NTRK-fused tumors. Better coordination to facilitate access to medication remains a challenge, particularly in middle-income countries like Brazil.

Aim: We investigated a proteome profile, protein-protein interaction and morphological changes of Mycobacterium tuberculosis after different times of eupomatenoid-5 (EUP-5) induction to evaluate the cellular response to the drug-induced damages., Methods: The bacillus was induced to sub-minimal inhibitory concentration of EUP-5 at 12 h, 24 h and 48 h. The proteins were separated by 2D gel electrophoresis, identified by LC/MS-MS. Scanning electron microscopy and Search Tool for the Retrieval of Interacting Genes/Proteins analyses were performed., Results: EUP-5 impacts mainly in M. tuberculosis proteins of intermediary metabolism and interactome suggests a multisite disturbance that contributes to bacilli death. Scanning electron microscopy revealed the loss of bacillary form., Conclusion: Some of the differentially expressed proteins have the potential to be drug targets such as citrate synthase (Rv0896), phosphoglycerate kinase (Rv1437), ketol-acid reductoisomerase (Rv3001c) and ATP synthase alpha chain (Rv1308).

Setting: Department of Clinical Analysis and Biomedicine, State University of Maringa, Maringa, Parana, Brazil., Objective: To evaluate the in vitro interaction between eupomatenoid-5 (EUP-5), extracted from Piper solmsianum C. DC. var. solmsianum, and first-line anti-tuberculosis drugs against Mycobacterium tuberculosis H₃₇Rv and 20 clinical isolates., Design: Resazurin drugs combination microtiter assay (REDCA) was performed to determine the interaction between EUP-5 and isoniazid, rifampicin (RMP) and ethambutol (EMB)., Results: Synergism was observed in M. tuberculosis H₃₇Rv and eight clinical isolates with EUP-5+RMP, and in M. tuberculosis H₃₇Rv and 17 clinical isolates with EUP-5+EMB combinations., Conclusion: EUP-5 is a promising compound for further studies on the development of anti-tuberculosis drugs.

The antinociceptive properties of some fractions and two pure compounds, conocarpan and orientin, obtained from P. solmsianum leaves were investigated in several models of pain in mice. The results indicated that this plant exhibits a promising antinociceptive profile, as it produces active principles which are several times more active than some reference drugs used for comparison. The main compound tested, orientin, caused potent and dose-dependent effects against acetic acid-induced writhing and capsaicin- and glutamate-induced nociception, being more effective against the first one, with an ID(50) value of 6.5 mg/kg (14.5 micromol/kg). Orientin was about 20-fold more potent than acetylsalicylic acid and 3.5-fold more active than indomethacin. The antinociceptive effects of this plant may be attributed, at least partially, to the presence of conocarpan and, in particular, to the flavonoid orientin.

The success of sericiculture greatly depends on the availability of mulberry cultivars with agronomic characteristics that maximize the production and quality of silkworm, Bombyx mori L., cocoons. The effect of the cultivars Miura (standard) and Korin, and the hybrids SM 14, SM 63, SK 1, SK 4 and FM 86 was evaluated on silkworm development, and on cocoon production and quality, at the Instituto Agronômico do Paraná, IAPAR, in Londrina, PR, Brazil (23 +/- 3 degrees C; 61 +/- 8% RH). The experiment was arranged in a randomized block design with four replicates. Larvae feeding either on 'SK 4' or on 'Korin' showed a higher weight compared to that of larvae feeding on 'Miura'. Cocoon weight (both sexes) and pupae weight (male) obtained with larvae fed on SK 4 were higher compared with that of insects that fed on Miura; there was no difference among the remaining treatments. Silk net weight was independent of the cultivar used. Cocoon shell weight was similar amongst insects raised on 'Miura' and on the other mulberry materials. The percentage of cocoon spinning was higher than 90% in all treatments, with the spinning concentrating in the first two days. The proportion of first grade cocoons varied from 80% (SK4) to 90%. The results obtained with the studied cultivars were either similar or superior to that of the standard cultivar Miura with emphasis to 'SK 4', thus showing the potential use of these cultivars in sericulture in the state of Paraná.

We have studied the crude methanolic extract (CME), some fractions (hexane, dichloromethane and ethyl acetate) and four pure compounds: eupomatenoid-3 (1), eupomatenoid-5 (2), conocarpan (3) and orientin (4), from Piper solmsianum, for possible antifungal activity against 12 pathogenic fungi. The minimal inhibitory concentration (MIC) was determined and the experiments showed that the CME exhibited antifungal action against all the dermatophytes tested, with MIC values of between 20 microg/ml to 60 microg/ml. Similar activity also was verified for the hexane, dichloromethane and ethyl acetate fractions. However, the starting material (CME), and all the fractions, did not exert inhibitory effect against hyaline hyphomycetes and were only discretely active against the zigomycetes and yeasts. Compounds 2, 3 and 4 also exhibited pronounced activity against all the dermatophytes tested (MIC< or =1 to 9 microg/ml) with potency as high as the standard antifungal drug (ketoconazole). Compound 3 also exhibited activity against all the yeasts tested. In conclusion, the antifungal activity of P. solmsianum seems to be related mainly to the presence of compounds 2, 3 (neolignans) and 4 (flavonoid), however it was verified that another active compound, as yet unidentified, exists in the plant.

The objective of this work was to test and compare different techniques used in tests for compatibility between the entomopathogenic fungus Beauveria bassiana (Balsamo) Vuill and phytosanitary products, in order to develop a protocol for in vitro tests. Four modes of contact were studied between B bassiana (CG432) and the fungicides iprodione (Rovral) 500 g litre(-1) SC) and azoxystrobin (Amistar) 500 g kg(-1) WG), and the insecticide endosulfan (Thiodan) 350 g litre(-1) EC), at three rates. The techniques consisted in incorporating the products into the culture medium (IM), combining the conidia into the products mix (MP) and spraying the products before (SB) and after (SA) inoculation of the fungus on Petri dishes. The fungitoxic effect of the products was studied on the basis of parameters such as germination, colony-forming units (CFUs), vegetative growth and sporulation. The effect of azoxystrobin on conidial germination was significantly higher in the IM technique than in the other techniques. With regard to CFUs, the IM and SB techniques showed the greatest differences relative to the control. Vegetative growth and sporulation were more affected when azoxystrobin was sprayed before the fungus was applied. At the commercial rate, iprodione had a greater effect on the CFU parameter in the IM and MP techniques, and on vegetative growth in the IM technique, than the other techniques used; however, there was no significant difference occurred between the techniques at the commercial rate with respect to germination and sporulation. Endosulfan was more toxic to germination in techniques SB and SA, and to the CFUs parameter in techniques IM and MP. As to vegetative growth and sporulation, regardless of rate, a more pronounced effect was observed in IM than in the other techniques. It can be inferred that there are differences between techniques and that a standardization of the compatibility tests is necessary. Another inference is that these techniques should reflect realistic exposure of the fungus to chemical formulations under field conditions., (Copyright 2005 Society of Chemical Industry)