Results show that splenectomy attenuates the progression of the obesity modulating pancreas functions in MSG-obese rats.
As infecções hospitalares elevam a morbimortalidade e acarretam prejuízos financeiros para as instituições de saúde, sendo que o risco é maior nas unidades de terapia intensiva, devido a fragilidade dos pacientes, uso de antibióticos de largo espectro e procedimentos invasivos frequentes. Nesse contexto, o trato respiratório é o mais acometido e tem como principal fator de risco a ventilação mecânica. O presente trabalho tem como objetivo determinar a prevalência e as características das infecções respiratórias ocorridas em pacientes internados nessas unidades. Trata-se de um estudo retrospectivo, realizado a partir das notificações de infecção hospitalar, de janeiro de 2017 a dezembro de 2019, ocorridas nas unidades de terapia intensiva de um hospital terciário do Paraná. Houve 398 notificações, sendo o trato respiratório responsável por 68,3%. As pneumonias associadas à ventilação mecânica foram as mais prevalentes, apesar de demonstrar um declínio no período estudado. As traqueobronquites, embora menos prevalentes, apresentaram a maior letalidade (31,6%). O Staphylococcus aureus resistente à meticilina foi o microrganismo mais frequente (11%), seguido de Pseudomonas aeruginosa (9,6%). Enquanto isso, o esquema terapêutico mais utilizado para o tratamento dessas infecções foi piperacilina-tazobactam (43%). Este estudo contribuiu com dados epidemiológicos das infecções nosocomiais da instituição pesquisada, possibilitando elencar estratégicas e medidas de prevenção com maior especificidade e direcionamento voltado à realidade local, além de poder ser utilizado para comparação em estudos futuros.
Objective: The aim was to analyze the results of studies about the prevalence of Staphylococcus aureus and methicillin-resistant S. aureus among medical students. Methodology: A literature review was carried out from August to November 2020, being selected 19 articles from the Pubmed and “Biblioteca Virtual de Saúde” databases, using the descriptors “Methicillin-Resistant Staphylococcus aureus” and “Students, Medical”. Studies from the last 10 years that target medical students and samples collected by nasal swab were included. Results: Several studies have confirmed the hypothesis that, as students advanced in the academic years and, consequently, raised their exposure to hospital environments, colonization by methicillin-sensitive and resistant Staphylococcus aureus increased. However, some studies were divergent, not finding significant values for this association. The prevalences found also varied according to the place and country surveyed. Conclusion: In general, the greater the exposure to hospital environments, the higher the rate of colonization of students by methicillin-resistant Staphylococcus aureus and Staphylococcus aureus.
Background: Rheumatoid arthritis is an inflammatory disease with joint manifestations. In the presence of extra-articular manifestations, the morbidity and severity of the disease increases. Glucocorticoid is used as a treatment and may result in side effects related to cardiovascular risk. Methods: This was a cross-sectional study including 59 volunteers with rheumatoid arthritis receiving treatment at a Hospital of Campos Gerais, that aimed to establish the relation between cardiovascular risk, glucocorticoid treatment and myeloperoxidase in these patients. Subjects were divided into two groups: using (n = 39) and without glucocorticoids (n = 20). They underwent clinical evaluation, physical examination and blood samples were taken. Statistical analysis was performed using Student's t-test and Mann-Whitney test. Logistic regression was performed to assess cardiovascular risk. The significance level was 5% (α = 0.05). Calculations were performed using the Statistical Package for the Social Science version 21.0. Results: There has been a significant difference between groups in blood glucose values (p = 0.012), that can be explained by the different percentage of diabetic patients in the groups. When assessed cardiovascular risk using the predictors of glucocorticoid dose, time of glucocorticoid use, myeloperoxidase, and C-reactive protein together, these were responsible for significantly predicting cardiovascular risk (p = 0.015). Conclusions: A significant relation between the predictor myeloperoxidase alone was also demonstrated (p = 0.037), may it be an important predictor of cardiovascular risk among individuals with rheumatoid arthritis.
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