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  1. Article ; Online: Authors' reply to: Comment on the article by Dr. T.Huda: Barrier device prototype for open tracheotomy during COVID-19 pandemic.

    Alves Filho, Wellington

    Auris, nasus, larynx

    2020  Volume 47, Issue 4, Page(s) 713

    MeSH term(s) Betacoronavirus ; COVID-19 ; Coronavirus Infections ; Humans ; Pandemics ; Pneumonia, Viral ; SARS-CoV-2 ; Tracheostomy ; Tracheotomy
    Keywords covid19
    Language English
    Publishing date 2020-07-17
    Publishing country Netherlands
    Document type Letter ; Comment
    ZDB-ID 604552-2
    ISSN 1879-1476 ; 0385-8146
    ISSN (online) 1879-1476
    ISSN 0385-8146
    DOI 10.1016/j.anl.2020.07.015
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Authors' reply to: Comment on the article by Dr. N. Shakrawal: Barrier device prototype for open tracheotomy during COVID-19 pandemic.

    Filho, Dr Wellington Alves

    Auris, nasus, larynx

    2020  Volume 48, Issue 1, Page(s) 177

    MeSH term(s) COVID-19 ; Humans ; Pandemics ; SARS-CoV-2 ; Tracheostomy ; Tracheotomy
    Keywords covid19
    Language English
    Publishing date 2020-10-26
    Publishing country Netherlands
    Document type Letter ; Comment
    ZDB-ID 604552-2
    ISSN 1879-1476 ; 0385-8146
    ISSN (online) 1879-1476
    ISSN 0385-8146
    DOI 10.1016/j.anl.2020.10.013
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Authors’ reply to

    Alves Filho, Wellington

    Auris Nasus Larynx

    Comment on the article by Dr. T.Huda: Barrier device prototype for open tracheotomy during COVID-19 pandemic

    2020  Volume 47, Issue 4, Page(s) 713

    Keywords Surgery ; Otorhinolaryngology ; General Medicine ; covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    ZDB-ID 604552-2
    ISSN 1879-1476 ; 0385-8146
    ISSN (online) 1879-1476
    ISSN 0385-8146
    DOI 10.1016/j.anl.2020.07.015
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Authors’ reply to

    Filho, Dr. Wellington Alves

    Auris Nasus Larynx ; ISSN 0385-8146

    Comment on the article by Dr. N. Shakrawal: Barrier device prototype for open tracheotomy during COVID-19 pandemic

    2020  

    Keywords Surgery ; Otorhinolaryngology ; General Medicine ; covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    DOI 10.1016/j.anl.2020.10.013
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Is parathyroid allotransplantation a viable option in the treatment of permanent hypoparathyroidism? A review of the literature.

    Gadelha, Daniel Duarte / Filho, Wellington Alves / Brandão, Marjorie Azevedo Jales / Montenegro, Renan Magalhães

    Endocrine

    2022  Volume 80, Issue 2, Page(s) 253–265

    Abstract: Background: The standard clinical treatment for hypoparathyroidism, replacement of calcium and vitamin metabolites (calcitriol), has been used for decades; however, evidence points to its inefficiency in acting on the pathophysiology of the disease, ... ...

    Abstract Background: The standard clinical treatment for hypoparathyroidism, replacement of calcium and vitamin metabolites (calcitriol), has been used for decades; however, evidence points to its inefficiency in acting on the pathophysiology of the disease, which may precipitate or aggravate conditions already related to hypoparathyroidism. Therapies based on recombinant human parathyroid hormone have emerged in recent years but still have low availability due to their high cost. Parathyroid allotransplantation (Pt-a) has been reported as a strategy for treating more severe cases.
    Methods: This narrative review highlights relevant aspects of conventional permanent hypoparathyroidism treatment and provides a comprehensive and critical review of the reports of applications of Pt-a, especially those carried out in recent years. Particular focus is placed on the following key points: parathyroid immunogenicity, immunosuppression regimens (short-term or chronic), techniques to reduce the expression of immunogenic molecules, follow-up time, and reductions in calcium and vitamin D supplementation.
    Conclusion: Pt-a has been considered a safe and relatively low-cost therapy and is believed to have the potential to cure the disease, in addition to treating symptoms. However, there is considerable heterogeneity in treatment protocols; therefore, more studies are required to improve the standardization of the procedure and thus improve the consistency of outcomes.
    MeSH term(s) Humans ; Calcium/therapeutic use ; Hypocalcemia/drug therapy ; Parathyroid Hormone/therapeutic use ; Hypoparathyroidism/drug therapy ; Hypoparathyroidism/diagnosis ; Parathyroid Glands/surgery ; Calcitriol/therapeutic use
    Chemical Substances Calcium (SY7Q814VUP) ; Parathyroid Hormone ; Calcitriol (FXC9231JVH)
    Language English
    Publishing date 2022-12-30
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1194484-5
    ISSN 1559-0100 ; 1355-008X ; 0969-711X
    ISSN (online) 1559-0100
    ISSN 1355-008X ; 0969-711X
    DOI 10.1007/s12020-022-03292-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Impact of parathyroidectomy on quality of life in multiple endocrine neoplasia type 1.

    Brescia, Marília D'Elboux Guimarães / Rodrigues, Karine Candido / d'Alessandro, André Fernandes / Alves Filho, Wellington / van der Plas, Willemijn Y / Kruijff, Schelto / Arap, Sergio Samir / Toledo, Sergio Pereira de Almeida / Montenegro, Fábio Luiz de Menezes / Lourenço, Delmar Muniz

    Endocrine connections

    2022  Volume 11, Issue 6

    Abstract: Background: Potential influences of parathyroidectomy (PTx) on the quality of life (QoL) in multiple endocrine neoplasia type 1-related primary hyperparathyroidism (HPT/MEN1) are unknown.: Method: Short Form 36 Health Survey Questionnaire was ... ...

    Abstract Background: Potential influences of parathyroidectomy (PTx) on the quality of life (QoL) in multiple endocrine neoplasia type 1-related primary hyperparathyroidism (HPT/MEN1) are unknown.
    Method: Short Form 36 Health Survey Questionnaire was prospectively applied to 30 HPT/MEN1 patients submitted to PTx (20, subtotal; 10, total with autograft) before, 6 and 12 months after surgery. Parameters that were analyzed included QoL, age, HPT-related symptoms, general pain, comorbidities, biochemical/hormonal response, PTx type and parathyroid volume.
    Results: Asymptomatic patients were younger (30 vs 38 years; P = 0.04) and presented higher QoL scores than symptomatic ones: Physical Component Summary score (PCS) 92.5 vs 61.2, P = 0.0051; Mental Component Summary score (MCS) 82.0 vs 56.0, P = 0.04. In both groups, QoL remained stable 1 year after PTx, independently of the number of comorbidities. Preoperative general pain was negatively correlated with PCS (r = -0.60, P = 0.0004) and MCS (r = -0.57, P = 0.0009). Also, moderate/intense pain was progressively (6/12 months) more frequent in cases developing hypoparathyroidism. The PTx type and hypoparathyroidism did not affect the QoL at 12 months although remnant parathyroid tissue volume did have a positive correlation (P = 0.0490; r = 0.3625) to PCS 12 months after surgery. Patients with one to two comorbidities had as pre-PTx PCS (P = 0.0015) as 12 months and post-PTx PCS (P = 0.0031) and MCS (P = 0.0365) better than patients with three to four comorbidities.
    Conclusion: A variable QoL profile was underscored in HPT/MEN1 reflecting multiple factors associated with this complex disorder as comorbidities, advanced age at PTx and presence of preoperative symptoms or of general pain perception. Our data encourage the early indication of PTx in HPT/MEN1 by providing known metabolic benefits to target organs and avoiding potential negative impact on QoL.
    Language English
    Publishing date 2022-06-23
    Publishing country England
    Document type Journal Article
    ZDB-ID 2668428-7
    ISSN 2049-3614
    ISSN 2049-3614
    DOI 10.1530/EC-22-0021
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: <i>Cecropia pachystachya</i> Trécul: identification, isolation of secondary metabolites, <i>in silico</i> study of toxicological evaluation and interaction with the enzymes 5-LOX and <i>α</i>-1-antitrypsin.

    Sousa Mourão, Penina / de Oliveira Gomes, Rafael / Crisóstomo Bezerra Costa, Clara Andrezza / da Silva Moura, Orlando Francisco / Sousa, Herbert Gonzaga / Lemos Martins Júnior, George Roberto / Cabral Leão Ferreira, Danniel / Martins Maia Filho, Antônio Luiz / Duarte de Freitas, Johnnatan / Rai, Mahendra / Das Chagas Alves Lima, Francisco / Gourlart Santana, Antonio Euzébio / Chaves, Mariana Helena / Dos Santos Alves, Wellington / Uchôa, Valdiléia Teixeira

    Journal of toxicology and environmental health. Part A

    2022  Volume 85, Issue 20, Page(s) 827–849

    Abstract: ... Cecropia pachystachya ... Tréc., popularly known as embaúba, belongs to the Cecropiaceae family and is used by the native population in the treatment of bronchitis, asthma, high blood pressure, fever, and as a diuretic. The pharmacological actions ... ...

    Abstract Cecropia pachystachya Tréc., popularly known as embaúba, belongs to the Cecropiaceae family and is used by the native population in the treatment of bronchitis, asthma, high blood pressure, fever, and as a diuretic. The pharmacological actions including anti-inflammatory, antioxidant, cardiotonic and sedative were previously reported. The objective of this study was to (1) isolate and identify bioactive compounds extracted from the ethanolic extract of C. pachystachya roots (ERCP), as well as (2) verify the affinity of these metabolites with the enzymes 5-lipoxygenase (5-LOX) and α-1-antitrypsin through in silico tests. Isolation and/or identification were performed using GC-MS, HPLC, Infrared (IR), and nuclear magnetic resonance (NMR) techniques. After isolation and identification of the active compounds, these substances were subjected to the in silico investigation that proceeded by performing PreADMET simulations and molecular docking calculations. The bioactive compounds identified were 1-(+)-ascorbic acid 2,6-dihexadecanoate, ethyl hexadecanoate, ethyl (9E,12E)-octadec-9,12-dienoate, ethyl (Z)-octadec-9-enoate and ethyl octadecanoate by GC-MS; chlorogenic acid, catechin, epicatechin, syringaldehyde by HPLC; β-sitosterol, sitostenone, beccaridiol, tormentic acid, lupeol, α- and β-amyrin by classical chromatography, IR, <sup>1</sup>H and <sup>13</sup>C NMR techniques. The ADMET (absorption, distribution, metabolism, excretion, and toxicity) properties were determined for each bioactive compound. Tormentic acid demonstrated a greater affinity for 5-LOX enzyme while sitostenone demonstrated a higher affinity for the α-1-antitrypsin enzyme. Our findings demonstrated a diverse range of secondary metabolites isolated from C. pachystachya that showed relevant interactions with the enzymes 5-LOX and α-1-antitrypsin. Thus, "embaúba" may be employed in in vivo experimental studies as a form of alternative treatment for chronic lung diseases.Abbreviations: ADT: Autodock Tools; BBB: Blood-brain barrier; CaCo2: Human colonic adenocarcinoma cells; CC: Classic/open Column; TLC: Thin Layer Chromatography; CD40: Differentiation Cluster 40; CENAUREMN: Centro Nordestino de Aplicação e Uso da Ressonância Magnética Nuclear; GC-MS: Gas Chromatography coupled to mass spectrometry; HPLC: High-Perfomance Liquid Chromatography; CYP2C9, CYP2C19, CYP2D6 and CYP3A4: Cytochrome P450 isoenzymes; COPD: Chronic Obstructive Pulmonary Disease; DRX-500: X-Ray Diffraction - 500; ERCP: Ethanolic extract of the roots of C. pachystachya; FAPEPI: Fundação de Amparo à Pesquisa do Piauí; HIA: Human Intestinal Absorption; IR: Infrared; Ki: Inhibition constant; 5-LOX: 5-Lipoxygenase; mM: miliMolar; nM: nanoMolar; OECD423: acute toxic class method; PDB: Protein Data Bank; P-gP: P-glycoprotein; PM2,5: Small inhalable particles 2,5; PPB: Plasm Protein Binding; PreADMET: Prediction Absorption, Distribution, Metabolization, Excretion and Toxicity; NMR: Nuclear Magnetic Resonance; +S9: with metabolic activation; -S9: no metabolic activation; SisGen: Sistema Nacional de Gestão de Patrimônio Genético e do Conhecimento Tradicional Associado; R<sub>T</sub>: Retention time; TA100: Ames test with TA100 cells line; TA1535: Ames test with cells of the TA1535 cell line; UESPI: State University of Piauí; V79: lung fibroblast cells; ΔG: Gibbs free energy (Kcal/mol); μM: microMolar.
    MeSH term(s) Arachidonate 5-Lipoxygenase ; Caco-2 Cells ; Cecropia Plant/chemistry ; Humans ; Molecular Docking Simulation ; Plant Extracts/chemistry ; Plant Extracts/toxicity ; alpha 1-Antitrypsin/metabolism
    Chemical Substances Plant Extracts ; SERPINA1 protein, human ; alpha 1-Antitrypsin ; Arachidonate 5-Lipoxygenase (EC 1.13.11.34)
    Language English
    Publishing date 2022-07-11
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1413345-3
    ISSN 1528-7394 ; 0098-4108 ; 1087-2620
    ISSN 1528-7394 ; 0098-4108 ; 1087-2620
    DOI 10.1080/15287394.2022.2095546
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Living-donor fresh parathyroid tissue allotransplantation as treatment for permanent hypoparathyroidism

    Daniel Duarte Gadelha / Wellington Alves Filho / Marjorie Azevedo Jales Brandão / Claudia Maria Costa de Oliveira / Catarina Brasil d'Alva / Virgínia Oliveira Fernandes / Renan Magalhães Montenegro Junior

    Revista de Medicina da UFC, Vol 61, Iss 1, Pp 1-

    case report

    2021  Volume 4

    Abstract: Introduction: the standard hypoparathyroidism treatment consists of replacing calcium and active vitamin D (calcitriol), but it does not correct the underlying abnormality, parathyroid hormone (PTH) deficiency. Both the disease and its treatment are ... ...

    Abstract Introduction: the standard hypoparathyroidism treatment consists of replacing calcium and active vitamin D (calcitriol), but it does not correct the underlying abnormality, parathyroid hormone (PTH) deficiency. Both the disease and its treatment are responsible for many morbidities that affect multiple organs and systems. Therefore, parathyroid allotransplantation has been described as an alternative treatment option, especially in refractory cases. Objectives: to verify if parathyroid allotransplantation is effective as a treatment for permanent hypoparathyroidism. Methodology: fresh parathyroid tissue was obtained from a 36-year-old male with a past medical history of hyperparathyroidism secondary to end-stage renal disease and immediately implanted in the recipient’s non-dominant forearm, a 57-year-old female with refractory hypoparathyroidism, despite high doses of calcium and calcitriol replacement. Corticosteroid immunosuppression was performed for 10 days. Results: the allograft showed no evidence of functionality eleven months after transplant. The procedure was considered safe. Conclusion: more studies are required to validate this technique and improve its results.
    Keywords allograft ; hypoparathyroidism ; tissue transplant ; parathyroid ; Medicine ; R ; Medicine (General) ; R5-920
    Subject code 630
    Language English
    Publishing date 2021-11-01T00:00:00Z
    Publisher Universidade Federal do Ceará
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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