POLIANA MOCA PDF

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Poliana Moca Pdf

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Rodolfo Garcia Fontes Marcos Dando conselhos, mostrando apoio, comemorando os momentos felizes etc. Although HDL cholesterol levels increased in both groups during GC treatment, we did not observe a change in triglycerides, LDL, body weight or body composition.

Despite the very frequent use of glucocorticoids and the well-known detrimental impact on glucose metabolism, hardly any randomised controlled trials have investigated the prevention of glucocorticoid-induced diabetes 21 , 22 , 23 , In one of these trials, troglitazone prevented deterioration of glucose metabolism during glucocorticoid treatment, whereas pioglitazone and metformin had no effect Noteworthy, troglitazone can no longer be used as it was withdrawn from the market.

Compared to our study, duration of metformin and steroid treatment was very short and metformin dose was low. Two other randomised controlled trials targeting the GLP-1 pathway produced heterogeneous results 26 , Importantly, all three studies were performed in individuals without inflammatory disease, thus not representing the patients in need of glucocorticoid treatment.

As inflammation is a known mediator of insulin resistance, it is important to investigate the potential benefits of metformin in an appropriate study population Therefore, more convincing strategies to prevent metabolic side effects of glucocorticoid treatment in patients indeed suffering from inflammatory diseases are needed. From a pathophysiological point of view, metformin is an attractive preventive treatment strategy in patients receiving corticosteroids.

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Overall, the activation of AMPK seems to play an important role 11 , 12 , 33 , AMPK is generally considered to be a master regulator of energy metabolism, sensing energy depletion and activating energy-generating pathways Glucocorticoids have been shown to inhibit AMPK activity and, importantly, metformin was able to reverse this inhibitory effect of glucocorticoids on AMPK in vitro and in animal studies 13 , 14 , In accordance with these experimental data, our study showed that metformin favourably influences several side effects of glucocorticoid therapy.

We found that metformin prevented an increase of 2-h glucose AUC indicating preservation of glucose tolerance. The HOMA index, a marker of insulin resistance, clearly improved in the metformin group, whereas deterioration was observed in the placebo group.

Fasting glucose levels decreased in the metformin group, whereas increased in the placebo group during the study period. Moreover, change in fasting insulin was different between groups. Still, we could not identify a difference in HbA1c. However, our study was conducted over four weeks while HbA1c reflects average blood glucose over the previous 8—12 weeks Therefore, we speculate that a longer study duration could show a beneficial effect on HbA1c.

Compared to glucose metabolism, the role of glucocorticoids in lipid metabolism is more controversial. Details about ocelli size and shape discussed further below.

No conspicuous androconial scales observed. Male genitalia Fig. Saccus elongate; tegumen rounded and short; gnathos long and pointed, projecting upwards above uncus; uncus elongated, with lateral expansions in dorsal view, giving an arrowhead appearance; valvae elongated, ending in a bump with a long thin pointed process; aedeagus curved; cornuti absent; juxta sclerotized, linking both valvae together.

Female Fig. Antenna General color and pattern very similar to those of males.

Female genitalia as in Fig. Ductus bursae partially sclerotized, corpus bursae rounded; a pair of conspicuous signa present. Taxonomy and variation Weymer described Euptychia punctata based on an unstated number of specimens from Minas Gerais, Brazil. Several pages later, he described Euptychia griseola based also on an unstated number of specimens from Mapiri, Bolivia.

Later, Ribeiro described a third taxon as Taygetis indecisa, based on one female from Brazil, Rio Jamari; this taxon was promptly syn-onymized with Euptychia griseola by May Descriptions of both E. No type specimen s of punctata has been found, but there is a single female in ZSM identified by Forster as the "Typus" of griseola, and we accept that it indeed represents a syntype which we designate herein as lectotype , since this particular specimen examined matches precisely the illustration provided subsequently by Weymer pl.

Although appearing rather different in wing pattern, the names punctata and griseola apparently represent extremes of geographical variation within a single species. Variation on the dorsal wing surfaces is practically absent and obvious seasonal variations have not been detected. The ventral surface of both wings, however, shows much variation, especially in the number and size of the ocelli. Most individuals from central and southeastern Brazil and eastern Bolivia "punctata" phenotype have the ocelli reduced to small black dots, sometimes with a tiny white pupil on the VHW; they also present a more homogeneous ventral pattern Fig.

Conversely, individuals from western siteia and Guianas the "griseola" phenotype have more developed ocelli circled by yellowish cream scales and with a white pupil on both wings, and a conspicuous banded pattern on the ventral wings Fig.

Intermediate phenotypes between "punctata" and "griseola" are known from Acre and Rondonia in Brazil, and from Bolivia, and are usually more similar to the "griseola" phenotype Fig. To our knowledge, no two of these three phenotypes "punctata", "grise-ola" and intermediate have been recorded in sympatry.

The two names were published several months apart, and we thus treat E.

Bosque de Galeria, T17, Yuvinka Gareca leg. Morphological characters of Sepona punctata. A, male wing venation -below; C, male palpus; D, male foreleg; E, male midleg; F female foreleg. May leg.

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Male and female genitalia of Sepona punctata. A, male genitalia in lateral view; B, male genitalia in dorsal view; C, male genitalia in ventral view; D, male aedeagus lateral view ; E, female genitalia in ventral view; F. French Guiana.

Other records: French Guiana. In eastern Ecuador the species is extremely rare, and the few known localities are in the Andean foothills on the types of sandstone soils that frequently support stands of bamboo. Brown Jr. The species is usually associated with forested habitats, but some populations in SE Brazil the "punctata" phenotype are known from riparian forests in the cerrado.

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The immature stages and hostplants are unknown. Discussion The position of Sepona punctata as a well-supported sister to the remaining genera in the "Taygetis clade", and the polyphyletic nature of Harjesia as illustrated by Matos-Maravi et al.

The reasons for erecting a new genus for this taxon are therefore clear: unless all species in the "Taygetis clade" are lumped into a single genus, an undesirable option given the morphological variation and taxonomic diversity within the clade, there is no way to circumscribe monophyletic genera in the clade without making this taxon a monobasic genus.

In addition to its phylogenetic position, the male genitalia of S. The known wing patterns of S.

Relationships among Sepona punctata and selected species in the "Taygetis clade" and several outgroups inferred with maximum likelihood. Numbers near branch nodes are bootstrap branch support.

Names in parentheses for Sepona punctata refer to the phenotype of the voucher specimens see text.Randolph Jr. Our results indicate that metformin prevents deterioration of glucose metabolism if treatment is timed with the initiation of glucocorticoids.

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Variation on the dorsal wing surfaces is practically absent and obvious seasonal variations have not been detected.

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