To expand the variety of density functionalized compounds evaluated against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), we decided to prepare new acetylated and disubstituted 3-hydroxy bis-oxindoles and isoindigos coupling compounds using known protocols. The corresponding isatin derivatives were synthesized by ZrCl4/EtOH/reflux or HCl/AcOH/ reflux coupling conditions using oxindole and functionalized isatins, furnishing new 3-hydroxy bis‑oxindoles, which were dehydrated into new isoindigos. A total of 27 compounds bearing halogen, nitro and/or hydroxy groups on the isatin moiety, at the 3-, 5- and 7-positions, were prepared, including 5 new 3-hydroxy bis-oxindoles and 3 new halogenated isoindigos prepared according adapted procedures described in the literature. This library of nitrogen-isatin derivatives was evaluated against SARS-CoV-2 using a phenotypic screening assay. In this investigation, isatin derivatives 3d, 3e, 3h and 3i showed antiviral activity when tested at a single concentration. Compound 3e showed antiviral activity against SARS-CoV-2 in the concentration-response assay, however, it showed cellular toxicity in Vero cells. The present study identified substituted isatins as a promising new starting point for the development of anti-SARS-CoV-2 agents.
The Human Anatomy is an ancient Science, which uses the human body as the main material of study. However, structural differences between individuals that make up the species are quite common in the population and always emerge as a source of reports that aim to demonstrate and clarify these differences. These structural changes are called anatomical variations and may be presented externally or internally in any of the body systems, with no functional impairment to the individual. The salivary glands are exocrine glands that secrete saliva directly into the mouth through their ducts. This secretion has the functions of keeping mucous membranes moist, cleaning teeth, lubricating, dissolving and starting the food digestion process. Most of the saliva is secreted by the major salivary glands, the parotid glands and the submandibular glands, the latter being the focus of this case report. The purpose of this paper is to report a case of finding an accessory submandibular gland on a cadaver from the Human Anatomy Laboratory of the University Center of Rio Grande do Norte located in Natal, Rio Grande do Norte, Brazil. The discovery was made during a dissection of an adult male body in 2012, where an accessory submandibular gland was found in the right antimere. Thus, by identifying such variations, its clinical importance can be observed for the purpose of diagnostic imaging, surgery and anatomical teaching applied to clinic, given the scarcity of published reports, thus providing better understanding those working directly or indirectly on the subject.
Objetivo. O objetivo do estudo foi avaliar a qualidade de sono e sonolência diurna nas fases aguda e crônica do acidente vascular cerebral (AVC). Método. O estudo foi do tipo transversal e descritivo com uma população constituída por 21 pacientes com sequelas de AVC isquêmico. Os instrumentos utilizados foram: Ficha de Identificação para registro dos dados pessoais e sócio-demográficos, National Institute of Health Stroke Scale, Questionário do Índice de Qualidade de Sono de Pittsburgh e o Questionário de Sonolência de Epworth. Resultados. Os resultados demonstraram não haver correlação entre o comprometimento neurológico, a qualidade de sono e a presença de sonolência excessiva diurna com as fases aguda e crônica, sendo encontrado correlação entre a qualidade do sono e a idade dos pacientes. Conclusões. Portanto, é importante que os profissionais de saúde levem em consideração as possíveis alterações do sono dos pacientes, que possam influenciar seu desempenho funcional.
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