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1.
Ann Oncol ; 29(3): 563-572, 2018 03 01.
Artigo em Inglês | MEDLINE | ID: mdl-29324969

RESUMO

The apolipoprotein B mRNA-editing enzyme, catalytic polypeptide-like (APOBEC) mutational signature has only recently been detected in a multitude of cancers through next-generation sequencing. In contrast, APOBEC has been a focus of virology research for over a decade. Many lessons learnt regarding APOBEC within virology are likely to be applicable to cancer. In this review, we explore the parallels between the role of APOBEC enzymes in HIV and cancer evolution. We discuss data supporting the role of APOBEC mutagenesis in creating HIV genome heterogeneity, drug resistance, and immune escape variants. We hypothesize similar functions of APOBEC will also hold true in cancer.


Assuntos
Desaminases APOBEC/fisiologia , Resistência a Medicamentos/fisiologia , Mutagênese/fisiologia , Neoplasias/enzimologia , Neoplasias/genética , Animais , HIV/genética , Infecções por HIV/enzimologia , Humanos , Tolerância Imunológica/fisiologia
2.
Plant Dis ; 95(9): 1192, 2011 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30732051

RESUMO

Canary Island date palm (Phoenix canariensis Hort. Ex Chabaud) is a signature palm planted in New Orleans, LA. Currently, the city has approximately 1,000 mature Canary Island date palms. During the fall of 2009, 153 palms were inspected with 27 palms exhibiting typical symptoms of Fusarium wilt. Symptoms included one-sided death and a reddish brown streak on the rachis of affected fronds and death of the leaflets. Longitudinal sections of affected fronds showed vascular discoloration. Severely infected palms were completely dead. Small pieces of diseased tissue from five palms were surface sterilized with sodium hypochlorite (0.6%) for 2 to 3 min, then rinsed in sterile distilled water, blotted dry, and plated on potato dextrose agar (PDA). Fungal colonies on PDA produced a purple pigment, and both macro- and microconidia that are typical of Fusarium oxysporum were observed under a light microscope. A single-spore culture of isolate PDC-4701 was obtained. DNA from this isolate was extracted with a DNeasy Plant Mini kit (Qiagen Inc., Valencia, CA) and primers ef1 and ef2 were used to amplify and sequence the translation elongation factor 1-α gene (2). NCBI BLAST analysis of the 616-bp sequence resulted in 100% identity with F. oxysporum f. sp. canariensis isolates PLM-385B from Texas and PLM-511A from South Carolina (GenBank Accession Nos. HM 591538 and HM 591537, respectively). Isolate PDC-4701, grown on PDA for 2 weeks, was used to inoculate 10 9-month-old P. canariensis seedlings. An 18-gauge needle was used to inject 15 ml of a 107 conidia/ml suspension into the stem near the soil line. Each seedling was inoculated at two locations and covered with Parafilm at the inoculation sites. Ten control seedlings were injected with sterile distilled water in the same manner. Inoculated and control seedlings were maintained in a greenhouse at 28 ± 2°C. Leaves of all 10 inoculated seedlings started to wilt 3 months after inoculation. Internal vascular discoloration was observed and the pathogen was reisolated from the symptomatic seedlings. No symptoms developed on any of the 10 control seedlings. On the basis of morphology and DNA sequence data, this pathogen is identified as F. oxysporum f. sp. canariensis. Fusarium wilt of Canary Island date palm has been previously reported from California, Florida, Nevada, Texas, and South Carolina (1). To our knowledge, this is the first report of Fusarium wilt of Canary Island date palm caused by F. oxysporum f. sp. canariensis in Louisiana, extending its geographic range. The disease may adversely affect the tradition of planting Canary Island date palms in New Orleans. The sequence of isolate PDC-4701 has been submitted to the NCBI database (GenBank Accession No. JF826442) and a culture specimen has been deposited in the Fusarium Research Center culture collection (Accession No. O-2602) at the Pennsylvania State University, University Park, PA. References: (1) M. L. Elliott et al. Plant Dis. 95:356, 2011. (2) D. M. Geiser et al. Eur. J. Plant Pathol. 110:473, 2004.

3.
Science ; 264(5156): 258-60, 1994 Apr 08.
Artigo em Inglês | MEDLINE | ID: mdl-8146657

RESUMO

The genetic requirements for adaptive mutation in Escherichia coli parallel those for homologous recombination in the RecBCD pathway. Recombination-deficient recA and recB null mutant strains are deficient in adaptive reversion. A hyper-recombinagenic recD strain is hypermutable, and its hypermutation depends on functional recA and recB genes. Genes of subsidiary recombination systems are not required. These results indicate that the molecular mechanism by which adaptive mutation occurs includes recombination. No such association is seen for spontaneous mutation in growing cells.


Assuntos
Proteínas de Escherichia coli , Escherichia coli/genética , Mutagênese , Recombinação Genética , Dano ao DNA , DNA Bacteriano/genética , Exodesoxirribonuclease V , Exodesoxirribonucleases/genética , Mutação da Fase de Leitura , Genes Bacterianos , Óperon Lac , Modelos Genéticos , Recombinases Rec A/genética , Moldes Genéticos
4.
Science ; 265(5170): 405-7, 1994 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-8023163

RESUMO

Adaptive reversion of a +1 frameshift mutation in Escherichia coli, which requires homologous recombination functions, is shown here to occur by -1 deletions in regions of small mononucleotide repeats. This pattern makes improbable recombinational mechanisms for adaptive mutation in which blocks of sequences are transferred into the mutating gene, and it supports mechanisms that use DNA polymerase errors. The pattern appears similar to that of mutations found in yeast cells and in hereditary colon cancer cells that are deficient in mismatch repair. These results suggest a recombinational mechanism for adaptive mutation that functions through polymerase errors that persist as a result of a deficiency in post-synthesis mismatch repair.


Assuntos
Escherichia coli/genética , Mutação , Recombinação Genética , Sequências Repetitivas de Ácido Nucleico , Deleção de Sequência , Sequência de Bases , Reparo do DNA , Escherichia coli/crescimento & desenvolvimento , Exodesoxirribonuclease V , Exodesoxirribonucleases/genética , Mutação da Fase de Leitura , Modelos Genéticos , Dados de Sequência Molecular
5.
Sci Rep ; 9(1): 497, 2019 01 24.
Artigo em Inglês | MEDLINE | ID: mdl-30679582

RESUMO

The prospect of introducing a single C-to-T change at a specific genomic location has become feasible with APOBEC-Cas9 editing technologies. We present a panel of eGFP reporters for quantification and optimization of single base editing by APOBEC-Cas9 editosomes. Reporter utility is demonstrated by comparing activities of seven human APOBEC3 enzymes and rat APOBEC1 (BE3). APOBEC3A and RNA binding-defective variants of APOBEC3B and APOBEC3H display the highest single base editing efficiencies. APOBEC3B catalytic domain complexes also elicit the lowest frequencies of adjacent off-target events. However, unbiased deep-sequencing of edited reporters shows that all editosomes have some degree of local off-target editing. Thus, further optimization is required to generate true single base editors and the eGFP reporters described here have the potential to facilitate this process.


Assuntos
Desaminases APOBEC , Proteína 9 Associada à CRISPR , Edição de Genes , Proteínas de Fluorescência Verde , Desaminases APOBEC/genética , Desaminases APOBEC/metabolismo , Animais , Proteína 9 Associada à CRISPR/genética , Proteína 9 Associada à CRISPR/metabolismo , Proteínas de Fluorescência Verde/genética , Proteínas de Fluorescência Verde/metabolismo , Células HEK293 , Humanos , Ratos
6.
Genetics ; 148(4): 1559-66, 1998 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-9560375

RESUMO

Major advances in understanding the molecular mechanism of recombination-dependent stationary-phase mutation in Escherichia coli occurred this past year. These advances are reviewed here, and we also present new evidence that the mutagenic state responsible is transient. We find that most stationary-phase mutants do not possess a heritable stationary-phase mutator phenotype, although a small proportion of heritable mutators was found previously. We outline similarities between this well-studied system and several recent examples of adaptive evolution associated with heritable mutator phenotype in a similarly small proportion of survivors of selection in nature and in the lab. We suggest the following: (1) Transient mutator states may also be a predominant source of adaptive mutations in these latter systems, the heritable mutators being a minority (Rosenberg 1997); (2) heritable mutators may sometimes be a product of, rather than the cause of, hypermutation that gives rise to adaptive mutations.


Assuntos
Adaptação Biológica , Escherichia coli/genética , Evolução Molecular , Mutação , Evolução Molecular Direcionada
7.
Genetics ; 142(3): 681-91, 1996 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-8849879

RESUMO

Aspects of the molecular mechanism of "adaptive" mutation are emerging from one experimental system: reversion of an Escherichia coli lac frameshift mutation carried on a conjugative plasmid. Homologous recombination is required and the mutations resemble polymerase errors. Reports implicating a role for conjugal transfer proteins suggested that the mutation mechanism is ordinary replication error occurring during transfer synthesis, followed by conjugation-like recombination, to capture the replicated fragment into an intact replicon. Whereas conjugational recombination uses either of two systems of Holliday junction resolution, we find that the adaptive lac reversions are inhibited by one resolution system and promoted by the other. Moreover, temporary absence of both resolution systems promotes mutation. These results imply that recombination intermediates themselves promote the mutations.


Assuntos
Proteínas de Bactérias/genética , Conjugação Genética , DNA Helicases , Proteínas de Ligação a DNA/genética , Endodesoxirribonucleases/genética , Proteínas de Escherichia coli , Escherichia coli/genética , Óperon Lac , Recombinação Genética , Adaptação Fisiológica , Escherichia coli/crescimento & desenvolvimento , Modelos Genéticos
8.
Int J Epidemiol ; 12(3): 326-31, 1983 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-6629621

RESUMO

Seasonal variations of births in Australia from 1911 to 1940 and 1962 to 1979 are analysed using stepwise periodic regression analysis. It is shown that the seasonality pattern has changed significantly from a September peak in the early 1960s to a February-March peak in the late 1970s. There also appears to be a significant geographical trend in seasonality of births with a February-March peak in the more northern States of Australia giving way to a September-October peak in the southernmost States. The seasonality of Australian births in 1976 to 1979 is shown to be independent of legitimacy and birth order but dependent on maternal age. The evidence suggests that environmental factors play a more important role than sociocultural factors in the causation of seasonal variations in births.


Assuntos
Coeficiente de Natalidade , Estações do Ano , Adolescente , Adulto , Austrália , Ordem de Nascimento , Cultura , Meio Ambiente , Feminino , Humanos , Recém-Nascido , Masculino , Idade Materna
9.
J Appl Physiol (1985) ; 84(1): 389-95, 1998 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-9451661

RESUMO

Quantification of pulmonary pressure-volume (P-V) curves is often limited to calculation of specific compliance at a given pressure or the recoil pressure (P) at a given volume (V). These parameters can be substantially different depending on the arbitrary pressure or volume used in the comparison and may lead to erroneous conclusions. We evaluated a sigmoidal equation of the form, V = a + b[1 - e-(P-c)/d]-1, for its ability to characterize lung and respiratory system P-V curves obtained under a variety of conditions including normal and hypocapnic pneumoconstricted dog lungs (n = 9), oleic acid-induced acute respiratory distress syndrome (n = 2), and mechanically ventilated patients with acute respiratory distress syndrome (n = 10). In this equation, a corresponds to the V of a lower asymptote, b to the V difference between upper and lower asymptotes, c to the P at the true inflection point of the curve, and d to a width parameter proportional to the P range within which most of the V change occurs. The equation fitted equally well inflation and deflation limbs of P-V curves with a mean goodness-of-fit coefficient (R2) of 0.997 +/- 0.02 (SD). When the data from all analyzed P-V curves were normalized by the best-fit parameters and plotted as (V-a)/b vs. (P-c)/d, they collapsed into a single and tight relationship (R2 = 0.997). These results demonstrate that this sigmoidal equation can fit with excellent precision inflation and deflation P-V curves of normal lungs and of lungs with alveolar derecruitment and/or a region of gas trapping while yielding robust and physiologically useful parameters.


Assuntos
Algoritmos , Medidas de Volume Pulmonar , Testes de Função Respiratória/normas , Animais , Calibragem , Cães , Humanos , Complacência Pulmonar/fisiologia , Síndrome do Desconforto Respiratório/fisiopatologia
10.
J Appl Physiol (1985) ; 95(6): 2471-84, 2003 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-12897030

RESUMO

A mathematical model was developed to estimate right-to-left shunt (Fs) and the volume of distribution of 13NN in alveolar gas (VA) and shunt tissue (Vs). The data obtained from this model are complementary to, and obtained simultaneously with, pulmonary functional positron emission tomography (PET). The model describes 13NN kinetics in four compartments: central mixing volume, gas-exchanging lung, shunting compartment, and systemic recirculation. To validate the model, five normal prone (NP) and six surfactant-depleted sheep in the supine (LS) and prone (LP) positions were studied under general anesthesia. A central venous bolus of 13NN-labeled saline was injected at the onset of apnea as PET imaging and arterial 13NN sampling were initiated. The model fit the tracer kinetics well (mean r2 = 0.93). Monte Carlo simulations showed that parameters could be accurately identified in the presence of expected experimental noise. Fs derived from the model correlated well with shunt estimates derived from O2 blood concentrations and from PET images. Fs was higher for LS (54 +/- 18%) than for LP (5 +/- 4%) and NP (1 +/- 1%, P < 0.01). VA, as a fraction of PET-measured lung gas volume, was lower for LS (0.18 +/- 0.09) than for LP (0.96 +/- 0.28, P < 0.01), whereas Vs, as a fraction of PET-measured lung tissue volume, was higher for LS (0.46 +/- 0.26) than for LP (0.05 +/- 0.08, P < 0.01). The main conclusions are as follows: 1) the model accurately describes measured arterial 13NN kinetics and provides estimates of Fs, and 2) in this animal model of acute lung injury, the fraction of available gas volume participating in gas exchange is reduced in the supine position.


Assuntos
Pulmão/diagnóstico por imagem , Pulmão/metabolismo , Síndrome do Desconforto Respiratório/diagnóstico por imagem , Síndrome do Desconforto Respiratório/metabolismo , Algoritmos , Animais , Cinética , Modelos Biológicos , Modelos Estatísticos , Método de Monte Carlo , Radioisótopos de Nitrogênio , Decúbito Ventral/fisiologia , Alvéolos Pulmonares/metabolismo , Ovinos , Decúbito Dorsal/fisiologia , Irrigação Terapêutica , Tomografia Computadorizada de Emissão
11.
J Dent Res ; 54(5): 987-92, 1975.
Artigo em Inglês | MEDLINE | ID: mdl-1058885

RESUMO

The effect of dietary supplementation of glycine at a level of 4% on caries development and the lipid content of rat molar teeth was studied. The glycine supplementation caused a 65.7% reduction in caries development and a 15.1% reduction in lipid content. In a concurrent balance study, it was noted that the dietary glycine did not have any significant effect on the retention of either calcium or phosphorus by the rat's body. Changes in the fatty acid composition of the tooth and a reduction in growth rate were noted, however.


Assuntos
Cárie Dentária/metabolismo , Dieta Cariogênica , Alimentos Fortificados , Glicina/farmacologia , Lipídeos/análise , Dente Molar/análise , Animais , Cálcio da Dieta/metabolismo , Cariostáticos , Ácidos Graxos/análise , Feminino , Análise de Alimentos , Masculino , Fósforo/metabolismo , Fósforo/urina , Ratos
12.
J Dent Res ; 54(4): 716-22, 1975.
Artigo em Inglês | MEDLINE | ID: mdl-1057555

RESUMO

Variation in microbial and biochemical components of human four-day plaque was studied in seven subjects who were maintained on a high-sucrose diet during a four-week period. Significant changes in populations of lactobacilli dextranase-producing organisms, Streptococcus mutans, and S sanguis occurred during this period.


Assuntos
Placa Dentária/microbiologia , Carboidratos da Dieta/metabolismo , Adulto , Amilases/metabolismo , Carboidratos/análise , Placa Dentária/análise , Placa Dentária/enzimologia , Dextranos , Feminino , Frutose , Glucosiltransferases/metabolismo , Hexosiltransferases/metabolismo , Humanos , Hidrolases/metabolismo , Lactobacillus/isolamento & purificação , Masculino , Neisseria/isolamento & purificação , Streptococcus mutans/isolamento & purificação , Streptococcus sanguis/isolamento & purificação , Sacarase/metabolismo , Sacarose/metabolismo , Veillonella/isolamento & purificação
13.
J Dent Res ; 54(4): 872-80, 1975.
Artigo em Inglês | MEDLINE | ID: mdl-1057572

RESUMO

The effects of dietary sucrose levels on the microbial composition of 4- and 12-day plaque were investigated in eight dental students. Sucrose-rich diets had no demonstrable effects on total plaque accumulation, whereas total viable microbial density, Streptococcus mutans, and the lactobacilli populations increased. The S sanguis population was unaffected. However, in individual subjects, an inverse relationship between the S sanguis and S mutans population was observed.


Assuntos
Placa Dentária , Sacarose/farmacologia , Placa Dentária/metabolismo , Placa Dentária/microbiologia , Dieta , Carboidratos da Dieta/metabolismo , Humanos , Lactobacillus/isolamento & purificação , Streptococcus mutans/isolamento & purificação , Streptococcus sanguis/isolamento & purificação
14.
J Dent Res ; 54(4): 881-90, 1975.
Artigo em Inglês | MEDLINE | ID: mdl-1057573

RESUMO

The effects of increased and low dietary sucrose levels on the biochemical activities and composition of 4- and 12-day plaque were investigated in eight young men. The subjects were fed supervised, nutritionally adequate diets. Dextran hydrolase, levan hydrolase, and total carbohydrate content were increased during a sucrose-rich diet while invertase activity was decreased. Base-extractable carbohydrate was decreased in four-day plaque during the sucrose-rich diet. Glucosyltransferase and fructosyltransferase activity, buffer-soluble carbohydrate, and buffer-soluble protein were also determined.


Assuntos
Placa Dentária/metabolismo , Polissacarídeos Bacterianos/metabolismo , Sacarose/farmacologia , Adulto , Metabolismo dos Carboidratos , Placa Dentária/enzimologia , Placa Dentária/microbiologia , Dextranos , Carboidratos da Dieta/metabolismo , Frutose , Glucosiltransferases/metabolismo , Glicosídeo Hidrolases/metabolismo , Hexosiltransferases/metabolismo , Humanos , Masculino , Sacarase/metabolismo
15.
Mutat Res ; 436(2): 157-78, 1999 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-10095138

RESUMO

Somatic hypermutation introduces single base changes into the rearranged variable (V) regions of antigen activated B cells at a rate of approximately 1 mutation per kilobase per generation. This is nearly a million-fold higher than the typical mutation rate in a mammalian somatic cell. Rampant mutation at this level could have a devastating effect, but somatic hypermutation is accurately targeted and tightly regulated. Here, we provide an overview of immunoglobulin gene somatic hypermutation; discuss mechanisms of mutation in model organisms that may be relevant to the hypermutation mechanism; and review recent advances toward understanding the possible role(s) of DNA repair, replication, and recombination in this fascinating process.


Assuntos
Reparo do DNA/genética , Replicação do DNA/genética , Mutação , Recombinação Genética , Animais , Variação Antigênica , Linfócitos B/imunologia , Rearranjo Gênico do Linfócito B , Genes de Imunoglobulinas , Humanos , Modelos Genéticos , Saccharomyces cerevisiae/genética
16.
Mutat Res ; 375(1): 19-24, 1997 Apr 14.
Artigo em Inglês | MEDLINE | ID: mdl-9129676

RESUMO

The sequences of adaptive reversions of a lac frameshift mutation in Escherichia coli resemble DNA polymerase errors, and the adaptive reversions decrease in strains with an antimutator DNA polymerase III (PolIII) allele. The latter finding could imply that DNA PolIII itself makes adaptive mutations. Alternatively, normal DNA PolIII errors could saturate post-synthesis mismatch repair during adaptive mutation. If so, the antimutator strain would produce fewer adaptive mutations because it possesses greater capacity for mismatch repair which could correct errors made by a polymerase other than DNA PolIII. Mismatch repair capacity is limited specifically during adaptive mutation, necessitating a test of this indirect model. This indirect model is ruled out here by the observation that the antimutator PolIII allele decreases adaptive mutation even in mismatch repair-defective cells. This supports a direct role for DNA PolIII in recombination-dependent adaptive mutation.


Assuntos
Adenosina Trifosfatases , DNA Polimerase III/genética , Proteínas de Ligação a DNA , Proteínas de Escherichia coli , Escherichia coli/genética , Mutação da Fase de Leitura , Adaptação Fisiológica/genética , Proteínas de Bactérias/genética , Reparo do DNA , Proteínas MutL , Proteína MutS de Ligação de DNA com Erro de Pareamento , Recombinases Rec A/genética , Recombinação Genética , beta-Galactosidase/genética
17.
Mutat Res ; 350(1): 69-76, 1996 Feb 19.
Artigo em Inglês | MEDLINE | ID: mdl-8657199

RESUMO

Over the past 6 years an unexpected way of making mutations in bacteria has challenged concepts of the genetic mechanisms behind evolution. Mechanistic studies of these so called 'adaptive' mutations are revealing a novel molecular mechanism involving DNA double-strand breaks, genetic recombination, probable DNA polymerase errors, and the possible suspension of mismatch repair during the reversion of a lac frameshift mutation in Escherichia coli. The molecular details of this process are altering our understanding of how mutations form in non-dividing cells.


Assuntos
Mutação da Fase de Leitura , Modelos Genéticos , Mutagênese , Recombinação Genética , Adaptação Fisiológica , Divisão Celular , Dano ao DNA/genética , Reparo do DNA , Replicação do DNA/genética , DNA Polimerase Dirigida por DNA/metabolismo , Escherichia coli/genética , Óperon Lac , Metilação
18.
Mutat Res ; 437(1): 51-60, 1999 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-10425389

RESUMO

This paper is an invited Response to a recent Commentary [P.L. Foster, Rev. Mut. Res. 436 (1999) 179-184] entitled "Are adaptive mutations due to a decline in mismatch repair? The evidence is lacking". The Commentary argues that no evidence exists supporting the idea that mismatch repair is limiting specifically during stationary-phase mutation. A primary concern of the author is to question the method that we used previously to measure growth-dependent mutation. In this method, mutation rates are calculated using counts of mutant colonies taken at times when those colonies arise, rather than at a predetermined, fixed time. Here we show further data that illustrate why this must be done to ensure accurate mutation measurements. Such accuracy was necessary for our published determination that mismatch repair proteins are not limiting during growth-dependent mutation, but become so during stationary-phase mutation. We review the evidence supporting the idea that stationary-phase reversion of a lac frameshift mutation occurs in an environment of decreased mismatch repair capacity. Those data are substantial. The data presented in the Commentary, in apparent contradiction to this idea, do not justify the conclusion presented there.


Assuntos
Adenosina Trifosfatases , Pareamento Incorreto de Bases , Reparo do DNA/genética , Proteínas de Ligação a DNA , Proteínas de Escherichia coli , Mutação , Proteínas de Bactérias/genética , Proteínas de Bactérias/metabolismo , Sequência de Bases , Divisão Celular , DNA Bacteriano/genética , DNA Bacteriano/metabolismo , Escherichia coli/citologia , Escherichia coli/genética , Escherichia coli/metabolismo , Interfase , Óperon Lac , Dados de Sequência Molecular , Proteínas MutL , Proteína MutS de Ligação de DNA com Erro de Pareamento , Recombinação Genética
19.
Br J Radiol ; 53(627): 196-204, 1980 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-7378675

RESUMO

An essential feature in the assessment of chest films is the comparability of successive examinations. This is particularly important in post-operative care and there are several factors which make the conventional departmental chest film an inappropriate standard for assessment of post-operative chest films. Pre-operative chest films in patients undergoing cardiac surgery have, therefore, been taken in both upright and supine positions at full inspiration (total lung capacity) (TLC) and at resting expiration (functional residual capacity) (FRC) and then compared with those taken post-operatively. Significant differences in transverse cardiac diameter, cardio thoracic ratio, mediastinal width and vertical lung height were found in films taken with the patient supine, AP at inspiration or resting expiration, circumstances in which many chest films are taken in both post-operative and in intensive care patients. The taking of pre-operative films at lung volumes and in postures comparable with those occurring post-operatively is advocated.


Assuntos
Cuidados Pós-Operatórios , Cuidados Pré-Operatórios , Radiografia Torácica/métodos , Procedimentos Cirúrgicos Cardíacos , Feminino , Coração/anatomia & histologia , Coração/diagnóstico por imagem , Humanos , Pulmão/anatomia & histologia , Pulmão/diagnóstico por imagem , Masculino , Mediastino/anatomia & histologia , Mediastino/diagnóstico por imagem , Pessoa de Meia-Idade , Postura , Respiração
20.
Medsurg Nurs ; 7(1): 19-27, 1998 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-9544007

RESUMO

Tuberculosis is a significant public health problem. Health care agencies and hospitals are mandated to have in place protocols to manage patients with suspected or confirmed cases and to implement infection control measures to prevent the spread of the disease. A facility with a high percentage of infected patients developed and integrated a standard of care to improve the management and outcomes of infected patients.


Assuntos
Controle de Infecções/métodos , Planejamento de Assistência ao Paciente , Guias de Prática Clínica como Assunto , Tuberculose/enfermagem , Tuberculose/transmissão , Humanos , Avaliação de Resultados em Cuidados de Saúde , Educação de Pacientes como Assunto
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