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1.
Sci Rep ; 12(1): 9205, 2022 06 02.
Artículo en Inglés | MEDLINE | ID: mdl-35655088

RESUMEN

The rhizosheath, the layer of soil that adheres strongly to roots, influences water and nutrients acquisition. Pearl millet is a cereal crop that plays a major role for food security in arid regions of sub-Saharan Africa and India. We previously showed that root-adhering soil mass is a heritable trait in pearl millet and that it correlates with changes in rhizosphere microbiota structure and functions. Here, we studied the correlation between root-adhering soil mass and root hair development, root architecture, and symbiosis with arbuscular mycorrhizal fungi and we analysed the genetic control of this trait using genome wide association (GWAS) combined with bulk segregant analysis and gene expression studies. Root-adhering soil mass was weakly correlated only to root hairs traits in pearl millet. Twelve QTLs for rhizosheath formation were identified by GWAS. Bulk segregant analysis on a biparental population validated five of these QTLs. Combining genetics with a comparison of global gene expression in the root tip of contrasted inbred lines revealed candidate genes that might control rhizosheath formation in pearl millet. Our study indicates that rhizosheath formation is under complex genetic control in pearl millet and suggests that it is mainly regulated by root exudation.


Asunto(s)
Pennisetum , Estudio de Asociación del Genoma Completo , Pennisetum/genética , Sitios de Carácter Cuantitativo , Rizosfera , Suelo/química
2.
Oper Dent ; 43(3): 225-231, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-29676977

RESUMEN

This article presents a case report for the treatment of a patient with a flared root. The patient was treated with a bulk-fill flowable composite. This innovative approach seems to be efficient in reinforcing flared roots. The advantages and disadvantages of the technique are presented.


Asunto(s)
Resinas Compuestas/uso terapéutico , Enfermedades Dentales/cirugía , Raíz del Diente/cirugía , Femenino , Humanos , Incisivo/cirugía , Persona de Mediana Edad , Diente no Vital/cirugía
3.
J Theor Biol ; 447: 84-97, 2018 06 14.
Artículo en Inglés | MEDLINE | ID: mdl-29559229

RESUMEN

Discoveries on the genetics of resource acquisition efficiency are limited by the ability to measure plant roots in sufficient number and with adequate genotypic variability. This paper presents a root phenotyping study that explores ways to combine live imaging and computer algorithms for model-based extraction of root growth parameters. The study is based on a subset of barley Recombinant Chromosome Substitution Lines (RCSLs) and a combinatorial approach was designed for fast identification of the regions of the genome that contribute the most to variations in root system architecture (RSA). Results showed there was a strong genotypic variation in root growth parameters within the set of genotypes studied. The chromosomal regions associated with primary root growth differed from the regions of the genome associated with changes in lateral root growth. The concepts presented here are discussed in the context of identifying root QTL and its potential to assist breeding for novel crops with improved root systems.


Asunto(s)
Hordeum/anatomía & histología , Fitomejoramiento/métodos , Raíces de Plantas/crecimiento & desarrollo , Cromosomas/genética , Genoma de Planta , Genotipo , Fenotipo , Raíces de Plantas/genética , Sitios de Carácter Cuantitativo
4.
Mol Psychiatry ; 23(3): 569-578, 2018 03.
Artículo en Inglés | MEDLINE | ID: mdl-28727688

RESUMEN

Benzodiazepines can ameliorate social disturbances and increase social competition, particularly in high-anxious individuals. However, the neural circuits and mechanisms underlying benzodiazepines' effects in social competition are not understood. Converging evidence points to the mesolimbic system as a potential site of action for at least some benzodiazepine-mediated effects. Furthermore, mitochondrial function in the nucleus accumbens (NAc) has been causally implicated in the link between anxiety and social competitiveness. Here, we show that diazepam facilitates social dominance, ameliorating both the competitive disadvantage and low NAc mitochondrial function displayed by high-anxious rats, and identify the ventral tegmental area (VTA) as a key site of action for direct diazepam effects. We also show that intra-VTA diazepam infusion increases accumbal dopamine and DOPAC, as well as activity of dopamine D1- but not D2-containing cells. In addition, intra-NAc infusion of a D1-, but not D2, receptor agonist facilitates social dominance and mitochondrial respiration. Conversely, intra-VTA diazepam actions on social dominance and NAc mitochondrial respiration are blocked by pharmacological NAc micro-infusion of a mitochondrial complex I inhibitor or an antagonist of D1 receptors. Our data support the view that diazepam disinhibits VTA dopaminergic neurons, leading to the release of dopamine into the NAc where activation of D1-signaling transiently facilitates mitochondrial function, that is, increased respiration and enhanced ATP levels, which ultimately enhances social competitive behavior. Therefore, our findings critically involve the mesolimbic system in the facilitating effects of diazepam on social competition and highlight mitochondrial function as a potential therapeutic target for anxiety-related social dysfunctions.


Asunto(s)
Ansiedad/tratamiento farmacológico , Diazepam/farmacología , Área Tegmental Ventral/efectos de los fármacos , Animales , Benzazepinas/farmacología , Encéfalo/metabolismo , Dopamina/metabolismo , Neuronas Dopaminérgicas/metabolismo , Masculino , Mitocondrias/metabolismo , Núcleo Accumbens/metabolismo , Ratas , Ratas Wistar , Receptores de Dopamina D1/metabolismo , Predominio Social
5.
Int. j. odontostomatol. (Print) ; 10(3): 507-512, dic. 2016. ilus
Artículo en Español | LILACS | ID: biblio-841002

RESUMEN

El quiste epidermoide es un quiste de tejido blando de origen ectodérmico que se encuentra con poca frecuencia en la cavidad oral. Clínicamente se caracteriza por ser una lesión asintomática, de larga evolución, recubierta con mucosa normal, y usualmente se diagnostica cuando el aumento de volumen genera molestias en el paciente. El tratamiento varía de acuerdo a su tamaño y localización anatómica. Presentamos el caso de una paciente de 29 años de edad con un quiste epidermoide de gran tamaño, en reloj de arena, del piso de boca. Se describen las características específicas histológicas y clínicas, y se discute la conducta terapéutica seguida.


The epidermoid cyst is a soft tissue cyst of ectodermal origin found infrequently in the oral cavity. Clinically, it is characterized by an asymptomatic lesion, of long evolution, covered with normal mucosa, and is usually diagnosed when the volume increases and generates patient discomfort. Treatment varies according to its size and anatomical location. We report the case of a 29 year old patient with a large, hourglass shaped, epidermoid cyst in the floor of the mouth. Specific histological and clinical characteristics are described and the therapeutic behavior followed is discussed.


Asunto(s)
Humanos , Femenino , Adulto , Quiste Epidérmico/cirugía , Enfermedades de la Boca/cirugía , Suelo de la Boca/patología , Suelo de la Boca/cirugía , Quiste Epidérmico/diagnóstico , Enfermedades de la Boca/diagnóstico
6.
J Mech Behav Biomed Mater ; 49: 269-76, 2015 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-26056996

RESUMEN

In this study, Ti-Zr and Ti-Zr-C coatings were deposited at room temperature via pulsed-DC magnetron sputtering. A 70Ti-30Zr at% target and a 99.99% graphite plate were used to deposit samples. In order to modify C content, coatings were deposited at different target powers such as 50, 75 and 100 W. Changes on the structure, microstructure and mechanical properties due to C addition were studied. Results indicate that the as-deposited coatings were partly crystalline and that an increment on C content stabilized α' phase and inhibited the appearance of ω precipitates. Therefore, Ti-Zr-C alloys with C>1.9 at% showed only α' phase whereas the others alloys exhibited α'+ω structures. Hardness values from 12.94 to 34.31 GPa were obtained, whereas the elastic modulus was found between 181.84 and 298 GPa. Finally, a high elastic recovery ratio (0.69-0.87) was observed as a function of composition. The overall properties of these coatings were improved due to C content increment, martensitic α' phase and nanocrystalline grain size (10-16 nm).


Asunto(s)
Aleaciones/química , Materiales Biocompatibles/química , Carbono/química , Fenómenos Mecánicos , Titanio/química , Circonio/química , Ensayo de Materiales , Relación Estructura-Actividad
7.
J Clin Endocrinol Metab ; 99(7): E1254-62, 2014 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-24684464

RESUMEN

CONTEXT/OBJECTIVE: The aim of this study was to evaluate the regulation of the fuel partitioning and energy metabolism in skeletal muscle during lipid overfeeding in healthy men. Design/Participants/Intervention: Thirty-nine healthy volunteers were overfed for 56 days with a high-fat diet (3180 kJ/d). Energy metabolism (indirect calorimetry) was characterized in the fasting state and during a test meal before and at the end of the diet. Skeletal muscle biopsies were taken at day 0 and day 56. MAIN OUTCOME MEASURES: Change in gene expression, mitochondrial respiration, nicotinamide adenine dinucleotide (NAD(+)) content, and acetylation of peroxisome proliferator-activated receptor-γ coactivator-1α (PGC-1α) in skeletal muscle was measured. RESULTS: Overfeeding increased body weight (+2.6 kg) and fat mass concomitantly with a shift in the use of substrates as energy fuel toward preferential oxidation of carbohydrates instead of lipids. Changes in lipid metabolic gene expression supported this observation, with a reduction in pyruvate dehydrogenase kinase 4 expression that could be the consequences of decreased NAD(+) concentration and reduced deacetylase activity of the sirtuins, as supported by hyperacetylation of PGC-1α after overfeeding. Interestingly, this reduction of the sirtuin PGC-1α pathway was associated with increased mitochondrial gene expression and higher respiration rate under these conditions. CONCLUSION: Adaptation to lipid overfeeding and regulation of fuel partitioning in human muscle appear to rely on a dissociation between the regulatory functions of the sirtuin-PGC-1α pathway on fatty acid oxidation and on mitochondrial regulation. This may facilitate lipid storage during a period of positive energy balance while maintaining mitochondrial functions and oxidative capacities.


Asunto(s)
Grasas de la Dieta/administración & dosificación , Metabolismo Energético , Mitocondrias Musculares/fisiología , Músculo Esquelético/metabolismo , Hipernutrición/metabolismo , Adulto , Respiración de la Célula/efectos de los fármacos , Respiración de la Célula/genética , Dieta Alta en Grasa , Metabolismo Energético/efectos de los fármacos , Metabolismo Energético/genética , Humanos , Metabolismo de los Lípidos/efectos de los fármacos , Metabolismo de los Lípidos/genética , Masculino , Mitocondrias Musculares/efectos de los fármacos , Músculo Esquelético/efectos de los fármacos , Hipernutrición/genética , Oxidación-Reducción
8.
ScientificWorldJournal ; 2013: 982438, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-24453933

RESUMEN

Given the background of the use of Neural Networks in problems of apple juice classification, this paper aim at implementing a newly developed method in the field of machine learning: the Support Vector Machines (SVM). Therefore, a hybrid model that combines genetic algorithms and support vector machines is suggested in such a way that, when using SVM as a fitness function of the Genetic Algorithm (GA), the most representative variables for a specific classification problem can be selected.


Asunto(s)
Algoritmos , Bebidas , Frutas/química , Malus , Redes Neurales de la Computación , Máquina de Vectores de Soporte , Bebidas/análisis , Bebidas/clasificación
9.
Artículo en Inglés | MEDLINE | ID: mdl-22345172

RESUMEN

The ability of NAD(+) to act as a metabolic cofactor and as a rate-limiting cosubstrate for many enzymes, particularly the sirtuins, has led to the identification of a pivotal role of NAD(+) levels in the control of whole-body metabolic homeostasis. Bioavailability and compartmentalization of NAD(+) have become highly relevant issues that we need to understand in order to elucidate how NAD(+) acts both as a readout of the metabolic milieu and as an effector triggering appropriate cellular adaptations.


Asunto(s)
Metabolismo , NAD/metabolismo , Transducción de Señal , Animales , Humanos , Sirtuinas/metabolismo
10.
Nutr Hosp ; 25(6): 949-53, 2010.
Artículo en Español | MEDLINE | ID: mdl-21519765

RESUMEN

INTRODUCTION: The PEG is shown as a technique rather aggressive and with few complications. These characteristics have become the route of choice for enteral nutrition in patients who require nutritional support for prolonged periods. OBJECTIVES: To know the evolution and quality of life of patients and caregivers with nutrition through PEG. METHODS: Retrospective study of patients with PEG in a district hospital from July 1998 to July 2009. We reviewed hospital records and telephone contact with patients. RESULTS: There were 299 patients with PEG during the study period. There was a gradual increase in its use for nutritional therapy. Males were 152 (50.8%). There were 152 (50,8%) males. The age was 73.62 ± 13,05 years, males being the youngest (t = 5.07, P < 0.001). The most frequent indication was "neurological disease" 222 (85.7%). The duration of nutrition therapy was 390 days (range 1-2,913) showing independent from the rest of the variables. The completion of treatment was on death 134 (93.1%) or recovering the mouth 10 (6.9%). The QL was significantly improved in both patients (Z = -6.59, p < 0.001) and caregivers (Z = -6.83, P < 0.001) after PEG. CONCLUSIONS: There is a progressive increase in the use of PEG. with the mean time of treatment greater than one year, and being complete in most patients with the death. The quality of life experienced an improvement after PEG in both patients and caregivers in this series.


Asunto(s)
Gastrostomía/métodos , Procedimientos Quirúrgicos Mínimamente Invasivos/métodos , Factores de Edad , Anciano , Cuidadores , Nutrición Enteral/métodos , Femenino , Gastrostomía/efectos adversos , Gastrostomía/estadística & datos numéricos , Humanos , Masculino , Persona de Mediana Edad , Procedimientos Quirúrgicos Mínimamente Invasivos/estadística & datos numéricos , Pacientes , Complicaciones Posoperatorias/epidemiología , Calidad de Vida , Recuperación de la Función , Estudios Retrospectivos , Factores Sexuales , España
11.
Rev Med Suisse ; 2(85): 2463-7, 2006 Nov 01.
Artículo en Francés | MEDLINE | ID: mdl-17120715

RESUMEN

In a few clinical cases, controlling arterial hypertension is really very difficult even when using the appropriate treatment(s) at the optimal dosage. In such cases, it is crafty to research any possible drug interferences with the antihypertensive treatment. Two clinical cases will illustrate that arterial hypertension can be either induced or very difficult to control due to opposite physiopathological mechanisms of drugs or to pharmacokinetic interactions. A review of the main interacting drug regimens will complete this paper, attesting that drugs as various as NSAID, corticosteroids, erythropoietin, cyclosporine, antidepressants, beta blockers, carbamazepine, sympathomimetics, antihistamines, tramadol and (...) can induce arterial hypertension.


Asunto(s)
Hipertensión/inducido químicamente , Anciano , Anciano de 80 o más Años , Femenino , Humanos
12.
J. bras. pneumol ; J. bras. pneumol;31(3): 261-264, maio-jun. 2005. ilus
Artículo en Portugués, Inglés | LILACS | ID: lil-416521

RESUMEN

Relata-se o caso de uma adolescente com tuberculose osteoarticular em coluna lombossacral, uma localização incomum. O seu diagnóstico permanece um desafio por apresentar sintomas gerais inespecíficos e lesões ósseas que podem ser confundidas com outras afecções. A doença é degenerativa e de prognóstico reservado. São discutidos aspectos clínicos, laboratoriais e de imagem, incluindo tomografia computadorizada e ressonância magnética. A reação em cadeia da polimerase, usando o marcador IS 6110 para M. tuberculosis, foi positiva, sugerindo fortemente a presença do patógeno. Este ensaio é particularmente indicado quando se exige um diagnóstico de tuberculose rápido e sensível.

13.
Vaccine ; 22(23-24): 2966-73, 2004 Aug 13.
Artículo en Inglés | MEDLINE | ID: mdl-15297045

RESUMEN

To determine whether the addition of an inactivated-gp120-depleted HIV-1 Immunogen to antiretrovirals (ARTs) conferred a beneficial effect on delaying time to virologic failure relative to that obtained by ARTs alone, a phase II clinical trial was performed in 243 asymptomatic, ART naïve, HIV-1 seropositive adults. The Cox model showed that HIV-1 Immunogen treatment was associated with a 34% decrease in the risk of virologic failure (P = 0.056). When the analysis incorporated baseline HIV-RNA stratification the risk of virologic failure in the HIV-1 Immunogen Arm was significantly reduced a 37% compared to the IFA placebo Arm (P = 0.034). The data suggest that therapeutic immunization plus ARTs could influence virologic control.


Asunto(s)
Vacunas contra el SIDA/uso terapéutico , Fármacos Anti-VIH/uso terapéutico , Infecciones por VIH/terapia , VIH-1/inmunología , Vacunas contra el SIDA/administración & dosificación , Adulto , Fármacos Anti-VIH/efectos adversos , Quimiocinas/metabolismo , Terapia Combinada , Determinación de Punto Final , Femenino , Proteína gp120 de Envoltorio del VIH/inmunología , Infecciones por VIH/tratamiento farmacológico , Infecciones por VIH/inmunología , Humanos , Inmunidad Celular/efectos de los fármacos , Inmunidad Celular/inmunología , Interferón gamma/biosíntesis , Interferón gamma/genética , Trastornos Linfoproliferativos/inmunología , Trastornos Linfoproliferativos/patología , Masculino , Linfocitos T Colaboradores-Inductores/inmunología , Células TH1/inmunología , Vacunas de Productos Inactivados/uso terapéutico
15.
J Virol ; 75(20): 9819-27, 2001 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-11559815

RESUMEN

Dynein is a minus-end-directed microtubule-associated motor protein involved in cargo transport in the cytoplasm. African swine fever virus (ASFV), a large DNA virus, hijacks the microtubule motor complex cellular transport machinery during virus infection of the cell through direct binding of virus protein p54 to the light chain of cytoplasmic dynein (LC8). Interaction of p54 and LC8 occurs both in vitro and in cells, and the two proteins colocalize at the microtubular organizing center during viral infection. p50/dynamitin, a dominant-negative inhibitor of dynein-dynactin function, impeded ASFV infection, suggesting an essential role for dynein during virus infection. A 13-amino-acid domain of p54 was sufficient for binding to LC8, an SQT motif within this domain being critical for this binding. Direct binding of a viral structural protein to LC8, a small molecule of the dynein motor complex, could constitute a molecular mechanism for microtubule-mediated virus transport.


Asunto(s)
Proteínas Portadoras/metabolismo , Proteínas de Drosophila , Centro Organizador de los Microtúbulos/metabolismo , Proteínas Estructurales Virales/metabolismo , Virus de la Fiebre Porcina Africana/fisiología , Secuencia de Aminoácidos , Animales , Chlorocebus aethiops , Complejo Dinactina , Dineínas/farmacología , Proteínas Asociadas a Microtúbulos/farmacología , Unión Proteica , Proteínas Tirosina Fosfatasas/antagonistas & inhibidores , Vanadatos/farmacología , Células Vero , Proteínas Estructurales Virales/química , Proteínas Estructurales Virales/genética , Replicación Viral/efectos de los fármacos
16.
J Vasc Surg ; 34(1): 98-105, 2001 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-11436081

RESUMEN

PURPOSE: We sought to assess the role of endovascular techniques in the management of perigraft flow (endoleak) after endovascular repair of an abdominal aortic aneurysm. METHOD: We performed endovascular repair of abdominal aortic aneurysm in 114 patients, using a variety of Gianturco Z-stent-based prostheses. Results were evaluated with contrast-enhanced computed tomography (CT) at 3 days, 3 months, 6 months, 12 months, and every year after the operation. An endoleak that occurred 3 days after operation led to repeat CT scanning at 2 weeks, followed by angiography and attempted endovascular treatment. RESULTS: Endoleak was seen on the first postoperative CT scan in 21 (18%) patients and was still present at 2 weeks in 14 (12%). On the basis of angiographic localization of the inflow, the endoleak was pure type I in 3 cases, pure type II in 9, and mixed-pattern in 2. Of the 5 type I endoleaks, 3 were proximal and 2 were distal. All five resolved after endovascular implantation of additional stent-grafts, stents, and embolization coils. Although inferior mesenteric artery embolization was successful in 6 of 7 cases and lumbar embolization was successful in 4 of 7, only 1 of 11 primary type II endoleaks was shown to be resolved on CT scanning. There were no type III or type IV endoleaks (through the stent-graft). Endoleak was associated with aneurysm dilation two cases. In both cases, the aneurysm diameter stabilized after coil embolization of the inferior mesenteric artery. There were two secondary (delayed) endoleaks; one type I and one type II. The secondary type I endoleak and the associated aneurysm rupture were treated by use of an additional stent-graft. The secondary type II endoleak was not treated. CONCLUSIONS: Type I endoleaks represent a persistent risk of aneurysm rupture and should be treated promptly by endovascular means. Type II leaks are less dangerous and more difficult to treat, but coil embolization of feeding arteries may be warranted when leakage is associated with aneurysm enlargement.


Asunto(s)
Aneurisma de la Aorta Abdominal/cirugía , Implantación de Prótesis Vascular , Complicaciones Posoperatorias , Aneurisma de la Aorta Abdominal/diagnóstico por imagen , Embolización Terapéutica , Humanos , Arteria Mesentérica Superior/diagnóstico por imagen , Complicaciones Posoperatorias/terapia , Intensificación de Imagen Radiográfica , Stents , Tomografía Computarizada por Rayos X
17.
Radiology ; 220(1): 157-60, 2001 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-11425989

RESUMEN

PURPOSE: To determine the spectrum and frequency of specific computed tomographic (CT) findings in the acute period after endovascular repair of abdominal aortic aneurysm (AAA). MATERIALS AND METHODS: CT images obtained 1--3 days after endograft placement were evaluated in 88 patients. The images were analyzed for stent position, appearance of endograft components, perigraft leak, and postoperative findings including air and acute thrombus within the aneurysm and air surrounding the femoral-femoral bypass graft. Findings that could be misinterpreted as perigraft leak were evaluated. RESULTS: Fifteen (17%) of 88 patients had perigraft leak in the acute postoperative period. The bare segment of the proximal self-expanding stent covered one or both renal arteries in 54 (61%) patients. One patient had CT evidence of renovascular compromise. Postoperative air was within the aneurysmal sac in 51 (58%) patients and surrounded the femoral-femoral bypass graft in 67 (94%) of 71 patients in whom the grafts were evaluated with CT. Mottled attenuation within the aneurysmal sac was seen in 50 (57%) patients. Forty-six (52%) patients had calcifications within longstanding thrombus. In 31 (35%) patients, findings that could have been misinterpreted as perigraft leak were identified. CONCLUSION: Accurate analysis of CT findings after endovascular AAA repair requires careful review of all available CT images (preprocedural and pre- and postcontrast) and clear understanding of specific stent-graft components and placement.


Asunto(s)
Aneurisma de la Aorta Abdominal/diagnóstico por imagen , Aneurisma de la Aorta Abdominal/terapia , Cateterismo/instrumentación , Stents , Tomografía Computarizada por Rayos X/métodos , Anciano , Anciano de 80 o más Años , Cateterismo/métodos , Femenino , Estudios de Seguimiento , Humanos , Masculino , Persona de Mediana Edad , Monitoreo Fisiológico/métodos , Sensibilidad y Especificidad
18.
Rev Inst Med Trop Sao Paulo ; 42(4): 179-83, 2000.
Artículo en Inglés | MEDLINE | ID: mdl-10968879

RESUMEN

This study evaluates the transmission of CMV infection in 120 children aged 1 to 15 years with Down syndrome who attended a day-care center for handicapped children in São Paulo, Brazil. A blood sample was obtained from each children at the beginning of the study for detection of IgG and IgM cytomegalovirus (CMV) antibodies by an immunofluorescence assay. Samples of saliva and urine were obtained every 3 months from the children with CMV antibodies to detect shedding of the virus by culture in human foreskin fibroblasts, by detection of pp65 CMV-antigen and by a nested PCR assay. The prevalence of anti CMV-IgG antibodies was 76.6% (92/120), and IgM anti-CMV antibodies were detected in 13% (12/92) of the seropositive children. During the first viral evaluation, CMV was detected in the urine and/or saliva in 39/90 (43.3%) of the seropositive children. In the second and third evaluations, CMV was detected in 41/89 (46%) and in 35/89 (39.3%) children, respectively. Detection of CMV was shown both in urine and saliva in 28/39 (71.8%), 19/41(46.3%) and 20/35 (57.1%) of the children excreting the virus, respectively. Additionally, in 3(3/4)9 (67.4%) of the excreters CMV could be demonstrated in urine or saliva in at least two out of the three virological evaluations carried out sequentially in a six month period. Of the 28 initially seronegative children, 26 were re-examined for anti-CMV IgG antibodies about 18 months after the negative sample; seroconversion was found in 10/26 (38.5%). Taking all 536 samples of urine or saliva examined by virus culture and pp65 antigen detection during the study into account, 159 (29.6%) were positive by virus culture and 59 (11%) gave a positive result with the pp65 assay. These data demonstrate the high prevalence of CMV shedding and the high risk of CMV infection in children with Down syndrome attending a day-care center for mentally handicapped patients. The virus culture was more sensitive than the pp65 CMV antigen assay for CMV detection in both urine and saliva samples.


Asunto(s)
Guarderías Infantiles/estadística & datos numéricos , Infecciones por Citomegalovirus/epidemiología , Síndrome de Down/virología , Adolescente , Anticuerpos Antivirales/aislamiento & purificación , Brasil/epidemiología , Niño , Preescolar , Citomegalovirus/inmunología , Infecciones por Citomegalovirus/transmisión , Humanos , Inmunoglobulina G/aislamiento & purificación , Inmunoglobulina M/aislamiento & purificación , Lactante , Reacción en Cadena de la Polimerasa , Prevalencia , Esparcimiento de Virus
19.
J Endovasc Ther ; 7(4): 286-91, 2000 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-10958292

RESUMEN

PURPOSE: To report the endovascular treatment of abdominal aortic aneurysms (AAA) in 2 patients with pelvic renal transplants. METHODS AND RESULTS: Two men with multiple comorbidities and pelvic transplant kidneys underwent endovascular AAA repair using an aortomonoiliac system with femorofemoral bypass grafting. The arterial end-to-side anastomosis in both patients was to the external iliac artery. Tapered aortomonoiliac grafts were fashioned from Gianturco Z-stents covered with Dacron graft material and implanted with the distal attachment site in the iliac system ipsilateral to the transplant kidney arterial anastomosis. The body of the stent-graft was reinforcement with a Wallstent in each case before the contralateral common iliac artery was occluded and the cross-femoral bypass constructed. Both patients recovered uneventfully from the procedure and are free of endoleak or other complications related to their aneurysm repair at 7 and 34 months. CONCLUSIONS: The presence of a pelvic renal transplant in a patient undergoing endovascular AAA repair increases the complexity of procedural planning and endograft implantation, but a good outcome can be achieved.


Asunto(s)
Aneurisma de la Aorta Abdominal/cirugía , Implantación de Prótesis Vascular , Trasplante de Riñón , Stents , Anciano , Anastomosis Quirúrgica/métodos , Aneurisma de la Aorta Abdominal/complicaciones , Aneurisma de la Aorta Abdominal/diagnóstico por imagen , Implantación de Prótesis Vascular/métodos , Arteria Femoral/cirugía , Humanos , Arteria Ilíaca/diagnóstico por imagen , Arteria Ilíaca/cirugía , Masculino , Persona de Mediana Edad , Arteria Renal/diagnóstico por imagen , Arteria Renal/cirugía , Tomografía Computarizada por Rayos X
20.
J Endovasc Ther ; 7(3): 240-4, 2000 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-10883963

RESUMEN

PURPOSE: To describe a case of presumed aortoduodenal fistula that was treated by endovascular implantation of a stent-graft. METHODS AND RESULTS: A 76-year-old man was transferred from another hospital where he had been treated for upper gastrointestinal hemorrhage over a 2-month period. Ten years previously, he had undergone aortobifemoral bypass, the right limb of which recently thrombosed. At the time of transfer, computed tomographic scanning showed a large false aneurysm between the aorta and the duodenum. Endoscopy disclosed mucosal erosions in the fourth portion of the duodenum. Following implantation of 2 overlapping stent-grafts, the bleeding ceased and the false aneurysm disappeared. At no time did the patient have a fever. The patient initially did well, but 8 months after treatment, he presented with fever and chills. Recurrent infection had caused erosion of the aorta so that a large portion of the stent-graft was visible from the duodenum. The infected graft and stent-grafts were removed in a two-part operation, from which the patient recovered satisfactorily. CONCLUSIONS: Endovascular stent-grafts may have a role to play in the management of aortoduodenal fistula, if only as a temporary measure to control bleeding.


Asunto(s)
Implantación de Prótesis Vascular/efectos adversos , Duodeno , Hemorragia Gastrointestinal/etiología , Fístula Intestinal/complicaciones , Infección de la Herida Quirúrgica/complicaciones , Fístula Vascular/cirugía , Anciano , Aneurisma Falso/complicaciones , Aneurisma Falso/diagnóstico por imagen , Aneurisma Falso/cirugía , Angiografía , Aneurisma de la Aorta Torácica/complicaciones , Aneurisma de la Aorta Torácica/diagnóstico por imagen , Aneurisma de la Aorta Torácica/cirugía , Diagnóstico Diferencial , Duodenoscopía , Estudios de Seguimiento , Hemorragia Gastrointestinal/diagnóstico , Hemorragia Gastrointestinal/cirugía , Humanos , Fístula Intestinal/diagnóstico , Fístula Intestinal/cirugía , Masculino , Reoperación , Infección de la Herida Quirúrgica/diagnóstico , Infección de la Herida Quirúrgica/cirugía , Tomografía Computarizada por Rayos X , Fístula Vascular/complicaciones , Fístula Vascular/diagnóstico por imagen
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