RESUMEN
Obesity and diabetes mellitus are considered the most important diseases of the XXI century. Recently, many epidemiological studies have linked exposure to pesticides to the development of obesity and type 2 diabetes mellitus. The role of pesticides and their possible influence on the development of these diseases was investigated by examining the relationship between these compounds and one of the major nuclear receptor families controlling lipid and carbohydrate metabolism: the peroxisome proliferator-activated receptors (PPARs), PPARα, PPARß/δ, and PPARγ; this was possible through in silico, in vitro, and in vivo assays. The present review aims to show the effect of pesticides on PPARs and their contribution to the changes in energy metabolism that enable the development of obesity and type 2 diabetes mellitus.
RESUMEN
Hypobaric hypoxia induces DNA damage in rat testicular cells, the production of defective spermatozoids and decreased sperm count, associated with an increase in oxidative stress. 8-Oxoguanine glycosylase (OGG1) enzymes are main members of the base excision repair (BER) system, a DNA repair mechanism. We determined the expression levels of mitochondrial and nuclear OGG1 isoforms in spermatozoa collected from cauda epididymis in rats exposed to chronic hypobaric hypoxia (CHH) for 5, 15 and 30 days. CHH attenuates OGG1 expression in a time-dependent fashion, with a greater reduction in the mitochondrial isoform OGG1-2a (p < .05). Attenuation of the BER system may contribute to DNA damage under hypoxia exposure.
Asunto(s)
Daño del ADN/fisiología , ADN Glicosilasas/metabolismo , Reparación del ADN/fisiología , Estrés Oxidativo/fisiología , Espermatozoides/metabolismo , Animales , Hipoxia de la Célula/fisiología , Núcleo Celular/metabolismo , Isoenzimas/metabolismo , Masculino , Mitocondrias/metabolismo , Modelos Animales , Ratas , Espermatozoides/citologíaRESUMEN
In Chile, due to the intensive activity developed in confining areas of the Andes Mountains ranging in altitude over 4000 asl, there has been an increasing intermittent movement of human resources to high altitude conditions. This unusual condition, defined as hypobaric hypoxia, affects notoriously in any living organism and there shows a series of physiological responses. Studies performed in rats under chronic hypobaric hypoxia and intermittent hypobaric hypoxia have registered changes in testicular morphology together with loss of spermatogenic cells in all stages of spermatogenic cycle. Furthermore, recent tests reinforced the existence of an oxidative metabolism in epididymis of rats subjected to hypobaric hypoxia due to the increase in the regulator enzyme expression of reactive oxygen species (ROS), This increase in the production of ROS induced a rise in apoptosis at germinal cell level, leading to a state of hypo-spermatogenesis that may jeopardise masculine fertility. Therefore, the eventual development of oxidative stress in spermatogenic cells and consequently the spermatozoids of workers subjected to high altitude, either chronic or intermittent, turns out to be critical when it poses as an imminent risk to the viability and quality of the reproductive cells of workers subjected to intermittent hypobaric hypoxia.
Asunto(s)
Genitales Masculinos/metabolismo , Hipoxia/metabolismo , Estrés Oxidativo , Animales , Humanos , Infertilidad Masculina , MasculinoRESUMEN
Intermittent hypobaric hypoxia (IHH) induced a decrease in sperm count and oxidative damage in epididymis. We have previously demonstrated that a blueberry-enriched polyphenol extract (BB-4) reduced the adverse effects of oxidative stress in rat testis under hypobaric hypoxia. The aim of this study was to evaluate whether BB-4 could reverse oxidative stress in epididymis. To evaluate the protective role of BB-4 in epididymis, male rats were exposed to IHH. Lipid peroxidation, (LPO) expression and activity of glutathione reductase (GR) were evaluated. Our results showed a reduction in LPO and a decrease in GR activity in rat epididymis exposed to IHH. These results suggest that BB-4 can prevent the effects of IHH in rat epididymis.
Asunto(s)
Arándanos Azules (Planta) , Epidídimo/patología , Hipoxia/prevención & control , Animales , Peroxidación de Lípido , Masculino , Ratas , Sustancias Reactivas al Ácido Tiobarbitúrico/metabolismoRESUMEN
High blood pressure (BP) and overweight/obesity are increasingly prevalent in children. We examined the associations of excess weight indicators including neck circumference (NC) and body mass index (BMI) with high BP in children. We hypothesized that high NC is associated with elevated BP. We utilized cross-sectional anthropometric and BP data on 1058 children aged 6-18 years. Patients were classified into weight and NC categories according to published guidelines. Prehypertension was defined as systolic or diastolic BP levels between 90th and 95th percentile for gender, age and height. Hypertension signifies systolic and/or diastolic BP levels ≥ 95th percentile for age, gender and height. The prevalence of elevated BP was 29.2% (prehypertension=10.1%, hypertension=19.1%). The prevalence of overweight and obesity was 19.0 and 18.7%, respectively. Rates of wide NC increased progressively with BMI categories by 8.8, 29.4 and 68.7% among normal weight, overweight and obese children, respectively. Within each BMI category, the unadjusted odds ratio for elevated BP was significantly higher in children with wide NC than those with normal NC (normal weight OR=1.78 (1.0-3.1), P=0.04); overweight OR=2.74 (1.5-5.2), P=0.001); obese OR=2.44 (1.3-4.6), P=0.006)). Increasing NC and BMI are associated with elevated BP in children. Joint presence of wide NC and high BMI is associated with significantly high rates of elevated BP. NC measurement may be a helpful tool to detect the presence of elevated BP in children.
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Presión Sanguínea/fisiología , Hipertensión/epidemiología , Hipertensión/fisiopatología , Cuello/anatomía & histología , Obesidad/fisiopatología , Sobrepeso/fisiopatología , Adiposidad/fisiología , Adolescente , Índice de Masa Corporal , Niño , Comorbilidad , Estudios Transversales , Femenino , Humanos , Hipertensión/diagnóstico , Masculino , Análisis Multivariante , Obesidad/epidemiología , Sobrepeso/epidemiología , Prehipertensión/diagnóstico , Prehipertensión/epidemiología , Prehipertensión/fisiopatología , Prevalencia , Factores SexualesRESUMEN
The mining industry is looking forward for bacterial consortia for economic extraction of copper from low-grade ores. The main objective was to determine an optimal bacterial consortium from several bacterial strains to obtain copper from the leach of chalcopyrite. The major native bacterial species involved in the bioleaching of sulphide ore (Acidithiobacillus ferrooxidans, Acidithiobacillus thiooxidans, Leptospirillum ferrooxidans and Leptospirillum ferriphilum) were isolated and the assays were performed with individual bacteria and in combination with At. thiooxidans. In conclusion, it was found that the consortium integrated by At. ferrooxidans and At. thiooxidans removed 70% of copper in 35 days from the selected ore, showing significant differences with the other consortia, which removed only 35% of copper in 35 days. To validate the assays was done an escalation in columns, where the bacterial consortium achieved a higher percentage of copper extraction regarding to control.
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Bacterias/metabolismo , Cobre/metabolismo , Microbiología Industrial/métodos , Consorcios MicrobianosRESUMEN
The mining industry is looking forward for bacterial consortia for economic extraction of copper from low-grade ores. The main objective was to determine an optimal bacterial consortium from several bacterial strains to obtain copper from the leach of chalcopyrite. The major native bacterial species involved in the bioleaching of sulphide ore (Acidithiobacillus ferrooxidans, Acidithiobacillus thiooxidans, Leptospirillum ferrooxidans and Leptospirillum ferriphilum) were isolated and the assays were performed with individual bacteria and in combination with At. thiooxidans. In conclusion, it was found that the consortium integrated by At. ferrooxidans and At. thiooxidans removed 70% of copper in 35 days from the selected ore, showing significant differences with the other consortia, which removed only 35% of copper in 35 days. To validate the assays was done an escalation in columns, where the bacterial consortium achieved a higher percentage of copper extraction regarding to control.
Asunto(s)
Bacterias/metabolismo , Cobre/metabolismo , Microbiología Industrial/métodos , Consorcios MicrobianosRESUMEN
In the present study, the hemagglutinating activity of seven reference strains, and nine Mexican and three Danish field isolates, of Gallibacterium was investigated by using fresh erythrocytes of 19 different types including chicken (broiler, rooster, layer hen), turkey, pigeon, quail, duck, Harris's hawk (Parabuteo unicinctus), house finch (Carpodacus mexicanus), cow, sheep, horse, dog, rabbit, pig, and human (groups A, B, AB, and O; Rh+). Agglutination was observed for broiler chicken, layer hen, quail, rabbit, and pig erythrocytes with a subset of Gallibacterium strains, whereas most tested strains agglutinated rabbit erythrocytes. Transmission electron microscopic examination of a hemagglutinating strain demonstrated a close interaction between the bacterial and erythrocyte surfaces. The results indicate that some Gallibacterium strains are able to agglutinate avian or mammalian erythrocytes, or both. However, the mechanisms enabling hemagglutination are not known and will be addressed in future studies.
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Hemaglutinación/fisiología , Pasteurellaceae/clasificación , Pasteurellaceae/fisiología , Animales , Eritrocitos/fisiología , HumanosRESUMEN
Benzene, toluene, and m-xylene compounds in individual (5.0 +/- 0.5 mg C l(-1)) and mixed solutions (2.5 +/- 0.2 mg C l(-1) for each one) in nitrifying batch cultures induced a decrease in the specific rates of NH4+ consumption (81 +/- 6%) and NO3- production (39-79%). However, after 24 h, ammonium consumption efficiency and conversion of consumed NH4+ -N into NO3- -N were close to 100% and there was no significant accumulation of nitrite in the medium. After 24 h, no aromatic intermediate was detected in the cultures and 50% of the mixed compounds was converted to acetate. The following order of biotransformation was found: m-xylene > toluene > benzene. Transformation rate of m-xylene was 0.051 +/- 0.005 g C (g protein-N h)(-1) in individual and mixed solutions. When m-xylene was added, benzene was oxidized at a faster rate (0.051 +/- 0.005 g C (g protein-N h)(-1)) whereas toluene at a slower rate (0.012 +/- 0.002 g C (g protein-N h)(-1)).
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Reactores Biológicos , Compuestos de Nitrógeno/metabolismo , Eliminación de Residuos Líquidos/métodos , Contaminantes Químicos del Agua/análisis , Purificación del Agua/métodos , Benceno , Biotransformación , Cromatografía de Gases , Cinética , Aguas del Alcantarillado/microbiología , Tolueno , XilenosRESUMEN
The aim of this study was to examine the requirement of luteal progesterone or luteal estrogen for the establishment of pregnancy in the Cebus monkey and to test in a primate species the synergism between RU 486 and letrozole (LTZ) found in rodents for inhibiting implantation. Exposure of target tissues to either hormone was suppressed during the mid-luteal phase of mating cycles by subcutaneous administration of the antiprogestin (RU 486), the aromatase inhibitor LTZ or the antiestrogen (ICI 182780) on days 4-7 of the luteal phase. Administration of 0.1 or 0.5 mg/kg of LTZ on days 5-7 of the luteal phase caused a profound drop in the levels of E(2) in all animals, whereas administration of ICI 182780 0.2 mg/kg on days 4-6 of the luteal phase had the opposite effect. The pregnancy rate in vehicle treated cycles of the same females was (58.3%). Treatment with RU 486, 0.8 mg/kg/day on days 5-7 of the luteal phase-induced endometrial bleeding in 3/5 mated females none of which became pregnant, whereas pregnancy was confirmed in one of the two animals that did not bled. Treatment with RU 486, 0.4 mg/kg/day alone or with LTZ on days 5-7 or ICI 182780 alone, on days 4-6 of the luteal phase failed to induce bleeding, allowing the establishment of pregnancy in 50.0-66.6% of the animals in these groups. We conclude that in Cebus monkeys, progesterone but not luteal estradiol is required for the establishment of pregnancy and that RU 486 and LTZ do not exhibit in this species the synergism found in rodents.
Asunto(s)
Cebus/metabolismo , Estradiol/metabolismo , Fase Luteínica/metabolismo , Preñez/metabolismo , Progesterona/metabolismo , Animales , Inhibidores de la Aromatasa/farmacología , Implantación del Embrión/efectos de los fármacos , Estradiol/análogos & derivados , Estradiol/sangre , Estradiol/farmacología , Antagonistas de Estrógenos/farmacología , Femenino , Fulvestrant , Letrozol , Fase Luteínica/efectos de los fármacos , Masculino , Mifepristona/farmacología , Nitrilos/farmacología , Embarazo , Índice de Embarazo , Progesterona/antagonistas & inhibidores , Progesterona/sangre , Triazoles/farmacologíaRESUMEN
Killer cell immunoglobulin-like receptors are characterized by their great diversity of genes and alleles. Population studies have identified the presence of a broad variety of genotypes. In Mexico, there are diverse ethnic groups representing 9% of the total population and the rest is composed of Mestizos with a more varied biology. For the purpose of this study, genotyping was performed in Mestizos, in Mexico City inhabitants, and in three ethnic groups. The frequencies of genes KIR2DL2, 2DL5, 2DS1-3, 2DS5, and 3DS1 showed a greater variability in the groups studied. A total of 12 different genotypes were identified, the higher number for the Mestizos and the lower number for the Tarahumaras. Genotype 1 was found at a greater frequency in all the groups, except for the Tarahumaras, in which genotype 4 was more frequent. The frequency of genotypes 4 and 8 in Mexicans was higher than that for other populations analyzed. By subtyping of KIR3DL1, 3DL2, 2DL1, and 2DL3, two B haplotypes were identified in families; both were absent in Caucasian families. Our results indicated a greater diversity of genes in the Mestizos group than in the ethnic groups.
Asunto(s)
Indio Americano o Nativo de Alaska/genética , Etnicidad/genética , Receptores Inmunológicos/genética , Frecuencia de los Genes , Variación Genética , Genotipo , Haplotipos , Humanos , Desequilibrio de Ligamiento , México/etnología , Población/genética , Receptores KIR , Receptores KIR2DL1 , Receptores KIR2DL2 , Receptores KIR2DL3 , Receptores KIR3DL1 , Receptores KIR3DL2 , Receptores KIR3DS1RESUMEN
The effect of benzene, toluene, and m-xylene (BTX) compounds on the nitrifying activity of a sludge produced in steady-state nitrification was evaluated in batch cultures. Benzene and m-xylene at 10 mg C/L decreased ammonium consumption efficiency by 57% and 26%, respectively, whereas toluene did not affect the ammonium oxidation process. The consumed NH4+-N was totally oxidized to NO3- -N. There was no significant effect at 5 mg C/L of each aromatic compound. BTX (5-20mg C/L) induced a significant decrease in the values for specific rates of NH4+ -N consumption (76-99%) and NO3- -N production (45-98%). At 10 mg C/L of BTX compounds, the inhibition order on nitrate production was: benzene > m-xylene > toluene while at 20 mg C/L, the sequence changed to m-xylene > toluene > benzene for both nitrification inhibition and BTX compounds persistence. At 5 mg C/L of BTX compounds, there was no toxic effect on the sludge whereas from 10 to 50 mgC/L, bacteria did not totally recover their nitrifying activity. At a concentration of 5 mg C/L, toluene was first oxidized to benzyl alcohol, which was later oxidized to butyrate while m-xylene was oxidized to acetate and butyrate.
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Benceno/metabolismo , Nitritos/metabolismo , Tolueno/metabolismo , Xilenos/metabolismo , CinéticaRESUMEN
Few reports on the reproductive physiology of Cebus apella have been published. In this study we characterized menstrual cycle events by means of vaginal cytology, ultrasonography (US), and hormonal measurements in serum during three consecutive cycles in 10 females, and assessed the probability that ovulation would occur in the same ovary in consecutive cycles in 18 females. The lengths and phases of the cycles were determined according to vaginal cytology. Taking the first day of endometrial bleeding as the first day of the cycle, the mean cycle length +/- SEM was 19.5+/-0.4 days, with follicular and luteal phases lasting 8.2+/-0.2 and 11.3+/-0.4 days, respectively. The follicular phase included menstruation and the periovulatory period, which was characterized by the presence of a large number of superficial eosinophilic cells in the vaginal smear. The myometrium, endometrium, and ovaries were clearly distinguished on US examination. During each menstrual cycle a single follicle was recruited at random from either ovary. The follicle grew from 3 mm to a maximum diameter of 8-9 mm over the course of 8 days, in association with increasing estradiol (E(2)) serum levels (from 489+/-41 to 1600+/-92 pmol/L). At ovulation, the mean diameter of the dominant follicle usually decreased by >20%, 1 day after the maximum E(2) level was reached. Ovulation was associated with an abrupt fall in E(2), a decreased number of eosinophilic cells, the presence of leukocytes and intermediate cells in the vaginal smear, and a progressive increase in progesterone (P) levels that reached a maximum of 892+/-65 nmol/L on days 3-6 of the luteal phase. The menstrual cycle of Cebus apella differs in several temporal and quantitative aspects from that in humans and Old World primates, but it exhibits the same correlations between ovarian endocrine and morphologic parameters.
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Cebus/metabolismo , Cebus/fisiología , Ciclo Menstrual/metabolismo , Ciclo Menstrual/fisiología , Animales , Estradiol/sangre , Femenino , Folículo Ovárico/diagnóstico por imagen , Folículo Ovárico/crecimiento & desarrollo , Progesterona/sangre , América del Sur , Ultrasonografía , Útero/diagnóstico por imagen , Frotis VaginalRESUMEN
The effect of benzene on the nitrifying activity of a sludge produced in steady-state nitrification was evaluated in batch cultures. Benzene at 10 mg/L inhibited nitrate formation by 53%, whereas at 5 mg/L there was no inhibition. For initial benzene concentrations of 0, 7, and 10 mg/L, the specific rates of NO(3)(-)-N production were 0.545 +/- 0.101, 0.306 +/- 0.024, and 0.141 +/- 0.010 g NO(3)(-)-N/g microbial protein-N.h, respectively. The specific rates of benzene consumption at 7, 12, and 20 mg/L were 0.034 +/- 0.003, 0.050 +/- 0.006, and 0.027 +/- 0.002 g/g microbial protein-N.h, respectively. Up to a concentration of 10 mg/L, benzene was first oxidized to phenol, which was later totally oxidized to acetate. Benzene at higher concentrations (20 and 30 mg/L) was converted to intermediates other than acetate, phenol, or catechol. These results suggest that this type of nitrifying consortium coupled with a denitrification system may have promising applications for complete removal of nitrogen and benzene from wastewaters.
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Bacterias/metabolismo , Benceno/metabolismo , Reactores Biológicos/microbiología , Técnicas de Cultivo de Célula/métodos , Nitrógeno/metabolismo , Aguas del Alcantarillado/microbiología , Contaminantes Químicos del Agua/metabolismo , Purificación del Agua/métodos , Bacterias/efectos de los fármacos , Bacterias/crecimiento & desarrollo , Benceno/farmacologíaRESUMEN
The objective of this study was to evaluate the contraceptive efficacy and clinical performance of a Nestorone subdermal implant (NES) in the postpartum period. NES (n = 100) and Copper T intrauterine device (T-Cu; n = 100) acceptors initiated contraception at 8 weeks postpartum and were followed at monthly intervals during the first year and at 3-month intervals thereafter. Pregnancy rates, breastfeeding performance, infant growth, bleeding pattern, and side effects were assessed. Blood and milk NES concentration were measured. No pregnancy occurred in 2195 and 2145 woman-months of NES implant and T-Cu use, respectively. No effect of NES on lactation and infant growth and no serious adverse events were observed. Lactational amenorrhea was significantly longer in NES users (353 +/- 20 days) than in T-Cu users (201 +/- 11 days). More NES users (55.8%) experienced prolonged bleedings than did T-Cu users (36.2%). Concentrations of NES in breast milk ranged between 54-135 pmol/liter. The Nestorone implant is a highly effective contraceptive, safe for breastfed infants because the steroid is inactive by the oral route.
Asunto(s)
Anticoncepción , Anticonceptivos Femeninos/administración & dosificación , Lactancia/efectos de los fármacos , Norprogesteronas/administración & dosificación , Adolescente , Adulto , Amenorrea/fisiopatología , Lactancia Materna , Chile , Anticonceptivos Femeninos/metabolismo , Implantes de Medicamentos , Femenino , Estudios de Seguimiento , Humanos , Dispositivos Intrauterinos de Cobre/efectos adversos , Leche Humana/efectos de los fármacos , Leche Humana/metabolismo , Norprogesteronas/efectos adversos , Norprogesteronas/metabolismo , Pacientes Desistentes del Tratamiento , Periodo Posparto/efectos de los fármacos , Factores de Tiempo , Hemorragia Uterina/inducido químicamente , DesteteRESUMEN
Malignant lymphomas are neoplastic diseases of lymphoid cells, which usually originate in the lymph nodes. During the last two decades, significant progress has been made in the characterization of chromosomal and molecular alterations in these malignancies. To date, however, the composition and function of the hematopoietic system in this group of hematological disorders is still not fully understood. In the present study, we have determined the progenitor cell content in 10 patients with diffuse large-cell lymphoma (DLCL) and characterized the proliferation of these cells in long-term marrow cultures. We have also addressed some issues regarding the composition and function of the hematopoietic microenvironment in this malignancy. All the patients included in this study showed normal hematological parameters in peripheral blood, both before and after chemotherapy, however, significant hematopoietic alterations were consistently observed. As compared to normal subjects, lymphoma patients showed a 35% reduction in progenitor cell numbers, including myeloid, erythroid and multipotent progenitors. The in vitro proliferation of these cells was also deficient, since their levels in long-term marrow cultures were significantly lower than those observed in normal bone marrow cultures. Fibroblastic progenitors were reduced by >50% and this correlated with a deficient adherent cell layer development in culture. A reduction was also seen in the levels in culture supernatant of the stimulatory cytokines Stem Cell Factor and Interleukin-6. Interestingly, all the hematopoietic alterations mentioned above were still present in patients at complete clinical remission after chemotherapy. Thus, in the present study we have demonstrated significant in vitro deficiencies in the composition and function of the hematopoietic system in patients with diffuse large-cell lymphoma, both during active disease and at the time of complete clinical remission.
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Antineoplásicos/uso terapéutico , Hematopoyesis/efectos de los fármacos , Linfoma de Células B Grandes Difuso/tratamiento farmacológico , Linfoma de Células B Grandes Difuso/patología , Linfoma no Hodgkin/tratamiento farmacológico , Linfoma no Hodgkin/patología , Anciano , Antineoplásicos/farmacología , Células de la Médula Ósea/efectos de los fármacos , Células de la Médula Ósea/patología , Estudios de Casos y Controles , Técnicas de Cultivo de Célula , División Celular , Femenino , Humanos , Masculino , Persona de Mediana Edad , Inducción de Remisión , Células Madre/citología , Células Madre/efectos de los fármacos , Células Madre/patologíaRESUMEN
The contraceptive efficacy and safety of a progesterone-releasing vaginal ring (PVR) manufactured in Chile were compared to that of the Copper T 380A IUD (T-Cu) in nursing women enrolled at three Chilean clinics. A total of 285 volunteers chose to use the PVR and 262 the T-Cu. Plasma progesterone levels attained with the ring decreased from 25 to 14 nmol/L from month 1 to month 3 of use. Ring replacement was scheduled every 3 months. Volunteers continued in the study until weaning or completing the continuous use of four PVRs. No pregnancies occurred in 2320 and 2183 woman-months of exposure with the PVR and the T-Cu, respectively. Lower continuation rates in the first 6 months because of problems with use and a longer lactational amenorrhea were observed in the PVR than in the T-Cu group. Breast-feeding performance and infant growth were similar in both groups. These results confirm the high efficacy and safety of the PVR for nursing women and have led to the registration of the PVR by Chilean health authorities.
PIP: This study compares the contraceptive efficacy and safety of a progesterone-releasing vaginal ring (PVR) manufactured in Chile and a Copper T 380A IUD (T-Cu) in nursing women enrolled at three Chilean clinics. A total of 285 volunteers used the PVR and 262 used T-Cu. Plasma progesterone levels attained with the ring decreased from 25 to 14 nmol/l from month 1 to month 3 of use. Ring replacement was scheduled every 3 months. Volunteers continued in the study until weaning or completing the continuous use of 4 PVRs. There were no pregnancies in 2320 and 2183 woman-months of exposure with the PVR and the T-Cu, respectively. Lower continuation rates in the first 6 months because of problems with use and a longer lactational amenorrhea were seen in the PVR group. Breast-feeding performance and infant growth were similar in both groups. These results prove the high efficacy and safety of the PVR for nursing women. This has led to the registration of the PVR by Chilean health authorities.
Asunto(s)
Lactancia Materna , Dispositivos Anticonceptivos Femeninos/normas , Leche Humana/efectos de los fármacos , Progesterona/farmacocinética , Adulto , Amenorrea/inducido químicamente , Peso al Nacer , Peso Corporal , Chile , Colposcopía , Dispositivos Anticonceptivos Femeninos/efectos adversos , Femenino , Hemoglobinas/análisis , Humanos , Lactante , Dispositivos Intrauterinos de Cobre/efectos adversos , Dispositivos Intrauterinos de Cobre/normas , Lactancia , Masculino , Paridad , Pacientes Desistentes del Tratamiento , Satisfacción del Paciente , Progesterona/sangre , Progesterona/farmacología , Radioinmunoensayo , Vagina/efectos de los fármacosRESUMEN
Bone density and turnover was assessed in a longitudinal study of healthy lactating women who initiated use of Norplant((R)) implants (NOR, n = 29), progesterone vaginal rings (PVR, n = 28) or Copper T 380A intrauterine devices (T-Cu, n = 51, control group) around day 60 postpartum. Bone density, serum calcium, phosphorus, alkaline phosphatases, parathyroid hormone (PTH), follicle stimulating hormone (FSH), oestradiol and prolactin, and urinary hydroxyproline and creatinine were measured at postpartum months 1 (PM1), and 12 (PM12) and 6 or 12 months after weaning; at month 6 postpartum (PM6) serum and urine tests alone were performed. Baseline characteristics and lactation performance were similar between groups. Biochemical markers of bone turnover were higher at PM1, PM6 and PM12 than after weaning, with no differences between groups. Bone density in the lumbar spine (L2-L4) and femoral neck at PM1 and PM12 ( approximately 1.11 g/cm(2)) was similar in three groups. Lumbar spine values were found to be lower in lactating women than those present in non-lactating women, but increased after weaning to similar values. The two progestin-only contraceptives studied appear to have no deleterious effect upon bone density and metabolism in healthy lactating women.
Asunto(s)
Densidad Ósea/efectos de los fármacos , Remodelación Ósea/efectos de los fármacos , Anticoncepción/métodos , Anticonceptivos Femeninos/uso terapéutico , Lactancia/efectos de los fármacos , Levonorgestrel/uso terapéutico , Progesterona/uso terapéutico , Administración Intravaginal , Adolescente , Adulto , Implantes de Medicamentos , Femenino , Humanos , Dispositivos Intrauterinos de Cobre , DesteteRESUMEN
The present work aimed at studying the participation of the homologous contralateral zone to a unilateral somatomotor cortex lesion, once the animals had showed a significant functional recovery. We studied recovery of coordinated walking after unilateral motor cortex aspiration in rats. A callosotomy was performed 20 days after the initial lesion, without significant effects. We conclude that after this time period, the intact hemisphere plays no role in the recovery process, suggesting that at this time point recovery does not depend on the integrity of corpus callosal fibers at this rostral-caudal level.
Asunto(s)
Lesiones Encefálicas/fisiopatología , Cuerpo Calloso/fisiología , Hemiplejía/fisiopatología , Corteza Motora/lesiones , Corteza Somatosensorial/lesiones , Animales , Lesiones Encefálicas/patología , Cuerpo Calloso/patología , Lateralidad Funcional/fisiología , Hemiplejía/patología , Inhalación , Masculino , Corteza Motora/patología , Corteza Motora/fisiopatología , Ratas , Ratas Wistar , Corteza Somatosensorial/patología , Corteza Somatosensorial/fisiopatología , Factores de Tiempo , Caminata/fisiologíaRESUMEN
An integrated postpartum health-care program was established by the Consultorio San Luis de Huechuraba (CSLH), a nongovernmental organization in a neighborhood of extreme poverty in Santiago, Chile. The main components were education, maternal and infant health care, support for the mothers, and active participation of women from the community served. The program was evaluated through indicators of contraceptive use, breastfeeding performance, infant growth and health, and a qualitative assessment of women's satisfaction. Controls were women of similar characteristics attending the nearby public clinic. Acceptability of contraceptive methods was similar but contraceptive options differed between clinics. The total number of pregnancies and of respondents lost to follow-up was significantly higher for the public clinic than for the CSLH. Breastfeeding duration was significantly longer and infant growth and health were found to be significantly better at the CSLH than at the public clinic. Women valued being treated with respect, receiving education and support, and being offered timesaving services and wider contraceptive choices at the CSLH. This study demonstrates that such interventions are possible for poor communities, providing significant advantages for women and children.