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1.
Blood Cancer J ; 12(11): 149, 2022 11 04.
Artigo em Inglês | MEDLINE | ID: mdl-36329027

RESUMO

Neoplasms originating from thymic T-cell progenitors and post-thymic mature T-cell subsets account for a minority of lymphoproliferative neoplasms. These T-cell derived neoplasms, while molecularly and genetically heterogeneous, exploit transcription factors and signaling pathways that are critically important in normal T-cell biology, including those implicated in antigen-, costimulatory-, and cytokine-receptor signaling. The transcription factor GATA-3 regulates the growth and proliferation of both immature and mature T cells and has recently been implicated in T-cell neoplasms, including the most common mature T-cell lymphoma observed in much of the Western world. Here we show that GATA-3 is a proto-oncogene across the spectrum of T-cell neoplasms, including those derived from T-cell progenitors and their mature progeny, and further define the transcriptional programs that are GATA-3 dependent, which include therapeutically targetable gene products. The discovery that p300-dependent acetylation regulates GATA-3 mediated transcription by attenuating DNA binding has novel therapeutic implications. As most patients afflicted with GATA-3 driven T-cell neoplasms will succumb to their disease within a few years of diagnosis, these findings suggest opportunities to improve outcomes for these patients.


Assuntos
Proteínas de Ligação a DNA , Neoplasias , Humanos , Diferenciação Celular , Proteínas de Ligação a DNA/genética , Neoplasias/metabolismo , Proto-Oncogenes/genética , Subpopulações de Linfócitos T , Leucemia Linfoide
3.
J Anim Sci ; 95(6): 2488-2495, 2017 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-28727062

RESUMO

This study aimed to characterize the maximum heart rate (HR) and the intensity of official marcha contests (OMC) and to compare the cost of transport (COT) and metabolic power (Pmet) of Mangalarga Marchador (MM) horses of marcha batida (MB) and marcha picada (MP) gaits. Twenty-two MM horses participated in this study. The experiment was conducted in 3 phases: 1) maximum effort test (MET), 2) OMC, and 3) standardized marcha test (SMT). To characterize the HR, 19 horses (14 MB and 5 MP) underwent a MET. Of those, 13 (9 MB and 4 MP) were monitored during the OMC, which consisted of 4 stages: marcha, walk, functional trial, and rest. The average heart rate (HR) in each stage of the OMC was related to the HR to determine their relative intensity. The SMT was performed with 14 horses (9 MB and 5 MP), of which 11 had already participated in the previous stages. The COT and Pmet were calculated from the HR values obtained during the SMT. Blood samples were collected to analyze plasma lactate concentration ([Lac]). One-way ANOVA or 1-way repeated-measures ANOVA followed by the Tukey's test ( < 0.05) were used to analyze the results. The average HR was 211 ± 11 and 214 ± 11 beats/min (bpm) for the MB and MP groups, respectively, with no difference ( = 0.7066) between them. The [Lac] increased as a result of the MET ( < 0.05), with no difference between groups ( > 0.05). This indicated that horses of both groups had the same physical fitness levels. The OMC stages defined in our study differed ( < 0.05) regarding the relative intensity of the HR, except for the walk and standing stages, which were similar ( = 0.0875). The MP group presented greater COT ( = 0.0247) and Pmet ( = 0.0193). It can be concluded that the mean HR of MM horses (MB and MP) is 212 ± 11 bpm. The OMC of the MM breed can be characterized as an effort of intermittent and submaximal intensity. In addition, the locomotion of the MB horses is probably more energetically efficient than that of MP horses.


Assuntos
Metabolismo Energético , Marcha , Cavalos/fisiologia , Condicionamento Físico Animal , Animais , Feminino , Frequência Cardíaca/fisiologia , Ácido Láctico/sangue , Masculino , Descanso , Fatores de Tempo
4.
J Anim Sci ; 94(11): 4728-4737, 2016 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-27898932

RESUMO

Supplementation of grass-fed cattle with low-cost feeding alternatives may be an attractive way to improve efficiency of cattle production. We hypothesized that inclusion of crude glycerin (CG) in supplements provided to grass-fed cattle could improve feed conversion without negative effects on growth performance while reducing methane emissions. Our hypothesis was tested using Nellore bulls grazing tropical pasture ( = 50; initial BW of 427 ± 19.41 kg; age of 17 ± 2 mo) supplemented with increasing concentrations (0, 70, 140, 210, and 280 g/kg DM basis of supplement) of CG and corn gluten replacing corn grain. A second experiment was conducted using 10 ruminally cannulated Nellore steers (490.1 ± 47.8 kg BW; age of 25 mo) to assess the impact of different concentrations of glycerin in the supplement on ruminal VFA concentration. Inclusion of CG did not affect total DMI ( = 0.53), DMI of forage ( = 0.41), supplement DMI ( = 0.47), organic matter intake ( = 0.50), crude protein intake ( = 0.24), NDF intake ( = 0.49), GE intake ( = 0.50), NDF digestibility ( = 0.17), final BW ( = 0.17), LM area ( = 0.50), rib fat thickness ( = 0.87), or carcass gain ( = 0.13). The inclusion of CG in the supplement linearly increased ( < 0.001) the molar proportion of propionate, butyrate, and valerate; linearly decreased acetate ( = 0.001); and did not affect the molar proportion of isovalerate ( = 0.31) and isobutyrate ( = 0.63), thereby reducing the acetate to propionate ratio ( < 0.001). The increase of CG supplementation of young bulls in pasture had a quadratic effect on BW gain ( = 0.002), with lower BW gain with 140 g/kg DM of CG in the supplement and tended ( = 0.06) to improve G:F. Inclusion of CG did not affect ruminal CH emission expressed in kilograms per year ( = 0.74), grams per kilogram of DMI ( = 0.69), and grams per kilogram of carcass gain ( = 0.48). Crude glycerin supplementation was not effective as a strategy to reduce CH emission in grass-fed cattle. However, CG can be effectively used as a partial energy source in supplement of grazing cattle, promoting an improvement in feed efficiency.


Assuntos
Bovinos/fisiologia , Glicerol/farmacologia , Metano/metabolismo , Ração Animal/análise , Animais , Bovinos/crescimento & desenvolvimento , Dieta/veterinária , Suplementos Nutricionais , Digestão , Glicerol/administração & dosagem , Masculino , Poaceae , Rúmen/metabolismo , Zea mays
5.
Sci Total Environ ; 521-522: 411-20, 2015 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-25864153

RESUMO

The objective of this work was to provide a chemical characterization of atmospheric particles collected in the vicinity of a steelmaking industry and to identify the sources that affect PM10 levels. A total of 94 PM samples were collected in two sampling campaigns that occurred in February and June/July of 2011. PM2.5 and PM2.5-10 were analyzed for a total of 22 elements by Instrumental Neutron Activation Analysis and Particle Induced X-ray Emission. The concentrations of water soluble ions in PM10 were measured by Ion Chromatography and Indophenol-Blue Spectrophotometry. Positive Matrix Factorization receptor model was used to identify sources of particulate matter and to determine their mass contribution to PM10. Seven main groups of sources were identified: marine aerosol identified by Na and Cl (22%), steelmaking and sinter plant represented by As, Cr, Cu, Fe, Ni, Mn, Pb, Sb and Zn (11%), sinter plant stack identified by NH4(+), K and Pb (12%), an unidentified Br source (1.8%), secondary aerosol from coke making and blast furnace (19%), fugitive emissions from the handling of raw material, sinter plant and vehicles dust resuspension identified by Al, Ca, La, Si, Ti and V (14%) and sinter plant and blast furnace associated essentially with Fe and Mn (21%).


Assuntos
Poluentes Atmosféricos/análise , Atmosfera/química , Metalurgia , Material Particulado/análise , Aerossóis/análise , Poeira/análise , Monitoramento Ambiental/métodos , Tamanho da Partícula
6.
Meat Sci ; 100: 17-23, 2015 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-25290759

RESUMO

The aim of this study was to evaluate the carcass traits and meat quality of Nellore bulls (279.5±16.3 initial body weight) raised on pasture supplemented with crude glycerin at 0%, 7%, 14%, 21% or 28% (DM basis). The diets were similar in energy and protein levels, and the glycerin replaced corn in the supplement. After slaughter, the carcass characteristics were measured, and the longissimus muscle was collected to determine the meat quality. The inclusion of crude glycerin in the supplement did not change (P>0.05) any of the carcass characteristics and meat quality assessed; however, the pH decreased linearly (P=0.03), and margaric acid (17:0) increased (P=0.02) in the longissimus muscle with the addition of glycerin in the diet. Our conclusion is that the inclusion of crude glycerin up to the level of 28% of dry matter in the supplement does not alter the carcass characteristics or the meat quality from animals raised on pasture.


Assuntos
Ração Animal , Dieta , Suplementos Nutricionais , Ácidos Graxos/metabolismo , Glicerol/farmacologia , Carne/análise , Poaceae , Tecido Adiposo/metabolismo , Animais , Composição Corporal/efeitos dos fármacos , Peso Corporal , Bovinos , Gorduras na Dieta/análise , Humanos , Concentração de Íons de Hidrogênio , Masculino , Carne/normas , Músculo Esquelético/efeitos dos fármacos , Músculo Esquelético/metabolismo , Zea mays
7.
Arq. bras. med. vet. zootec. (Online) ; 67(1): 319-323, 2015. tab, graf
Artigo em Português | LILACS, VETINDEX | ID: biblio-1462521

RESUMO

Recently, horse breeding has achieved greater prominence in the Brazilian society and now it started to appear as a part of the Brazilian agribusiness. The state of Minas Gerais stands out as the main producer of equidae in Brazil. The aim of this work was to characterize the breeding of equidae in this State in order to support future researches in this sector. By the evaluation of records from 1990 to 2009 provided by the "Brazilian Institute of Geography and Statistics" (IBGE) and also 967 interviews with breeders of equidae, it was possible to characterize some important points. It was observed that equidae breeding in this State moves over R$1,500,000,000 per year and employs 86,000 people. The main investments of the properties are made in purchasing saddles, accessories and commercial feeds. The main goal of equidae breeders in Minas Gerais has been the work in rural properties (49.49%) complementing many farming activities, especially the work with cows. Although Minas Gerais holds the main herd of equidae in the country, the number of animals has decreased. On the one hand, the equidae breeding sector has demonstrated its social and economic importance in agribusiness; on the other, hand further researches are needed to develop public policies to improve the breeding of equidae in Minas Gerais.


Assuntos
Animais , Cavalos/anatomia & histologia , Cavalos/crescimento & desenvolvimento
8.
J Toxicol Environ Health A ; 77(14-16): 856-66, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25072718

RESUMO

The adverse health effects of airborne particles have been subjected to intense investigation in recent years; however, more studies on the chemical characterization of particles from pollution emissions are needed to (1) identify emission sources, (2) better understand the relative toxicity of particles, and (3) pinpoint more targeted emission control strategies and regulations. The main objective of this study was to assess the levels and spatial distribution of airborne chemical elements in a heavy industrial area located in the north of Spain. Instrumental and biomonitoring techniques were integrated and analytical methods for k0 instrumental neutron activation analysis and particle-induced x-ray emission were used to determine element content in aerosol filters and lichens. Results indicated that in general local industry contributed to the emissions of As, Sb, Cu, V, and Ni, which are associated with combustion processes. In addition, the steelwork emitted significant quantities of Fe and Mn and the cement factory was associated with Ca emissions. The spatial distribution of Zn and Al also indicated an important contribution of two industries located outside the studied area.


Assuntos
Poluentes Atmosféricos/análise , Monitoramento Ambiental/métodos , Indústrias , Aerossóis/análise , Líquens/química , Metais Pesados/análise , Análise de Ativação de Nêutrons , Tamanho da Partícula , Material Particulado/análise , Espanha
9.
Arq. bras. med. vet. zootec ; 66(2): 635-639, Jan.-Apr. 2014. tab
Artigo em Português | LILACS | ID: lil-709310

RESUMO

The present study aimed to compare the morphometric measurements of Mangalarga Marchador horses of batida and picada marcha. Twenty-two linear and eight angular measurements of 222 males (130 of batida marcha and 92 of picada marcha) and 266 females (168 of batida marcha and 98 picada marcha) were compared in a completely randomized design, consisting of two treatments: horses of batida and picada marcha. The results were submitted to analysis of variance and means were compared by Fisher test (P<0.05). It was concluded that most of the measures of Mangalarga Marchador horses of batida and picada marcha have similar values, however, there are differences between some angles of members...


Assuntos
Animais , Masculino , Feminino , Fenômenos Biomecânicos , Biometria , Cavalos/anatomia & histologia , Marcha/fisiologia , Amplitude de Movimento Articular/fisiologia , Movimento/fisiologia
10.
Meat Sci ; 96(3): 1158-64, 2014 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-24334035

RESUMO

Carcass and meat quality traits of 60 Nellore young bulls fed diets without crude glycerin (CG); with CG replacing corn (CGc; 10% of dry matter - DM) in the concentrate; and with CG replacing soybean hull (CGsh; 10% of DM) in the concentrate were evaluated. Diets were evaluated at two concentrate levels (CLs). The CL did not affect cold carcass weight (CCW; P=0.6074), cold carcass dressing (CCD; P=0.9636), rib fat thickness (RFT; P=0.8696) and longissimus muscle area (LMA; P=0.7524). Animals fed diets with CGc or CGsh showed meat with greater deposition of monounsaturated fatty acid (MUFA; P=0.0022) and CLA (18:2 cis-9, trans-11) contents (P=0.0001) than animals fed diets without CG. The inclusion of 10% of CG in diets CGc or CGsh does not affect the carcass and meat quality traits; however, it increases the MUFA and CLA contents in beef, although these changes are very small in nutritional terms.


Assuntos
Dieta/veterinária , Ácidos Graxos/química , Qualidade dos Alimentos , Glicerol/administração & dosagem , Carne/análise , Ração Animal , Animais , Composição Corporal , Peso Corporal , Bovinos , Concentração de Íons de Hidrogênio , Glycine max , Zea mays
11.
Meat Sci ; 96(1): 108-13, 2014 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-23896144

RESUMO

Thirty non-castrated male lambs with 20±2.3 kg average body weight (BW) were randomly assigned to five treatments consisted of different dietary concentrations of crude glycerin (CG; 0, 3, 6, 9 and 12% on DM basis) to evaluate the effects on performance, carcass and meat quality traits. A quadratic effect was observed for performance (P=0.04), final BW (P<0.01) and hot carcass weight (P<0.01). No effects of CG were observed (P>0.05) on carcass pH neither on shear-force, cooking loss and ether extract content in longissimus. The inclusion of CG tended to reduce the Zn content in meat (P=0.09). The data suggests that CG (36.2% of glycerol and 46.5% of crude fat) may be used in diets of finishing lambs with concentrations up to 3% without negative effects on performance and main carcass traits. Moreover, inclusion of CG seems to not affect quality and safety of meat for human consumption.


Assuntos
Gorduras na Dieta/administração & dosagem , Glicerol/administração & dosagem , Carne/análise , Matadouros , Ração Animal/análise , Animais , Culinária , Dieta/veterinária , Proteínas Alimentares/análise , Masculino , Metais Pesados/análise , Músculo Esquelético/química , Carneiro Doméstico , Zinco/análise
12.
An Pediatr (Barc) ; 77(3): 176-83, 2012 Sep.
Artigo em Espanhol | MEDLINE | ID: mdl-22465387

RESUMO

INTRODUCTION: Cranial deformities have always existed, but it is only until recently that they provoked a greater interest. Several reports have demonstrated an increasing tendency for occipital plagiocephaly. This work presents an analysis of the clinical-epidemiological features of these deformities in our area. PATIENTS AND METHODS: The medical records and neuroimaging studies of 158 children seen at our hospital due to a skull deformation were analyzed, paying special attention to risk factors. RESULTS: During the study period, an increase in the number of consultations for skull deformation of children was noted. The mean age for the patients at consultation was 9 months. There was a predominance of boys (68%) over girls. The deformities were: unilateral- (89.2%) or bilateral-posterior plagiocephaly (7.6%), and dolicochephaly (3.2%). In addition to the supine position for sleeping, there were several risk factors, among them pericerebral collections of cerebrospinal fluid found in 50% of children subjected to neuroimaging studies. Most children were managed conservatively, while 12 patients were given helmets, which led to an improvement in 136 cases. DISCUSSION AND CONCLUSIONS: The present findings agree with those in the current literature. A unique result of this study was the high rate of pericerebral fluid collections found in children assessed with neuroimaging methods. The increase in positional plagiocephaly seems to parallel the application of the recommendations for supine sleeping position established by the American Academy of Pediatrics for preventing the sudden infant death syndrome. The role played by Pediatricians in the detection, initial management and referral of these children is highlighted. Prevention measures seem to be more important than those regarding treatment.


Assuntos
Plagiocefalia não Sinostótica/diagnóstico , Plagiocefalia não Sinostótica/epidemiologia , Crânio/anormalidades , Pré-Escolar , Feminino , Humanos , Lactente , Masculino , Estudos Retrospectivos
13.
Meat Sci ; 90(3): 770-4, 2012 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-22127147

RESUMO

Carcass and meat quality traits of thirty-six feedlot beef heifers from different genetic groups (GG) fed at two concentrate levels (CL) were evaluated using 12 - Nellore (NE), 12 - ½Angus x ½Nellore (AN) and 12 - ½Simmental x ½Nellore (SN) animals. Six heifers of each GG were randomly assigned into one of two treatments: concentrate at 0.8% or 1.2% of body weight (BW). Heifers fed concentrate at 0.8% of BW had greater (P<0.05) dressing percentage. None of the proximate analysis components of the beef were affected (P>0.05) by either CL or GG. Heifers from the AN group had higher (P<0.05) carcass weights, 12th rib fat thickness and lower dressing percentage (P<0.05) compared to the other groups. NE heifers had greater WBSF values (P<0.05) than the other genetic groups. Data suggest that the concentrate level can be reduced without compromising meat quality traits.


Assuntos
Bovinos/genética , Dieta/veterinária , Carne , Tecido Adiposo , Ração Animal , Animais , Composição Corporal , Peso Corporal , Feminino , Hibridização Genética , Músculo Esquelético/química , Miofibrilas/química
15.
Neurocirugia (Astur) ; 22(2): 157-61, 2011 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-21597657

RESUMO

BACKGROUND: The standard procedure for the diagnosis of central nervous system (CNS) infections consists of cerebrospinal fluid (CSF) sampling, which is usually accomplished by a lumbar puncture. However, in some patients presenting with acute hydrocephalus submitted to immediate CSF drainage, the fluid is customarily obtained from the placed draining system. In addition, the CSF obtained from the ventricular and lumbar spaces in some cases may show unusual differences, both in physiological and pathological conditions. ILLUSTRATIVE CASES: We report two children who presented with confounding results in the initial studies of their ventricular and lumbar CSF who were subsequently diagnosed with tuberculous meningitis, causing delay in diagnosis and treatment. AIM. By reporting these cases, we wanted to alert the treating physician about the possibility of this discrepancy to avoid the delayed diagnosis and management of the affected patients. DISCUSSION: We comment on the possible pathophysiological mechanisms that may result in this dissociation in ventricular and lumbar CSF composition. CONCLUSIONS; Normal results in CSF studies, especially those of the ventricular fluid, do not always rule out the presence of tuberculous meningitis. We suggest obtaining a CSF sample from the lumbar subarachnoid space in doubtful, or suspicious, cases of CNS infection even in the presence of a normal ventricular CSF.


Assuntos
Líquido Cefalorraquidiano , Hidrocefalia , Tuberculose Meníngea/líquido cefalorraquidiano , Tuberculose Meníngea/complicações , Tuberculose Meníngea/diagnóstico , Líquido Cefalorraquidiano/química , Líquido Cefalorraquidiano/microbiologia , Feminino , Humanos , Hidrocefalia/líquido cefalorraquidiano , Hidrocefalia/diagnóstico , Hidrocefalia/etiologia , Lactente , Masculino , Punção Espinal , Tomografia Computadorizada por Raios X , Tuberculose Meníngea/microbiologia
16.
J Environ Monit ; 13(1): 35-41, 2011 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-21088795

RESUMO

Artificial neural networks (ANNs) have proven to be a tool for characterizing, modeling and predicting many of the non-linear hydrological processes such as rainfall-runoff, groundwater evaluation or simulation of water quality. After proper training they are able to generate satisfactory predictive results for many of these processes. In this paper they have been used to predict 1 or 2 days ahead the average and maximum daily flow of a river in a small forest headwaters in northwestern Spain. The inputs used were the flow and climate data (precipitation, temperature, relative humidity, solar radiation and wind speed) as recorded in the basin between 2003 and 2008. Climatic data have been utilized in a disaggregated form by considering each one as an input variable in ANN(1), or in an aggregated form by its use in the calculation of evapotranspiration and using this as input variable in ANN(2). Both ANN(1) and ANN(2), after being trained with the data for the period 2003-2007, have provided a good fit between estimated and observed data, with R(2) values exceeding 0.95. Subsequently, its operation has been verified making use of the data for the year 2008. The correlation coefficients obtained between the data estimated by ANNs and those observed were in all cases superior to 0.85, confirming the capacity of ANNs as a model for predicting average and maximum daily flow 1 or 2 days in advance.


Assuntos
Água Doce , Modelos Teóricos , Redes Neurais de Computação , Movimentos da Água , Abastecimento de Água/normas , Simulação por Computador , Previsões , Estações do Ano
17.
J Environ Monit ; 12(11): 2145-52, 2010 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-20922255

RESUMO

The monitoring of atmospheric Alternaria spores is of major importance due to their adverse effects on crops and their role as human allergens. Most species act as plant pathogens, prompting considerable economic losses worldwide on important crops such as potato, tomato or wheat. Fungal spores can also have serious detrimental effects on human health, triggering respiratory diseases and allergenic processes. The aim of this study was not only to examine the relationship between the atmospheric Alternaria spore content and the prevailing meteorological parameters, but also to predict the atmospheric Alternaria spore content in the Northwest Spain using a novel data analysis technique, ANNs (Artificial Neural Networks). A Hirst-type LANZONI VPPS 2000 volumetric 7-day recording sampler was used to collect the airborne spores from 1997 to 2008. Neural networks provided us with a good tool for forecasting Alternaria airborne spore concentration, and thus could help the automation of the prediction system in the aerobiological information diffusion to the population suffering from allergic problems or the prevention of considerable economic worldwide losses on important crops. Our proposed model would be applied to different geographical areas; nevertheless, the adjustment of the model, by using the available and adequate variables, would be realised in each case.


Assuntos
Microbiologia do Ar , Alérgenos/isolamento & purificação , Alternaria/isolamento & purificação , Monitoramento Ambiental/métodos , Redes Neurais de Computação , Esporos Fúngicos/isolamento & purificação , Conceitos Meteorológicos , Modelos Estatísticos , Espanha
18.
An Pediatr (Barc) ; 73(6): 352-6, 2010 Dec.
Artigo em Espanhol | MEDLINE | ID: mdl-20869340

RESUMO

INTRODUCTION: The presence of a dermal sinus on a child's back is a common cause for paediatric neurosurgical consultation. The relative frequency of these lesions and fears on their possible clinical consequences enhances the importance of early diagnosis and treatment. With this work we aimed to search for the most relevant clinical features that might indicate an intradural penetration of the lesions and that may advise performing neuroimaging studies and a paediatric neurosurgical consultation. PATIENTS AND METHODS: The records pertaining to children diagnosed with sacro-coccygeal pits seen at our institution during the years 2005-2009 were reviewed. A Pub Med search of the most relevant articles on the subject was also performed. RESULTS: Thirty-two children diagnosed with sacro-coccygeal pits were seen at our institution in the study period. Most cases had been sent for neurosurgical consultation by their paediatricians, paediatric surgeons or paediatricians of the emergency services in our region. Seventeen patients were submitted to some neuroimaging study and 15 were evaluated only by physical examination. In no patient was an intradural penetration of the lesion observed. The lack of reports on coccygeal sinuses probably reflects the unimportance given to these lesions in the absence of neurological involvement. CONCLUSIONS: A detailed physical examination can reduce the number of neuroimaging studies, an intergluteal localization of the sinus being the most important diagnostic clue. Doubtful cases of an intradural penetration of the lesion can be further evaluated by ultrasound as a preliminary screening tool and by magnetic resonance and neurosurgical consultation if deemed necessary.


Assuntos
Espinha Bífida Oculta/diagnóstico , Espinha Bífida Oculta/cirurgia , Adolescente , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Estudos Retrospectivos , Região Sacrococcígea
19.
Neurocirugia (Astur) ; 21(4): 317-21, 2010 Aug.
Artigo em Espanhol | MEDLINE | ID: mdl-20725701

RESUMO

We report the case of a 13-year-old girl with an increased hypophysis that mimicked an adenoma, who developed a partial empty sella on MRI after an acute episode of hydrocephalus. After replacement of a CSF shunt, the intracranial pressure returned to normal and the hypophysis filled up again all the sellar fossa. We discuss the possibility of the involvement by an ischemic atrophy of the adenohypophysis in the development of a primary empty sella with idiopathic chronic raised intracranial pressure that prevents the recovery of the gland volume after restoring the intracranial pressure to normal values. Restitution of empty sella may be an indicator of normal intracranial pressure in these cases.


Assuntos
Síndrome da Sela Vazia/etiologia , Hidrocefalia/complicações , Hipófise/patologia , Adolescente , Derivações do Líquido Cefalorraquidiano , Feminino , Humanos , Hidrocefalia/cirurgia , Imageamento por Ressonância Magnética
20.
Methods Find Exp Clin Pharmacol ; 32 Suppl A: 31-7, 2010 Dec.
Artigo em Espanhol | MEDLINE | ID: mdl-21381286

RESUMO

Patients with amyotrophic lateral sclerosis (ALS) experience progressive and irreversible paralysis as a result of the continued loss of motor neurons, which leads to death in less than five years. To date, there is no treatment that can change the progression of this disease. Bone marrow stem cells have shown neural regenerative and neural repairing properties. Specifically, our group showed in a murine model of the disease that these cells, when injected in the spinal cord, can rescue motor neurons through the secretion of GDNF. Based on these results, we designed a phase I/II clinical trial for the purpose of demonstrating the viability of the intraspinal injection of autologous bone marrow mononuclear cells in patients with bulbar onset ALS, with an evolution between 6 and 36 months, with a forced vital capacity (FVC) 50% and T90 29%. This article describes the technique for extracting 60 mL of bone marrow used for the intervention, processing it by density gradient, and the neurosurgical technique used for implanting it. After 6 months of follow-up, the few adverse events reported in the first seven patients included seem to show that the procedure is safe and viable. Most of these patients, including two with a rapid deterioration, have stabilized the progression of their FVC and the neurologic scales measured. The data obtained so for seem to justify the design of new trials more oriented toward the efficacy of the procedure.


Assuntos
Esclerose Lateral Amiotrófica/cirurgia , Transplante de Medula Óssea , Neurônios Motores/patologia , Degeneração Neural , Regeneração Nervosa , Esclerose Lateral Amiotrófica/patologia , Esclerose Lateral Amiotrófica/fisiopatologia , Animais , Transplante de Medula Óssea/efeitos adversos , Transplante de Medula Óssea/métodos , Centrifugação com Gradiente de Concentração , Progressão da Doença , Humanos , Injeções Espinhais , Camundongos , Fatores de Tempo , Transplante Autólogo , Resultado do Tratamento , Capacidade Vital
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