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1.
J Med Case Rep ; 15(1): 203, 2021 Apr 17.
Artigo em Inglês | MEDLINE | ID: mdl-33863365

RESUMO

BACKGROUND: Abdominal aortic aneurysm and acute appendicitis occur relatively frequently in elderly patients. However, the co-occurrence of the two pathologies is very rare and serious. CASE PRESENTATION: We present the case of an elderly Caucasian patient who was aware of having an abdominal aortic aneurysm but refused treatment and was subsequently admitted to the hospital's emergency department with acute abdominal symptoms. A computed tomography scan raised the possibility of complication due to the characteristics of the aneurysm. The patient then agreed to emergency surgery. Laparotomy revealed the existence of an acute perforated appendicitis with a significant abscess in the right iliac fossa and an uncomplicated aneurysm. Appendectomy was performed and the abscess drained. The postoperative period passed without complications, and the patient again refused surgery for the aneurysm, which due to its anatomical characteristics was not a candidate for standard endovascular treatment. CONCLUSIONS: In light of this experience, we review the literature about the relationship between abdominal aortic aneurysm and acute appendicitis.


Assuntos
Abscesso Abdominal/cirurgia , Aneurisma da Aorta Abdominal/diagnóstico por imagem , Apendicite/complicações , Apendicite/cirurgia , Drenagem/métodos , Abscesso Abdominal/complicações , Doença Aguda , Idoso , Apendicectomia , Apendicite/diagnóstico por imagem , Humanos , Laparotomia
2.
J Fungi (Basel) ; 7(4)2021 Apr 08.
Artigo em Inglês | MEDLINE | ID: mdl-33918089

RESUMO

In the food industry, some fungi are considered to be common spoilage microorganisms which reduce the shelf life of products. To avoid this outcome, different technologies are being developed to control their growth. Electromagnetic fields (EMF) have been used to combat bacterial growth, but there are few studies on yeasts and their possible action mechanisms. For this reason, we studied the effect of EMF between 1 to 5.9 GHz bands on the growth of Saccharomyces cerevisiae yeast and observed that all the frequencies of the band used cause the reduction of the viability of this yeast. In addition, we observed that the distance between the antenna and the sample is an important factor to consider to control the growing yeast. By using transmission electron microscopy, we found that the EMF caused a loss of continuity of the yeast cell membrane. Therefore, EMF may be used as a control method for yeast growth.

3.
Repert. med. cir ; 30(2): 109-117, 2021. ilus.
Artigo em Inglês, Espanhol | LILACS, COLNAL | ID: biblio-1361827

RESUMO

La microbiota intestinal es el conjunto de millones de microrganismos vivos ubicados en el tracto gastrointestinal. Es indispensable en múltiples funciones del organismo, regulación de la inmunidad, en aspectos nutricionales y procesos de inflamación sistémica entre otros. La disbiosis es la alteración del equilibrio de la microbiota normal, debido a cambios en la composición, funcionamiento, orden o su distribución; esto puede predisponer al individuo a la adquisición de enfermedades gastrointestinales, alérgicas y metabólicas, entre otras. El objetivo del presente artículo es realizar una revisión narrativa de la literatura sobre los conceptos claves de la microbiota intestinal, sus asociaciones fisiopatológicas con desórdenes gastrointestinales, alérgicos y metabólicos en pediatría.


ntestinal microbiota are the millions of living microbial communities that inhabit the gastrointestinal tract. It is essential for multiple functions of the human organism, such as, immune-regulation, in nutritional aspects, and systemic inflammatory processes, among others. Dysbiosis refers to the alteration of the equilibrium of normal microbiota due to shifts in its composition, functioning, order or distribution; this can predispose the individual to develop gastrointestinal, allergic and metabolic diseases among others. The aim of this article was to conduct a narrative review of the literature on the key concepts of intestinal microbiota, and its pathophysiological associations with gastrointestinal, allergic and metabolic disorders in pediatrics.


Assuntos
Humanos , Masculino , Feminino , Adolescente , Trato Gastrointestinal , Disbiose , Microbiota , Alergia e Imunologia , Microbioma Gastrointestinal , Gastroenteropatias
4.
Int Angiol ; 39(3): 241-251, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32057214

RESUMO

BACKGROUND: Splenic artery aneurysms are rare, potentially serious, and usually asymptomatic. Several methods are currently available to treat them, each with their own advantages and drawbacks. Therefore, its therapeutic paradigm has changed. METHODS: We review our database of splenic aneurysms (2009-2019) and undertake an exhaustive literature review. Demographic, clinical, diagnostic, therapeutic, early and follow-up outcome data were examined. Our experience comprised: 15 patients with 19 splenic aneurysms. 11 women (average age, 59.4 years) and 4 men (average age, 61.7 years). All asymptomatic. RESULTS: At diagnosis, aneurysms had a mean cross-sectional diameter of 3.4 cm (3.2 and 3.9 for women and men, respectively), the largest measuring 8.5 cm. Two independent aneurysms were detected in four patients. Diagnoses were always incidental to a CT scan. Treatments consisted of open surgery (2 patients), endovascular surgery (10 patients: 7 embolizations, 3 covered stent) and observation/follow-up (3 patients). The cases of open surgery (with splenectomy) were carried out without postoperative morbidity. One embolization failed (requiring subsequent open surgery) and two suffered localized splenic infarction, but without further complications. In patients treated with a covered stent, the aneurysm was always excluded, without complications. There was no 30-day or follow-up (average 26.2 months) mortality. Splenic aneurysms are diagnosed more frequently and earlier (in the asymptomatic phase), albeit incidentally, than in the past. CONCLUSIONS: The correct indication (identifying patients at risk) and individualization of treatment, in which endovascular techniques are the first-line option, have significantly improved morbidity and mortality outcomes in our hospital.


Assuntos
Aneurisma/terapia , Embolização Terapêutica/efeitos adversos , Procedimentos Endovasculares/métodos , Artéria Esplênica/cirurgia , Stents/efeitos adversos , Adulto , Idoso , Aneurisma/diagnóstico por imagem , Aneurisma/cirurgia , Procedimentos Endovasculares/efeitos adversos , Feminino , Humanos , Laparoscopia/efeitos adversos , Tempo de Internação , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias/etiologia , Complicações Pós-Operatórias/terapia , Literatura de Revisão como Assunto , Fatores de Risco , Espanha , Esplenectomia , Artéria Esplênica/diagnóstico por imagem , Tomografia Computadorizada por Raios X , Resultado do Tratamento
5.
Antonie Van Leeuwenhoek ; 112(2): 297-304, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-30187229

RESUMO

Brettanomyces bruxellensis negatively impacts on the sensorial quality of wine by producing phenolic compounds associated with unpleasant odors. Thus, the control of this spoilage yeast is a critical factor during the winemaking process. A recent approach used to biocontrol undesired microorganisms is the use of yeast released antimicrobial peptides (AMPs), but this strategy has been poorly applied to wine-related microorganisms. The aim of this study was to evaluate the antifungal capacity of Candida intermedia LAMAP1790 against wine-spoilage strains of B. bruxellensis and fermentative strains of Saccharomyces cerevisiae, and also to determine the chemical nature of the compound. The exposure of strains to the supernatant of C. intermedia saturated cultures showed antifungal activity against B. bruxellensis, without affecting the growth of S. cerevisiae. By fractionation and concentration of C. intermedia supernatants, it was determined that the antifungal activity was related to the presence of heat-labile peptides with molecular masses under 5 kDa. To our knowledge, this is the first report of AMPs secreted by C. intermedia that control B. bruxellensis. This could lead to the development of new biocontrol strategies against this wine-spoilage yeast.


Assuntos
Antifúngicos/farmacologia , Brettanomyces/efeitos dos fármacos , Candida/química , Peptídeos/farmacologia , Vinho/microbiologia , Antifúngicos/metabolismo , Brettanomyces/crescimento & desenvolvimento , Brettanomyces/metabolismo , Candida/metabolismo , Peptídeos/metabolismo , Fenóis/metabolismo , Vinho/análise
6.
Biomédica (Bogotá) ; 38(4): 479-485, oct.-dic. 2018. tab, graf
Artigo em Espanhol | LILACS | ID: biblio-983957

RESUMO

Introducción. Los eventos aparentemente letales (Apparent Life-Threatening Event, ALTE) son causa frecuente de hospitalización en lactantes. Hay poca información sobre el enfoque estandarizado para establecer su etiología, a pesar de que un diagnóstico causal correcto puede afectar la evolución clínica, la duración de la hospitalización y los recursos sanitarios. Objetivo. Comparar los efectos del enfoque diagnóstico estandarizado en lactantes hospitalizados por este tipo de eventos. Materiales y métodos. Se hizo un estudio retrospectivo de cohorte con base en los datos recolectados de las historias clínicas de lactantes hospitalizados por esta causa en el servicio de pediatría entre el 2002 y el 2009. Se analizaron dos cohortes de pacientes agrupados según su manejo: la cohorte 1, con guías clínicas, y la cohorte 2, con guías clínicas, protocolo de estudio y seguimiento ambulatorio. Se compararon los grupos en cuanto a la etiología, el tiempo de hospitalización y la tasa de nuevas hospitalizaciones. Resultados. De los 255 lactantes hospitalizados por eventos aparentemente letales, el 57,6 % integró la cohorte 1 y, el 42,3 %, la cohorte 2. No se observaron diferencias en cuanto a la edad y el sexo. En la cohorte 2 se observó un mayor porcentaje de causas atribuidas (63,9 Vs. 87,0; p<0,0001), y un menor tiempo de hospitalización (8,0 Vs. 5,0 días; p=0,0001). No hubo diferencias en cuanto a nuevas hospitalizaciones (10,5 Vs. 8,3 días; p=0,7435). Conclusiones. El enfoque del manejo de lactantes afectados por eventos aparente letales basado en protocolos, se asoció con un mayor porcentaje de reconocimiento de las causas atribuidas y con un menor período de hospitalización. A partir de estos resultados es posible sugerir la implementación de este tipo de estandarización para el manejo de dichos pacientes.


Introduction: An apparent life-threatening event (ALTE) is a frequent cause of hospitalization in infants. However, there is little evidence about the existence of a standardized approach to discover the main etiology, although a correct causal diagnosis can affect clinical evolution, hospital stay, and health resources. Objective: To determine the effects of a standardized diagnostic approach in infants admitted with ALTE. Materials and methods: We conducted a retrospective cohort study with the data collected from clinical records of infants hospitalized for ALTE in the pediatric unit between 2002 and 2009. Two cohorts of patients were analyzed according to the procedures defined for these cases: Cohort 1 with clinical guidelines and cohort 2 with clinical guidelines, study protocol, and outpatient follow-up. Etiological causes, hospitalization periods and readmission rates were compared between both cohorts. Results: Of the 255 infants hospitalized for ALTE, 57.6% corresponded to cohort 1 and 42.3% to cohort 2. No differences were observed in age and gender between groups. The highest percentage of attributed causes (63.9 vs 87.0%; p<0.0001) and a shorter period of hospitalization (8.0 vs 5.0 days; p=0, 0001) were observed in cohort 2. No differences in hospital readmission were observed (10.5 vs 8.3 days; p=0.7435). Conclusions: The protocol-based approach for infants with EAL was associated with a higher percentage of recognition of attributed causes and a shorter hospitalization period. Therefore, our results allow recommending this type of standardization for the management of these patients.


Assuntos
Evento Inexplicável Breve Resolvido , Lactente , Apneia , Protocolos Clínicos , Hospitalização
7.
FEMS Microbiol Lett ; 365(21)2018 11 01.
Artigo em Inglês | MEDLINE | ID: mdl-30239698

RESUMO

Dekkera bruxellensis is a spoilage yeast in wine and fuel ethanol fermentations able to produce volatile phenols from hydroxycinnamic acids by the action of the enzymes cinnamate decarboxylase (CD) and vinyphenol reductase (VR) in wine. However, there is no information about this ability in the bioethanol industry. This work evaluated CD and VR activities and 4-ethylphenol production from p-coumaric acid by three strains of D. bruxellensis and PE-2, an industrial Saccharomyces cerevisiae strain. Single and multiple-cycle batch fermentations in molasses and sugarcane juice were carried out. Dekkera bruxellensis strains showed similar CD activity but differences in VR activity. No production of 4-ethylphenol by S. cerevisiae in any fermentation system or media was observed. The concentrations of 4-ethylphenol peaked during active growth of D. bruxellensis in single-cycle fermentation but they were lower than in multiple-cycle fermentation. Higher concentrations were observed in molasses with molar conversion (p-coumaric acid to 4-ethylphenol) ranging from 45% to 85%. As the first report on 4-ethylphenol production in sugarcane musts by D. bruxellensis in industry-like conditions, it opens up a new avenue to investigate its effect on the viability and fermentative capacity of S. cerevisiae as well as to understand the interaction between the yeasts in the bioethanol industry.


Assuntos
Biocombustíveis , Dekkera/metabolismo , Etanol/metabolismo , Microbiologia Industrial , Fenóis/metabolismo , Brasil , Carboxiliases/análise , Cinamatos/metabolismo , Ácidos Cumáricos , Fermentação , Propionatos/metabolismo , Saccharomyces cerevisiae/metabolismo , Saccharum/metabolismo
8.
Biomedica ; 38(4): 479-485, 2018 12 01.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-30653861

RESUMO

Introduction: An apparent life-threatening event (ALTE) is a frequent cause of hospitalization in infants. However, there is little evidence about the existence of a standardized approach to discover the main etiology, although a correct causal diagnosis can affect clinical evolution, hospital stay, and health resources. Objective: To determine the effects of a standardized diagnostic approach in infants admitted with ALTE. Materials and methods: We conducted a retrospective cohort study with the data collected from clinical records of infants hospitalized for ALTE in the pediatric unit between 2002 and 2009. Two cohorts of patients were analyzed according to the procedures defined for these cases: Cohort 1 with clinical guidelines and cohort 2 with clinical guidelines, study protocol, and outpatient follow-up. Etiological causes, hospitalization periods and readmission rates were compared between both cohorts. Results: Of the 255 infants hospitalized for ALTE, 57.6% corresponded to cohort 1 and 42.3% to cohort 2. No differences were observed in age and gender between groups. The highest percentage of attributed causes (63.9 vs 87.0%; p<0.0001) and a shorter period of hospitalization (8.0 vs 5.0 days; p=0, 0001) were observed in cohort 2. No differences in hospital readmission were observed (10.5 vs 8.3 days; p=0.7435). Conclusions: The protocol-based approach for infants with EAL was associated with a higher percentage of recognition of attributed causes and a shorter hospitalization period. Therefore, our results allow recommending this type of standardization for the management of these patients.


Introducción. Los eventos aparentemente letales (Apparent Life-Threatening Event, ALTE) son causa frecuente de hospitalización en lactantes. Hay poca información sobre el enfoque estandarizado para establecer su etiología, a pesar de que un diagnóstico causal correcto puede afectar la evolución clínica, la duración de la hospitalización y los recursos sanitarios.Objetivo. Comparar los efectos del enfoque diagnóstico estandarizado en lactantes hospitalizados por este tipo de eventos.Materiales y métodos. Se hizo un estudio retrospectivo de cohorte con base en los datos recolectados de las historias clínicas de lactantes hospitalizados por esta causa en el servicio de pediatría entre el 2002 y el 2009. Se analizaron dos cohortes de pacientes agrupados según su manejo: la cohorte 1, con guías clínicas, y la cohorte 2, con guías clínicas, protocolo de estudio y seguimiento ambulatorio. Se compararon los grupos en cuanto a la etiología, el tiempo de hospitalización y la tasa de nuevas hospitalizaciones.Resultados. De los 255 lactantes hospitalizados por eventos aparentemente letales, el 57,6 % integró la cohorte 1 y, el 42,3 %, la cohorte 2. No se observaron diferencias en cuanto a la edad y el sexo. En la cohorte 2 se observó un mayor porcentaje de causas atribuidas (63,9 Vs. 87,0; p<0,0001), y un menor tiempo de hospitalización (8,0 Vs. 5,0 días; p=0,0001). No hubo diferencias en cuanto a nuevas hospitalizaciones (10,5 Vs. 8,3 días; p=0,7435).Conclusiones. El enfoque del manejo de lactantes afectados por eventos aparente letales basado en protocolos, se asoció con un mayor porcentaje de reconocimiento de las causas atribuidas y con un menor período de hospitalización. A partir de estos resultados es posible sugerir la implementación de este tipo de estandarización para el manejo de dichos pacientes.


Assuntos
Evento Inexplicável Breve Resolvido/diagnóstico , Algoritmos , Estudos de Coortes , Técnicas e Procedimentos Diagnósticos/normas , Feminino , Hospitalização/estatística & dados numéricos , Humanos , Lactente , Masculino , Estudos Retrospectivos
9.
Rev Chil Pediatr ; 88(2): 230-235, 2017 Apr.
Artigo em Espanhol | MEDLINE | ID: mdl-28542657

RESUMO

Apnea and apparently lethal events have great etiological diversity thus complementary tests may help diagnosis. The aim of this study was to describe the results of polygraph studies of children under 3 months hospitalized with suspected apnea. PATIENTS AND METHODS: Retrospective case series. Children under 3 months with suspected apnea were considered and in whom a polygraphy (PG) was performed during hospitalization. General data, the apnea/hypopnea index (AHI), index of central. apnea, obstructive apnea index, average and minimum saturation were recorded. Desaturation index (ID) below 80% higher 1 per hour, one or more events of desaturation below 80% for more than 20 seconds or an AHI greater than or equal 1 were considered as criteria of sleep disorder breathing (SLB). Descriptive analysis was performed and the associations between AHI and saturation parameters were determined. RESULTS: 51 patients, 32 males, entered the study. 15,6% had altered PG. In 5 of them coexisted more than one diagnostic criterion. Iin 15,6% of the patients was observed an IAH greater 1, in 7.8% a desaturation index below 80% and in 11,8% a desaturation index under 80% for 20 seconds greater than 1. The AHI was associated with the parameters of saturation. CONCLUSION: Most of the patients had normal PG and among patients with a suggestive SLB a pattern of respiratory immaturity prevailed, which is characteristic of this age.


Assuntos
Hospitalização , Polissonografia/métodos , Síndromes da Apneia do Sono/diagnóstico , Criança Hospitalizada , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Estudos Retrospectivos
10.
Rev. chil. pediatr ; 88(2): 230-235, abr. 2017. ilus, tab
Artigo em Espanhol | LILACS | ID: biblio-844604

RESUMO

La apnea y eventos aparentemente letales poseen una gran diversidad etiológica por tanto exámenes complementarios podrían contribuir a su diagnóstico. El objetivo del presente estudio fue describir los resultados de estudios poligráficos de niños menores de 3 meses hospitalizados con sospecha de apnea. PACIENTES Y MÉTODO: Serie retrospectiva de casos. Se consideraron niños menores de 3 meses con sospecha de apnea y en quienes se realizó una poligrafía (PG) durante su hospitalización. Se registraron datos generales, así como también, el índice de apnea/hipopnea (IAH), índice de apnea central, índice de apnea obstructiva, saturación promedio y mínima. Como criterios de trastornos respiratorios del sueño (TRS) fueron considerados: índice de desaturaciones (ID) por debajo de 80% mayor 1 por hora; uno o más eventos de desaturaciones por debajo de 80% por más de 20 segundos; o un IAH mayor o igual 1. Se realizó estadística descriptiva y se determinó la posible asociación entre el IAH y parámetros de saturación. RESULTADOS: Ingresaron 51 pacientes, 32 varones. 8 (15,6%) presento PG alteradas, de ellos, en 5 coexistió más de un criterio diagnóstico. En el 15,6% se observó un IAH mayor o igual a 1, en el 7,8% se observó un índice de desaturación bajo 80% y en el 11,8% un índice de desaturación bajo 80% por más de 20 segundos. El IAH se asoció con los parámetros de saturación. CONCLUSIÓN: La mayoría de los pacientes presentó PG normales y entre los pacientes con TRS predominó un patrón poligráfico sugerente de inmadurez respiratoria, lo cual, es característico de esta edad.


Apnea and apparently lethal events have great etiological diversity thus complementary tests may help diagnosis. The aim of this study was to describe the results of polygraph studies of children under 3 months hospitalized with suspected apnea. PATIENTS AND METHODS: Retrospective case series. Children under 3 months with suspected apnea were considered and in whom a polygraphy (PG) was performed during hospitalization. General data, the apnea/hypopnea index (AHI), index of central. apnea, obstructive apnea index, average and minimum saturation were recorded. Desaturation index (ID) below 80% higher 1 per hour, one or more events of desaturation below 80% for more than 20 seconds or an AHI greater than or equal 1 were considered as criteria of sleep disorder breathing (SLB). Descriptive analysis was performed and the associations between AHI and saturation parameters were determined. RESULTS: 51 patients, 32 males, entered the study. 15,6% had altered PG. In 5 of them coexisted more than one diagnostic criterion. Iin 15,6% of the patients was observed an IAH greater 1, in 7.8% a desaturation index below 80% and in 11,8% a desaturation index under 80% for 20 seconds greater than 1. The AHI was associated with the parameters of saturation. CONCLUSION: Most of the patients had normal PG and among patients with a suggestive SLB a pattern of respiratory immaturity prevailed, which is characteristic of this age.


Assuntos
Humanos , Masculino , Feminino , Recém-Nascido , Lactente , Síndromes da Apneia do Sono/diagnóstico , Polissonografia/métodos , Hospitalização , Criança Hospitalizada , Estudos Retrospectivos
11.
J Perinat Med ; 44(5): 499-503, 2016 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-26845715

RESUMO

OBJECTIVE: To assess the effect of oral propranolol on the progression of early stages of retinopathy of prematurity (ROP) in very low birth weight (VLBW) infants. METHODS: We analyzed VLBW infants with ROP (stages 2-3, zones II-III). Newborns received oral propranolol (0.5 mg/kg/dose q8h), and were monitored throughout the treatment period for possible side effects. Propranolol was administered until regression of ROP. A historic control group of patients with equivalent ROP was used. We compared characteristics of both groups and the progression of retinopathy. RESULTS: Forty-seven newborns were included, 20 in the propranolol group and 27 in the control group. There were no significant differences in gestational age, birthweight or gender. The mean duration of treatment with propranolol was 58.2±17.6 days. Most patients started treatment with stage 2 disease (65.0%), and had zone III involvement (55.0%). In the treated group, 90.0% (18/20) of patients did not require intervention with laser or bevacizumab, compared to 51.8% in the control group (P<0.005). No cases of bradycardia, hypotension or hypoglycemia were observed. CONCLUSIONS: Oral propranolol in early stages of ROP could prevent disease progression and reduce the need for invasive rescue therapy with laser or bevacizumab. No significant side effects were reported.


Assuntos
Antagonistas Adrenérgicos beta/administração & dosagem , Propranolol/administração & dosagem , Retinopatia da Prematuridade/tratamento farmacológico , Administração Oral , Inibidores da Angiogênese/uso terapêutico , Bevacizumab/uso terapêutico , Progressão da Doença , Feminino , Idade Gestacional , Humanos , Lactente , Recém-Nascido , Recém-Nascido Prematuro , Recém-Nascido de muito Baixo Peso , Fotocoagulação a Laser , Masculino , Retinopatia da Prematuridade/terapia , Resultado do Tratamento
12.
Neumol. pediátr. (En línea) ; 9(2): 55-58, jul. 2014. tab
Artigo em Espanhol | LILACS | ID: lil-773829

RESUMO

Croup is a frequent cause of outpatient and emergency consultation. It is frequently triggered by a viral respiratory infection and characterized by an abrupt onset. We describe current studies about the treatment of croup. The use of systemic corticosteroids stands out as choice treatment, and nebulized epinephrine as short term therapy while waiting for the anti-inflammatory effect of steroids.


El Croup (laringitis aguda) es motivo frecuente de consulta en servicios de urgencia y policlínicos pediátricos. Generalmente es gatillado por una infección respiratoria viral y se caracteriza por un inicio abrupto. En el presente texto se describen los estudios vigentes acerca de su tratamiento. Destacan los corticoides sistémicos como terapia de elección y la adrenalina nebulizada como terapia de acción corta en espera de la acción antinflamatoria esteroidal.


Assuntos
Humanos , Criança , Crupe/diagnóstico , Crupe/tratamento farmacológico , Corticosteroides/uso terapêutico , Dexametasona/uso terapêutico , Laringite/diagnóstico , Laringite/tratamento farmacológico , Prednisolona/uso terapêutico , Sons Respiratórios
13.
Neumol. pediátr ; 7(2): 48-50, 2012. tab
Artigo em Espanhol | LILACS | ID: lil-708229

RESUMO

Infections are a frequent cause of apnea in infants, involving both respiratory and extrarrespiratory systems. In the first group we find upper respiratory infections and lower respiratory infections caused by virus or bacteria such as Respiratory Syncytial Virus, Parainfluenza and Bordetella pertussis; in the second group urinary tract infections and severe infections such as meningitis and sepsis are of importance. In this article we analyze different causes of infections attributed to apnea, taking into account existing literature at the time.


Las infecciones son una frecuente causa de apneas en lactantes, pudiendo involucrar tanto el sistema respiratorio como extrarrespiratorio. En el primero encontramos las infecciones respiratorias altas y/o bajas producidas tanto por virus como bacterias, donde destacan Virus Respiratorio Sincicial, Parainfluenza y Bordetella Pertussis; en el segundo grupo son de importancia la infección urinaria e infecciones graves como meningitis y sepsis. En este artículo se analizan estas distintas causas infecciosas atribuidas a eventos de apneas en lactantes, en consideración a la literatura actualmente existente.


Assuntos
Humanos , Lactente , Apneia/etiologia , Evento Inexplicável Breve Resolvido/etiologia , Infecções Bacterianas/complicações , Infecções Respiratórias/complicações , Viroses/complicações , Apneia/classificação , Bordetella pertussis , Vírus Sinciciais Respiratórios , Síndromes da Apneia do Sono
14.
Rev. Fac. Med. (Caracas) ; 32(1): 67-74, jun. 2009. ilus
Artigo em Espanhol | LILACS | ID: lil-631554

RESUMO

Esta investigación se realizó para determinar los patrones y hábitos alimentarios, de 152 estudiantes de la Universidad Central de Venezuela, 99 mujeres y 53 hombres, con una edad promedio de 20,28 ± 3,09 años. Se aplicó un cuestionario de frecuencia del consumo de alimentos para determinar las preferencias alimentarias, con registro de información de dos días, incluyendo un día de fin de semana. Los resultados indican que estos jóvenes, sin distingo de género, incluyen en su alimentación productos de cada grupo de alimentos. Reportaron: preferencia por el consumo de comida rápida (hamburguesas, cachitos, pastelitos y pizza); consumo de agua superior a dos vasos diarios; baja ingesta de café en los hombres; mayor consumo de bebidas alcohólicas entre los hombres; el consumo de frutas en general es a través de jugos y mayoritariamente en las mujeres. Los alimentos integrales tienen aceptación en estos jóvenes, especialmente en las mujeres. Se evidenció preferencia por preparaciones de alimentos fritos, más frecuente en las mujeres


This investigation was made to determine the nourished patterns and habits of 152 students of the Universidad Central de Venezuela, 99 women and 53 men, with an average age of 20.28 ± 3.09 years old. A questionnaire of food consumption frequency was applied to determine food preferences, with registry information of two days, including a of weekend day. Results indicated that these young people, without distinction of gender, included in their feeding products of each food group. Results reported: preference in consumption of snack food (hamburgers, small pieces, cupcakes and pizzas); water consumption superior to two daily glasses; low ingestion of coffee in men; greater consumption of alcoholic drinks among men. The consumption of fruits in general is through juice and mainly in women. Whole foods have acceptance in these young people, especially in women. It was demonstrated preference by fried food preparations, more frequently in women


Assuntos
Humanos , Masculino , Adolescente , Adulto , Feminino , Comportamento Alimentar , Ingestão de Alimentos , Comportamento Alimentar , Estudantes , Ciências da Nutrição
15.
Rev. Fac. Med. (Caracas) ; 31(1): 29-36, jun. 2008. ilus, tab
Artigo em Espanhol | LILACS | ID: lil-631537

RESUMO

El objetivo del estudio fue categorizar el riesgo a sufrir enfermedades cardiometabólicas a partir del uso de biomarcadores del metabolismo de los lípidos y proteínas en estudiantes deportistas o sedentarios de la Universidad Central de Venezuela. Se determinó en suero de 103 sujetos (55 deportistas y 48 sedentarios), por método colorimétrico: creatinina (Cr), proteína total (Pt), albúmina (Al), triglicéridos (Tg), colesterol total (Col-T), y lipoproteínas de alta densidad (HDL-C), mientras que la de baja densidad (LDL-C) se obtuvo por la fórmula de Friedewald y las globulinas por la resta entre Pt y Al. Los niveles séricos de los biomarcadores se encontraron dentro de los rangos de referencia. Sólo en las HDL-C y las globulinas no se observaron diferencias significativas entre sedentarios y deportistas. En estos últimos se consiguieron los Tg notablemente bajos, mientras que el Col-T fue alto, principalmente a expensa de la LDL-C. En este grupo, la condición de los diferentes componentes del perfil lipídico y del índice Col-T/HDL-C estuvieron influenciadas por una distorsión transitoria de la lipemia, posiblemente asociada a procesos inflamatorios mediados por respuesta inmune que se presenta en actividad física de alta intensidad. Se detectó baja proporción de HDL-C elevado en sedentarios y deportistas. Apenas 2,1 por ciento de los sedentarios y 1,0 por ciento de la muestra total tuvieron albúmina sérica baja, la cual está asociada a riesgo incrementado a sufrir enfermedades cardiovasculares (ECV). Una pequeña proporción de la muestra evaluada pudiera ser susceptible a sufrir algún tipo de enfermedad cardiometabólica


The main objective of this study was to categorize the risk of suffering of cardiometabolic disease. For this, lipids and proteins metabolic biomarkers were used on sporting or sedentary students from Universidad Central de Venezuela. The following parameters were determined by colorimetric methods: Creatinine (Cr), Total protein (Tp), Albumin (Al), Triglycerides (Tg), Total cholesterol (T-Cho) and High density lipoproteins (HDL-C). The low density lipoproteins (LDL-C) were calculated by using the Friedewald formulae and globulins values were obtained by subtracting Tp from Al. The seric biomarkers levels were in the normal reference ranges. There were not significant differences on the HDL-C and globulins values between sporting and sedentary students. The sporting group showed very low Tg levels, with high T-Cho, due mainly to LDL-C. In this group, the conditions of the different components of the lipidic profile and T-Cho/HDL-C rate were influenced by a transitory lipemic distortion, possibly due to inflammatory mechanism mediated by immune response, which is observed in physical activity of high intensity. Low levels of HDL-C were obtained from both studied groups. Only 2,1 percent from the sedentary group and 1,0 percent of total sample showed low levels of albumin, which is associated to high risk of suffering from cardiovascular disease. Only a small part of the evaluated sample could be susceptible of suffering cardiometabolic disease


Assuntos
Humanos , Masculino , Adolescente , Adulto , Feminino , Doenças Metabólicas/patologia , Perfil de Saúde , Nível de Saúde , Lipídeos/análise , Atividade Motora , Estudantes
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