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1.
Ecotoxicology ; 30(1): 91-103, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33237400

RESUMO

The aim of the present study was to investigate the toxicity effects of cadmium-nickel (Cd-Ni) after single and mixtures exposures over the macrophyte Lemna gibba. Effects were assessed on growth, as frond number and fresh weight and biochemical parameters, such as total protein content and activity of antioxidant enzymes. Plants were exposed to single Cd and Ni in concentrations that ranged between 0.13-33 mg/L and 0.18 and 11.82 mg/L, respectively. For binary mixtures, individual metal IC50 values were used for selection of the evaluated concentrations. The experimental design consisted in three different ratios based on the concept of toxic units (TU), each ratio was evaluated by five different concentrations. Both single and mixture treatments were performed for 7 days following the conditions according to OECD (2006). Single and mixture exposures affected plant growth and the biomarkers of the antioxidant response. Growth parameters showed a differential sensitivity after individual metal exposures. Cd was more toxic for L. gibba plants when fresh weight was considered, but on the contrary, considering frond number, Ni was the most toxic metal. IC50-7d, based on growth rate calculated on frond number were 17.8 and 2.47 mg/L, and on fresh weight were 1.08 and 3.89 mg/L, for Cd and Ni respectively. LOEC values for Cd were obtained at 2.06 and 1.03 mg/L, for frond number and fresh weight, respectively; while for Ni, these values were 0.92 and 11.82 mg/L. The three evaluated ratios for binary mixtures resulted in a high toxicity considering the same response variables in single metal exposures. Ratio 1 (2/3 TU Cd-1/3 TU Ni) was the most toxic considering both frond number and fresh weight, showing percentage inhibition of growth rates of 96 and 90%, respectively for the highest concentration. A modification of the protein content was observed in single, but especially in the mixture treatments. The activity of catalase (CAT; EC 1.11.1.6), ascorbate peroxidase (APOX; EC 1.11.1.11) and guaiacol peroxidase (GPOX; EC 1.11.1.7) was also affected in single and mixtures assays. APOX and GPOX showed a higher increase of its activities respect the controls after mixture treatments than for single metal treatments. Such optimization of the antioxidant system could be one of the causes of the antagonistic toxicity observed in mixture exposures. Concentration addition (CA) reference model, based on frond number, in Cd-Ni mixtures was not a good predictor to evaluate toxicity from dissolved metal concentration since the results showed that toxicity was less than additive, with an average of ΣTU = 2.17. The observed antagonisms resulted to be stronger in mixtures with higher metal concentrations.


Assuntos
Araceae , Cádmio , Níquel/toxicidade , Biomarcadores/metabolismo , Cádmio/toxicidade , Catalase , Ecotoxicologia
2.
Ecotoxicology ; 29(5): 571-583, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32342293

RESUMO

In the present study, single and mixture effects of cadmium (Cd) and zinc (Zn) on Lemna gibba were analyzed and compared using growth parameters, based on frond number and fresh weight, and biochemical parameters, such as pigment, protein content and activity of antioxidant enzymes. Plants were exposed for 7 days to these metals in nutrient solution. Single and mixture exposures affected plant growth and the biomarkers of the antioxidant response. Considering the growth parameters, Cd was found to be much more toxic than Zn. IC50-7d, based on growth rate calculated on frond number, were 17.8 and 76.73 mg/L, and on fresh weight were 1.08 and 76.93 mg/L, for Cd and Zn respectively. For Cd, LOEC values were obtained at 2.06 and 1.03 mg/L, for frond number and fresh weight respectively; while for Zn, at 20.1 and 74.6 mg/L. A high toxicity effect, considering the same response variables, was observed in plants exposed to the mixtures. Three fixed ratios, based on toxic units (TU) were assayed, ratio 1: 2/3 Cd-1/3 Zn, ratio 2: 1/2 Cd-1/2 Zn and ratio 3: 1/3 Cd-2/3 Zn. Ratio 3 (where Zn was added in higher proportion) was the less toxic. All concentrations of Ratio 1 and 2 significantly inhibited plant growth, showing a 100% inhibition of growth rate at the highest concentrations when based on frond number. Catalase (CAT; EC 1.11.1.6), ascorbate peroxidase (APOX; EC 1.11.1.11) and guaiacol peroxidase (GPOX; EC 1.11.1.7) activities in single metals assays were higher than controls. In mixture tests, the activity of APOX and GPOX was significantly stimulated in plants exposed to all evaluated combinations, while CAT was mainly stimulated in Ratio 3. It was observed that the activity of the enzymes was increased in the mixtures compared with similar concentrations evaluated individually. APOX activity was observed to fit the CA model and following a concentration-response pattern. The response of this antioxidant enzyme could serve as a sensitive stressor biomarker for Cd-Zn interactions. Frond number in Cd-Zn mixtures was not well predicted from dissolved metal concentration in solution using concentration addition (CA) as reference model, as results showed that toxicity was more than additive, with an average of ΣTU = 0.75. This synergistic effect was observed up to 50 mg Zn/L in the mixture, but when it was present in higher concentrations a less than additive effect was observed, indicating a protective effect of Zn. A synergistic and dose-ratio deviations from CA model were also observed.


Assuntos
Araceae/fisiologia , Cádmio/toxicidade , Poluentes Químicos da Água/toxicidade , Zinco/toxicidade , Antioxidantes/metabolismo , Biomarcadores/metabolismo , Catalase/metabolismo , Peroxidase/metabolismo
3.
Ecotoxicology ; 28(6): 686-697, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31222581

RESUMO

The aim of this study was to compare the ecotoxicity of nickel (Ni) and zinc (Zn) assayed as single and as binary mixture. In addition, how were affected the population growth rates and oxidative stress biomarkers, comparing single to binary exposures. The toxicity tests were performed on Lemna gibba using a 7-day test. All calculations were made using measured total dissolved metal concentrations. IC50-7d, based on growth rate calculated on frond number and fresh weight, were 2.47/3.89 mg/L, and 76.73/76.93 mg/L, for Ni and Zn, respectively. Single metals affected plant growth following a non-linear concentration-response relationship. LOEC values for each metal were obtained at 0.92 and 20.1 mg/L for Ni and Zn, respectively. Biomarkers of the antioxidant response like Catalase (CAT; EC 1.11.1.6), ascorbate peroxidase (APOX; EC 1.11.1.11) and guaiacol peroxidase (GPOX; EC 1.11.1.7) activities in single metals assays were higher than controls, but when similar concentrations were added as mixtures, that increase was reduced and inhibition with respect to the control was observed for GPOX. APOX showed the highest activity. The concentration addition (CA) approach was evaluated and resulted in a correct predictor of Ni-Zn mixture toxicity on Lemna gibba. This was made comparing the EC50 and LOEC, measured taking the growth rate as endpoint, with those expected values according to the CA model. However, the measured biomarkers indicating a positive response to free radicals did not fit to concentration addition model when assayed in the binary mixture. Also, the main activity response of these was observed within a range of concentrations below the LOEC values for the mixture.


Assuntos
Araceae/efeitos dos fármacos , Níquel/toxicidade , Estresse Oxidativo , Poluentes Químicos da Água/toxicidade , Zinco/toxicidade , Araceae/crescimento & desenvolvimento , Araceae/fisiologia , Biomarcadores/metabolismo , Estresse Oxidativo/efeitos dos fármacos , Testes de Toxicidade
4.
J Chem Phys ; 134(16): 164507, 2011 Apr 28.
Artigo em Inglês | MEDLINE | ID: mdl-21528973

RESUMO

We report a joint analysis of positron annihilation lifetime spectroscopy (PALS), dielectric spectroscopy (BDS), and nuclear magnetic resonance (NMR) on cis-trans-1,4-poly(butadiene) (c-t-1,4-PBD). Phenomenological analysis of the orthopositronium lifetime τ(3)-T dependence by linear fitting reveals four characteristic PALS temperatures: T(b1)(G)=0.63T(g)(PALS), T(g)(PALS), T(b1)(L)=1.22T(g)(PALS), and T(b2)(L)=1.52T(g)(PALS). Slight bend effects in the glassy and supercooled liquid states are related to the fast or slow secondary ß process, from neutron scattering, respectively, the latter being connected with the trans-isomers. In addition, the first bend effect in the supercooled liquid coincides with a deviation of the slow effective secondary ß(eff) relaxation related to the cis-isomers from low-T Arrhenius behavior to non-Arrhenius one and correlates with the onset of the primary α process from BDS. The second plateau effect in the liquid state occurs when τ(3) becomes commensurable with the structural relaxation time τ(α)(T(b2)). It is also approximately related to its crossover from non-Arrhenius to Arrhenius regime in the combined BDS and NMR data. Finally, the combined BDS and NMR structural relaxation data, when analyzed in terms of the two-order parameter (TOP) model, suggest the influence of solidlike domains on both the annihilation behavior and the local and segmental chain mobility in the supercooled liquid. All these findings indicate the influence of the dynamic heterogeneity in both the primary and secondary relaxations due to the cis-trans isomerism in c-t-1,4-PBD and their impact into the PALS response.

5.
Arch Intern Med ; 157(15): 1729-34, 1997.
Artigo em Inglês | MEDLINE | ID: mdl-9250234

RESUMO

BACKGROUND: Although the short-term benefit of isoniazid prophylaxis in patients coinfected with human immunodeficiency virus (HIV) and tuberculosis has been shown, long-term benefits are unknown. METHODS: Historical cohort study in an acquired immunodeficiency syndrome unit at a tertiary referral hospital. A sample of 121 HIV-infected patients with positive results on a purified protein derivative test were followed up for development of active tuberculosis and survival. Patients who received isoniazid prophylaxis were compared with patients who did not receive prophylaxis. RESULTS: Of the 121 patients examined, 29 (24%) completed a 9- to 12-month course of isoniazid prophylaxis (median follow-up, 89 months), and 92 (76%) did not receive the drug (median follow-up, 60 months). Active tuberculosis developed in 46 patients (38%). The incidence of tuberculosis was higher among patients with no prophylaxis (9.4 per 100 patient-years) than among patients with isoniazid prophylaxis (1.6 per 100 patient-years) (P = .006). Risk for development of tuberculosis was associated with the absence of isoniazid prophylaxis (relative risk [RR], 6.55; 95% confidence interval [CI], 2.02-21.19). Death during the period of study was more frequent in patients who did not receive isoniazid (50/92 or 54%) than in patients who received isoniazid (7/29 or 24%) (P = .008). Median survival was more than 111 months in patients who received isoniazid compared with 75 months in patients who did not receive isoniazid (P < .001). In a proportional hazards analysis, the development of tuberculosis (RR, 1.88; 95% CI, 1.09-3.27), the absence of isoniazid prophylaxis (RR, 2.68; 95% CI, 1.16-6.17), and a CD4+ cell count lower than 0.20 x 10(9)/L (RR, 3.03; 95% CI, 1.39-6.61) were independently associated with death. Patients who received isoniazid had a longer survival after stratifying for the CD4+ cell count. CONCLUSIONS: Preventive therapy with isoniazid confers long-term protection against tuberculosis and significantly increases survival in patients dually infected with HIV and Mycobacterium tuberculosis.


Assuntos
Infecções Oportunistas Relacionadas com a AIDS/prevenção & controle , Antituberculosos/uso terapêutico , Isoniazida/uso terapêutico , Tuberculose Pulmonar/prevenção & controle , Infecções Oportunistas Relacionadas com a AIDS/mortalidade , Adolescente , Adulto , Estudos de Coortes , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Análise de Sobrevida , Resultado do Tratamento , Tuberculose Pulmonar/etiologia , Tuberculose Pulmonar/mortalidade
6.
Br J Radiol ; 71(851): 1185-91, 1998 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-10434914

RESUMO

Simulation and study of patient motion should be undertaken for different imaging techniques since all new radiological techniques or equipment must pass through evaluation processes to verify their functional capability and assess their performance compared with other equipment. A device to study the effects of motion on X-ray image quality was designed and built. The main goal of the PC controlled device developed by our group is to allow the adaptation of different phantoms and test objects. Preliminary experiments for the evaluation of different thorax screen-film systems were carried out by simulating respiratory motion. It is concluded that moving objects should be included for the comparison of screen-film systems since predictions based only on findings in stationary test conditions could lead to false conclusions.


Assuntos
Artefatos , Microcomputadores , Movimento , Radiografia/instrumentação , Desenho de Equipamento , Humanos , Imagens de Fantasmas , Radiografia Torácica/instrumentação , Respiração , Ecrans Intensificadores para Raios X
7.
Mar Pollut Bull ; 44(1): 63-70, 2002 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-11883684

RESUMO

In summer 1997, an intensive survey on the hard bottoms of the 'Abra de Bilbao' (N. Iberian Peninsula) was carried out in the context of the macrozoobenthic monitoring programmes developed to assess the biological recovery of the area. Three types of measurements (abundance, biomass and cover) were used to describe and compare the structure and composition of the communities at three littoral zones: subtidal, lower intertidal and upper intertidal. In addition, several taxonomic aggregation levels of data were successfully applied. The main objective of this paper is to explore the relative effect caused on the results of such programmes by earlier decisions concerning the type of measurement and the taxonomic resolution level to be applied. A 'second stage' multivariate procedure of analysis has been perforrmed based on the previously obtained sampling site ordinations. The measurement type chosen has been found to have a greater effect on the results than the taxonomic resolution used. Moreover, it is suggested that analyses based on abundance data usually lose more information when taxonomic resolution decreases than those based on biomass or cover estimates. The highest concordance among the different analyses has been found in the subtidal zone, which is considered the most appropriate habitat for the development of benthic monitoring programmes.


Assuntos
Monitoramento Ambiental/métodos , Sedimentos Geológicos/análise , Poluentes da Água/efeitos adversos , Biomassa , Classificação , Ecologia , Ecossistema , Dinâmica Populacional
8.
Med Clin (Barc) ; 101(19): 736-40, 1993 Dec 04.
Artigo em Espanhol | MEDLINE | ID: mdl-8289522

RESUMO

BACKGROUND: Infections in subjects with HIV-1 infection are a frequent cause of hospital admission. Knowledge of the entities which most often motivate hospitalization may aid in designing the most appropriate diagnostic and prophylactic strategies. The causes of hospital admission in individuals with risk practices for HIV-1 infection attended in a Department of Infectious Diseases in Madrid over a period of 4 years were analyzed. METHODS: The records of the patients admitted from 1989 to 1992 were retrospectively reviewed. The principal and associated diagnoses which led to hospitalization were considered. The admissions of the two years were compared. RESULTS: Bacterial pneumonias were the principal cause of hospitalization in the 2 years studied. Forty-five percent of the infections leading to hospital admission were not included among those defining AIDS. Tuberculosis was the most frequent opportunistic infection. Admissions due to pulmonary pneumocystosis, tuberculosis, toxoplasmosis, esophageal candidiasis and Kaposi's sarcoma decreased from 1989-1992. To the contrary, disseminated Mycobacterium avium complex infection and systemic infection by cytomegalovirus significantly increased over the same period. The incidence of other diseases such as endocarditis or leishmaniasis remained stable. More than half of the diseases were diagnosed in association with another entity during the same admission. Likewise, an increase in atypical forms of infections thus making diagnosis and treatment more difficult was observed. The first cases of multiresistant tuberculosis, all of rapidly fatal evolution, were identified in 1992. Mean hospital stay increased 30% and the rate of mortality was of 9% in 1989 and rose to 20% in 1992. CONCLUSIONS: The spectrum of infections which led to hospital admission of patients with HIV-1 infection has significantly modified over the last 4 years being related with the generalization of prophylactic medication for some opportunistic infections, the improvement of certain diagnostic techniques and more frequent ambulatory treatment of some diseases. The mean length of stay and hospital mortality have increased in the HIV+ population.


Assuntos
Infecções Oportunistas Relacionadas com a AIDS/epidemiologia , Infecções por HIV/epidemiologia , HIV-1 , Hospitalização , Infecções Oportunistas Relacionadas com a AIDS/diagnóstico , Infecções Oportunistas Relacionadas com a AIDS/mortalidade , Causas de Morte , Distribuição de Qui-Quadrado , Infecções por HIV/diagnóstico , Infecções por HIV/mortalidade , Mortalidade Hospitalar , Hospitalização/estatística & dados numéricos , Humanos , Estudos Retrospectivos , Fatores de Risco , Espanha/epidemiologia
9.
Med Clin (Barc) ; 104(13): 481-6, 1995 Apr 08.
Artigo em Espanhol | MEDLINE | ID: mdl-7746011

RESUMO

BACKGROUND: The aim of the present was to study the prevalence of non Hodgkin's lymphoma (NHL) in AIDS patients as well as the clinicopathologic characteristics, response to treatment and survival. METHODS: From January 1984 to January 1991, 77 patients with NHL associated with AIDS diagnosed in 9 hospitals in Madrid were retrospectively studied. RESULTS: Ninety-two per cent of the patients were men (mean age 30 years: range: 9-66 years), 62% were intravenous drug abusers and 20 (26%) homosexuals. Pathologic study determined that 62 (80%) patients had high grade NHL (44% small noncleaved), 17% immunoblastic and 20% unclassifiable, and 15 (20%) had intermediate grade (16% diffuse large cell) being all the cases of the B immunophenotype. Sixty-five per cent were in advanced stages and 69% had B symptoms. Extranodal localizations were present in 88%, bone marrow in 29% and CNS in 29%. Six cases had primary CNS lymphomas. 50% of the patients had less than 200 x 10(6)/l CD4 lymphocytes. Forty-seven patients were evaluable for response to chemotherapy: 12 (26%) showed a complete response 27 (57%) a partial response and 8 (17%) did not respond. Opportunistic infections developed in 18%. The estimated survival at 3 years was 14% (median 6 months). On univariate analysis the parameters related to the worst survival were: primary CNS lymphoma, liver involvement, lack of treatment response, LDH > or = 300 UI/l, alkaline phosphatase > or = 500 UI/l and ESR > or = 70 mm. CONCLUSIONS: Non Hodgkin's lymphomas associated with AIDS usually behave in an "aggressive" way with a high frequency of advanced stages, B symptoms, high grade histologic subtypes and extranodal involvement. Response to treatment is poor, bone marrow toxicity frequent and survival short.


Assuntos
HIV-1 , Linfoma Relacionado a AIDS/epidemiologia , Linfoma não Hodgkin/epidemiologia , Adolescente , Adulto , Idoso , Criança , Terapia Combinada , Feminino , Humanos , Linfoma Relacionado a AIDS/diagnóstico , Linfoma Relacionado a AIDS/terapia , Linfoma não Hodgkin/diagnóstico , Linfoma não Hodgkin/terapia , Masculino , Pessoa de Meia-Idade , Prevalência , Estudos Retrospectivos , Espanha/epidemiologia , Análise de Sobrevida
10.
Med Clin (Barc) ; 114(18): 690-3, 2000 May 13.
Artigo em Espanhol | MEDLINE | ID: mdl-10916789

RESUMO

BACKGROUND: Day care units have become an usual way of medical care for AIDS patients. However, their influence on the incidence of hospital admissions has not been evaluated. METHODS: Observational and longitudinal study of a cohort of 308 patients with aids diagnosed between 1990 and 1994 and followed-up to June 1996. The incidence of hospital admissions according to the hospital of follow-up (with or without day care unit) was analyzed. A multivariate analysis of the number of hospital admissions was performed using regression model adjusted to a distribution of Poisson. RESULTS: After AIDS diagnosis, the incidence of hospital admissions was 108 per 100 patient-years of follow up (21 days as inpatient per patient-year). Those patients controlled in the hospital with day care unit have less hospital admissions (relative risk after adjusting by CD4+ cells count and type of diagnostic disease: 0.64; CI95% 0.55-0.76), and less days as inpatient through their follow-up (11 to 31 days less). There was no difference in survival among patients followed in both hospitals. CONCLUSIONS: A day care unit decrease the incidence of hospital admissions in aids patients. This positive impact is more evident in patients with lesser CD4+ cell counts.


Assuntos
Síndrome da Imunodeficiência Adquirida/reabilitação , Assistência Ambulatorial/estatística & dados numéricos , Admissão do Paciente/estatística & dados numéricos , Síndrome da Imunodeficiência Adquirida/sangue , Adulto , Antígenos CD4/sangue , Feminino , Seguimentos , Hospitalização/estatística & dados numéricos , Humanos , Incidência , Tempo de Internação/estatística & dados numéricos , Masculino
11.
Rev Esp Enferm Dig ; 89(12): 879-84, 1997 Dec.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-9494375

RESUMO

OBJECTIVE: Assessment of four eradicating patterns of 6 and 12 days duration with new triple therapies adapted to our environment. PATIENTS: After an endoscopic diagnosis of Duodenal or Gastric Ulcer, and the confirmation of the presence of Helicobacter pylori using a rapid urease test in antral biopsies, 274 patients were treated with one of four eradicating therapies, verifying its efficacy with the C-13 urea breath test, at least one month after the end of the treatment and 10 days after withdrawal of proton pump inhibitors. RESULTS: Maximum eradicating efficacy was achieved with Omeprazole (20 mg/12 hours), Clarithromycin (500 mg/12 hours) and Amoxycillin (1 g/12 hours), given for 12 days (96.6%), and Omeprazole (20 mg/12 hours), Tinidazole (500 mg/12 hours) and Clarithromycin (500 mg/12 hours), also given for 12 days (95.2%). The same drugs and doses, when given during six days, achieved percentages of 78.3% and 82.2% respectively. Results with Tinidazole suggest lack of resistance to this drug in the Community of Madrid.


Assuntos
Amoxicilina/administração & dosagem , Antibacterianos/administração & dosagem , Antiulcerosos/administração & dosagem , Claritromicina/administração & dosagem , Infecções por Helicobacter/tratamento farmacológico , Helicobacter pylori , Omeprazol/administração & dosagem , Penicilinas/administração & dosagem , Tinidazol/administração & dosagem , Esquema de Medicação , Feminino , Infecções por Helicobacter/diagnóstico , Helicobacter pylori/isolamento & purificação , Humanos , Masculino , Fatores de Tempo
12.
Gac Sanit ; 6(30): 97-104, 1992.
Artigo em Espanhol | MEDLINE | ID: mdl-1399297

RESUMO

With the objective of studying the temporal evolution of ischaemic cardiopathy (IC), or coronary heart disease mortality, in Spain, we carried out a cohort analysis with conventional graphic techniques and modern statistical methods. This permits better understanding and quantification of the age-period-cohort effects and identification of the potential factors operating upon them. To this end, loglineal (Poisson regression) models were constructed of the IC mortality rates for both sexes, using the GLIM package, in which the regression coefficients are the natural Relative Risk (RR) logarithms of the various age groups (35-74 years), period of death (1970-1985) and birth cohort (1985-1960) with respect to the reference group mortality, controlled by the effect of other groups. In respect of the results, the maximum RR value corresponds to decrease year 1975, and falls progressively to 1985, though at all times remaining above the 1970 value. The effect of 1985, though less than 1980, does not present significant differences from the latter. Nevertheless, no clear cohort effect was found. As a probable explanation for the pattern observed, this would suggest recent changes in life style and in medical attention. There is a discussion of the consistency of the models selected with the graphical results and with present knowledge of the natural history of IC and with the evolution of its determining factors, together with validation of the models. In summary, the IC mortality patterns observed show an increase up to the mid-seventies, and stabilization from that date onwards, in all age and sex groups, which is consistent with an age-period effect.


Assuntos
Doença das Coronárias/mortalidade , Adulto , Fatores Etários , Idoso , Causas de Morte , Estudos de Coortes , Humanos , Pessoa de Meia-Idade , Modelos Estatísticos , Espanha/epidemiologia
13.
J Environ Health ; 64(3): 9-15, 2001 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-11605333

RESUMO

This study modeled patterns and trends in emergency hospital admissions at a hospital in Madrid, Spain. The purpose was to quantify qualitative associations that have been detected between such admissions and a number of environmental variables. The following data were used: unscheduled daily emergency hospital admissions, Madrid air pollution data, and meteorological data. Time-series analysis was performed, with Box-Jenkins modeling. A multivariate model was constructed, incorporating the different causes of admissions and the respective environmental variables. Statistically significant associations were found between hospital admissions and other variables, indicating relationships with temperature, relative humidity, and mean daily tropospheric ozone concentrations. Whereas the effect of heat on admissions was short term, that of cold was in evidence from the second week. The association with ozone showed a seven-day lag and basically manifested itself as an influence on admissions for circulatory disease.


Assuntos
Serviço Hospitalar de Emergência/estatística & dados numéricos , Saúde Ambiental , Poluentes Ambientais/efeitos adversos , Modelos Teóricos , Admissão do Paciente , Doenças Cardiovasculares/etiologia , Cidades , Previsões , Humanos , Umidade , Oxidantes Fotoquímicos/efeitos adversos , Ozônio/efeitos adversos , Espanha , Temperatura
14.
Neurochirurgie ; 39(1): 16-21; discussion 21-3, 1993.
Artigo em Francês | MEDLINE | ID: mdl-8377881

RESUMO

The advantages derived from the use of the CO2 Laser in the treatment of tumours of the cranial base have been widely reported. The authors present their results after the resection of 12 cases of giant acoustic neurinomas operated on with microsurgical technique and CO2 Laser, comparing these results with a similar series, already published (Neurochirurgie, 1984, 30, 17-24), of 12 cases operated on only with microsurgical technique. The present methodology includes the evaluation with magnetic resonance imaging and with pre and intra-operative evoked potentials. A 60 Watt CO2 Laser adapted to the surgical microscope was used. The following parameters are compared: mortality, facial nerve preservation, duration of surgery, and hospitalization and and recovery. The only advantage of the conventional microsurgical techniques over the laser technique was the duration of surgery (5.5 hours vs. 6.1 hours). The other parameters improved with the use of the laser. This work, although retrospective, shows less surgical trauma when using the CO2 Laser associated with the conventional microsurgical technique.


Assuntos
Terapia a Laser/métodos , Neuroma Acústico/cirurgia , Adulto , Doenças do Nervo Facial/etiologia , Feminino , Transtornos da Audição/etiologia , Humanos , Masculino , Microcirurgia/métodos , Pessoa de Meia-Idade , Complicações Pós-Operatórias , Estudos Retrospectivos
15.
Neurochirurgie ; 33(1): 62-5, 1987.
Artigo em Francês | MEDLINE | ID: mdl-3561649

RESUMO

A case is reported of central-medullary cervical astrocytoma, which without any previous history is shown by a sudden pattern of tetraplegia and breathing insufficiency. The myelography suggested the existence of an expansive intramedullary process, carrying out an urgent surgical decompression and evacuating a central-medullary hematoma in relation to a glial benign type. Various aspects of the sudden tetraplegia are discussed.


Assuntos
Astrocitoma/complicações , Hemorragia/complicações , Quadriplegia/etiologia , Neoplasias da Medula Espinal/complicações , Adulto , Feminino , Humanos
16.
Rev Esp Salud Publica ; 69(2): 207-17, 1995.
Artigo em Espanhol | MEDLINE | ID: mdl-7497346

RESUMO

BACKGROUND: To calculate all causes weekly baseline mortality and an alarm threshold using Fourier analysis. To analyse the largest outlier detected in our series. METHODS: Madrid Undertaker database from October 1988 to September 1993, was used in the analysis. Orthogonal components were detected using Fourier analysis. Expected deaths and confidence limits were fitted using Serfling method. Alarm threshold was placed at a distance of 1.96 standard deviations above baseline. RESULTS: orthogonal frequencies with significant amplitudes corresponding to periods 26, 52, 104 and 156 weeks were detected. The second was the fundamental and its multiples were harmonics. In the time domain, baseline mortality showed a winter peak, declined to a summer plateau and presented its lowest level at the end of August. 21 weeks exceeded the alarm threshold. Of these 17 were related to influenza epidemics. The largest outlier corresponded to a heat wave in July 1991. CONCLUSIONS: A procedure similar to that proposed by R. E. Serfling (1963) to calculate baseline mortality, an alarm threshold and short term extrapolation using Madrid Undertaker database (C. Borrell, 1991) is presented. Madrid Undertaker database provide accurate and timely information about all causes mortality excess in Madrid.


Assuntos
Análise de Fourier , Mortalidade , Surtos de Doenças , Humanos , Influenza Humana/mortalidade , Sistemas de Informação , Modelos Estatísticos , Práticas Mortuárias , Estações do Ano , Espanha , Temperatura
17.
Arch Soc Esp Oftalmol ; 87(3): 82-5, 2012 Mar.
Artigo em Espanhol | MEDLINE | ID: mdl-22423657

RESUMO

CASE REPORT: We present a case report of a 28-year-old patient with a lesion that is compatible both clinically and histopathologically with conjunctival keratoacanthoma. The treatment given was complete excision and 0.04% mitomycin C eye drops in the postoperative period. The outcome was a complete clinical remission during the follow-up period (6 months). DISCUSSION: It is important to make a correct differential diagnosis between keratoacanthoma and squamous cell carcinoma, as well as carrying out close monitoring after surgery due to the possibility of relapse and conversion to squamous cell carcinoma. For this reason, we propose the use of conjunctival impression cytology as a non-invasive method for monitoring such patients.


Assuntos
Doenças da Túnica Conjuntiva/diagnóstico , Células Epiteliais/patologia , Técnicas de Preparação Histocitológica , Ceratoacantoma/diagnóstico , Adulto , Carcinoma de Células Escamosas/diagnóstico , Terapia Combinada , Doenças da Túnica Conjuntiva/complicações , Doenças da Túnica Conjuntiva/tratamento farmacológico , Doenças da Túnica Conjuntiva/patologia , Doenças da Túnica Conjuntiva/cirurgia , Neoplasias da Túnica Conjuntiva/diagnóstico , Diagnóstico Diferencial , Fluormetolona/uso terapêutico , Humanos , Hiperemia/etiologia , Ceratoacantoma/complicações , Ceratoacantoma/tratamento farmacológico , Ceratoacantoma/patologia , Ceratoacantoma/cirurgia , Masculino , Mitomicina/uso terapêutico , Pinguécula/etiologia
19.
Bull Environ Contam Toxicol ; 79(5): 483-7, 2007 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-17943222

RESUMO

The genotoxicity of industrial soils was evaluated. A single cell electrophoresis assay or comet assay, using eleocyte cells of Eisenia foetida, was performed to assess the genotoxicity of aqueous elutions. These were obtained from industrial soils containing metals. All soil samples meet the environmental quality guidelines for metal concentrations. However, elutions have produced genotoxic effects at dilutions as low as 6%. Total metal concentrations for each aqueous elution could express synergistic effects of these compounds.


Assuntos
Resíduos Industriais , Oligoquetos/efeitos dos fármacos , Poluentes do Solo/química , Poluentes do Solo/toxicidade , Solo/análise , Animais , Ensaio Cometa , Monitoramento Ambiental , Metais/análise , Mutagênicos/química , Mutagênicos/toxicidade
20.
Ecotoxicol Environ Saf ; 61(3): 380-91, 2005 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-15922804

RESUMO

An ecotoxicologic study was performed to assess the environmental status of the Lujan River. It is an important freshwater system in the northeast of Buenos Aires Province, Argentina. Surface waters (SWs) and liquids effluents (LEs), before they reached the river, and sediments were assessed via acute toxicity screening using a battery of tests with native species. Additionally, the presence, in each LE and SW sample, of bioaccumulatable compounds was checked by SPME extraction and gas chromatograph-MS determination. An environmental risk assessment of each LE was carried out via toxic units and assessment factors approach and through extrapolation methods. Hazardous concentrations for each LE were compared with their river effluent concentrations. Ninety-one percent (91%) of the total toxic load of the river was due to 4 of 11 LEs (37%) evaluated. Although SW samples were not toxic, a real environmental risk was found for this freshwater environment. Sediment toxicity was found to be related to the proximity to pipe discharges. Bioaccumulatable compounds were found in SWs and in LEs. Esters of phthalic acids, morpholine, hydroquinone, and nonylphenol were found throughout the river at different sample sites and in different months during the 1-year sampling program.


Assuntos
Resíduos Industriais , Poluentes Químicos da Água/intoxicação , Animais , Argentina , Disponibilidade Biológica , Ecossistema , Cadeia Alimentar , Água Doce , Medição de Risco , Rios , Poluentes Químicos da Água/análise
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