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1.
J Environ Manage ; 354: 120293, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38387345

RESUMO

The recurrence and severity of wildfire is on the rise due to factors like global warming and human activities. Mediterranean regions are prone to significant wildfire events, which cause extensive damage to ecosystems and soil properties. This study focuses on the municipality of Allande in south-western Asturias (Spain), a region highly affected by recurrent wildfires. In this regard, we sought to examine how the recurrence of such fires influences soil organic carbon fractionation and other soil parameters, such as nitrogen fractionation, pH, and cation exchange capacity. The study involved six sampling plots with between varying fire recurrence levels, from 0 to 4 events between 2005 and 2022. The results revealed some significant effects of wildfires recurrence on soil texture, inorganic elemental composition and CEC, but not on pH and CE. In soil affected by recurrent fires, labile carbon fractions (cold-water extractable & hot-water extractable), and fulvic acid concentrations decreased by up to 36%, 5%, and 45%, respectively in comparison with undisturbed soil. In contrast, humic acid concentration remained stable or increased in soils damaged by fire. Additionally, nitrogen species in soil were observed to decrease significantly in high recurrence scenarios, especially nitrate. On the basis of our findings, we conclude that wildfires impact the distinct fractions of organic carbon and nitrogen in soils and that this effect is aggravated by increasing recurrence.


Assuntos
Incêndios , Incêndios Florestais , Humanos , Solo/química , Ecossistema , Florestas , Carbono/química , Água , Nitrogênio/análise
2.
J Infect Dis ; 227(11): 1322-1332, 2023 05 29.
Artigo em Inglês | MEDLINE | ID: mdl-36571148

RESUMO

BACKGROUND: A drawback in the treatment of chronic Chagas disease (American trypanosomiasis) is the long time required to achieve complete loss of serological reactivity, the standard for determining treatment efficacy. METHODS: Antibody-secreting cells and memory B cells specific for Trypanosoma cruzi and their degree of differentiation were evaluated in adult and pediatric study participants with chronic Chagas disease before and after etiological treatment. RESULTS: T. cruzi-specific antibody-secreting cells disappeared from the circulation in benznidazole or nifurtimox-treated participants with declining parasite-specific antibody levels after treatment, whereas B cells in most participants with unaltered antibody levels were low before treatment and did not change after treatment. The timing of the decay in parasite-specific antibody-secreting B cells was similar to that in parasite-specific antibodies, as measured by a Luminex-based assay, but preceded the decay in antibody levels detected by conventional serology. The phenotype of total B cells returned to a noninfection profile after successful treatment. CONCLUSIONS: T. cruzi-specific antibodies in the circulation of chronically T. cruzi-infected study participants likely derive from both antigen-driven plasmablasts, which disappear after successful treatment, and long-lived plasma cells, which persist and account for the low frequency and long course to complete seronegative conversion in successfully treated participants.


Assuntos
Doença de Chagas , Nitroimidazóis , Tripanossomicidas , Trypanosoma cruzi , Humanos , Trypanosoma cruzi/genética , Doença de Chagas/tratamento farmacológico , Nitroimidazóis/uso terapêutico , Resultado do Tratamento , Linfócitos B , Nifurtimox/uso terapêutico , Infecção Persistente , Tripanossomicidas/uso terapêutico , Doença Crônica
3.
J Environ Manage ; 263: 110346, 2020 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-32174517

RESUMO

Fresh water sources are under pressure globally by the increasing population and consequently increasing production, which increases the water demand day by day. Thus, decreasing the industrial fresh water demand and wastewater production became crucial both for the water availability in the future and for its impact to the environment. This study examined the ozone-based treatments as the possible solution to a refinery to treat the effluent already treated by the traditional techniques to reach the final requirements for reuse and recycle purposes. The screening tests performed by fractional factorial design revealed that the significant parameters for the treatment were ozone feed ratio, H2O2 amount and processing time while pH was found insignificant for this case. Based on the box-Behnken response surface methodology for effluent collected after biological treatment, the significant parameters were optimized as the ozone ratio of 0.9 g/h, H2O2 amount of 47 mg/L and 60 min duration. However, in case of increasing the H2O2 amount to 80 mg/L the duration can be minimized to 37.5 min decreasing the energy and reagent consumption costs by a 37%, reaching a final total organic carbon (TOC) under 4 mg/L, that is the target for reuse possibilities.


Assuntos
Ozônio , Poluentes Químicos da Água , Purificação da Água , Peróxido de Hidrogênio , Oxirredução , Reciclagem , Raios Ultravioleta , Águas Residuárias/análise
4.
J Antimicrob Chemother ; 68(2): 424-37, 2013 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-23104493

RESUMO

OBJECTIVES: Even though the use of combined drugs has been proved to be effective in other chronic infections, assessment of combined treatment of antiparasitic drugs in human Chagas' disease has not been performed. Herein, a pilot study was conducted to evaluate the tolerance and side effects of a sequential combined treatment of two antiparasitic drugs, allopurinol and benznidazole, in the chronic phase of Trypanosoma cruzi infection. PATIENTS AND METHODS: Changes in total and T. cruzi-specific T and B cells were monitored during a median follow-up of 36 months. Allopurinol was administered for 3 months (600 mg/day) followed by 30 days of benznidazole (5 mg/kg/day) in 11 T. cruzi-infected subjects. RESULTS: The combined sequential treatment of allopurinol and benznidazole was well tolerated. The levels of T. cruzi-specific antibodies significantly decreased after sequential combined treatment, as determined by conventional serology and by a multiplex assay using recombinant proteins. The frequency of T. cruzi-specific interferon-γ-producing T cells significantly increased after allopurinol treatment and decreased to background levels following benznidazole administration in a substantial proportion of subjects evaluated. The levels of total naive (CD45RA + CCR7 + CD62L+) CD4 + and CD8 + T cells were restored after allopurinol administration and maintained after completion of the combined drug protocol, along with a decrease in T cell activation in total peripheral CD4 + and CD8 + T cells. CONCLUSIONS: This pilot study shows that the combination of allopurinol and benznidazole induces significant modifications in T and B cell responses indicative of a reduction in parasite burden, and sustains the feasibility of administration of two antiparasitic drugs in the chronic phase of Chagas' disease.


Assuntos
Alopurinol/administração & dosagem , Antiprotozoários/administração & dosagem , Doença de Chagas/tratamento farmacológico , Nitroimidazóis/administração & dosagem , Adulto , Alopurinol/efeitos adversos , Antiprotozoários/efeitos adversos , Linfócitos B/imunologia , Doença Crônica , Quimioterapia Combinada/efeitos adversos , Quimioterapia Combinada/métodos , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Nitroimidazóis/efeitos adversos , Projetos Piloto , Linfócitos T/imunologia , Resultado do Tratamento , Trypanosoma cruzi/imunologia
5.
Nat Genet ; 18(2): 188-91, 1998 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-9462754

RESUMO

The high metabolic requirements of the mammalian central nervous system require specialized structures for the facilitated transport of nutrients across the blood-brain barrier. Stereospecific high-capacity carriers, including those that recognize glucose, are key components of this barrier, which also protects the brain against noxious substances. Facilitated glucose transport in vertebrates is catalyzed by a family of carriers consisting of at least five functional isoforms with distinct tissue distributions, subcellular localizations and transport kinetics. Several of these transporters are expressed in the mammalian brain. GLUT-1, whose sequence was originally deduced from cDNAs cloned from human hepatoma and rat brain, is present at high levels in primate erythrocytes and brain endothelial cells. GLUT1 has been cloned and positionally mapped to the short arm of chromosome 1 (1p35-p31.3; refs 6-8). Despite substantial metabolic requirements of the central nervous system, no genetic disease caused by dysfunctional blood-brain barrier transport has been identified. Several years ago, we described two patients with infantile seizures, delayed development and acquired microcephaly who have normal circulating blood glucose, low-to-normal cerebrospinal fluid (CSF) lactate, but persistent hypoglycorrachia (low CSF glucose) and diminished transport of hexose into isolated red blood cells (RBC). These symptoms suggested the existence of a defect in glucose transport across the blood brain barrier. We now report two distinct classes of mutations as the molecular basis for the functional defect of glucose transport: hemizygosity of GLUT1 and nonsense mutations resulting in truncation of the GLUT-1 protein.


Assuntos
Cromossomos Humanos Par 1 , Proteínas de Transporte de Monossacarídeos/deficiência , Proteínas de Transporte de Monossacarídeos/genética , Mutação Puntual , Polimorfismo Genético , Animais , Barreira Hematoencefálica , Encéfalo/metabolismo , Carcinoma Hepatocelular/metabolismo , Linhagem Celular , Mapeamento Cromossômico , Deficiências do Desenvolvimento/genética , Feminino , Transportador de Glucose Tipo 1 , Haplótipos , Humanos , Hibridização in Situ Fluorescente , Neoplasias Hepáticas/metabolismo , Masculino , Microcefalia/genética , Proteínas de Transporte de Monossacarídeos/metabolismo , Linhagem , Reação em Cadeia da Polimerase , Ratos , Convulsões/genética , Pele/patologia , Síndrome
6.
Acta Ortop Mex ; 37(5): 290-295, 2023.
Artigo em Espanhol | MEDLINE | ID: mdl-38382454

RESUMO

Platelet-rich plasma (PRP) is an autologous blood product containing growth factors and proteins, widely employed in the clinical setting for tissue repair. Robust evidence in basic science literature has facilitated clinical research involving PRP for patients with disc disease and lumbar pain. Degenerative disc disease (DDD) has been identified as a significant contributor to lower back pain, with approximately 40% of patients under 30 and 90% of those over 50 experiencing lumbar pain showing MRI findings consistent with degenerative changes in intervertebral discs. Regenerative medicine within the disc has primarily been studied in patients with chronic, untreatable lumbar pain. Objective: to understand the available evidence regarding the efficacy of PRP in lumbar disc herniation. By understanding the scientific evidence supporting PRP as a lumbar disc herniation treatment, a research project can be developed, providing the theoretical foundation for implementing this therapy in the Mexican population. A search was conducted using PUBMED, ClinicalKey (Elsevier), Medscape, Science Direct, and Google Scholar databases. Conclusions: despite promising results in several studies on intradiscal PRP injection, small sample sizes and non-standardized graft preparation procedures have hindered these research efforts.


El plasma rico en plaquetas (PRP) es un producto sanguíneo autólogo que contiene factores de crecimiento y proteínas y se ha utilizado en todo el entorno clínico para la reparación de tejidos. La fuerte evidencia en la literatura de ciencias básicas ha permitido la investigación clínica que involucra PRP para pacientes con enfermedad del disco y dolor lumbar. La enfermedad degenerativa del disco (DDD) se ha establecido como un importante contribuyente a la causa del dolor lumbar: aproximadamente el 40% de los pacientes menores de 30 años y el 90% de los pacientes mayores de 50 años que tienen dolor lumbar también muestran hallazgos de imágenes de resonancia magnética (IRM) que son consistentes con cambios degenerativos dentro de los discos intervertebrales. La medicina regenerativa intradiscal se ha estudiado principalmente en pacientes con dolor lumbar crónico intratable. Objetivo: conocer la evidencia disponible sobre la eficacia del PRP en hernias de disco lumbar. Al conocer la evidencia científica disponible del PRP como tratamiento de hernia discal lumbar se podrá desarrollar un proyecto de investigación, lo cual sustentará las bases teóricas para realizar esta terapia en la población mexicana. Se realizó búsqueda en base de datos PUBMED, ClinicalKey (Elsevier), Medscape, Science Direct, Google Scholar. Conclusiones: aunque varias investigaciones han arrojado resultados prometedores con respecto a la inyección intradiscal de PRP los tamaños de muestra pequeños y los procedimientos de preparación de injertos no estandarizados obstaculizaron estos esfuerzos de investigación.


Assuntos
Degeneração do Disco Intervertebral , Deslocamento do Disco Intervertebral , Disco Intervertebral , Dor Lombar , Plasma Rico em Plaquetas , Humanos , Deslocamento do Disco Intervertebral/terapia , Degeneração do Disco Intervertebral/terapia , Disco Intervertebral/metabolismo , Dor Lombar/terapia , Plasma Rico em Plaquetas/metabolismo , Vértebras Lombares
7.
Science ; 256(5059): 1005-7, 1992 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-17795004

RESUMO

Beginning in January 1990, the epicenters of microearthquakes associated with a 12-month increase in seismicity near Parkfield, California, moved northwest to southeast along the San Andreas fault. During this sequence of events, the locally variable rate of cumulative seismic moment increased. This increase implies a local increase in fault slip. These data suggest that a southeastwardly diffusing stress front propagated along the San Andreas fault at a speed of 30 to 50 kilometers per year. Evidently, this front did not load the Parkfield asperities fast enough to produce a moderate earthquake; however, a future front might do so.

8.
Science ; 244(4904): 557-9, 1989 May 05.
Artigo em Inglês | MEDLINE | ID: mdl-17769398

RESUMO

Microearthquake data from a downhole seismometer network on the San Andreas fault appear to outline two aseismic asperities that may correspond to the locations of the foreshocks and main shocks of the Parkfield characteristic earthquakes. The source parameters of the microearthquakes show that a few of the earthquakes have significantly higher stress drops than most. Furthermore, the magnitude-frequency statistics suggest that at local magnitude 0.6, the cumulative number of small events begins to fall off the usual Gutenberg-Richter (b = -1) relation, in which the number of events increases exponentially with decreasing magnitude. The downhole seismometer data establish a baseline from which the evolution of the earthquake process at Parkfield can be monitored and suggest that different mechanical conditions than those that lead to the typical Gutenberg-Richter relation may be operating for the smallest of Parkfield microearthquakes.

9.
Cell Mol Biol (Noisy-le-grand) ; 55(2): 8-14, 2009 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-19656445

RESUMO

The photodynamic activity of three photosensitizers (PS): AL-induced PPIX, the porphyrin derivative 5-(4-trimethylammoniumphenyl)-10, 5, 20-tris (2,4,6- trimethoxyphenyl) porphyrin (CP) and the molecular dyad porphyrin-C(60) (P-C(60)), the last two incorporated into liposomal vesicles, was evaluated on Hep-2 human larynx carcinoma cell line. ALA-induced accumulation of the endogenous PS PPIX, reached saturation values between 5 and 24 h incubation time; the maximal PPIX content was 5.7 nmol/106 cells. The same intracellular level was accumulated when the cationic porphyrin CP was used, while the amount of P-C(60) attained was 1.5 nmol/106 cells. Under violet-blue exciting light, the fluorescence of PPIX and P-C(60) was found in the cytoplasm showing a granular appearance indicating lysosomal localization. CP was mainly detected as a filamentous pattern characteristic of mitochondrial localization. No dark cytotoxicity was observed using 1mM ALA, 5 microM CP and 1 microM P-C(60) after 24 h incubation. Cell morphology was analyzed using Hoechst-33258, toluidine blue staining, TUNEL assay and DNA fragmentation, 24 h after irradiation with 54 J/cm2. When photosensitized with ALA and P-C(60), chromatine condensation characteristic of apoptotic cell death was found; instead, 58 % of necrotic cells were observed with CP. The results show that in the Hep-2 cells, of the three PS analyzed, the molecular dyad P-C(60) was more efficient than CP and PPIX, and confirm that PDT can induce different mechanisms of cell death depending on the PS and the irradiation dose.


Assuntos
Fármacos Fotossensibilizantes/metabolismo , Porfirinas/química , Ácido Aminolevulínico/química , Carcinoma/tratamento farmacológico , Linhagem Celular Tumoral , Sobrevivência Celular/efeitos dos fármacos , Fulerenos/química , Humanos , Neoplasias Laríngeas/tratamento farmacológico , Luz , Lipossomos/química , Lipossomos/metabolismo , Microscopia de Fluorescência , Fotoquimioterapia , Fármacos Fotossensibilizantes/uso terapêutico , Fármacos Fotossensibilizantes/toxicidade , Porfirinas/uso terapêutico , Porfirinas/toxicidade , Protoporfirinas/química
10.
Photochem Photobiol ; 74(1): 14-21, 2001 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-11460532

RESUMO

The photodynamic activities of the free-base 5,10,15,20-tetrakis(4-methoxyphenyl)porphyrin (TMP) and their metal complexes with zinc(II) (ZnTMP), copper(II) (CuTMP) and cadmium(II) (CdTMP) have been compared in two systems: reverse micelle of n-heptane/sodium bis(2-ethylhexyl)sulfosuccinate/water bearing photooxidizable substrates and Hep-2 human larynx carcinoma cell line. The quantum yields of singlet molecular oxygen, O2(1 delta g), production (phi delta) of TMP, ZnTMP and CdTMP in tetrahydrofuran, were determined yielding values of 0.65, 0.73 and 0.73, respectively, while O2(1 delta g) formation was not detected for CuTMP. In the reverse micellar system, the amino acid L-tryptophan (Trp) was used as biological substrate to analyze the O2(1 delta g)-mediated photooxidation. The observed rate constants for Trp photooxidation (kobsTrp) were proportional to the sensitizer quantum yield of O2(1 delta g). A value of approximately 2 x 10(7) s-1 M-1 was found for the second-order rate constant of Trp (krTry) in this system. The response of Hep-2 cells to cytotoxicity photoinduced by these agents in a biological medium was studied. The Hep-2 cultures were treated with 1 microM of porphyrin for 24 h at 37 degrees C and the cells exposed to visible light. The cell survival at different light exposure levels was dependent on phi delta. Under these conditions, the cytotoxic effect increases in the order: Cu-TMP << TMP < ZnTMP approximately CdTMP, correlating with the production of O2(1 delta g). A similar behavior was observed in both the chemical and biological media indicating that the O2(1 delta g) mediation appears to be mainly responsible for the cell inactivation.


Assuntos
Porfirinas/farmacologia , Sobrevivência Celular/efeitos dos fármacos , Humanos , Oxigênio/metabolismo , Fotoquímica , Fotoquimioterapia , Fármacos Fotossensibilizantes/química , Fármacos Fotossensibilizantes/farmacologia , Porfirinas/química , Oxigênio Singlete , Células Tumorais Cultivadas
11.
Toxicology ; 149(2-3): 69-74, 2000 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-10967404

RESUMO

The photodynamic effects of 5,10,15, 20-tetra(4-methoxyphenyl)porphyrin (TMP) on a Hep-2 cell line were investigated. TMP toxicity in the dark and in relation to illumination with visible light was examined. Hep-2 cells were treated with different TMP concentrations (1, 5 and 10 microM). The uptake of TMP by Hep-2 cells increased with TMP concentration and an increase of the initial uptake rate was observed with increasing TMP concentrations. However, after 24 h of incubation, a similar value of intracellular TMP concentration was reached at all three concentrations of TMP added. Cell toxicity induced by TMP was analyzed in the dark at different concentrations of the photosensitizer and at several incubation periods. The cell mortality obtained after exposure of the cell cultures to visible light was exclusively due to the photosensitization effect of TMP produced by light irradiation. Staining with the hematoxylin-eosin method demonstrated that treatment with TMP, followed by exposure to visible light, notably increased the apoptotic figures. Fas antigen was only expressed in these conditions. The results contribute to the understanding of the photodynamic therapy (PDT) mechanism produced by TMP on Hep-2 carcinoma cell line.


Assuntos
Apoptose/efeitos dos fármacos , Porfirinas/farmacologia , Receptor fas/efeitos dos fármacos , Apoptose/efeitos da radiação , Sobrevivência Celular/efeitos dos fármacos , Sobrevivência Celular/efeitos da radiação , Relação Dose-Resposta a Droga , Humanos , Luz , Fotoquimioterapia , Fármacos Fotossensibilizantes/farmacologia , Células Tumorais Cultivadas , Receptor fas/biossíntese
12.
Biomed Pharmacother ; 56(10): 498-502, 2002 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-12504271

RESUMO

Physiological parameters on hepatic and renal functionality and biodistribution, accumulation and elimination, in different organs of the 5,10,15,20-tetra (4-methoxyphenyl) porphyrin (TMP) were determined in Wistar rats. The transport of TMP by low-density (LDL) and high-density lipoproteins (HDL) was also investigated. The photosensitizer is accumulated in the spleen, where its concentration is significantly increased 21 d post-injection; it also accumulates in the liver and in a lower proportion, in the duodenum, and poorly in brain and muscle. The urine and serum biochemical parameters reached normal values both in control and treated groups. The glomerular filtrate rate was not affected by the TMP treatment in any of the studied times. These results would indicate that the sensitizer does not modify the renal glomerular function. TMP is mainly eliminated from the organism via the bile-gut pathway. Considering the total amount of porphyrin bound to both lipoproteins (LDL and HDL) in comparison with the total value of the TMP in serum, it can be inferred that a large amount of the agent is transported by lipoproteins in the plasma. This study proves information about the behavior of TMP in vivo under dark conditions. The results can be used to design photodynamic treatments using this porphyrin model as the sensitizer.


Assuntos
Porfirinas/farmacocinética , Animais , Disponibilidade Biológica , Feminino , Lipoproteínas HDL/sangue , Lipoproteínas LDL/sangue , Porfirinas/sangue , Porfirinas/química , Porfirinas/urina , Ratos , Ratos Wistar , Distribuição Tecidual/fisiologia
13.
Surg Clin North Am ; 80(2): 443-57, 2000 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-10836000

RESUMO

This article attempts to show the vertiginous advances that exist today in the concept of what cancer is. The authors chose some multiple biologic concepts that have enabled the progress in the knowledge of this disease to occur at a speed no one could imagine until recently. Although the areas and biologic problems that remain to be solved are more numerous and complex than they expected, the basic fundamentals already partially understood and the multidisciplinary integration of the various medical specialties with biomolecular research enable physicians to face the next millennium with great optimism about the possibilities of therapeutic success, prevention, and effective early diagnosis.


Assuntos
Neoplasias/genética , Apoptose , Ciclo Celular , Senescência Celular , Genes p53/fisiologia , Humanos , Neoplasias/diagnóstico , Neoplasias/terapia , Proto-Oncogenes/genética
14.
Biocell ; 24(3): 213-6, 2000 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-11201656

RESUMO

DFMO is an irreversible inhibitor of ornithine decarboxilase (ODC), the key enzyme in mammalian polyamine biosynthesis, and has been shown to induce apoptosis. In this paper, the relation between the effects of DFMO on the polyamine content, apoptotic index and Fas expression in HEP-2 cells was determined. Fas is a type I membrane protein with a molecular mass of 45 kDa, which mediates apoptosis. The results suggest that the treatment with the polyamine inhibitor DFMO induced the expression of the surface antigen Fas, which could be responsible for trigger apoptosis in these cells.


Assuntos
Apoptose/efeitos dos fármacos , Poliaminas Biogênicas/biossíntese , Eflornitina/farmacologia , Inibidores da Ornitina Descarboxilase , Células Tumorais Cultivadas/efeitos dos fármacos , Regulação para Cima/efeitos dos fármacos , Receptor fas/efeitos dos fármacos , Apoptose/fisiologia , Humanos , Ornitina Descarboxilase/metabolismo , Células Tumorais Cultivadas/citologia , Células Tumorais Cultivadas/metabolismo , Regulação para Cima/fisiologia , Receptor fas/metabolismo
15.
Acta Gastroenterol Latinoam ; 14(4): 295-302, 1984.
Artigo em Espanhol | MEDLINE | ID: mdl-6537704

RESUMO

25 patients with clinical, radiological and manometrical features of PSS in the gastrointestinal tract were reviewed, looking mainly for the esophageal involvement. All of the data obtained in our serie agreed with those of most of the authors. Outlining: The lack of relationship between the evolution of the skin involvement and GI tract involvement. The high incidence of esophageal involvement, especially functional alterations even in the absence of clinical and/or radiological symptomatology. The usefulness of manometric method in the diagnosis of motor involvement of esophages, especially for the evaluation of lower esophageal esphincter. Although the esophageal and intestinal involvement are more frequent and well known, any area of the GI tract may be damaged during the course of this disease. Since up to now, an ethiological therapy to stop the course of the disease is not known, it's important to search for earlier alterations in order to start with a pathophysiological and symptomatic treatment to avoid complications.


Assuntos
Esôfago/fisiopatologia , Intestino Delgado/fisiopatologia , Escleroderma Sistêmico/fisiopatologia , Sistema Digestório/fisiopatologia , Humanos , Manometria , Mucosa Bucal/patologia , Radiografia , Escleroderma Sistêmico/diagnóstico por imagem
16.
Trans R Soc Trop Med Hyg ; 106(10): 636-8, 2012 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-22898619

RESUMO

In 12-18% of adult patients, treatment with benznidazole for chronic Chagas disease has to be discontinued because of side-effects. We identified and analysed a cohort of 81 adult patients with three positive tests for Trypanosoma cruzi infection and serological monitoring following incomplete treatment with benznidazole for a median of 10 days. Twenty percent of these patients (16/81) met the criteria of cure, showing that the optimal schedule of benznidazole administration remains to be determined.


Assuntos
Doença de Chagas/sangue , Nitroimidazóis/administração & dosagem , Nitroimidazóis/efeitos adversos , Tripanossomicidas/administração & dosagem , Tripanossomicidas/efeitos adversos , Trypanosoma cruzi/efeitos dos fármacos , Adulto , Doença de Chagas/tratamento farmacológico , Doença Crônica , Esquema de Medicação , Feminino , Humanos , Masculino
17.
Mini Rev Med Chem ; 12(6): 534-50, 2012 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-22587767

RESUMO

During the last decade the technological advances in drug discovery changed the absorption, distribution, metabolism, excretion and toxicity (ADMET) profiles of New Chemical Entities (NCEs). Among ADMET processes, absorption plays an important role in the research and development of more effective orally administered drugs. Although significant progress has been made in in vitro, in situ and in vivo experimental determinations of absorption, the development of in silico methodologies has emerged as a cheaper and fast alternative to predict them. Even though several in silico models have been described in the literature to predict oral bioavailability and related properties, the prediction accuracy and their potential use is still limited. The low precision and high variability of data, the lack of a complete experimental and theoretical validation of in silico approach, and above all, the multi-factorial nature of the oral absorption term, make the development of predictive in silico models a thorny task. The present review discusses several important advances regarding the QSPR approaches used in the development of predictive oral bioavailability models. The importance of fixing the problem associated with data resource, as well as improving the reliability of in silico results is highlighted. Optimization of individual properties along the absorption process must be integrated in a multi-objective scenario for studying oral bioavailability behavior in the early drug discovery and development.


Assuntos
Disponibilidade Biológica , Relação Quantitativa Estrutura-Atividade , Administração Oral
18.
IARC Sci Publ ; (162): 89-95, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-21675409

RESUMO

The population-based cancer registry in Cuba is a national cancer registry established in 1964; cancer registration is entirely done by passive methods. Data on survival from 13 cancer sites or types registered during 1994-1995 are reported. Follow-up has been carried out predominantly by passive methods, with median follow-up ranging from 13-54 months. The proportion with histologically verified diagnosis for various cancers ranged between 34-100%; death certificates only (DCOs) comprised 8-50%; 50-89% of total registered cases were included for the survival analysis. The 5-year age-standardized relative survival for selected cancers were breast (69%), colon (41%), cervix (56%), urinary bladder (64%), rectum (48%) and non-Hodgkin lymphoma (49%). The 5-year relative survival by age group showed no distinct pattern or trend, and was fluctuating. A decreasing survival with increasing clinical extent of disease was noted for all cancers studied. The data on survival trend revealed that the 5-year relative survival of most cancers diagnosed in 1994-1995 was greater than that in 1988-1989.


Assuntos
Neoplasias/mortalidade , Adolescente , Adulto , Idoso , Criança , Pré-Escolar , Cuba , Feminino , Seguimentos , Humanos , Lactente , Recém-Nascido , Masculino , Pessoa de Meia-Idade , Sistema de Registros , Fatores de Tempo
20.
Adv Ophthalmol ; 29: 88-125, 1975.
Artigo em Inglês | MEDLINE | ID: mdl-1130240

RESUMO

Mackay-Marg electronic tonometry was performed without any kind of drugs in 604 eyes of newborn babies (up to 4 days of age). The first 100 cases were eliminated from the sample due to the significantly higher intraocular pressures obtained, attributed to small number of tonometries in each eye. The decision is fully discussed. The remaining cases (504 eyes) gave a mean of 12.41 mm Hg and a standard deviation of 2.58. The most important finding was the extreme and continuous variations found in newborn intraocular pressure; some hypotheses are discussed in this regard. The concept of 'basal intraocular pressure' is introduced to use the lowest intraocular pressure as a more homogenous comparative level than the ones previously used. Standardized anesthetic procedure is recommended for baby tonometry. While the possibilities of the Mackay-Marg electronic tonometer are recognized, the Goldmann tonometer (manual model) is found to be more reliable for clinical decisons in babies.


Assuntos
Recém-Nascido , Pressão Intraocular , Tonometria Ocular , Adulto , Fatores Etários , Anestesia Geral , Alimentação com Mamadeira , Comportamento Cooperativo , Eletrônica Médica , Humanos , Probabilidade , Tonometria Ocular/instrumentação , Tonometria Ocular/métodos
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